{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:48:53Z","timestamp":1791809333521,"version":"4.3.4"},"reference-count":54,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100009187","name":"Medical Research Foundation","doi-asserted-by":"publisher","award":["MRF\u2010CPP\u2010R1\u201025\u2010103"],"award-info":[{"award-number":["MRF\u2010CPP\u2010R1\u201025\u2010103"]}],"id":[{"id":"10.13039\/501100009187","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":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This feasibility randomised controlled trial (RCT) evaluated Purrble, a socially assistive robot for emotion regulation, as a low\u2010intensity adjunct during waitlist periods in adult eating disorder services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Adults waiting for outpatient eating disorder treatment were randomised to four weeks of Purrble use or waitlist\u2010as\u2010usual. The primary outcome was emotion regulation, assessed with the Difficulties in Emotion Regulation Scale; secondary outcomes included sensory sensitivity, anxiety, depression, and motivation for change. Analyses were conducted using paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and linear mixed\u2010effects models. Acceptability was explored via a qualitative survey.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>39 participants were enrolled in the trial and 37 participants were retained (19 Purrble, 18 control). A significant group\u00a0\u00d7\u00a0time interaction emerged for depression, with greater reductions in symptoms among Purrble participants. No significant interactions were found for emotion regulation, sensory sensitivity, motivation, or anxiety, though the Purrble group showed small\u2010to\u2010moderate improvements in emotion regulation, sensory sensitivity, and anxiety, and a significant within\u2010group increase in motivation. Qualitative findings identified four categories: situational use during distress, sensory comfort and emotional connection, design limitations\/barriers, and continued use with integration into self\u2010care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Purrble proved acceptable and feasible as a waitlist adjunct in adult eating disorder outpatient services. A significant between\u2010group effect on depression and a within\u2010group improvement in motivation provide preliminary support for a fully powered trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/erv.70141","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T19:36:55Z","timestamp":1782502615000},"page":"1562-1573","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Socially Assistive Robot for Outpatient Eating Disorder Waiting\u2010List Support: A Mixed\u2010Methods Feasibility Randomised Controlled Trial"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3253-8991","authenticated-orcid":false,"given":"Dimitri","family":"Chubinidze","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine, King's College London Institute of Psychiatry, Psychology and Neuroscience (IoPPN)  London UK"},{"name":"South 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