A Preliminary Trial of a Prototype Internet Dissonance-Based Eating Disorder Prevention Program for Young Women With Body Image Concerns

Oregon Research Institute.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 04/2012; 80(5):907-16. DOI: 10.1037/a0028016
Source: PubMed


Objective: A group dissonance-based eating disorder prevention program, in which young women critique the thin ideal, reduces eating disorder risk factors and symptoms, but it can be difficult to identify school clinicians with the time and expertise to deliver the intervention. Thus, we developed a prototype Internet version of this program and evaluated it in a preliminary trial. Method: Female college students with body dissatisfaction (N = 107; M age = 21.6 years, SD = 6.6) were randomized to the Internet intervention, group intervention, educational video condition, or educational brochure condition. Results: Internet and group participants showed greater pre-post reductions in eating disorder risk factors and symptoms than video controls (M ds = 0.47 and 0.54, respectively) and brochure controls (M ds = 0.75 and 0.72, respectively), with many effects reaching significance. Effects did not differ significantly for Internet versus group participants (M ds = -0.13) or for video versus brochure controls (M d = 0.25). Effect sizes for the Internet intervention were similar to those previously observed for group versions of this intervention. Conclusions: Results suggest that this prototype Internet intervention is as efficacious as the group intervention, implying that there would be merit in completing this intervention and evaluating it in a fully powered trial. (PsycINFO Database Record (c) 2012 APA, all rights reserved).

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    • "eficacia de una intervención cognitiva breve con alumnado universitario de educación primaria ción breve (seis semanas). Investigaciones recientes corroboran la potencial eficacia de programas de duración limitada (Orejudo, Fernández-Turrado y Briz, 2012; Stice et al, 2012 ), siempre y cuando estos se encuentren focalizados en un ámbito o área determinada, como es el caso del presente estudio. Sin embargo, tradicionalmente la duración mínima recomendada para este tipo de intervenciones se ha situado en 10 semanas (Alfermann y Stoll, 2000). "
    [Show abstract] [Hide abstract] ABSTRACT: The physical self-concept has shown its relation with different factors such as lifestyle, certain risk behaviors, and even with the development of eating disorders. Its relevance and contribution to general self-perception has led to investigation of the possibility of improving it. Traditional interventions based on exercise programs and physical activity tend to be effective, however its dissemination and distribution is limited. This study evaluates the effectiveness of a new intervention program implemented on physical self-concept from a cognitive perspective. Its features allow an individual self-application limited to six weeks. The participants' results (169 undergraduates, 22.5% male, 77.5% female, mean age 21.40 years in the experimental group, SD = 5.49, and 21.03 years of mean age in the control group, SD = 4.50) show statistically significant improvements in the scales of physical condition, general physical self-concept and general self-concept at the end of the application. The magnitude of those improvements is significant but low. These improvements are not reflected when the experimental group scores are compared to those of the control group. The possible reasons for those results are discussed, taking into account future designs to enhance the effectiveness of such interventions.
    Full-text · Article · Jan 2016 · Educacion XX1
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    • "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. However, inflexibility is one of the main limitations of these programmes. "
    [Show abstract] [Hide abstract] 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.
    Full-text · Article · Jan 2015 · European Eating Disorders Review
    • "Moreover , internet-based interventions may also be financially appealing for college counseling centers with limited to no staff capacity to implement the program, as the opportunity to expand reach across multiple geographic locations could enable counseling centers to offer the program on their campus using program guides from another institution. If the online program eBody Project demonstrates efficacy in large-scale studies as it did in the pilot evaluation, it might provide another cost-effective option for preventive intervention since it did not require program guides to achieve its effects (Stice et al., 2012). The current study reflects the research priority of conducting translational science, with the goal of making effective interventions available for widespread use by evaluating ways to reduce program costs (Insel, 2009; Mu~ noz, 2010). "
    [Show abstract] [Hide abstract] ABSTRACT: Student Bodies, an internet-based intervention, has successfully reduced weight/shape concerns and prevented eating disorders in a subset of college-age women at highest risk for an eating disorder. Student Bodies includes an online, guided discussion group; however, the clinical utility of this component is unclear. This study investigated whether the guided discussion group improves program efficacy in reducing weight/shape concerns in women at high risk for an eating disorder. Exploratory analyses examined whether baseline variables predicted who benefitted most. Women with high weight/shape concerns (N=151) were randomized to Student Bodies with a guided discussion group (n=74) or no discussion group (n=77). Regression analyses showed weight/shape concerns were reduced significantly more among guided discussion group than no discussion group participants (p = 0.002; d = 0.52); guided discussion group participants had 67% lower odds of having high-risk weight/shape concerns post-intervention (p = 0.02). There were no differences in binge eating at post-intervention between the two groups, and no moderators emerged as significant. Results suggest the guided discussion group improves the efficacy of Student Bodies in reducing weight/shape concerns in college students at high risk for an eating disorder.
    No preview · Article · Oct 2014 · Behaviour Research and Therapy
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