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Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence()

Facing poor long-term outcome and high relapse rates in the treatment of bulimia nervosa, we developed an Internet-based aftercare program for women with severe and chronic bulimia nervosa following inpatient treatment based on previous experiences with self-directed targeted prevention and early in...

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Detalles Bibliográficos
Autores principales: Beintner, Ina, Jacobi, Corinna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350217/
https://www.ncbi.nlm.nih.gov/pubmed/30723692
http://dx.doi.org/10.1016/j.invent.2018.11.004
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author Beintner, Ina
Jacobi, Corinna
author_facet Beintner, Ina
Jacobi, Corinna
author_sort Beintner, Ina
collection PubMed
description Facing poor long-term outcome and high relapse rates in the treatment of bulimia nervosa, we developed an Internet-based aftercare program for women with severe and chronic bulimia nervosa following inpatient treatment based on previous experiences with self-directed targeted prevention and early intervention programs delivered online. The aim of the present study was to examine adherence to the program in detail, to explore potential variables that predict adherence and to analyze whether adherence affects outcomes. We analyzed data from 126 women in the intervention group of a randomized controlled trial. 107 women (85%) logged on to the program platform at least once. These women opened on average 42.8% (SD = 31.9%) of all assigned program pages. Adherence declined during the course of the intervention. Adherence was not associated with the number of outpatient treatment sessions received during the intervention period. Adherence was not related to overall illness severity or duration at baseline. However, excessive exercise at hospital discharge (which may be a sign of insufficient motivation to change eating disorder related behaviors) seems to play some small role in adherence. Adherence did not affect intervention outcomes. Based on our findings, we would like to advocate further research on online aftercare interventions for women with severe and chronic bulimia nervosa.
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spelling pubmed-63502172019-02-05 Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence() Beintner, Ina Jacobi, Corinna Internet Interv Full length Article Facing poor long-term outcome and high relapse rates in the treatment of bulimia nervosa, we developed an Internet-based aftercare program for women with severe and chronic bulimia nervosa following inpatient treatment based on previous experiences with self-directed targeted prevention and early intervention programs delivered online. The aim of the present study was to examine adherence to the program in detail, to explore potential variables that predict adherence and to analyze whether adherence affects outcomes. We analyzed data from 126 women in the intervention group of a randomized controlled trial. 107 women (85%) logged on to the program platform at least once. These women opened on average 42.8% (SD = 31.9%) of all assigned program pages. Adherence declined during the course of the intervention. Adherence was not associated with the number of outpatient treatment sessions received during the intervention period. Adherence was not related to overall illness severity or duration at baseline. However, excessive exercise at hospital discharge (which may be a sign of insufficient motivation to change eating disorder related behaviors) seems to play some small role in adherence. Adherence did not affect intervention outcomes. Based on our findings, we would like to advocate further research on online aftercare interventions for women with severe and chronic bulimia nervosa. Elsevier 2019-01-14 /pmc/articles/PMC6350217/ /pubmed/30723692 http://dx.doi.org/10.1016/j.invent.2018.11.004 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Full length Article
Beintner, Ina
Jacobi, Corinna
Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence()
title Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence()
title_full Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence()
title_fullStr Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence()
title_full_unstemmed Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence()
title_short Internet-based aftercare for women with bulimia nervosa following inpatient treatment: The role of adherence()
title_sort internet-based aftercare for women with bulimia nervosa following inpatient treatment: the role of adherence()
topic Full length Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350217/
https://www.ncbi.nlm.nih.gov/pubmed/30723692
http://dx.doi.org/10.1016/j.invent.2018.11.004
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