{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T23:33:11Z","timestamp":1790033591582,"version":"4.0.1"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T00:00:00Z","timestamp":1603670400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100003979","name":"National Eating Disorders Association","doi-asserted-by":"publisher","award":["Feeding Hope Grant"],"award-info":[{"award-number":["Feeding Hope Grant"]}],"id":[{"id":"10.13039\/100003979","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Although current treatments are effective for some patients with eating disorders, a large number of patients remain partially or fully symptomatic post\u2010treatment. This may be related to poor utilization of treatment skills outside of the therapy office. Smartphone applications that can detect and intervene during moments of need could facilitate such skill use between sessions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Individuals (<jats:italic>N<\/jats:italic> = 16) participated in a small pilot open trial where they received 21 sessions of in\u2010person Integrative Cognitive\u2010Affective Therapy (ICAT) therapy an app (iCAT+) that delivers ecological momentary interventions (EMI) in response to user\u2010entered data. Data were collected on the feasibility and acceptability of this treatment approach and on preliminary indicators of treatment outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants found iCAT+ as a treatment augmentation acceptable and indicated it had clinical utility as an adjunct to in\u2010person therapy, although analyses indicated poor compliance with data entry needed to trigger EMI delivery. This suggests that long\u2010term use of EMI requiring ongoing data entry is infeasible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We describe lessons learned from our initial pilot trial and future directions for the development of impactful EMI systems that can be used to augment in\u2010person therapies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2800","type":"journal-article","created":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T17:20:28Z","timestamp":1603732828000},"page":"152-158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Enhancing Integrative Cognitive\u2010Affective Therapy with ecological momentary interventions: A pilot trial"],"prefix":"10.1002","volume":"29","author":[{"given":"Adrienne S.","family":"Juarascio","sequence":"first","affiliation":[{"name":"Center for Weight, Eating, and Lifestyle Sciences (WELL Center) Drexel University  Philadelphia Pennsylvania USA"},{"name":"Department of Psychology Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7626-7049","authenticated-orcid":false,"given":"Rowan A.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Department of Psychological and Brain Sciences University of Louisville  Louisville Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elin","family":"Lantz Lesser","sequence":"additional","affiliation":[{"name":"Sanford Health\/Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott G.","family":"Engel","sequence":"additional","affiliation":[{"name":"Sanford Health\/Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily M.","family":"Pisetsky","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol B.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A.","family":"Wonderlich","sequence":"additional","affiliation":[{"name":"Sanford Health\/Department of Psychiatry and Behavioral Science University of North Dakota School of Medicine and Health Sciences  Fargo North Dakota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Aldhaban F.(2012).Exploring the adoption of smartphone technology: Literature review(pp. 12). 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