Mobile App for Eating Disorders
(MI-Coach: ED Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a mobile app called MI-Coach: ED, designed to boost motivation and readiness for treatment in adults with eating disorders who are waiting for care in British Columbia. It compares people using the app to those just waiting, assessing whether the app helps maintain motivation and readiness for treatment. Participants will either start using the app immediately or after a short wait. Women currently on waitlists for eating disorder treatment with access to a smartphone might be a good fit for this study. As an unphased trial, this study offers a unique opportunity to contribute to innovative solutions for eating disorder care.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on using a mobile app to improve motivation for treatment, so it's unlikely that medication changes are required.
What prior data suggests that the MI-Coach: ED app is safe for use in individuals with eating disorders?
Research shows that the MI-Coach: ED app is generally safe and user-friendly. In earlier studies, many participants tried the app, with 67.6% starting to use it and 44% completing at least four parts. These studies primarily assessed the app's usability and acceptability. No major safety issues have been reported. Adapted from an existing platform developed by mental health experts, the app is based on a proven system. Although the app itself is new, the platform has been safely used before. Overall, research has noted no negative effects, suggesting the app is safe to use.12345
Why are researchers excited about this trial?
Researchers are excited about the MI-Coach: ED app because it offers a unique, digital approach to enhancing motivation and readiness for change in individuals with eating disorders. Unlike traditional therapies that often require in-person sessions, this app provides an accessible, flexible solution, allowing users to engage with interactive modules at their own pace. The app focuses on key topics such as self-acceptance and behavior change strategies, aiming to empower users beyond the capabilities of conventional treatments like cognitive-behavioral therapy. By providing immediate feedback and ongoing assessments, this app has the potential to sustain motivation and improve clinical outcomes in a way that is both innovative and user-friendly.
What evidence suggests that the MI-Coach: ED app is effective for improving motivation and readiness for treatment in individuals with eating disorders?
Research has shown that the MI-Coach: ED app can increase motivation and readiness for treatment in people with eating disorders. In this trial, participants in the Immediate Treatment Group will start using the app right away, while those in the Delayed Treatment Group will initially remain on a waitlist. One study found that app users felt more motivated and confident than those on a waitlist who did not use the app. Early results also suggest that the app might help maintain motivation over time, which is crucial when waiting for treatment. The app includes interactive sections that assist users in managing mixed feelings and enhancing self-acceptance, both vital for managing eating disorders while awaiting treatment. These early findings indicate that MI-Coach: ED could be beneficial for those experiencing long waits for eating disorder services.12367
Are You a Good Fit for This Trial?
This trial is for women (including cisgender and transgender) aged 18 or older in British Columbia who are on a waitlist for publicly funded eating disorder treatment, can read English fluently, have access to a smartphone, and meet criteria for an eating disorder like anorexia nervosa. People already receiving active treatment or with certain mental or neurological conditions cannot join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Initial Treatment
Participants in the immediate treatment group use the MI-Coach: ED app for four weeks, completing interactive modules focused on motivation and readiness for change.
Delayed Treatment
Participants in the delayed treatment group remain on the waitlist for four weeks, completing weekly brief assessments of motivation, before accessing the MI-Coach: ED app.
Extended Treatment
All participants use the MI-Coach: ED app for an additional eight weeks, with follow-up assessments at 8 and 12 weeks to evaluate the app's sustained effects.
Follow-up
Participants are monitored for changes in motivation, eating pathology, anxiety, and depressive symptoms after the treatment period.
What Are the Treatments Tested in This Trial?
Interventions
- MI-Coach: ED
Trial Overview
The study tests whether using the MI-Coach: ED mobile app for four weeks helps improve motivation and readiness to start eating disorder treatment compared to just being on the waitlist. Participants are randomly assigned either immediate app use or delayed access after four weeks.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
Participants randomized to the immediate treatment group will begin using the MI-Coach: ED app immediately for a four-week intervention period. During this time, participants will complete interactive modules designed to enhance motivation and readiness for treatment, focusing on topics such as ambivalence, self-acceptance, compassionate motivation, and behavior change strategies. Weekly brief assessments of motivation and readiness for change will be completed throughout the initial four-week period.
This arm includes all participants who engage with the MI-Coach: ED app during the eight weeks following the initial four-week period. Participants from the immediate treatment group (Arm 1) will continue to use the app for the full 12 weeks of the study, including an eight-week extended intervention period and follow-up assessments at 8 and 12 weeks to evaluate the app's sustained effects. Participants transitioning from the delayed treatment group (Arm 2) will also use the app for an eight-week intervention period after their initial four-week waitlist phase, ensuring both groups have the same opportunity to complete the full intervention. Weekly assessments of motivation and readiness for change will continue for all participants during their respective intervention periods, along with follow-up assessments to compare immediate and delayed access effects, as well as the app's long-term impact on motivation and clinical outcomes.
Participants randomized to the delayed treatment group will remain on the waitlist without access to the MI-Coach: ED app for the first four weeks. During this period, participants will complete weekly brief assessments of motivation and readiness for change to evaluate changes while waiting for access to the intervention. No additional interventions or activities will be provided during this initial four-week period.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of British Columbia
Lead Sponsor
Citations
Mobile App–Delivered Motivational Interviewing for ...
Background: A significant increase in eating disorder (ED) service waitlists has been observed in the past several years, ...
ED): Protocol for an App Development and Pilot Evaluation
A significant increase in eating disorder (ED) service waitlists has been observed in the past several years, exacerbating existing barriers to care (eg, ...
A Program‐Led Motivational App (MI‐Coach: ED) for ...
Objective Individuals with eating disorders (EDs) often face significant barriers to accessing care, including prolonged waitlists and ...
Mobile app-delivered motivational interviewing for women on ...
Mobile app-delivered motivational interviewing for women on eating disorder treatment waitlists : pilot and feasibility study Halicki-Asakawa, Amané · Abstract.
Mobile App-Delivered Motivational Interviewing for Women ...
Mobile App-Delivered Motivational Interviewing for Women on Eating Disorder Treatment Waitlists (MI-Coach: ED): Protocol for an App Development and Pilot ...
On-hand support while awaiting eating disorder care
The app, called MI-Coach: ED, was adapted from an existing platform developed by a mental health technology provider and a clinical psychologist ...
Supporting Individuals on Eating Disorder Waitlists Through App ...
This qualitative study examined the feasibility, acceptability, and perceived utility of motivational interviewing (MI)-Coach: ED, a structured and focused ...
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