Related Experiment Video
Updated: Jul 2, 2025
04:19
A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
Published on: May 10, 2022
3.8K
Cost-effectiveness of Intervention Implementation Support for Reducing Eating Disorder Symptoms Among College
Laura Akers1, Paul Rohde2, Heather Shaw3
1Oregon Research Institute, Eugene, OR, USA. lauraa@ori.org.
Summary
Implementing The Body Project, an eating disorder prevention program, is more cost-effective with added technical assistance (TA) and quality assurance (QA) support. This enhanced support improves outcomes for both sponsoring organizations and colleges delivering the intervention.
Area of Science:
- Public Health
- Psychology
- Health Services Research
Background:
- Effective prevention interventions for eating disorders are crucial, yet optimal implementation is often challenging.
- The Body Project, a peer-led program, demonstrates significant reductions in eating disorder symptoms.
- Organizations struggle to deliver evidence-based interventions effectively after initial training.
Purpose of the Study:
- To examine the costs and cost-effectiveness of different levels of implementation support for The Body Project.
- To compare the cost-effectiveness of training-only versus training plus technical assistance and quality assurance.
Main Methods:
- A randomized trial at 63 colleges compared three implementation support conditions: train-the-trainer (TTT) only, TTT + technical assistance (TA), and TTT + TA + quality assurance (QA).
- Effectiveness was measured by reliable change in eating disorder symptoms.
- Cost-effectiveness was analyzed from the perspectives of a sponsoring organization and a delivering college.
Main Results:
- The TTT + TA condition did not show improved effectiveness compared to TTT-only.
- Both sponsoring organizations and delivering colleges found TTT + TA + QA to be more cost-effective than TTT-only.
- Intensive implementation support, including TA and QA, demonstrated greater cost-effectiveness.
Conclusions:
- Enhanced implementation support, specifically technical assistance and quality assurance, significantly improves the cost-effectiveness of delivering The Body Project.
- Investing in comprehensive support structures is essential for maximizing the impact and efficiency of evidence-based prevention programs.
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