Effectiveness of an eating disorder preventative intervention in primary care medical settings.

Deanna Linville, Erin Cobb, Tracy Lenee-Bluhm, Gabriela López-Zerón, Jeff M Gau, Eric Stice

Journal: Behaviour research and therapy 2016;75():32-9

PMID: 26523886

Full Text on Elsevier Science View on PubMed

Abstract

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.

Address: College of Education, University of Oregon, 5251 University of Oregon, Eugene, OR 97403, USA. Electronic address: [email protected].; College of Education, University of Oregon, 5251 University of Oregon, Eugene, OR 97403, USA. Electronic address: [email protected].; College of Education, University of Oregon, 5251 University of Oregon, Eugene, OR 97403, USA. Electronic address: [email protected].; College of Education, University of Oregon, 5251 University of Oregon, Eugene, OR 97403, USA. Electronic address: [email protected].; Oregon Research Institute, 1776 Millrace Dr., Eugene, OR 97403, USA. Electronic address: [email protected].; Oregon Research Institute, 1776 Millrace Dr., Eugene, OR 97403, USA. Electronic address: [email protected].

DOI: 10.1016/j.brat.2015.10.004

Link outs

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Full Text Sources:

https://linkinghub.elsevier.com/retrieve/pii/S0005...

MeSH Terms: Adolescent, Body Image, Cognitive Dissonance, Feeding and Eating Disorders, Female, Humans, Patient Education as Topic, Pilot Projects, Primary Health Care, Self-Help Groups, Students, Treatment Outcome