Comparing a novel, virtual, group-based guided self-help to unguided self-help for the treatment of binge-eating disorder in adults: a randomized controlled trial.
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| Title: | Comparing a novel, virtual, group-based guided self-help to unguided self-help for the treatment of binge-eating disorder in adults: a randomized controlled trial. |
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| Authors: | Harris, Anastasia L. (AUTHOR), Nunes, Abraham (AUTHOR), Dixon, Laura (AUTHOR), Ali, Sarrah I. (AUTHOR), Town, Joel (AUTHOR), Lacroix, Emilie (AUTHOR), Gamberg, Susan (AUTHOR), Keshen, Aaron (AUTHOR) |
| Source: | Eating Disorders. Jul/Aug2026, Vol. 34 Issue 4, p414-432. 19p. |
| Subjects: | Bulimia treatment, Health self-care, Repeated measures design, Research funding, Evaluation of human services programs, Statistical sampling, Questionnaires, Multiple regression analysis, Group psychotherapy, Randomized controlled trials, Descriptive statistics, Confidence, Disease remission, Virtual reality, Visualization, Odds ratio, Analysis of variance, Comparative studies, Confidence intervals, Data analysis software, Psychosocial functioning, Adults |
| Geographic Terms: | Canada |
| Abstract: | Binge Focused Therapy (BFT) is a 3-session, group-based, guided self-help treatment for binge-eating disorder (BED). In this parallel-group randomized controlled trial (RCT), adults with BED were randomized to virtual BFT or a traditional unguided self-help approach (Overcoming Binge Eating; Fairburn, 2013). Self-report measures were collected at baseline, week 6, week 10 (posttreatment), 6- and 12-month follow-up. We hypothesized BFT (n = 82) would lead to better BED outcomes and lower dropout than unguided self-help (n = 82). Our intention-to-treat analysis demonstrated a significant effect of treatment group on BED symptomatology (primary outcome; β= − 5.04, p <.001, 95% CI [ − 7.57, − 2.52]), binge frequency (β= − 3.24, p =.001, 95% CI [ − 5.22, − 1.26]), general ED symptomatology (β= − 0.91, p <.001, 95% CI [ − 1.17, − 0.65]), clinical impairment (β= − 6.27, p <.001, 95% CI [ − 8.78, − 3.77]), confidence to change binge eating (β = 1.22, p <.001, 95% CI [0.56, 1.89]), BED remission (OR = 4.98, p =.003, 95% CI [1.72, 14.40]), and treatment attrition (β = 0.456, p <.001), with the BFT group reporting greater improvements and lower dropout. We did not find evidence of a significant effect of group on binge-eating abstinence (OR = 2.01, p =.103, 95% CI [0.87, 4.64]). BFT may be an effective BED treatment that could overcome common barriers to treatment implementation and accessibility. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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