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Combining Digital Cognitive Behavioral Therapy With Mindfulness Training for Binge Eating Disorder: Protocol for a
Margaret Sala1, Corey Roos2, Dante Ascarrunz1,3
1Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, United States.
JMIR Research Protocols
|April 30, 2026
Summary
This pilot study evaluates Mindful Courage, a digital intervention combining cognitive behavioral therapy (CBT) and mindfulness for binge eating disorder (BED). Results will inform the development of a scalable and effective treatment for BED.
Area of Science:
- Psychiatry and Behavioral Science
- Digital Health Interventions
- Eating Disorders
Background:
- Cognitive behavioral therapy (CBT) is the leading treatment for binge eating disorder (BED), but its effectiveness is limited by modest efficacy and accessibility.
- Mindfulness training may enhance CBT by addressing emotion dysregulation, a key factor in BED.
- Digital delivery offers a scalable solution to increase treatment reach.
Purpose of the Study:
- To assess the feasibility and acceptability of CBT-based Mindful Courage, a novel digital intervention for BED.
- To evaluate preliminary changes in BED symptoms, related psychological outcomes, and proposed mechanisms of change.
- To establish the foundation for a scalable and efficacious treatment for BED.
Main Methods:
- A parallel-group, single-blinded, randomized controlled trial with 1:1 allocation.
- Recruitment of 40 adults with BED (aged 18-75) for an 18-week intervention delivered via Zoom.
- Comparison between CBT-based Mindful Courage plus coached self-monitoring and coached self-monitoring alone.
Main Results:
- Study funding secured in April 2023.
- Data collection is ongoing from November 2025 to November 2026.
- Anticipated results analysis by May 2027 and publication by May 2028.
Conclusions:
- This pilot randomized controlled trial is a crucial initial step.
- Findings will guide the development of a scalable and effective digital treatment for BED.
- The study aims to improve outcomes for individuals with binge eating disorder.
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