LAUSR

Key Points Question Does a coached, digital, cognitive behavior therapy (CBT) intervention result in improved outcomes among college women with eating disorders (EDs) compared with referral to usual care? Findings In this cluster randomized clinical trial that included 690 women with binge-purge EDs from 27 US universities, the digital CBT intervention was superior to referral to usual care in decreasing ED psychopathology, compensatory behaviors, depression, and clinical impairment through long-term follow-up, as well as in realized treatment access. There was no difference in abstinence from all ED behaviors or academic impairment between groups. Meaning These results support the efficacy of a coached, digital, CBT intervention for college women with EDs, which has the potential to bridge the treatment gap for this problem.