Feasibility and Preliminary Efficacy of a Guided Self‐Help Digital Intervention for Adults With Food Insecurity, Recurrent Binge Eating, and Type 2 Diabetes Mellitus: A Pilot Trial.
Objective: Food insecurity is increasingly linked to binge eating and weight‐related health issues like type 2 diabetes mellitus, but no eating disorder interventions have been tested among individuals with food insecurity. We conducted a single‐arm pilot test of FoodSteps‐FI, a guided self‐help dig...
| Publicado en: | International Journal of Eating Disorders Vol. 59; no. 7; pp. 1531 - 1543 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Jul2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195039071&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195039071 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02763478 IJD jtl: International Journal of Eating Disorders issn: 02763478 maglogo: Y pubinfo: dt: Jul2026 vid: 59 iid: 7 pid: 480 pub: Wiley-Blackwell artinfo: ui: 195039071 10.1002/eat.70087 ppf: 1531 ppct: 12 formats: tig: atl: Feasibility and Preliminary Efficacy of a Guided Self‐Help Digital Intervention for Adults With Food Insecurity, Recurrent Binge Eating, and Type 2 Diabetes Mellitus: A Pilot Trial. aug: au: Graham, Andrea K. Flynn, Rebecca L. Rooper, Isabel R. Azubuike, Chidiebere Lipman, Lindsay D. Ortega, Adrian Parsons, Leah M. Miller, Graham C. Lekkas, Damien Wildes, Jennifer E. affil: Center for Behavioral Intervention Technologies, Northwestern University Feinberg School of Medicine, Chicago Illinois,, USA Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago Illinois,, USA Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago Illinois,, USA Department of Psychiatry & Behavioral Neuroscience, The University of Chicago, Chicago Illinois,, USA su: Bulimia treatment Health self-care Self-evaluation Internet access Patient compliance Food security Body weight Behavior Food habits Guilt (Psychology) Analysis of variance Cognitive therapy Shame Mental depression Research funding Smartphones Center for Epidemiologic Studies Depression Scale Data analysis Digital health Pilot projects Questionnaires Treatment effectiveness Control groups Pre-tests & post-tests Type 2 diabetes Statistics Disease relapse Text messages Data analysis software Confidence intervals sug: subj: Bulimia treatment Health self-care Self-evaluation Internet access Patient compliance Food security Body weight Behavior Food habits Guilt (Psychology) Analysis of variance Cognitive therapy Shame Mental depression Wireless Telecommunications Carriers (except Satellite) Research funding Smartphones Center for Epidemiologic Studies Depression Scale Data analysis Digital health Pilot projects Questionnaires Treatment effectiveness Control groups Pre-tests & post-tests Type 2 diabetes Statistics Disease relapse Text messages Data analysis software Confidence intervals keyword: binge eating diabetes digital intervention eating disorders food insecurity human‐centered design pilot trial binge eating diabetes digital intervention eating disorders food insecurity human‐centered design pilot trial ab: Objective: Food insecurity is increasingly linked to binge eating and weight‐related health issues like type 2 diabetes mellitus, but no eating disorder interventions have been tested among individuals with food insecurity. We conducted a single‐arm pilot test of FoodSteps‐FI, a guided self‐help digital intervention for binge eating adapted for food insecurity, among adults with food insecurity, recurrent binge eating, and type 2 diabetes mellitus. Our aims were to test the feasibility and preliminary efficacy of FoodSteps‐FI delivery. Method: Participants were 31 non‐pregnant, English‐speaking adults (≥ 18 years old) with self‐reported type 2 diabetes mellitus, recurrent binge eating (≥ 12 episodes in the past 3 months), and past 30‐day food insecurity who were interested in intervention and owned a smartphone with internet access. All participants received FoodSteps‐FI with messaging‐based coaching (~2×/weekly) for 16 weeks, and a weekly stipend. Participants completed assessments at mid‐intervention (8 weeks) and post‐intervention (16 weeks). Intent‐to‐treat analyses assessed feasibility and changes in clinical outcomes from baseline to post‐intervention. Results: The trial demonstrated feasible recruitment, high study retention, and high intervention completion, adherence, and ratings of usability. Participants achieved improvements in binge eating, weight, past 30‐day food security status, eating concerns, shape concerns, weight concerns, eating disorder impairment, depressive symptoms, shame, and guilt. Nearly all participants rated the stipend as helpful for making behavior changes, but substantially fewer said it was sufficient. Discussion: This pilot trial demonstrated the early promise of an adapted digital binge‐eating intervention for this population, and the need for future research on its effectiveness and implementation. Summary: There is a growing understanding of the association between food insecurity and binge eating, and a striking lack of intervention.We pilot tested a digital intervention for binge eating, adapted for food insecurity, among adults with food insecurity, recurrent binge eating, and type 2 diabetes mellitus.Pilot results showed improvements in binge eating, weight, food security status, eating disorder psychopathology, depressive symptoms, shame, and guilt.Future research is needed to evaluate this intervention in a fully powered trial with a larger sample compared to a controlled condition. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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