Innovative Use of the Noom Monitor Mobile Application for CBT-GSH in Binge Eaters

Noom Monitor 移动应用程序在暴食者中创新地使用 CBT-GSH

• 批准号: 8521678
• 负责人: THOMAS B HILDEBRANDT
• 金额: $ 34.37万
• 依托单位: NOOM, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-06-01 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8521678
• 关键词: Access to Information; Address; Adherence; Affect; Artificial Intelligence; Behavioral; Binge Eating; Binge eating disorder; Bulimia; Calories; Car Phone; Client; Cognitive; Cognitive Therapy; Comorbidity; Data; Development; Dietary Practices; Disease; Dropout; Eating; Ensure; Exercise; Feedback; Grant; Health Care Costs; Health Services; Impairment; Individual; Intention; Internet; Intervention; Lead; Location; Medical; Mental Health; Modeling; Monitor; Nature; Notification; Online Systems; Paper; Patients; Pattern; Personal Satisfaction; Phase; Pilot Projects; Population; Primary Health Care; Problem Solving; Psyche structure; Psychotherapy; Public Health; Randomized Controlled Trials; Research Infrastructure; Secure; Side; Site; Symptoms; Technology; Testing; Text; Therapeutic; Time; Training; Treatment outcome; Weight; Weight maintenance regimen; Work; base; commercialization; cost; cost effective; design; effective therapy; health record; innovation; interest; medical schools; payment; phase 2 study; programs; public health relevance; purge; self help; tool; treatment adherence; trial comparing; uptake; Access to Information; Address; Adherence; Affect; Artificial Intelligence; Behavioral; Binge Eating; Binge eating disorder; Bulimia; Calories; Car Phone; Client; Cognitive; Cognitive Therapy; Comorbidity; Data; Development; Dietary Practices; Disease; Dropout; Eating; Ensure; Exercise; Feedback; Grant; Health Care Costs; Health Services; Impairment; Individual; Intention; Internet; Intervention; Lead; Location; Medical; Mental Health; Modeling; Monitor; Nature; Notification; Online Systems; Paper; Patients; Pattern; Personal Satisfaction; Phase; Pilot Projects; Population; Primary Health Care; Problem Solving; Psyche structure; Psychotherapy; Public Health; Randomized Controlled Trials; Research Infrastructure; Secure; Side; Site; Symptoms; Technology; Testing; Text; Therapeutic; Time; Training; Treatment outcome; Weight; Weight maintenance regimen; Work; base; commercialization; cost; cost effective; design; effective therapy; health record; innovation; interest; medical schools; payment; phase 2 study; programs; public health relevance; purge; self help; tool; treatment adherence; trial comparing; uptake

DESCRIPTION (provided by applicant): Bulimia nervosa and binge eating disorder are marked by significant levels of impairment and psychiatric comorbidity, affecting approximately 5-7% of the US population. Guided self-help cognitive behavioral (CBT-GSH) therapy has been show to be an effective treatment to reduce binge eating for patient with both disorders. However, there is limited uptake among both clients and therapists. One significant factor is self-monitoring, the central component of cognitive- behavioral therapy, which is both time-intensive and cumbersome in its traditional paper format for clients, as well as difficult to comprehensively address in a time-limited session for the therapist. This grant proposes to utilize emerging mobile application technology, as a tool for increasing the potency, accessibility, and efficacy of guided self-help. This will be accomplished by adapting WorkSmart Lab's current commercial mobile product for healthy eating and exercise, Noom Monitor, into a self-monitoring application integrating CBT-GSH tools for binge eaters. Additionally, the application will be used to facilitate real-time feedback to therapists about their patient progres. Therapists will be notified in real-time about any drastic changes in client eating patterns through pre-set alerts designed to assign a grade to therapists, representing each client's well-being. The feasibility and efficacy of the adapted Noom Monitor application will be examined through a randomized control trial comparing CBT-GSH + APP with CBT-GSH conducted at the Mount Sinai School of Medicine's Eating and Weight Disorders Program. The innovative utilization of technology to assist in mental health interventions has widespread implications outside of this proposal, which will be used to strategize the further development and commercialization of this product.

描述（由申请人提供）：神经性贪食症和暴饮暴食障碍的特征是显着的障碍和精神病合并症，影响了大约5-7％的美国人口。指导的自助认知行为（CBT-GSH）疗法已被证明是减少两种疾病患者暴饮暴食的有效治疗方法。但是，客户和治疗师的吸收率有限。一个重要的因素是自我监控，这是认知行为疗法的核心组成部分，在其传统的纸张格式中，它既耗时又繁琐，并且在治疗师的时间限制课程中很难全面解决。该赠款建议利用新兴的移动应用技术，作为增加指导自助力的效力，可及性和功效的工具。这将通过将Worksmart实验室当前的商业移动产品改编成健康饮食和运动，NOOM监视器来实现这一目标，将其集成了用于暴饮暴食者的CBT-GSH工具的自我监控应用程序。此外，该应用程序将用于促进对治疗师有关其患者疾病的实时反馈。治疗师将通过预先设定的警报实时通知客户饮食模式的任何急剧变化，该警报旨在为治疗师分配成绩，代表每个客户的福祉。将通过一项随机控制试验将CBT-GSH +应用程序与在西奈山医学院的饮食和体重疾病计划进行的CBT-GSH进行比较的随机控制试验，将检查的NOOM监视器应用程序的可行性和功效进行检查。该提案以外的创新利用技术在进行心理健康干预措施之外的广泛含义，该提案将用于制定该产品的进一步开发和商业化。