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A Meta-Analysis and Systematic Review of Single-Session Interventions for Eating Disorders

Negi S, Thomeczek ML, Wildes JE, Forbush KT

The International journal of eating disorders, 2026

Abstract

Background: There is a critical gap between the need for eating disorder (ED) treatment and provider availability. Single-Session Interventions (SSIs) are structured programs intentionally designed for a single client encounter and show promise for filling ED-treatment and prevention gaps by enhancing accessibility of evidence-based intervention. Recent studies have started to examine the efficacy of SSIs for various ED concerns, ranging from prevention to symptom reduction. A robust examination of the efficacy of SSIs in addressing ED concerns is thus needed.

Objective: This review assessed whether, and to what degree, ED SSIs are efficacious. Further, this study examined whether the efficacy of SSIs was moderated by SSI function (i.e., treatment versus prevention), SSI implementation format (i.e., self-guided versus provider delivered), SSI administration method (i.e., remote versus in-person), and follow-up duration after SSI completion.

Method: Systematic review and meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. A multi-level random effects meta-analysis using a restricted maximum likelihood estimator was conducted to synthesize effect sizes from 22 primary studies (k = 331 effect sizes). Multi-level meta-regression was conducted to test moderators of ED SSI efficacy. Findings from non-randomized trial design studies were qualitatively synthesized.

Results: Overall Hedge's g effect size…

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