Evaluation of a Mindful Eating Mobile Intervention Open Access

Robbins, Brittany (Summer 2021)

Permanent URL: https://etd.library.emory.edu/concern/etds/0k225c276?locale=en


Evidence-based interventions for eating pathology are well-established and specific strategies to address a range of symptoms that have been clearly identified. However, many individuals do not seek treatment and/or do not receive treatment that incorporates evidence-based strategies. Mobile interventions (Mhealth apps) have increasingly gained attention as a way to extend or supplement treatments and may increase accessibility to evidence-based strategies. Currently available mobile interventions that target eating behavior typically utilize self-monitoring of food intake as a central component. The present study reports on the efficacy of a brief mobile intervention that promotes adaptive eating behaviors through self-monitoring of appetite cues and mindfulness while eating. Young adult females (ages 18-30) with eating and weight concerns were recruited and randomized to the mobile intervention (n=95) or to a waitlist (n=94). Participants using the app for 3 weeks reported more mindful eating as well as general mindfulness, and lower symptoms of disordered eating compared to the waitlist. Change in binge eating was associated with change in mindful eating. The improvement in binge eating symptoms was maintained at a 3-week post-intervention follow-up, and post-intervention mindful eating added to the prediction of binge eating at follow-up. The results of this initial evaluation are promising and provide preliminary support for a mindful eating app as a viable initial step for individuals with eating concerns who are not seeking traditional treatment. Continued investigation of the potential for apps to promote mindful eating as either a stand-alone intervention or as an initial intervention for disordered eating within a stepped care model seems warranted. 

Table of Contents

Introduction······································· 1

Methods··········································· 6

Results············································· 15

Discussion········································ 19

References········································ 24

Table 1············································ 31

Table 2············································ 32

Table 3············································ 33

Figure 1··········································· 34

Figure 2··········································· 35

Figure 3··········································· 36

Figure 4··········································· 37

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