Trial Outcomes & Findings for App-Based Mindfulness Training for Individuals With Anorexia Nervosa and Bulimia Nervosa (NCT NCT05753410)

NCT ID: NCT05753410

Last Updated: 2026-04-16

Results Overview

Module completion, ranging from 0 to 100%

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

32 participants

Primary outcome timeframe

8-week treatment period

Results posted on

2026-04-16

Participant Flow

Participant milestones

Participant milestones
Measure
Mindful Courage
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Overall Study
STARTED
32
Overall Study
COMPLETED
30
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

App-Based Mindfulness Training for Individuals With Anorexia Nervosa and Bulimia Nervosa

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mindful Courage
n=32 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Age, Continuous
28.8 years
STANDARD_DEVIATION 7.8 • n=193 Participants
Sex/Gender, Customized
Sex · Female
21 Participants
n=193 Participants
Sex/Gender, Customized
Sex · Male
7 Participants
n=193 Participants
Sex/Gender, Customized
Sex · Non-Binary
4 Participants
n=193 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=193 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants
n=193 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=193 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=193 Participants
Race (NIH/OMB)
Asian
2 Participants
n=193 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=193 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=193 Participants
Race (NIH/OMB)
White
21 Participants
n=193 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=193 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=193 Participants
ED Diagnoses
AN-R
6 Participants
n=193 Participants
ED Diagnoses
AN-BP
3 Participants
n=193 Participants
ED Diagnoses
Atypical AN
11 Participants
n=193 Participants
ED Diagnoses
BN
7 Participants
n=193 Participants
ED Diagnoses
Atypical BN
5 Participants
n=193 Participants

PRIMARY outcome

Timeframe: 8-week treatment period

Module completion, ranging from 0 to 100%

Outcome measures

Outcome measures
Measure
Mindful Courage
n=32 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Feasibility of Module Completion
87.8 percentage of modules completed
Interval 0.0 to 100.0

PRIMARY outcome

Timeframe: 8-week treatment period

Single-items measuring ratings of acceptability dimensions, including usability, understandability, engage-ability, visual appeal, helpfulness, skill acquisition, and confidence implementing skills ratings. Scores for each item range from 1 to 5 and are averaged, with higher scores indicating better acceptability.

Outcome measures

Outcome measures
Measure
Mindful Courage
n=30 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Acceptability Dimensions
4.28 units on a scale
Standard Deviation 0.2

SECONDARY outcome

Timeframe: Baseline through 2-month follow-up

Eating Disorder Examination-Questionnaire (EDE-Q). Total scores are the average of each of the subscales, and range from 0 to 6. Higher scores indicate higher eating disorder symptoms.

Outcome measures

Outcome measures
Measure
Mindful Courage
n=30 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Change in Eating Disorder Symptoms
-1.42 units on a scale
Standard Error 1.81

SECONDARY outcome

Timeframe: Baseline through 2-month follow-up

Difficulties in Emotion Regulation Short Form (DERS-SF). Total scores are the average of each of the subscales, and range from 1 to 5. Higher scores indicate more emotion dysregulation

Outcome measures

Outcome measures
Measure
Mindful Courage
n=30 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Change in Emotion Dysregulation
-0.40 units on a scale
Standard Error .99

SECONDARY outcome

Timeframe: Baseline through 2-month follow-up

Body Shape Questionnaire (BSQ). Total scores are the total across the items, and range from 34 to 204. Higher scores indicate greater body dissatisfaction.

Outcome measures

Outcome measures
Measure
Mindful Courage
n=30 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Change in Body Dissatisfaction
-26.47 units on a scale
Standard Error 58.44

SECONDARY outcome

Timeframe: Baseline through 2-month follow-up

Savoring Beliefs Inventory (SBI). Total scores are the total across the positively-anchored and negatively-anchored items, and could range from -72 to 72. Higher scores reflect stronger endorsement of savoring beliefs.

Outcome measures

Outcome measures
Measure
Mindful Courage
n=30 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Savoring Beliefs
1.30 units on a scale
Standard Error 1.84

SECONDARY outcome

Timeframe: Baseline through 2-month follow-up

Clinical Impairment Assessment Questionnaire (CIA). Total scores are the total of the items, and range from 0 to 48. Higher scores indicate greater psychosocial impairment associated with an eating disorder.

Outcome measures

Outcome measures
Measure
Mindful Courage
n=30 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Psychosocial Impairment
-13.22 units on a scale
Standard Error 16.35

SECONDARY outcome

Timeframe: Baseline through 2-month follow-up

Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Total scores range from 0 to 40, with higher scores indicating greater mindfulness.

Outcome measures

Outcome measures
Measure
Mindful Courage
n=30 Participants
Mindful Courage is a digital intervention including mindfulness and cognitive behavioral elements for individuals with anorexia nervosa or bulimia nervosa. Mindful Courage will consist of 8-weeks of self-guided modules which will be completed over the course of 8 weeks. Elements included in the intervention include psychoeducation, self-monitoring, regular eating, body image, values clarification, and mindful awareness and acceptance. Participants learn a range mindfulness skills and practice a range of mindfulness meditations. Participants will also receive phone coaching. Homework consists of meditation practices. Mindful Courage: Self-guided online intervention
Change in Mindfulness
0.33 units on a scale
Standard Error 0.75

Adverse Events

Mindful Courage

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Margaret Sala

Yeshiva Univeristy

Phone: 972-369-4267

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place