Digital guided self-help for eating disorders: thematic analysis of participant text messages to coaches

Eat Disord. 2023 Mar-Apr;31(2):191-199. doi: 10.1080/10640266.2022.2110698. Epub 2022 Sep 30.

Abstract

Digital guided self-help for eating disorders (GSH-ED) can reduce treatment disparities. Understanding program participants' interests throughout the program can help adapt programs to the service users' needs. Participants were 383 college students receiving a digital GSH-ED, who were each assigned a coach to help them better utilize the intervention through text correspondence. A thematic and affective analysis of the texts participants had sent found they primarily focused on: strategies for changing their ED-related cognitions, behaviors, and relationships; describing symptoms without expressing an active endeavor to change; and participants' relationship with their coach. Most texts also expressed affect, demonstrating emotional engagement with the intervention. Findings suggest that participants in GSH-ED demonstrate high involvement with the intervention, and discuss topics that are similar to those reported in clinician-facilitated interventions. The themes discussed by digital program participants can inform future iterations of GSH-ED, thereby increasing scalability and accessibility of digital evidence-based ED interventions.

MeSH terms

  • Feeding and Eating Disorders* / therapy
  • Health Behavior
  • Humans
  • Students
  • Text Messaging*