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A Randomized Effectiveness Trial of a Dissonance-Based Dual Obesity and Eating Disorder Prevention Program.
Eric Stice1, Paul Rohde2, Jeff M Gau2
1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA.
Diabetes, Obesity & Metabolism
|April 24, 2026
Summary
Project Health, a program for obesity and eating disorder prevention, effectively reduced body fat in young adults. Adding evaluative conditioning enhanced these effects, though eating disorder symptom reduction was less pronounced.
Area of Science:
- Behavioral science
- Public health
- Clinical psychology
Background:
- Obesity and eating disorders are significant public health concerns among young adults.
- Early intervention programs are crucial for preventing the onset and progression of these conditions.
Purpose of the Study:
- To evaluate the effectiveness of Project Health, a dual obesity and eating disorder prevention program.
- To explore whether adding evaluative conditioning to response/attention training enhances intervention effects.
Main Methods:
- 138 young adults were randomized to either Project Health or an educational video control group.
- The study assessed body fat and eating disorder symptoms at posttest and 6-month follow-up.
Main Results:
- Project Health participants showed greater body fat reduction compared to controls at both posttest and 6-month follow-up.
- Eating disorder symptom reduction was significant at 6-month follow-up but not at posttest.
- Adding evaluative conditioning enhanced body fat loss at posttest and eating disorder symptom reduction by posttest.
Conclusions:
- Project Health is effective in promoting body fat loss and preventing weight gain in young adults.
- The addition of evaluative conditioning shows promise in enhancing specific intervention components.
- Further research is needed to optimize eating disorder symptom reduction strategies within such programs.
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