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ERIC Number: EJ992561
Record Type: Journal
Publication Date: 2012-Aug
Pages: 7
Abstractor: As Provided
ISSN: ISSN-0022-006X
Technology-Enhanced Maintenance of Treatment Gains in Eating Disorders: Efficacy of an Intervention Delivered via Text Messaging
Bauer, Stephanie; Okon, Eberhard; Meermann, Rolf; Kordy, Hans
Journal of Consulting and Clinical Psychology, v80 n4 p700-706 Aug 2012
Objective: Given the lack of maintenance interventions for eating disorders, a program delivered via the short message service (SMS) and text messaging was developed to support patients after their discharge from inpatient treatment. Method: The efficacy of the intervention was studied in a randomized controlled trial. Additionally, its impact on the utilization of outpatient treatment during follow-up was investigated. One hundred sixty-five female patients with bulimia nervosa or a related eating disorder not otherwise specified were randomly assigned to a control group (treatment as usual; TAU) or an intervention group (SMS-based maintenance intervention; SMS). After hospital discharge, participants in the intervention group submitted a weekly symptom report via text message for 16 weeks and received tailored feedback. Primary outcome was the rate of partial remission 8 months after discharge from inpatient treatment. Results: The difference in remission rates reached significance in the intent-to-treat analyses (SMS = 51.2%; TAU = 36.1%), X[superscript 2](1) = 3.81, p = 0.05, and approached significance in the completer analysis (SMS = 59.2%; TAU = 43.5%), X[superscript 2](1) = 3.44, p = 0.06. There were no differences in the utilization of outpatient treatment. Remission rates between the intervention and control groups were not significantly different among patients who used outpatient treatment (63.2% vs. 55.6%), X[superscript 2](1) = 0.44, p = 0.51. A significant difference was found in those who did not utilize such treatment (54.5% vs. 30.3%), X[superscript 2](1) = 3.97, p = 0.046. Conclusion: The aftercare intervention was efficacious in enhancing treatment outcome after discharge from inpatient treatment. (Contains 3 figures and 2 tables.)
American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Germany