Table 4 Themes, descriptions, and feedback from providers

Provider Theme 1: Applicability of Program for Real-World Use

Barriers and Catalysts for Use

What motivated or detracted providers from using the platform

“I liked how I could see the information in multiple ways through video, through checklists, through your slides. And I imagine that like, if I really was knowledgeable about what was coming in terms of each session that it would be really helpful to be able to filter by the type, like pdf versus video, so that like I could really quickly find what I needed and even be able, as a provider, to like, I imagine if I had the time that I would like to sit down and like watch all the videos from start to end and like review all the slides from start to end and that’s a really nice way to filter in order to do that. So yeah I liked that part about the provider end.” (P10)

“I felt like, again, even with my limited experience, I didn't fully appreciate or grasp the provider resources until after I looked at the patient resources. So that might have been useful to have been kind of instructed from the beginning.” (P14)

“My experience wasn't typical because my patient got upset at how much binge-eating was mentioned right away. I didn't know her. She had gotten an intake, and then I wanted to do CBT. She had agreed, and her intake showed that she did engage in binge eating. It wasn't that frequent, but she did. And then, as it went on, she just got very triggered by it, but she's a patient who's triggered by lots of things, and that is just sort of part of what is going on.” (P16)

“I have other patients I’m doing this treatment with who are not tech savvy, who I haven't even considered like explaining the study to them, because I think it would just explode and it's been hard enough getting her, you know I kind of have taught her how to use the excel sheet, and that type of thing. So I wouldn't, I wouldn't recommend it, it sort of needs a very specific demographic, I think, of a, you know, somebody who's tech savvy, knowledgeable, pretty young, you know, in terms of their ability to access it. Cause I think other patients of mine would just find the concept of it a little bit overwhelming, though I really like it. I like everything that's there. I just don't know if it's translatable to every patient who does this treatment, if that makes sense..” (P18)

Quality of Online Training Experience

Provider feedback on the content and relevance of the platform’s online eating disorder training

“Like I said, I would’ve loved to, for the person that was talking through the orientation, like the initial session, I would’ve for the video to be a little bit bigger to like see her face but that’s just because I like to watch people talk, and I’m not as much of like a reader, so maybe enlarging that video a little bit, and yeah, I loved it. I loved how she was talking through all of the slides and it was offered in multiple ways for multiple learners.” (P10)

“I actually liked the person who was doing the training videos, normally I want to go to sleep during training videos, but she actually kept me entertained, so that’s pretty good.” (P11)

“I really enjoyed [the training]. I really liked how organized it was, and I really liked some of the sort of key takeaways. So, for example, one of the things that really stood out to me was like comparison making. And I really like the sort of idea of instead of comparing yourself to a biased sample, comparing yourself to everybody in a systematic way, every third person. So I liked how it was a combination of sort of just like background and educational, but then also just like takeaway tips and things to try.” (P14)

“So overall, I found it really informative and useful. I really enjoyed the content. Like, I enjoyed the videos, the PowerPoint slides, and then the chapters. I actually downloaded some of the chapters for just me to read and reference. So I thought it was really, really helpful.” (P14)

“[In terms of resource improvement], you can't give me more time, so I don't I wanna be unreasonable. I mean, I know again the patient gave me feedback about the reading, and that some of the reading would refer to different parts of the book that she didn't have access to, that she would have liked to be able to look at and then maybe yeah. I mean, that could be my feedback, too, is that would be more information that I could have access to, to give a little more depth to some of the information. But, you know, I’m really struggling to be critical. It was very helpful.” (P17)

Utility of the Platform to Deliver Treatment

Provider thoughts on how useful the platform was

“For the food checker, where there were just, you know, fifteen options for a single entry, so there was just a lot of scrolling that would need to be done, which I could imagine could get a little bit much if you’re like trying to track like which encounters or like what interaction is this, what, I forget, time, what word you used, but like what time point is this.” (P10)

“I definitely think I could gain a better understanding of eating disorders and how to treat them from using this platform because… I’ve been doing this for a long time, but when I very first started out, I think it would’ve been extremely helpful to have something kind of guiding so that you don’t feel like you’re questioning yourself: am I moving in the right direction, am I staying on track, are we doing this as brief as a format as possible, um, for the client so that they’re getting the help they need, and so I think that that would be helpful for anybody at any level of experience to just check in with yourself and be able to use this to help keep you moving, keep you on track, and keep you assessing what you need to assess at each step of the way.” (P13)

“The checklist was helpful. I have that here in front of me, and it was even more helpful again, as I mentioned, after I had looked at the patient resources, the provider resources were more helpful afterward.” (P15)

“I think [the self-monitoring surveys would be helpful for patients to keep track of their own progress…to kind of have that accountability and empowerment and awareness. Each of those can be enhanced with the intentional monitoring of what we do that might otherwise be mindless.” (P15)

“From a clinician perspective, the self-monitoring form is great, and I really really like, here's a huge thing of the platform that I like, that as the clinician, if you want to, you can sort of review throughout the week how your patient is doing, or what's going on. You know, it's a place where I can go check in on. I don't need to just be with the patient and to talk about. So it means that before I meet with her, I can review. So that shared aspect of it I think is fantastic. That's the reason why this platform should exist. Cause it can be accessible to both the clinician and the patient.” (P18)

Provider Theme 2: Platform Structure and Function

N/A

Ease of use and aesthetics of platform features and tools

“Oh it was definitely user-friendly, it was, with the tabs and stuff you could find your way around pretty simple which was good.” (P11)

“So I would say it was not that easy. I mean it's easier than not having it, but you know, it was hard to say. It was easy to use it, but I got caught up in these other things, like how long was this? How many things really are there that I have to watch? And this seems a lot, you know.” (P16)

“It was pretty simple for me to be able to log in and look at her food logs and have a conversation with her as I was looking at the log. So from that perspective for me, it was pretty simple.” (P17)

“I mean [the platform] was very user friendly, intuitive. I didn't… you know again, I wasn't the one having to enter anything into there. So you know, for me to be able to look at it in real time while I was on the phone with the patient was very helpful.” (P17)

“For me, I find it easy. You know, once I oriented myself to it, and really figured out the system of where everything was located in the steps, and all of that, I've I found it very easy to use and easy to be able to see what my patient has done on it.” (P18)