title: Evaluation and deployment of evidence based patient self-management support program for Bulimia Nervosa.
abstract: OBJECTIVE
  This article presents initial results from a European multi-centre study to determine the effectiveness and feasibility of an online self-help treatment support program for Bulimia Nervosa (BN).
  
  
  METHODS
  The online program is based on Cognitive Behavioral Therapy (CBT) and consists of seven steps that patients work through progressively. An overall sample of 141 women suffering from BN used the program over a 6-month period. Patients were supported by three face-to-face evaluation interviews with a therapist, and a weekly e-mail contact. Data on general psychopathology and specific eating disorder symptoms were also collected at the evaluation interviews.
  
  
  RESULTS
  Initial results from the Swiss sample (N=41) showed significant improvement of overall psychological health (p<.001) as measured by the Symptom Checklist (SCL-90R), and for all dimensions of the Eating Disorder Inventory (EDI-2).
  
  
  CONCLUSIONS
  An online Self-Help program for BN can be used effectively to reduce eating disorder symptoms in Bulimic patients and user feedback showed that this approach contributed to increase patient involvement and service availability. Additional data from the other centers will further inform the efficacy and impact of this approach.
authors.affiliation: Psychiatric Liaison Unit, University Hospitals of Geneva, Geneva, Switzerland. Isabelle.Carrard@hcuge.ch
authors.forename: Isabelle
authors.initials: I
authors.lastname: Carrard
authors.forename: Patrick
authors.initials: P
authors.lastname: Rouget
authors.forename: Fernando
authors.initials: F
authors.lastname: Fernández-Aranda
authors.forename: Anne-Christine
authors.initials: AC
authors.lastname: Volkart
authors.forename: Maria
authors.initials: M
authors.lastname: Damoiseau
authors.forename: Tony
authors.initials: T
authors.lastname: Lam
mesh_terms: D000293:Adolescent; D000328:Adult; D052018:Bulimia Nervosa; D005060:Europe; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D020407:Internet; D015397:Program Evaluation / Q000379:methods; D012648:Self Care; D012944:Social Support