This three-site effectiveness trial will test whether a brief dissonance-based eating disorder prevention program produces intervention effects when college counselors, psychologists, and nurses are responsible for participant recruitment, screening, and intervention delivery under ecologically valid conditions.
Threshold and subthreshold eating disorders affect over 10% of young women and are associated with functional impairment, distress, psychiatric comorbidity, medical complications, mortality, and risk for obesity onset. Accordingly, a pressing public healthy priority is to develop effective prevention programs for eating pathology. The proposed project will be the first effectiveness trial to test whether an eating disorder prevention program with strong empirical support from efficacy trials produces effects under ecologically valid conditions among high-risk female college students, which is a vital step toward widespread dissemination of programs developed with NIH funding. The proposed cost-effectiveness analyses and examination of process factors that predict larger intervention effects will also represent novel contributions to the literature.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
432
Participants in this intervention attend four 1-hour group meetings (one per week for four consecutive weeks) in which they complete a series of written and verbal exercises intended to increase body satisfaction.
Northwest Christian University
Eugene, Oregon, United States
University of Oregon
Eugene, Oregon, United States
Drexel University
Philadelphia, Pennsylvania, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States
eating disorder symptoms, risk for future eating disorder and obesity onset
Time frame: 2 years
mediators to intervention effects
We will test whether the dissonance program intervention effects are mediated by change in thin-ideal internalization
Time frame: 2 years
moderators to program effects
We will test whether certain factors moderate program effects (e.g., initial body dissatisfaction level).
Time frame: 2 years
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Temple University
Philadelphia, Pennsylvania, United States
University of Texas at Austin
Austin, Texas, United States
Southwestern University
Georgetown, Texas, United States