Abstract
Getting individuals to adopt condition-specific apps over general health apps remains an issue. Using eating disorders (EDs) as an example, we explored (1) if users recommend the general diet and fitness apps they repurpose for ED recovery and (2) if they use condition-specific apps intended for recovery. We used semi-structured interviews and four questionnaires to investigate use and perceptions of diet and fitness apps and recovery apps with 24 college women with self-identified and clinically-diagnosed EDs. Using inductive coding, we generated themes to address their lack of use of recovery apps. We found the majority (n = 13) would not recommend using general diet and fitness apps for recovery (compared to only 3 who would), yet most participants did not seek out a condition-specific app even when their objective was recovery. Four themes emerged around the non-use of recovery apps: lack of awareness, unpopularity or unfamiliarity, unwillingness, and lack of features or poor usability. In order to improve awareness as well as perceived popularity and familiarity of condition-specific apps, we suggest researchers and clinicians develop approved app lists, primary care clinicians become expert recommenders for evidence-based apps, and clinicians and educators leverage social media and college settings to reach these “hard to reach” populations.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Notes
- 1.
For more details about these measures, please see [13].
- 2.
- 3.
- 4.
2 participants did not provide an answer for this question.
- 5.
23 of 24 participants answered questions related to ED recovery apps.
References
CDC Mental Illness Surveillance Fact Sheet. Centers Dis. Control Prev. (2011). https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html
Nicholas, J., Larsen, M.E., Proudfoot, J., Christensen, H.: Mobile apps for bipolar disorder: a systematic review of features and content quality. J. Med. Internet Res. 17 (2015). https://doi.org/10.2196/jmir.4581
Juarascio, A.S., Manasse, S.M., Goldstein, S.P., Forman, E.M., Butryn, M.L.: Review of smartphone applications for the treatment of eating disorders. Eur. Eat. Disord. Rev. 23, 1–11 (2015). https://doi.org/10.1002/erv.2327
Fairburn, C.G., Rothwell, E.R.: Apps and eating disorders: a systematic clinical appraisal. Int. J. Eat. Disord. 48, 1038–1046 (2015). https://doi.org/10.1002/eat.22398
Bakker, D., Kazantzis, N., Rickwood, D., Rickard, N.: Mental health smartphone apps: review and evidence-based recommendations for future developments. JMIR Ment. Heal. 3, e7 (2016). https://doi.org/10.2196/mental.4984
Leigh, S., Flatt, S.: App-based psychological interventions: friend or foe? Evid. Based Ment. Health 18(4), 97–99 (2015)
Eisenberg, D., Nicklett, E.J., Roeder, K., Kirz, N.E.: Eating disorder symptoms among college students: prevalence, persistence, correlates, and treatment-seeking. J. Am. Coll. Heal. 59, 700–707 (2011). https://doi.org/10.1038/nature13314.A
Berg, K.C., Frazier, P., Sherr, L.: Change in eating disorder attitudes and behavior in college women: prevalence and predictors. Eat. Behav. 10, 137–142 (2009). https://doi.org/10.1016/j.eatbeh.2009.03.003
Woodruff, S.J., Hanning, R.M., Lambraki, I., Storey, K.E., McCargar, L.: Healthy Eating Index-C is compromised among adolescents with body weight concerns, weight loss dieting, and meal skipping. Body Image 5, 404–408 (2008). https://doi.org/10.1016/j.bodyim.2008.04.006
Gillen, M.M., Markey, C.N., Markey, P.M.: An examination of dieting behaviors among adults: Links with depression. Eat. Behav. 13, 88–93 (2012). https://doi.org/10.1016/j.eatbeh.2011.11.014
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5th edn. American Psychiatric Publishing, Washington, D.C., London, England (2013)
Eikey, E.V., Reddy, M.C.: “It’s Definitely Been a Journey”: a qualitative study on how women with eating disorders use weight loss apps. In: ACM CHI Conference on Human Factors in Computing Systems (CHI 2017), Denver, CO, pp. 1–13. ACM (2017)
Eikey, E.V., Booth, K.M., Chen, Y., Zheng, K.: The use of general health apps among users with specific conditions: why college women with disordered eating adopt food diary apps. In: AMIA, San Francisco, CA (2018)
Levinson, C.A., Fewell, L., Brosof, L.C.: My fitness pal calorie tracker usage in the eating disorders. Eat. Behav. 27, 14–16 (2017). https://doi.org/10.1016/j.eatbeh.2017.08.003
Simpson, C.C., Mazzeo, S.E.: Calorie counting and fitness tracking technology: associations with eating disorder symptomatology. Eat. Behav. 26, 89–92 (2017). https://doi.org/10.1016/j.eatbeh.2017.02.002
Eikey, E.V.: Providers’ perceptions of the impact of weight loss apps on users with eating disorders. In: Proceedings of the 2016 ACM SIGMIS Conference on Computers and People Research, pp. 19–20. ACM, New York (2016)
Tan, T., Kuek, A., Goh, S.E., Lee, E.L., Kwok, V.: Internet and smartphone application usage in eating disorders: a descriptive study in Singapore. Asian J. Psychiatr. 19, 50–55 (2016). https://doi.org/10.1016/j.ajp.2015.11.007
Eikey, E.V., et al.: Desire to be underweight: an exploratory study on a weight loss app community and user perceptions of the impact on disordered eating behaviors. JMIR mHealth uHealth 5 (2017). https://doi.org/10.2196/mhealth.6683
Fairburn, C.G., Beglin, S.: EDE-Q. In: Cognitive Behavior Therapy and Eating Disorders, pp. 1–5. Guilford Press, New York (2008)
Garner, D.M., Olmsted, M.P., Bohr, Y., Garfinkel, P.E.: The eating attitudes test: psychometric features and clinical correlates. Psychol. Med. 12, 871–878 (1982)
Bohn, K., Fairburn, C.G.: The clinical impairment assessment questionnaire (CIA 3.0). In: Fairburn, C.G (ed.) Cognitive Behavior Therapy and Eating Disorders. Guilford Press, New York (2008)
Bohn, K., Doll, H.A., Cooper, Z., O’Connor, M., Palmer, R.L., Fairburn, C.G.: The measurement of impairment due to eating disorder psychopathology. Behav. Res. Ther. 46, 1105–1110 (2008). https://doi.org/10.1016/j.brat.2008.06.012
Berg, K.C., Peterson, C.B., Frazier, P., Crow, S.J.: Psychometric evaluation of the eating disorder examination and eating disorder examination-questionnaire: a systematic review of the literature. Int. J. Eat. Disord. 45, 428–438 (2012). https://doi.org/10.1002/eat.20931
Marshall, M.N.: Sampling for qualitative research. Fam. Pract. 13, 522–526 (1996)
Thomas, D.R.: A general inductive approach for analyzing qualitative evaluation data. Am. J. Eval. 27, 237–246 (2006). https://doi.org/10.1177/1098214005283748
CDC Centers for Disease Control and Prevention About Child & Teen BMI. Heal. Weight CDC. https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html
Fox, S., Duggan, M.: Mobile Health 2012. Pew Internet Am. Life Proj. 1–29 (2012). Accessed http://pewinternet.org/Reports/2012/Mobile-Health.aspx
Smith, A.: The Smartphone Difference. Pew Research Center, April 2015. http://www.pewinternet.org/2015/04/01/us-smartphone-use-in-2015/
Quick, V.M., Byrd-Bredbenner, C.: Eating disorders examination questionnaire (EDE-Q): norms for US college students. Eat. Weight Disord. 18, 29–35 (2013). https://doi.org/10.1007/s40519-013-0015-1
Eikey, E.V.: Privacy and weight loss apps: a first look at how women with eating disorders use social features. In: Proceedings of the International Conference on Supporting Group Work (GROUP), pp. 413–415 (2016)
Kawamura, K.Y., Frost, R.O.: Self-concealment as a mediator in the relationship between perfectionism and psychological distress. Cognit. Ther. Res. 28, 183–191 (2004). https://doi.org/10.1023/B:COTR.0000021539.48926.c1
Masuda, A., Latzman, R.D.: Psychological flexibility and self-concealment as predictors of disordered eating symptoms. Sch Words Georg State Univ. (2012)
Hackler, A.H., Vogel, D.L., Wade, N.G.: Attitudes toward seeking professional help for an eating disorder: the role of stigma and anticipated outcomes. J. Couns. Dev. 88, 424–431 (2010). https://doi.org/10.1002/j.1556-6678.2010.tb00042.x
Peng, W., Kanthawala, S., Yuan, S., Hussain, S.A.: A qualitative study of user perceptions of mobile health apps. BMC Public Health 16, 1158 (2016). https://doi.org/10.1186/s12889-016-3808-0
Breton, E.R., Fuemmeler, B.F., Abroms, L.C.: Weight loss-there is an app for that! But does it adhere to evidence-informed practices? Transl. Behav. Med. 1, 523–529 (2011). https://doi.org/10.1007/s13142-011-0076-5
Birnbaum, M.L., Rizvi, A.F., Correll, C.U., Kane, J.M., Confino, J.: Role of social media and the Internet in pathways to care for adolescents and young adults with psychotic disorders and non-psychotic mood disorders. Early Interv. Psychiatry 11, 290–295 (2017). https://doi.org/10.1111/eip.12237
Smith, A., Anderson, M.: Social media use in 2018, pp. 1–17. Pew Research Center. Accessed http://www.pewinternet.org/2018/03/01/social-media-use-in-2018/
Auerbach, R.P., et al.: Mental disorders among college students in the world health organization world mental health surveys. Psychol. Med. 46, 2955–2970 (2016). https://doi.org/10.1017/S0033291716001665
Hunt, J., Eisenberg, D.: Mental health problems and help-seeking behavior among college students. J. Adolesc. Heal. 46, 3–10 (2010). https://doi.org/10.1016/j.jadohealth.2009.08.008
Tregarthen, J.P., Lock, J., Darcy, A.M.: Development of a smartphone application for eating disorder self-monitoring. Int. J. Eat. Disord. 48, 972–982 (2015). https://doi.org/10.1002/eat.22386
Jorm, A.F.: Mental health literacy; empowering the community to take action for better mental health. Am. Psychol. 67, 231–243 (2012). https://doi.org/10.1037/a0025957
Hammer, J.H., Vogel, D.L.: Men’s help seeking for depression: the efficacy of a male-sensitive brochure about counseling. Couns. Psychol. 38, 296–313 (2010). https://doi.org/10.1177/0011000009351937
Finkelstein, J., Lapshin, O.: Reducing depression stigma using a web-based program. Int. J. Med. Inform. 76, 726–734 (2007). https://doi.org/10.1016/j.ijmedinf.2006.07.004
Acknowledgements
We would like to thank our participants for sharing their experiences. This work was supported by the National Center for Research Resources, the National Center for Advancing Translational Sciences, National Institutes of Health (NIH) under grant UL1 TR001414. It is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Eikey, E.V., Chen, Y., Zheng, K. (2019). Do Recovery Apps Even Exist?: Why College Women with Eating Disorders Use (But Not Recommend) Diet and Fitness Apps Over Recovery Apps. In: Taylor, N., Christian-Lamb, C., Martin, M., Nardi, B. (eds) Information in Contemporary Society. iConference 2019. Lecture Notes in Computer Science(), vol 11420. Springer, Cham. https://doi.org/10.1007/978-3-030-15742-5_69
Download citation
DOI: https://doi.org/10.1007/978-3-030-15742-5_69
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-15741-8
Online ISBN: 978-3-030-15742-5
eBook Packages: Computer ScienceComputer Science (R0)