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Combining universal and targeted prevention for school-based eating disorder programs.

Liana Abascal1, Jennifer Bruning Brown, Andrew J Winzelberg

  • 1Department of Psychiatry, Stanford University School of Medicine, Stanford, California 94305-5722, USA.

The International Journal of Eating Disorders
|January 6, 2004
PubMed
Summary
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This study on eating disorder prevention found that separating higher-risk students into their own online group reduced negative comments. However, this did not impact overall program outcomes.

Area of Science:

  • Psychology
  • Public Health
  • Education

Background:

  • Eating disorders are a significant concern among adolescents.
  • Universal prevention programs aim to reach all students, including those at higher risk.
  • Online interventions offer a scalable approach to prevention.

Purpose of the Study:

  • To evaluate an online eating disorder prevention program for 10th-grade female students.
  • To compare the effectiveness of separate versus combined groups for different risk and motivation levels.
  • To identify strategies for optimizing universal prevention programs.

Main Methods:

  • Seventy-eight 10th-grade female students participated in an online eating disorder prevention program.
  • Participants were randomized into three groups: higher risk/higher motivated, lower risk/lower motivated, or combined.

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  • Online group discussions were used to assess participant engagement and feedback.
  • Main Results:

    • Students in the separate higher-risk group made significantly fewer negative comments compared to those in the combined group.
    • The separate group also generated more positive comments during online discussions.
    • No significant differences were observed in the primary outcome measures across all groups.

    Conclusions:

    • Providing separate online groups for higher-risk students in prevention programs may create a safer environment.
    • Minimizing negative comments in discussions is crucial for higher-risk participants.
    • While group separation impacts discussion quality, further research is needed on its effect on overall outcomes.