{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T17:14:58Z","timestamp":1792430098490,"version":"4.5.0"},"reference-count":28,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T00:00:00Z","timestamp":1708905600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["No 634757"],"award-info":[{"award-number":["No 634757"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec id=\"S2056472423006294_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Although effective treatments for bulimic-spectrum eating disorders exist, access is often delayed because of limited therapist availability and lengthy waiting lists. Web-based self-help interventions have the potential to bridge waiting times for face-to-face treatment and overcome existing treatment gaps.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423006294_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>This study aims to assess the effectiveness of a web-based guided self-help intervention (everyBody Plus) for patients with bulimia nervosa, binge eating disorder and other specified feeding and eating disorders who are waiting for out-patient treatment.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423006294_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>A randomised controlled trial was conducted in Germany and the UK. A total of 343 patients were randomly assigned to the intervention \u2018everyBody Plus\u2019 or a waitlist control condition. The primary outcome was the number of weeks after randomisation until a patient achieved a clinically relevant improvement in core symptoms for the first time. Secondary outcomes included eating disorder attitudes and behaviours, and general psychopathology.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423006294_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>At 6- and 12-month follow-up, the probability of being abstinent from core symptoms was significantly larger for the intervention group compared with the control group (hazard ratio: 1.997, 95% CI 1.09\u20133.65; <jats:italic>P<\/jats:italic> = 0.0249). The intervention group also showed larger improvements in eating disorder attitudes and behaviours, general psychopathology, anxiety, depression and quality of life, compared with the control group at most assessment points. Working alliance ratings with the online therapist were high.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423006294_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>The self-help intervention everyBody Plus, delivered with relatively standardised online guidance, can help bridge treatment gaps for patients with bulimic-spectrum eating disorders, and achieve faster and greater reductions in core symptoms.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2023.629","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T06:21:34Z","timestamp":1708928494000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":10,"title":["Using web-based, guided self-help to bridge the waiting time for face-to-face out-patient treatment for bulimic-spectrum disorders: randomised controlled trial"],"prefix":"10.1192","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5462-9723","authenticated-orcid":false,"given":"Bianka","family":"Vollert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2241-1017","authenticated-orcid":false,"given":"See Heng","family":"Yim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"G\u00f6rlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ina","family":"Beintner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gemma","family":"Gordon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Musiat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corinna","family":"Jacobi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2024,2,26]]},"reference":[{"key":"S2056472423006294_ref23","doi-asserted-by":"crossref","first-page":"193","DOI":"10.2307\/2531959","article-title":"Approximately optimal one-parameter boundaries for group sequential trials","volume":"43","author":"Wang","year":"1987","journal-title":"Biometrics"},{"key":"S2056472423006294_ref16","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.appet.2013.06.082","article-title":"Intuitive eating is associated with interoceptive sensitivity. 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