To evaluate the implementation, acceptability, and effectiveness of fully digital guided self-help (GSH) for binge eating disorder (BED) in routine clinical practice, consistent with NICE guidelines.
Approach:
Study Design: Mixed methods evaluation of a digitally delivered GSH program for BED.
Participants: Individuals diagnosed with BED receiving care within the UK NHS.
Intervention: Fully digital GSH program delivered in accordance with NICE guidelines, focusing on brief, low-intensity support.
Key Findings:
Binge eating disorder (BED) has a lifetime prevalence of approximately 2.8% in women and 1% in men (Galmiche et al., 2019).
Current implementation of GSH for BED in NHS services is inconsistent, with only 62% of adult teams offering it (National Audit of Eating Disorders, 2025).
Existing studies indicate that digitally delivered GSH can be feasible and acceptable, with potential for symptom reduction (van Beers et al., 2025; Rom et al., 2023).
Interpretation:
The study highlights the need for effective implementation of GSH for BED in routine clinical settings, emphasizing adherence to NICE guidelines.
Limitations:
Limited evaluation of fully digital GSH programs in routine health care services.
Previous studies often conducted in controlled research settings rather than real-world clinical environments.
Conclusion:
Further research is needed to assess the effectiveness and implementation of fully digital GSH for BED within the NHS framework.
