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. 2015 Mar 31;17(3):e85. doi: 10.2196/jmir.3554

Table 1.

Studies evaluating efficacy of computer- and Internet-based treatment for eating disorders.a

Study Diagnosis (N) Intervention (study design) Duration
Computer- and Internet-based unguided self-help

Bara-Carril et al [42] BN (N=46); EDNOS (N=11) “Overcoming Bulimia” (uncontrolled study) 8 modules, 4-8 weeks

Schmidt et al [43] BN (N=60); EDNOS (N=37) “Overcoming Bulimia” (RCT) 8 modules, 8-12 weeks

Johnston et al [44] BN (N=94) Therapeutic writing (RCT) 20 min on 3 consecutive days
Computer- and Internet-based guided self-help

Huon [45] BN (N=120) Internet-guided self-help (RCT) 7 modules, 7 months

Graham & Walton [46] BN (N=13); BED (N=27) “Overcoming Bulimia” (uncontrolled study) 8 modules, 8 weeks

Murray et al [47] BN (N=77); EDNOS (N=5) “Overcoming Bulimia” (controlled study) 8 modules, 8-12 weeks

Sánchez-Ortiz et al [48] BN (N=39); EDNOS (N=37) “Overcoming Bulimia” (RCT) 8 modules, 8-12 weeks; continued access to the online sessions for 24 weeks

Ljotsson et al [49] BN (N=33); BED (N=36) “Overcoming Binge eating” (RCT) 6 modules, 12 weeks

Carrard et al [50] BN (N=41); EDNOS (N=4) “SALUT” (uncontrolled study) 7 modules, 4 months

Liwowsky et al [51] BN (N=22) “SALUT” (uncontrolled study) 7 modules, 4 months

Nevonen et al [52] BN (N=27); EDNOS (N=11) “SALUT” (uncontrolled study) 7 modules, 6 months

Fernández-Aranda et al [53] BN (N=62) “SALUT” (controlled study) 7 modules, 4 months

Carrard et al [54] BN (N=100); EDNOS (N=27) “SALUT” (uncontrolled study) 7 modules, 4 months

Wagner et al [55] BN/EDNOS (N=155) “SALUT” (RCT) 7 modules, 4-7 months

Leung et al [56] ED (N=280) “SMART EATING” (uncontrolled study) 6 components, open-end

Pretorius et al [57] BN (N=61); EDNOS (N=40) “Overcoming Bulimia” (adapted for adolescents) (uncontrolled study) 8 modules, 3 months

Wagner et al [58] BN (N=126) “SALUT” (RCT) 7 modules, 4-7 months
Internet-based therapist-delivered treatment

Robinson & Serfaty [59] BN (N=18); BED (N=4); EDNOS (N=1) Email therapy (uncontrolled study) 3 months

Robinson & Serfaty [60] BN (N=51); EDNOS (N=20); BED (N=26) Email therapy (RCT) 3 months

Simpson et al [61] BN (N=5); AN (N=1); EDNOS (N=6) Videoconferencing (uncontrolled study) 12-20 sessions CBT; 6-8 optional sessions of nutritional education

Mitchell et al [62] BN (N=71); EDNOS (N=57) Videoconferencing (RCT) 20 sessions manual-based CBT, 4 months
Internet-based relapse prevention



Fichter et al [63,64] AN (N=258) “VIA” (RCT) 9 modules, 9 months

Mezei et al [65] BN/EDNOS/BED/ AN binge-purging subtype (N=39) “EDINA” (uncontrolled study) Online platform for peer support and professional consultation, 4 months
Body image and eating disorder prevention

Gollings & Paxton [66] Body dissatisfaction and disordered eating (N=40) “Set Your Body Free” (pilot RCT) Weekly 90-min group sessions, 8 weeks

Paxton et al [67] Body dissatisfaction (N=116) “Set Your Body Free” (RCT) Weekly 90-min group sessions, 8 weeks

Stice et al [68,69] Body dissatisfaction (N=107) “eBody Project” (RCT) 6 modules, 3 weeks

Serdar et al [70] Weight and/or shape concerns (N=333) Dissonance-based eating disorder prevention (RCT) 3 sessions for 60 min

Zabinski et al [71] Weight concerns (N=60) Synchronous Internet relay chat (RCT) Weekly (60 min) chat discussions, 8 weeks

Ohlmer et al [72] Women at risk for AN (N=36) “Student Bodies” for AN (uncontrolled study) Weekly sessions for 45-90 min, 10 weeks

Heinicke et al [73] Body image or eating problems (N=73) “My Body, My Life” (RCT) Weekly 90-min online sessions, 6 weeks
Eating disorder symptoms/subthreshold eating disorders

Ruwaard et al [74] Bulimic symptoms (N=105) Online cognitive behavioral treatment (RCT) 20 weeks

Jacobi et al [75] Subthreshold eating disorder (N=29); Eating disorder symptoms at lower level (N=97) “Student Bodies+” (RCT) 8 sessions, 8 weeks
Motivation



Hötzel et al [76] Eating disorder symptoms (N=212) “ESS-KIMO“ (RCT) Weekly online sessions for 45 min, 6 weeks

Leung et al [77] Eating disorder (N=185) “SMART EATING” (uncontrolled study) 11 worksheets to enhance individuals’ motivation to change their eating behaviors
Carers/Parents



Binford Hopf et al [78] Parents of AN patients (N=13) Internet-based chat support groups (uncontrolled study) 15 weekly online chat sessions for 90 min

Grover et al [79] Carers of AN patients (N=27) “Overcoming anorexia online” (uncontrolled study) 9 workbooks (encouraged 1 per week, but no formal time limit)

Grover et al [80] Carers of AN patients (N=64) “Overcoming anorexia online” (RCT) 8 modules, 4 months

Hoyle et al [81] Carers of AN patients (N=37) “Overcoming anorexia online” (RCT) 7 modules + 2 additional modules for carers, 7 weeks

Bruning Brown et al [82] Parents of sophomore students (N=69) “Student Bodies” parent intervention (RCT) Unstructured web-based intervention, 4 weeks
Mobile/SMS text messaging



Shapiro et al [83] BN (N=31) Text messaging (uncontrolled study) Daily, 24 weeks + 12 CBT face-to-face group sessions for 90 min

Robinson et al [84] BN (N=21) SMS-based intervention (uncontrolled study) Weekly, 6 months

Bauer et al [85] BN (N=97); EDNOS (N=68) Aftercare SMS-based intervention (RCT) Weekly symptom report via SMS text message, 16 weeks

Cardi et al [86] AN (N=18); BN (N=13) Mp4 player or iPod with 10 video clips (vodcasts) (uncontrolled study) Between 3 to 20 min each, workbook and daily monitoring forms, 3 weeks

a AN: anorexia nervosa, BN: bulimia nervosa, BED: binge eating disorder, CBT: cognitive behavioral therapy, ED: eating disorder, EDNOS: eating disorders not otherwise specified, RCT: randomized controlled trial, SMS: short message service.