EMOTE: a Smartphone Application for Binge Eating Based on DBT Skills

ConditionBinge Eating
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-60
SponsorUniversidade do Porto

About this trial

Binge eating, whether formally diagnosed or occurring at subthreshold levels, is associated with adverse health consequences and decreased quality of life.

Access to accessible, cost-effective interventions that effectively address binge eating episodes is critical for individuals with this condition, and smartphone applications have demonstrated promise in treating binge eating and related disorders.

This study aims to evaluate the efficacy of eMOTE, a novel smartphone application for binge eating based on Dialectical Behavior Therapy (DBT) skills. For this purpose, a randomized controlled trial will be conducted in which women who self-report binge eating episodes will be randomly assigned to the app intervention group or a waiting list group.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

female;

aged 18 years or older;

self-report at least one binge eating episode over the past four weeks;

owned a smartphone;

Disqualifiers

attending psychotherapy (face-to-face or digital) or another clinical trial;

body mass index below 18.5;

self-report an average of eight or more episodes of binge eating or inappropriate compensatory behaviours per week;

being pregnant;

Trial design

Design model

Parallel

Treatments tested in this trial

  • eMOTE

    Behavioral

    The intervention combines psychoeducation, mindfulness skills, emotion regulation skills, and distress tolerance skills, along with self-monitoring of meals, behaviours and feelings.

Treatment groups

68 Participants
are divided into 2 treatment groups
Group A: eMOTEExperimental treatment 1 intervention
Group B: Waiting ListNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Changes in binge eating symptoms

Assessed by Binge Eating Scale - BES. The Binge Eating Scale (BES) is a 16-item self-report questionnaire used to assess the presence and severity of binge eating behaviors. The scale's total score can range from 0 to 46, with higher scores indicating more severe levels of binge eating.

Time frame
From Baseline to 2-months follow-up
2

Changes in objective binge eating episodes

Assessed by Eating Disorder Examination Questionnaire - EDE-Q. The Eating Disorder Examination Questionnaire (EDE-Q) is a 36-item self-report tool designed to assess the range, frequency, and severity of behaviors associated with eating disorder diagnoses. The total score on the EDE-Q can range from 0 to 6, with higher scores indicating more severe eating difficulties.

Time frame
From Baseline to 2-months follow-up

Secondary outcomes

1

Changes in BMI

Assessed by a Body Composition Analyzer

Time frame
From Baseline to 2-months follow-up
2

Changes in intuitive eating

Assessed by Intuitive Eating Scale-2 - IES-2. The Intuitive Eating Scale-2 (IES-2) includes 23 items assessing various dimensions of intuitive eating. The total score on the IES-2 can range from 1 to 5, with higher scores indicate a greater tendency toward intuitive eating behaviors.

Time frame
From Baseline to 2-months follow-up
3

Changes in depression, anxiety and stress

Assessed by Depression, Anxiety and Stress Scale - 21 - DASS-21. The Depression Anxiety Stress Scales-21 (DASS-21) is a 21-item self-report questionnaire designed to measure levels of depression, anxiety, and stress. The scale provides three scores, one for each subscale, where the minimum is 0 and the maximum is 21, with higher scores indicate greater severity of emotional distress in each of these areas.

Time frame
From Baseline to 2-months follow-up
4

Changes in eating disorder psychopathology

Assessed by Eating Disorder Examination Questionnaire - EDE-Q. The Eating Disorder Examination Questionnaire (EDE-Q) is a 36-item self-report tool designed to assess the range, frequency, and severity of behaviors associated with eating disorder diagnoses. The total score on the EDE-Q can range from 0 to 6, with higher scores indicating more severe eating difficulties.

Time frame
From Baseline to 2-months follow-up

Other outcomes

1

Changes in emotion regulation

Assessed by Difficulties in Emotion Regulation Scale - DERS. The Difficulties in Emotion Regulation Scale (DERS) is a 36-item self-report questionnaire designed to assess difficulties in emotional regulation. The total score on DERS can range from 36 to 180, with higher scores indicating greater difficulties in regulating emotions.

Time frame
From Baseline to 2-months follow-up
2

Changes in mindfulness

Assessed by Mindful Attention and Awareness Scale - MAAS. The Mindful Attention and Awareness Scale (MAAS) is a 15-item self-report instrument that measures the extent to which individuals act with awareness in daily life. The total score can range from 1 to 6, and higher scores indicate more mindfulness.

Time frame
From Baseline to 2-months follow-up

Sponsors and contacts

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