JMIR Publications

ABSTRACT

Background:

Deterioration rates after enhanced cognitive-behavioral therapy (CBT-E) for patients with bulimia-spectrum eating disorders (BN-EDs) remain high, and decreased post-treatment skill use might be a particularly relevant contributor. Digital interventions could be an ideal option to improve skill use after treatment ends but they have yet to be investigated for BN-EDs.

Objective:

The current study used a user-centered design approach to explore patients’ interest in a digital intervention to prevent deterioration after CBT-E and their desired features.

Methods:

Twelve participants who previously received CBT-E for BN-EDs and experienced at least a partial response to treatment completed a qualitative interview asking about their interests and needs for an app designed to prevent deterioration after treatment ended. Participants were also presented with features commonly used in digital interventions for EDs and were asked to provide feedback.

Results:

All 12 participants expressed interest in using an app to prevent deterioration after treatment ended. Eleven participants thought the proposed feature of setting a goal focusing on skill use weekly would help improve self-accountability for skill use, and 6 participants supported the idea of setting goals related to specific triggers because they would know what skills to use in high-risk situations. Ten participants supported the self-monitoring ED behaviors feature because it could increase their awareness levels. Participants also reported wanting to track mood (n = 6) and food intake (n = 5) besides the proposed tracking feature. Ten participants reported wanting knowledge-based content in the app, including instructions on skill practice (n = 6), general mental health strategies outside of EDs (n = 4), guided mindfulness exercises (n = 3), and nutrition recommendations (n = 3). Eight participants reported a desire for the app to send targeted push notifications, including reminders of skill use (n = 7) and inspirational quotes for encouragement (n = 3). Finally, eight participants reported wanting a human connection in the app, 6 wishing to interact with other users to support and learn from each other, and 4 wanting to connect with professionals as needed. Overall, participants thought that having an app targeting skill use could provide continued support and improve self-accountability, thus lowering the risk of decreased skill use after treatment ended.

Conclusions:

Insights from participants highlighted the perceived importance of continued support for continued skill use after treatment ended. The current study also provided valuable design implications regarding potential features focusing on facilitating post-treatment skill use to include in digital deterioration prevention programs. Future research should examine the optimal approaches to deliver the core features identified in the present study that could lead to higher continued skill use and a lower risk of deterioration in the long term.