title: Demographic and clinical characteristics of individuals utilizing an internet-based digital coaching program for recovering from binge eating.
abstract: OBJECTIVE
  While digital coaching self-help interventions to facilitate behavioral change are offered increasingly on the Internet, few studies have examined who uses them. This study examined demographic and clinical characteristics of adults who accessed a self-help program for binge eaters made available to them via their employers or health plans.
  
  
  METHODS
  Cross-sectional data from 4,051 men and women who registered for the online program during a 13-month period were used. Gender differences and differences across three diagnostic groupings based on self-reported symptoms were tested using t-tests and ANOVAs (dimensional variables) or Chi-Square analyses (categorical variables).
  
  
  RESULTS
  More women (3,053) than men (998) accessed the program. A majority of participants reported binge eating below frequency levels required for a clinical diagnosis, yet reported high levels of motivation to overcome their eating binges. Few had received prior treatment for an eating disorder. Although women reported greater symptomatology on most variables, these differences typically reflected small effects. Comparisons of diagnostic subgroups found few differences between those with probable diagnoses of bulimia nervosa or binge eating disorder.
  
  
  CONCLUSIONS
  Digital coaching programs may be a viable treatment option, particularly for individuals with infrequent binge eating who otherwise might not seek or receive treatment.
authors: HealthMedia, Incorporated, Ann Arbor, Michigan, USA. rbedrosian@healthmedia.com
authors: Richard C
authors: RC
authors: Bedrosian
authors: Ruth H
authors: RH
authors: Striegel-Moore
authors: Chun
authors: C
authors: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D056912:Binge-Eating Disorder / Q000453:epidemiology / Q000628:therapy*; D001835:Body Weight; D015928:Cognitive Behavioral Therapy; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009042:Motivation; D015995:Prevalence; D012648:Self Care; D012737:Sex Factors; D013813:Therapy, Computer-Assisted