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Just‐in‐time adaptive interventions: A novel approach for enhancing skill utilization and acquisition in cognitive behavioral therapy for eating disorders
Author(s) -
Juarascio Adrienne S.,
Parker Megan N.,
Lagacey Madeline A.,
Godfrey Kathryn M.
Publication year - 2018
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22924
Subject(s) - psychological intervention , bulimia nervosa , binge eating disorder , psychology , eating disorders , cognition , cognitive behavioral therapy , dreyfus model of skill acquisition , intervention (counseling) , cognitive therapy , behavioral therapy , clinical psychology , psychotherapist , psychiatry , economics , economic growth
Objective The most widely researched treatment for bulimia nervosa (BN) and binge‐eating disorder (BED) is cognitive behavioral therapy (CBT), a present‐focused, active, skill‐oriented treatment. However, despite the success of CBT, many patients fail to achieve sufficient rates of skill utilization (i.e., the frequency with which a patient practices or uses therapeutic skills) or adequate skill acquisition (i.e., the ability to successfully perform a skill learned in treatment) by the end of treatment and outcomes suffer as a result. One method for improving skill acquisition and utilization in patients with BN or BED could be the augmentation of in‐person treatment with just‐in‐time adaptive interventions (JITAIs), which use smartphone technology to deliver real‐time interventions during app‐identified moments of need. The current article discusses how novel JITAI systems that utilize machine learning or other predictive algorithms could be used to detect momentary risk for eating disordered behavior and provide tailored interventions to enhance outcomes. We will consider technologies that may help reduce patient burden and suggest avenues for future research on developing acceptable and effective JITAIs that can be used as an adjunct to CBT protocols.