Maintenance of Internet-based prevention: A randomized controlled trial. International Journal of Eating Disorders, 40, 114-119

Technische Universität Dresden, Dresden, Saxony, Germany
International Journal of Eating Disorders (Impact Factor: 3.03). 03/2007; 40(2):114-9. DOI: 10.1002/eat.20344
Source: PubMed

ABSTRACT Excessive weight or shape concerns and dieting are among the most important and well-established risk factors for the development of symptoms of disordered eating or full-syndrome eating disorders. Prevention programs should therefore target these factors in order to reduce the likelihood of developing an eating disorder. The aims of this study were to determine the short-term and maintenance effects of an internet-based prevention program for eating disorders.
One hundred female students at two German universities were randomly assigned to either an 8-week intervention or a waiting-list control condition and assessed at preintervention, postintervention, and 3-month follow-up.
Compared with the control group, the intervention produced significant and sustained effects for high-risk women.
Internet-based prevention is effective and can be successfully adapted to a different culture.

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    • "The programme is modelled after a cognitive behavioural intervention targeting college-age women who might be at risk for developing an ED (Cash, 1991). The programme was successfully evaluated in Germany and the USA (Jacobi et al., 2007). Bauer et al. (2013) detailed some online intervention programmes such as Set Your Body Free (Gollings & Paxton, 2006); the eBody Project (Stice, Rohde, Durant, & Shaw, 2012), which use mostly manualized and standardized approaches, where users receive an identical amount of intervention. "
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    ABSTRACT: Objective The ProYouth programme focuses on the promotion of mental health and the prevention of eating disorders (EDs) among young people. The aim of our study was to explore whether the programme can address individuals who are at risk for developing EDs. This study is designed as an online cross-sectional survey (n = 664, 12.2% men, 87.8% women, mean age: 24.9 years, SD = 5.4 years, range: 18–40 years). Measures included demographic data, self-reported weight and height, the Patient Health Questionnaire for Depression and Anxiety, Short Evaluation of Eating Disorders, Weight Concerns Scale and previous/current treatment for EDs. ResultsIn terms of severity of EDs, 22.9% (n = 152) of the screened participants were symptom free, 48.8% (n = 324) had considerable concerns about their weight, 11.1% (n = 74) were slightly impaired, 15.1% (n = 100) had severe impairment and 2.1% (n = 14) of participants are currently under treatment for EDs. In total, 56.3% of users (n = 374) registered in the programme. According to our results, those who had considerable concerns about their weight and individuals who were severely impaired registered with a greater odds to the programme than those who were symptom free [odds ratio (OR) = 1.64, p = .021 and OR = 1.90, p = .023, respectively]. Furthermore, those who previously received treatment for their ED registered to the programme with greater odds than those who did not (OR = 2.40, p = .017).Conclusion ProYouth successfully addressed those who have elevated concerns about their weight and who also registered with greater odds to the programme than those who were symptom free regarding EDs. The screening results show that there is a greater need for specialized care targeting EDs in Hungary than what is currently available. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.
    European Eating Disorders Review 01/2015; DOI:10.1002/erv.2345 · 1.38 Impact Factor
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    • "In both countries, significant effects of the intervention on weight and shape concerns in at-risk samples have been found (e.g., Zabinski, Wilfley, Calfas, Winzelberg, & Taylor, 2004; Taylor et al., 2006; Jacobi et al., 2007). However, in the most rigorous study using illness onset as outcome criterion, the efficacy of the program could not be confirmed ; Taylor et al. (2006) conducted a randomized controlled trial allocating 480 college-age women to the Student Bodies intervention or a control condition. "
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    ABSTRACT: This paper aims to outline specific challenges inherent to the prevention of eating disorders, to discuss how these might be addressed by Internet-based interventions, and to review currently available approaches. Furthermore, we introduce the European initiative ProYouth which aims at the implementation and dissemination of an Internet-based platform integrating prevention, early detection, and timely intervention related to eating disorders. Overall, the available literature indicates that only a few Internet-based approaches have been studied in the field of eating disorder prevention so far. Results concerning feasibility and acceptability are promising, but only limited evidence is available on efficacy and effectiveness.
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    • "Eating disorders are also being treated with the help of these new forms of computerized therapy, using either CD-ROM or the Internet. An online CBT-based prevention programme successfully reduced body and shape concern in groups of students at risk for eating disorders (Jacobi et al., 2007; Taylor et al., 2006). A randomized controlled trial comparing the efficacy of a 10-week CD-ROM intervention, group CBT treatment and people on a waiting list for binge eating disorder had comparable reduction in binge days between group CBT treatment and 10-week CD-ROM (Shapiro, Reba-Harrelson, Dymek-Valentine, Woolson , Hamer, & Bulik, 2007). "
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    ABSTRACT: OBJECTIVE: The purposes of this study were to evaluate the use of an online guided self-treatment programme for bulimia nervosa (BN) and to determine predictors of outcome. Data were collected in four European countries where the programme was simultaneously used. METHOD: One hundred and twenty-seven BN or subthreshold BN female patients (mean age of 24.7 years) participated in a 4-month intervention using a CBT based online-guided self-help programme. Contact during the treatment period included weekly e-mails with a coach. ASSESSMENT: Measures included the Eating Disorders Inventory-2 (EDI-2) and the Symptom Check List-Revised (SCL-90R). RESULTS: Severity of eating disorders symptoms and general psychopathology improved significantly. Twenty-three per cent of patients were symptom free at the end of treatment. The dropout rate was 25.2%. A better score of general psychological health was a predictor of a better outcome. CONCLUSIONS: This study encourages further developments and research on innovative therapy approaches, particularly for those disorders such as BN, with difficult therapy and unclear prognosis. Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.
    European Eating Disorders Review 03/2011; 19(2). DOI:10.1002/erv.1043 · 1.38 Impact Factor
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