Development and Validation of an Adaptive Mobile Phone App to Identify Clients at Risk for Treatment Failure
Eating disorders (EDs) are associated with impairment in quality-of-life, psychiatric and medical morbidity, and excess mortality. Despite the seriousness of EDs, the most efficacious treatments for adults with EDs do not work for at least half of patients. One of the major barriers to treating EDs is that there are few reliable predictors of outcomes. Even significant predictors, such as rate of symptom improvement over the first four weeks of care cannot be known at initial visits. Thus, there is a pressing need to develop alternative methods for predicting outcomes earlier in treatment to inform clinical-decision making and prognosis. Until reliable methods for tracking outcomes are developed, clinicians will remain unable to make informed decisions regarding the necessity and optimal timing of stepped-care treatments that, in turn, are needed to prevent chronicity and mortality. The objective of this project is to develop and validate a brief, user-friendly measure to identify ED treatment failures.