Design, Implement, Sustain: Advancing Program‐Led Interventions for Binge Eating, a Narrative Review

OBJECTIVE: Most individuals with binge eating never receive treatment, partly due to a lack of specialists and long waitlists. Program-led interventions are scalable, and their therapeutic content and guidance are embedded within the program itself. However, they are not widely implemented in routine care. Strategies are proposed to overcome key barriers, to enhance the implementation, adherence, and reach of program-led interventions in routine care for binge eating. METHODS: Recent evidence from a structured keyword-based search on program-led interventions for recurrent binge eating is synthesised, and strategies are proposed to optimise their design, personalisation, and implementation. RESULTS: Successful implementation of program-led interventions depends on intervention format, support, and user characteristics. Specialist-guided models reduce dropout rates, enhance adherence and acceptance, and support monitoring of adverse events. Brief, personalised digital interventions with synchronised therapist-user contact may reduce dropout probability and increase user and therapist adherence. Training and supervision promote therapist adherence and acceptance within routine care. CONCLUSION: Program-led interventions offer scalable, cost-effective care, but require balance between guidance, automation, contextual fit, and scalability. Challenges include resource demands, technological infrastructure, and applicability across diverse populations. Future research should test hybrid and algorithmically guided strategies, assess feasibility, equity, safeguard safety and privacy to support sustainable implementation.