“…In addition to the train-the-trainer approach noted earlier, one solution to the major dissemination barrier of relying on trained clinicians is to take a more cost effective task-shifting approach and train students in college peer-educator programs to recruit students and deliver prevention programs. Peer educators have effectively delivered universal, selective, and indicated prevention programs targeting substance misuse, sexual health/risk reduction, and eating disorders (e.g., Becker, Bull, Schaumberg, Cauble, & Franco, 2008; White et al, 2009) and recent pilot work suggests that peer educators can successfully deliver the Body Project (Stice, Rohde, Durant, Shaw, & Wade, 2013). Results of that study, in which 171 female undergraduates were randomized to peer-led or clinician-led versions of the Body Project or to an educational brochure control condition (using nonparallel measures), suggested that dissonance-based eating disorder prevention groups led by undergraduate peers are feasible and produce greater reductions in both eating disorder risk factors and symptoms relative to a minimal-intervention (education brochure) control condition though effects were smaller for peer-led versus clinician-led groups (e.g., M pre-post d = .64 and .98, respectively).…”