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PUBMED FOR HANDHELDS

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  • Title: An open trial of self-help behaviours of clients with eating disorders in an online programme.
    Author: Leung SF, Ma LC, Russell J.
    Journal: J Adv Nurs; 2013 Jan; 69(1):66-76. PubMed ID: 22448710.
    Abstract:
    AIM: The aim of this study was to evaluate the self-help behaviour of individuals with eating disorders in an Internet-based self-help programme developed in the Asia-Pacific region and to determine their compliance with the programme. BACKGROUND: Eating disorders represent a growing health problem affecting both Western and Asian countries. Without timely and adequate treatment, individuals with eating disorders are at risk of premature death. Self-help approaches for treating eating disorders offer therapeutic promise. DESIGN: An open trial design was used. METHOD: This study, conducted from August 2006-July 2011, included 280 participants recruited from outpatient eating disorder clinics and treatment units and through a university student newspaper and Internet websites. This open trial evaluated an Internet-based self-help programme, which included components on healthy eating, family education, health assessment, motivation enhancement, self-help strategies, and psychological health promotion. The progress of participants was followed up via monthly e-mails. A tracking system was implemented to determine their compliance with the programme. FINDINGS: A small majority of the participants (56·9%) were already undergoing treatment for their eating disorders. About 63% (n = 176) demonstrated self-help behaviour, as manifested by their completion of health assessment questionnaires, involvement in motivation enhancement exercises, or the use of self-help strategies such as monitoring, normalizing eating behaviour, and stress management. Improvements were observed in their eating disorder psychopathology, motivational stage of change and psychological health from baseline to the 1-month follow up. CONCLUSION: Internet-based self-help programmes for eating disorders are helpful adjuncts to professional treatment.
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