Efficacy and cost-effectiveness of Internet-based selective eating disorder prevention: study protocol for a randomized controlled trial within the ProHEAD Consortium

Bauer, Stéphanie; Bilić, Sally; Reetz, Christina; Özer, Fikret; Becker, Katja; Eschenbeck, Heike; Kaess, Michael; Rummel‐Kluge, Christine; Salize, Hans-Joachim; Diestelkamp, Silke; Moessner, Markus

doi:10.1186/s13063-018-3161-y

Cited by 12 publications

(8 citation statements)

References 54 publications

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“…Furthermore, the inclusion of new technologies in interventions is recommended. Trials from other world regions have already evaluated the efficacy of some of the preventive programs discussed in this review when delivered virtually (i.e., v‐Body Project; Ghaderi et al, 2020), and other protocols are under evaluation in European countries (Bauer et al, 2019; Bell et al, 2019; Nacke et al, 2019). Including new technologies in ED prevention programs (e.g., interventions delivered virtually) may help broadly disseminate these interventions.…”

Section: Discussionmentioning

confidence: 99%

Eating disorders prevention programs in Latin American countries: A systematic review

Dunker

Carvalho

Amaral

2023

Intl J Eating Disorders

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Objective This systematic review evaluates and summarizes existing eating disorder (ED) prevention programs in Latin American countries. Methods A systematic literature search was conducted using the Cochrane Controlled Trial Register, PubMed, and Virtual Health Library databases up to and including July 31, 2022. All ED prevention studies published in English, Spanish or Portuguese were eligible, regardless of the study design, sample characteristics, and type of prevention programs. The Cochrane Collaboration Risk of Bias criteria were used to evaluate the quality of the included studies. Results Twenty‐two studies were included. Most were pilot studies that were nonrandomized, had a high risk of bias, were from Mexico and Brazil, and employed selective interventions. Dissonance‐based programs and social cognitive theory were the commonly used approaches in interventions, and most of them were tested in adolescent girls and women. Short follow‐ups were used, varying from 1 to 6 months. Many found significant decreases after the intervention and/or at follow‐up in ED/disordered eating risk behaviors/symptoms, negative affect, body‐ideal internalization, and body image disturbances. Conclusions This review highlights promising efforts to prevent EDs among Latin American countries. Some barriers in conducting research include funding restrictions, laws that do not allow remuneration or compensation for participants, and high costs of training. Nonetheless, the outcomes of the programs developed and evaluated so far are positive enough to merit further work on ED prevention. Efforts for future researchers should recruit samples with diverse characteristics, use robust designs and data analysis techniques, and expand the accessibility of prevention programs. Public Significance Statement The development of effective eating disorder (ED) prevention programs that can be broadly implemented is a public health priority. Nevertheless, there is limited evidence regarding the characteristics of ED prevention programs and their efficacy among Latin American countries. In the present study, we reviewed existing ED prevention programs adopted in Latin America, described their characteristics and outcomes, noted the limitations of available programs, and discussed the implications of these findings for efforts to prevent the development of EDs in Latin America. The outcomes of the programs developed and evaluated so far are positive enough to merit the development and rigorous evaluation of future programs and their broad dissemination in Latin American countries. PROSPERO registration number CRD42021275245.

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Section: Discussionmentioning

confidence: 99%

Eating disorders prevention programs in Latin American countries: A systematic review

Dunker

Carvalho

Amaral

2023

Intl J Eating Disorders

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“…Those RCTs as well as the study procedures are described in-depth elsewhere [17,[19][20][21][22][23]. For the present sample, students were recruited in secondary schools in grades 6-13 as well as vocational schools located in ve different regions of Germany (Hamburg, Heidelberg, Leipzig, Marburg, Schwäbisch Gmünd) and completed an online questionnaire.…”

Section: Participants and Proceduresmentioning

confidence: 99%

Intentions and barriers to help-seeking in children and adolescents differing in depression severity: Cross-sectional results from a school-based mental health project

Baldofski,

Scheider,

Kohls

et al. 2024

Preprint

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Background: Mental health problems, such as depression, have a high prevalence in children and adolescents (C&A). However, the majority of C&A suffering from depression do not seek professional help. In addition to general barriers, the specific psychopathology related to depressive symptoms may decrease their intentions to seek professional help. This study aimed to compare help-seeking behavior, intentions and perceived barriers between C&A with different levels of depressive symptoms. Methods:This cross-sectional study is part of a large-scale, multi-center project. Participants were N = 9,509 C&A who were recruited in German schools and completed a baseline screening questionnaire. Based on their depressive symptoms, C&A were allocated to the following three subgroups: a) without depressive symptoms, b) with subclinical symptoms, c) with clinical symptoms (measured by PHQ-A). Quantitative analyses compared previous help-seeking behavior (AHSQ), help-seeking intentions (GHSQ) and perceived barriers (Barriers questionnaire) between those different subgroups. A qualitative content analysis examined text answers on other perceived barriers to help-seeking. Results:Participants were mostly female (n = 5,575, 58.6%) and 12 to 24 yearsold (M =15.09, SD = 2.37). Participants with different levels of depressive symptoms differed significantly in help-seeking behavior, intentions and perceived barriers. Specifically, participants with clinical depressive symptoms reported more previous help-seeking, but lower intentions to seek help compared to participants without symptoms (all p < .05). Participants with subclinical depressive symptoms reported a similar frequency of previous help-seeking, but higher intentions to seek help compared to participants without symptoms (all p <.05). Perception of barriers was different across subgroups: participants with clinical and subclinical depressive symptoms perceived the majority of barriers such as stigma, difficulties in accessibility, and family-related barriers as more relevant than participants without depressive symptoms. Across all subgroups, participants frequently mentioned intrapersonal reasons, a high need for autonomy, and a lack of mental health literacy as barriers to help-seeking. Conclusions: C&A with higher levels of depressive symptoms are more reluctant to seek professional help and perceive higher barriers. This underlines the need for effective and low-threshold interventions to tackle barriers, increase help-seeking, and lower depressive symptoms in C&A differing in depression severity. Trial Registration: DRKS00014685

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“…Para la evaluación económica de la salud se evaluarán los datos sobre los costes de las intervenciones, la utilización de la atención médica y la calidad de vida relacionada con la salud. Este es el primer estudio que aumenta un enfoque de prevención flexible, como ProYouth, con módulos estructurados basados en pruebas para superar algunas de las limitaciones clave en la práctica actual de prevención de los TCA (30).…”

Section: La Investigación Futura Debe Comparar Diferentes Programas Deunclassified

New approaches to the prevention of eating disorders

Ruiz-Lázaro¹,

Martín-Palmero²

2022

Nutr Hosp

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Efficacy and cost-effectiveness of Internet-based selective eating disorder prevention: study protocol for a randomized controlled trial within the ProHEAD Consortium

Cited by 12 publications

References 54 publications

Eating disorders prevention programs in Latin American countries: A systematic review

Eating disorders prevention programs in Latin American countries: A systematic review

Intentions and barriers to help-seeking in children and adolescents differing in depression severity: Cross-sectional results from a school-based mental health project

New approaches to the prevention of eating disorders

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