Table 4.

Integration of quantitative and qualitative findings across the evaluation aims.

Evaluation aim	Quantitative finding	Qualitative finding	Integrated interpretation
Implementation in routine NHSa care	The program was deemed suitable for 84% (36/43) of the registered patients.	Staff described the intervention as feasible to integrate into routine care and suggested it could reduce clinician contact time per patient.	Quantitative and qualitative findings converged to suggest that the program could be integrated into an existing NHS eating disorder pathway and may be suitable for use with a substantial proportion of patients presenting with BEDb.
Treatment uptake and completion	At the time of the evaluation, 6 patients were still using the program, 17 completed the active treatment phase, and 13 discontinued.	Staff identified low motivation, competing life demands, and co-occurring difficulties as barriers to engagement. Some patients reported initial skepticism about digital treatment.	Qualitative findings helped contextualize the observed pattern of uptake, early discontinuation, and completion, suggesting that engagement may be influenced by motivation, competing demands, co-occurring difficulties, and initial skepticism.
Acceptability to patients and staff	Among patients who completed the program, satisfaction ratings were high, and most reported finding the program helpful and easy to use.	Patients valued the program’s accessibility, flexibility, support, and accountability, while staff reported increased confidence, work satisfaction, and perceived service benefits.	Quantitative and qualitative findings were consistent in suggesting that the supported digital program was acceptable to patients who completed the program and to NHS staff involved in delivery.
Clinical outcomes	Patients who completed the program reported significant reductions in the frequency of binge eating, eating disorder symptoms, depressive features, and secondary impairment.	Patients described perceived improvements in their binge eating and understanding of it, greater routine and consistency in their eating, and a sense of responsibility for maintaining progress.	Qualitative accounts of behavior change and improved understanding were consistent with the observed quantitative improvements among patients who completed the program.

^aNHS: National Health Service.

^bBED: binge eating disorder.