@Article{信息:doi 10.2196 / / jmir。2211，作者=“ter Huurne, Elke D和Postel, Marloes G和de Haan, Hein A和Drossaert, Constance H.C和DeJong, Cor A.J”，标题=“基于网络的饮食障碍患者密集治疗接触治疗方案:前后研究”，期刊=“J医学互联网研究”，年=“2013”，月=“2月”，日=“04”，卷=“15”，数=“2”，页=“e12”，关键词=“饮食障碍;电子健康;互联网;基于web的治疗;强化治疗接触;项目评估;背景:尽管饮食失调在荷兰很常见，但只有少数患者接受了精神卫生保健专业人员的治疗。为了接触和治疗更多的饮食失调患者，Tactus Addiction Treatment开发了一个基于网络的治疗计划，在患者和治疗师之间进行异步和密集的个性化交流。目的:这项试点研究评估了基于网络的治疗方案，在165名饮食失调患者中使用强化治疗接触。 Methods: In a pre-post design with 6-week and 6-month follow-ups, eating disorder psychopathology, body dissatisfaction, Body Mass Index, physical and mental health, and quality of life were measured. The participant's satisfaction with the web-based treatment program was also studied. Attrition data were collected, and participants were classified as noncompleters if they did not complete all 10 assignments of the web-based treatment program. Differences in baseline characteristics between completers and noncompleters were studied, as well as reasons for noncompletion. Furthermore, differences in treatment effectiveness, treatment adherence, and baseline characteristics between participants of the three major eating disorder diagnostic groups EDNOS (n=115), BN purging (n=24), and BN nonpurging (n=24) were measured. Results: Of the 165 participants who started the web-based treatment program, 89 participants (54{\%}) completed all of the program assignments (completers) and 76 participants (46{\%}) ended the program prematurely (noncompleters). Severe body dissatisfaction and physical and mental health problems seemed to have a negative impact on the completion of the web-based treatment program. Among the participants who completed the treatment program, significant improvements were found in eating disorder psychopathology (F=54.6, df = 68, P<.001, d=1.14). Body dissatisfaction, quality of life, and physical and mental health also significantly improved, and almost all of these positive effects were sustained up to 6 months after the participants had completed the web-based treatment program. Body Mass Index improved only within the group of participants suffering from obesity. The improvement in eating disorder psychopathology occurred in all three eating disorder diagnostic groups, and the percentage of completers did not differ significantly between these groups. Participants' satisfaction with the treatment program, as well as with their therapist, was high, and participants indicated that they would recommend the program to other patients with eating disorders. Conclusions: The results of this study suggest that the web-based treatment program has the potential to improve eating disorder psychopathology in patients with different types of eating disorders. ", issn="1438-8871", doi="10.2196/jmir.2211", url="//www.mybigtv.com/2013/2/e12/", url="https://doi.org/10.2196/jmir.2211", url="http://www.ncbi.nlm.nih.gov/pubmed/23380291" }