Implementing an Internet-based platform for eating disorder screening, prevention, and treatment on college campuses: Preliminary results from a state-wide initiative.

Aktivität: Vorträge und GastvorlesungenKonferenzvorträgeForschung

Ellen E. Fitzsimmons-Craft - Sprecher*in

Marie-Laure Firebaugh - Ko-Autor*in

Andreas Kass - Ko-Autor*in

Dawn Eichen - Ko-Autor*in

Grace Monterubio - Ko-Autor*in

Katherine Balantekin - Ko-Autor*in

Anna M. Karam - Ko-Autor*in

Annie Seal - Ko-Autor*in

Burkhardt Funk - Ko-Autor*in

C. Barr Taylor - Ko-Autor*in

Denise Wilfley - Ko-Autor*in

The Internet-based Healthy Body Image (HBI) Program platform uses online screening to identify individuals at risk for or with an eating disorder (ED) and then directs users to tailored, evidence-based online/mobile or in-person interventions to address individuals’ risk/clinical status. We examined preliminary findings from the first state-wide deployment of HBI over three years in Missouri public universities. First, regarding reach of HBI, the screen was completed 2,454 times, with an average of 2.3% of undergraduate students on each campus taking the screen. Second, regarding screen results, 43.5% screened as low risk for an ED and were offered Staying Fit, an online universal ED prevention intervention; 38.9% screened as high risk for an ED and were offered Student Bodies-Classic, an online targeted ED prevention intervention; 15.4% screened positive for a clinical/subclinical ED (with the exception of anorexia nervosa [AN]) and were offered Student Bodies-Eating Disorders (SB-ED), a mobile, guided self-help, cognitive-behavioral therapy-based intervention; and 3.7% screened positive for AN and were offered a referral to in-person care. Third, uptake for the Internet-based interventions ranged from 44-51%, with the only significant group difference being higher uptake in the high- vs. low-risk group (p=.003). Fourth, restrictive eating and binge eating significantly decreased over the course of users’ time in SB-ED (ps<.001). Vomiting and diet pill/laxative use did not change (ps>.195); however, any endorsement of these behaviors was low (12% and 15%, respectively). This is the first state-wide deployment of a comprehensive online platform for screening and delivering tailored interventions to a population of individuals with varying ED risk and symptom profiles. This effort demonstrates the feasibility and preliminary efficacy of a state-wide intervention approach. Implications for future work and sustaining and broadening the reach of HBI will be discussed. Learning Objectives: Demonstrate an understanding of the problem of eating disorders on college campuses and the Healthy Body Image Program. Consider challenges and strategies to overcome barriers to dissemination of online ED screening, preventive, and intervention services. Acquire an understanding of the implications of study findings for bridging the wide treatment gap for eating disorders and the development of future mobile app
19.04.201821.04.2018

Veranstaltung

International Conference on Eating Disorders - ICED 2018: INNOVATION EXPANDING OUR COMMUNITY & PERSPECTIVES

19.04.1821.04.18

Chicago, USA / Vereinigte Staaten

Veranstaltung: Konferenz

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