Maintenance of Internet-based prevention: A randomized controlled trial. International Journal of Eating Disorders, 40, 114-119
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.
Available from: Kornelia Szabo
- "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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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.
Available from: Gabriele Caselli
- "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.
Available from: Hannah DeJong
- "IPT focuses on one of four possible domains of interpersonal difficulties for an individual. In a recent systematic review which explored factors predicting poor outcome in eating disorders, two key factors emerged for BN: poor social/interpersonal functioning and negative self-evaluation . Thus while IPT does address interpersonal functioning, its focus on one particular domain for an individual means that the broader social and emotional context of these difficulties and how they relate to an individual's sense of self, are not addressed. "
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ABSTRACT: There is a need to improve treatment for individuals with bulimic disorders. It was hypothesised that a focus in treatment on broader emotional and social/interpersonal issues underlying eating disorders would increase treatment efficacy. This study tested a novel treatment based on the above hypothesis, an Emotional and Social Mind Training Group (ESM), against a Cognitive Behavioural Therapy Group (CBT) treatment.
74 participants were randomised to either ESM or CBT Group treatment programmes. All participants were offered 13 group and 4 individual sessions. The primary outcome measure was the Eating Disorder Examination (EDE) Global score. Assessments were carried out at baseline, end of treatment (four months) and follow-up (six months).
There were no differences in outcome between the two treatments. No moderators of treatment outcome were identified. Adherence rates were higher for participants in the ESM group.
This suggests that ESM may be a viable alternative to CBT for some individuals. Further research will be required to identify and preferentially allocate suitable individuals accordingly.
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