干预实施的成本效益 减少大学生饮食障碍症状的支持
Laura Akers1, Paul Rohde2, Heather Shaw3
1Oregon Research Institute, Eugene, OR, USA. lauraa@ori.org.
概括
实施饮食障碍预防计划"身体项目"更具成本效益,增加了技术援助 (TA) 和质量保证 (QA) 支持. 这种增强的支持改善了赞助组织和提供干预措施的学院的结果.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对饮食障碍的有效预防干预至关重要,但最佳实施往往具有挑战性.
- 身体项目是一项由同行领导的计划,显示了饮食障碍症状的显著减少.
- 组织在初始培训后努力提供有效的基于证据的干预措施.
研究的目的:
- 检查不同级别的实施支持的成本和成本效益. 身体项目.
- 为了比较仅培训与培训加上技术援助和质量保证的成本效益.
主要方法:
- 在63所大学进行的一项随机试验比较了三个实施支持条件:仅培训培训师 (TTT),TTT + 技术援助 (TA) 和TTT + TA + 质量保证 (QA).
- 通过可靠的饮食障碍症状变化来衡量有效性.
- 从赞助组织和交付学院的角度分析了成本效益.
主要成果:
- 与TTT + TA条件相比,TTT + TA条件没有显示提高有效性.
- 赞助组织和提供学院都发现TTT + TA + QA比仅TTT更具成本效益.
- 密集的实施支持,包括TA和QA,显示出更高的成本效益.
结论:
- 加强实施支持,特别是技术援助和质量保证,显著提高了交付The Body项目的成本效益.
- 投资于全面的支持结构对于最大限度地提高基于证据的预防计划的影响和效率至关重要.
相关概念视频
Binge Eating Disorders
65
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
65
Anorexia Nervosa
64
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
64
Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
Operant Conditioning Intervention
56
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
56
Self-Help Support Groups
30
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
30
Stress Prevention and Stress Management Techniques VI
32
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
32


