Characterising use of recovery record among a large, transdiagnostic sample of adults with eating disorders across higher levels of care

Author:

Reilly Erin E.1,Gorrell Sasha1,Johnson Craig2,Duffy Alan2,Blalock Dan V.34,Mehler Philip256,Johnson Madelyn1,Le Grange Daniel17,Rienecke Renee D.28

Affiliation:

1. Department of Psychiatry and Behavioral Sciences University of California San Francisco CA USA

2. Eating Recovery Center/Pathlight Mood & Anxiety Center Denver Colorado USA

3. Center of Innovation to Accelerate Discovery and Practice Transformation Durham Veterans Affairs Medical Center Durham North Carolina USA

4. Department of Psychiatry and Behavioral Sciences Duke University Medical Center Durham North Carolina USA

5. Acute Center for Eating Disorders at Denver Health Denver Colorado USA

6. University of Colorado School of Medicine Denver Colorado USA

7. Department of Psychiatry & Behavioral Neuroscience The University of Chicago (Emeritus) Chicago Illinois USA

8. Department of Psychiatry and Behavioral Sciences Northwestern University Chicago Illinois USA

Abstract

AbstractObjectiveSmartphone applications (i.e., apps) designed to target mental health symptoms have received increasing public and empirical attention, including in eating disorder|eating disorders (EDs) treatment. While some data have begun to characterise app users in non‐controlled settings, there is limited information on use of apps in higher levels of care (e.g., partial hospitalisation or residential treatment programs) for EDs.MethodThis study aimed to explore metrics of use while in treatment for a commonly used ED‐focused mobile app (Recovery Record) among individuals enroled in intensive outpatient, partial hospitalisation, residential, or inpatient treatments (N = 2042).ResultsResults indicated that older individuals and participants with binge eating disorder demonstrated more frequent app engagement compared to younger participants and other ED diagnoses, respectively. Individuals entering at intensive outpatient and partial hospitalisation levels of care, as well as those with routine discharges engaged more frequently with RR compared to individuals entering in inpatient or residential treatment, and those with non‐routine discharges.ConclusionsOur data provide initial descriptions of how RR may be used within higher levels of care for adults with EDs. Further work is needed to establish the benefit of these apps in clinical settings for EDs over and above standard treatment, better characterise for whom these apps provide benefit, and identify how best to tailor the experience to promote engagement across the full spectrum of ED patients.

Funder

U.S. Department of Veterans Affairs

National Institute of Mental Health

Health Services Research and Development

Publisher

Wiley

Subject

Psychiatry and Mental health,Clinical Psychology

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