{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T06:46:51Z","timestamp":1792392411558,"version":"4.4.0"},"reference-count":41,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec id=\"S2056472426121139_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early intervention increases the likelihood of eating disorder recovery but many young people delay help-seeking. We developed a smartphone-friendly, online decision-making tool to address this gap (FREED-Mobile (FREED-M)).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426121139_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To conduct a randomised controlled feasibility trial of the FREED-M decision-making tool with 16- to 25-year-olds with a suspected eating disorder and no previous treatment for this.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426121139_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Participants were randomly allocated to FREED-M or an active control in a parallel group, two-arm trial. Outcomes were measured at weeks 0 (baseline), 4 (post-intervention) and 12 (follow-up). The primary feasibility outcome was attrition at follow-up. Other outcomes included motivational, clinical and economic measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426121139_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We over-recruited with 204 randomised participants (including 20 fraudulent participants). Main analyses were conducted with 184 genuine responders (FREED-M:\n                      <jats:italic>n<\/jats:italic>\n                      = 91, control:\n                      <jats:italic>n<\/jats:italic>\n                      = 93). At baseline, participants\u2019 mean age was 21.0 (s.d. 2.0) years, 89% identified as female and 64% as White. Mean body mass index was 23.1 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (6.3).\n                      <jats:italic>N<\/jats:italic>\n                      = 83 participants had an anorexia nervosa-like disorder, 101 had another eating disorder or high eating disorder risk. Attrition at week 12 was\n                      <jats:italic>n<\/jats:italic>\n                      = 112 (61%). Of the\n                      <jats:italic>n<\/jats:italic>\n                      = 42 FREED-M participants who provided acceptability ratings, 79% liked the intervention and 66% found it useful. Between-group effect sizes for motivation and readiness to change were small to medium at 4 weeks (\n                      <jats:italic>d<\/jats:italic>\n                      = 0.27 and\n                      <jats:italic>d<\/jats:italic>\n                      = 0.15, respectively) favouring FREED-M, but differences were not sustained at follow-up (\n                      <jats:italic>d<\/jats:italic>\n                      = \u22120.02 and\n                      <jats:italic>d<\/jats:italic>\n                      = \u22120.12, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472426121139_as5\">\n                    <jats:title>Discussions<\/jats:title>\n                    <jats:p>Although the attrition rate was high, recruitment exceeded expectations. Acceptability of FREED-M was high among participants who provided acceptability ratings. Motivation\/readiness to change and help-seeking are candidates for primary outcomes in a future randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2026.12113","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T06:28:09Z","timestamp":1792391289000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["A randomised controlled feasibility trial of FREED-Mobile, a smartphone-friendly decision-making tool, designed to facilitate help-seeking in young people with eating disorders"],"prefix":"10.1192","volume":"12","author":[{"given":"Helen","family":"Sharpe","sequence":"first","affiliation":[{"name":"The University of Edinburgh School of Health in Social Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2896-6459","authenticated-orcid":false,"given":"Karina 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NICE, 2025 (https:\/\/www.nice.org.uk\/corporate\/ecd8)."},{"key":"S2056472426121139_ref24","first-page":"613","article-title":"An ultra-brief screening scale for anxiety and depression: the PHQ-4","volume":"50","author":"Kroenke","year":"2009","journal-title":"Psychosomatics"},{"key":"S2056472426121139_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2797"},{"key":"S2056472426121139_ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s10578-020-00956-z"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472426121139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T06:28:13Z","timestamp":1792391293000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472426121139\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,19]]},"references-count":41,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,11]]}},"alternative-id":["S2056472426121139"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2026.12113","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,19]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e266"}}