{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:48:00Z","timestamp":1791798480515,"version":"4.3.4"},"reference-count":77,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review evaluated the feasibility, efficacy, adherence, and methodological quality of ecological momentary intervention (EMI)\u2013based treatments for individuals with diagnosed eating disorders (EDs) and\/or obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Eight electronic databases were systematically searched from inception to January 2026. Randomized, non\u2010randomized, and uncontrolled studies evaluating EMI\u2010based treatments for individuals with diagnosed EDs and\/or obesity were included. Data on intervention characteristics, clinical and behavioral outcomes, feasibility, acceptability, and adherence were extracted. Risk of bias was assessed using RoB 2 and ROBINS\u2010I, and findings were synthesized narratively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen studies met inclusion criteria (eight obesity\u2010focused, six ED\u2010focused), including nine randomized controlled trials. In ED studies, EMI\u2010augmented interventions were associated with significant within\u2010group reductions in binge\u2010eating frequency and ED psychopathology. However, superiority over active cognitive\u2010behavioral therapy\u2010based controls was inconsistent and primarily observed during maintenance phases. Obesity\u2010focused trials demonstrated small to moderate within\u2010group improvements in weight\u2010related outcomes, with generally small and non\u2010sustained between\u2010group effects. Feasibility and acceptability were generally high, although retention and engagement varied across studies. Risk of bias was low in most randomized trials but higher in non\u2010randomized studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>EMIs appear to be a feasible and acceptable approach for extending evidence\u2010based treatments for EDs and obesity into daily life. Current evidence suggests that EMIs may exert a beneficial adjunctive effect by enhancing engagement and improving short\u2010term behavioral outcomes. However, their impact on long\u2010term clinical outcomes remains limited and inconsistent, underscoring the necessity for conducting rigorously designed clinical trials with extended follow\u2010up periods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70140","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T03:24:42Z","timestamp":1780457082000},"page":"2119-2147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ecological Momentary Interventions in the Management of Eating Disorders and Obesity: A Systematic Review"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7056-6550","authenticated-orcid":false,"given":"Wenlu","family":"Mao","sequence":"first","affiliation":[{"name":"Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy University Medical Center Leipzig  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-2897","authenticated-orcid":false,"given":"Ricarda","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics University Hospital Leipzig  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6854-1207","authenticated-orcid":false,"given":"Emily K.","family":"Presseller","sequence":"additional","affiliation":[{"name":"Department of Biomedical Data Science Geisel School of Medicine at Dartmouth  Hanover New Hampshire USA"},{"name":"Department of Psychiatry Geisel School of Medicine at Dartmouth  Hanover New Hampshire USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6377-4212","authenticated-orcid":false,"given":"Adrienne","family":"Juarascio","sequence":"additional","affiliation":[{"name":"Oregon Research Institute  Eugene Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2775-1296","authenticated-orcid":false,"given":"Anja","family":"Hilbert","sequence":"additional","affiliation":[{"name":"Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy University Medical Center Leipzig  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6482"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248152"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4897"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2196\/38243"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2010.10.008"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2283"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph22071152"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2024.2421057"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2017.2150"},{"key":"e_1_2_10_12_1","unstructured":"Deutsche Adipositas\u2010Gesellschaft [DAG] e.V.2024.\u201cS3\u2010Leitlinie Adipositas \u2013 Pr\u00e4vention und Therapie (AWMF\u2010Register Nr. 050\/001). Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF).\u201dhttps:\/\/register.awmf.org\/de\/leitlinien\/detail\/050-001."},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/iwcomp\/iwaa019"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12096"},{"key":"e_1_2_10_15_1","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. G.","year":"2008"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2021.100436"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/ibz137"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqy342"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2013.06.001"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1348\/135910709X466063"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000360"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-064394"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24479"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000358"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20421"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-014-0243-x"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.2196\/38684"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/01454455221109434"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.2196\/18261"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23864"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.2196\/38479"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kay067"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.2196\/76625"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6731"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.7777"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.793094"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2018.03.008"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000575"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2010.0200"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20853"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2508"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24078"},{"key":"e_1_2_10_43_1","volume-title":"Motivational Interviewing: Helping People Change (3rd Edition)","author":"Miller W. R.","year":"2013"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3421"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-015-1617-7"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000306"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-psych-121024-044244"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-016-9830-8"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(23)02750-2"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.2196\/12209"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)02403-5"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13142-016-0453-1"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-020-0224-8"},{"key":"e_1_2_10_55_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23695"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm15110526"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(24)00316-4"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2017.05.011"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.2196\/11170"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2013.02.007"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20744"},{"key":"e_1_2_10_62_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.clinpsy.3.022806.091415"},{"key":"e_1_2_10_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2016.01.005"},{"key":"e_1_2_10_64_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-019-1046-8"},{"key":"e_1_2_10_65_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21842"},{"key":"e_1_2_10_66_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.0821"},{"key":"e_1_2_10_67_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_10_68_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_10_69_1","doi-asserted-by":"publisher","DOI":"10.15620\/cdc:106273"},{"key":"e_1_2_10_70_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40614-022-00339-w"},{"key":"e_1_2_10_71_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21226"},{"key":"e_1_2_10_72_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22410"},{"key":"e_1_2_10_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30059-3"},{"key":"e_1_2_10_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2019.01.002"},{"key":"e_1_2_10_75_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1841"},{"key":"e_1_2_10_76_1","doi-asserted-by":"publisher","DOI":"10.2196\/11586"},{"key":"e_1_2_10_77_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocy052"},{"key":"e_1_2_10_78_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101429"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.70140","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.70140","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.70140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T09:11:14Z","timestamp":1791796274000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.70140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,2]]},"references-count":77,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/eat.70140"],"URL":"https:\/\/doi.org\/10.1002\/eat.70140","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,2]]},"assertion":[{"value":"2026-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}