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The results indicated the viability of an individually tailored intervention strategy in a heterogeneous sample with high satisfaction and acceptance ratings. In the first study, the feasibility of the program was investigated among 22 participants who utilized the online program for four months.
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The program was developed within a European collaboration and followed an individually tailored intervention strategy which incorporated several modules of differing intensity. Thus far, no study has addressed patients with BN and related EDNOS using the Internet at post-treatment. Acknowledging the widespread use of communication technologies in today’s world and the increasing evidence to support the potential of e-health interventions in prevention, self-help, treatment and maintenance treatment of patients with eating disorders, the three studies presented in this dissertation were concerned with developing and evaluating an Internet-based support program as a step-down strategy for patients with bulimic symptomatology following discharge from treatment.
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Interventions based on new technologies have the potential to extend the reach of treatment providers and to provide such maintenance support at reasonable cost and effort. Maintenance of treatment gains and promotion of continued recovery is highly relevant to improve outcome and ultimately reduce the burden of illness. Even after successful treatment, patients experience a high risk of relapse that is particularly pronounced in the first months following treatment termination. Despite well established and effective treatment options, a considerable number of patients fail to respond to these treatments or drop-out prematurely. Eating disorders are often characterized by multiple illness episodes and chronic courses.