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    2 Information about the technologies

    2.1

    This assessment included 3 technologies that can be used to offer NICE-recommended, evidence-based, eating-disorder-focused cognitive behavioural therapy (CBT-ED)-based self-help in a digital format.

    2.2

    In eating disorder services, guided self-help programmes are currently the first treatments to offer or consider for all people with binge eating disorder type conditions and for adults with bulimia nervosa type conditions. Guided self-help involves working through a self-help book or online programme about binge eating or bulimia nervosa, and having brief, usually virtual, supportive sessions intended to support adherence.

    2.3

    The 3 included technologies can be used with guidance but they are also designed to work as unguided self-help. This assessment is of their use as independent, unguided self-help therapies.

    Table 1 Features of each technology

    Technology (provider), regulatory status

    Intended age group

    Format

    License cost

    Digital CBTe (Credo Therapies),

    Class I CE mark

    18 years and over

    Smart phone app and online

    £95.00 per person

    Overcoming Bulimia Online (Five Areas Ltd),

    Does not need medical device regulation

    16 years and over

    Online

    £19.34 per person (2 to 5 licences)

    £13.44 per person (6 to 10 licences)

    £10.75 per person (11 to 25 licences)

    £9.14 per person (26 to 50 licences)

    £7.79 per person (51 to 99 licences)

    £6.72 per person (100 to 499 licences)

    £5.91 per person (for 500 or more licenses, used in the health economic model)

    Worth Warrior (stem4),

    Does not need medical device regulation

    12 years and over (under 12 with adult guidance)

    Smart phone app

    £12,000 per year for a primary care network-level licence in year 1, plus £6,500 per year thereafter

    Per-person costs: (calculated based on the prevalence of bulimia nervosa and binge eating disorder):

    £18.99 for year 1 and £10.28 per year thereafter for binge eating disorder

    £71.43 for year 1 and £38.69 per year thereafter for bulimia nervosa

    Carbon Reduction Plans