Effectiveness of an eating disorder preventative intervention in primary care medical settings
| Autor: | Erin Cobb, Jeff M. Gau, Tracy Lenee-Bluhm, Deanna Linville, Eric Stice, Gabriela López-Zerón |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Adolescent Experimental and Cognitive Psychology Pilot Projects Primary care Feeding and Eating Disorders Patient Education as Topic Intervention (counseling) medicine Body Image Humans Students Disorder prevention Disorder risk Primary Health Care business.industry medicine.disease Integrated care Psychiatry and Mental health Clinical Psychology Eating disorders Self-Help Groups Treatment Outcome Physical therapy Female medicine.symptom business Dieting Clinical psychology Body dissatisfaction Cognitive Dissonance |
| Zdroj: | Behaviour research and therapy. 75 |
| ISSN: | 1873-622X |
| Popis: | Objective To conduct a pilot effectiveness trial of a brief dissonance-based eating disorder preventative program, the Body Project, when implemented at primary care medical clinics. Method Sixty-six female adolescents between the ages of 13 and 17 who reported at least some body image dissatisfaction were recruited at two primary care clinics and randomized to Body Project groups or an educational video control condition; eating disorder risk factors and symptoms were measured at pretest, posttest, and 3-month follow-up. Results Body Project versus educational video control participants showed significantly greater reductions in thin-ideal internalization, pressure to be thin, dieting, and eating disorder symptoms at posttest, which were medium to large effect sizes. Body Project participants also showed greater decreases in body dissatisfaction and negative affect at posttest, though these moderate sized effects were not significant. Effects persisted through 3-month follow-up. Conclusion Average pre–post effect sizes (d = 0.58) compare favorably to those observed in past Body Project efficacy (average d = 0.59) and effectiveness trials (average ds of 0.43 and 0.69), suggesting that primary care clinics may represent a novel venue for offering and extending the reach of this eating disorder prevention program. |
| Databáze: | OpenAIRE |
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