Peer-facilitated cognitive dissonance versus healthy weight eating disorders prevention: A randomized comparison

Becker, Carolyn Black; Wilson, Chantale; Williams, Allison; Kelly, Matthew C.; McDaniel, Leda; Elmquist, JoAnna

doi:10.1016/j.bodyim.2010.06.004

Cited by 107 publications

(130 citation statements)

References 35 publications

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“…The timing of the current study at the end of the academic year did not allow this. However, benchmarking against other trials, the pre to post change in body dissatisfaction found here, d = .73, is comparable to pre to post effect sizes reported for body satisfaction in other studies using peer-led intervention among university women, d = .50, (Becker et al, 2010) and d = .84, (Stice, Rohde, Durant, Shaw & Wade, 2013). The majority of the research in this area assesses immediate post-intervention effects collecting questionnaires directly after the intervention session (Yager et al, 2013).…”

Section: Discussionsupporting

confidence: 79%

“…A 1-hour CDI led to reduction in body dissatifaction and improved body appreciation. Moreover, the effect sizes were moderate to large and are comparable to the effect sizes reported in peer-led intervention studies among university women (Becker et al, 2010).…”

Section: Discussionsupporting

confidence: 77%

“…Teachers are ideally placed to deliver body image interventions, yet many do not feel confident in delivering this material (Ricciardelli et al, 2010). In peer-led trials undergraduate students with between 13 and 16 hours of training have been shown to be effective interventionists for undergraduate women (Becker, Wilson, Williams, Kelly, McDaniel, & Elmquist, 2010;Stice, Rohde, Durant, Shaw & Wade, 2013).…”

mentioning

confidence: 99%

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Dissemination of evidence-based body image interventions: A pilot study into the effectiveness of using undergraduate students as interventionists in secondary schools

et al. 2015

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Dissonance-based body image interventions are among the most effective interventions for adolescent girls. However, dissemination of these interventions remains challenging. In addition, the emerging field of positive body image suggests that interventions should promote body appreciation as well as reduce pathology. The current study examines whether undergraduate students can effectively deliver a dissonance-based intervention to secondary school girls. In addition, it examines whether this intervention can increase body appreciation. Sixty-two adolescent girls were randomly allocated to the intervention or control condition. In the intervention group, body dissatisfaction was significantly reduced and body appreciation was significantly improved from pre-to post-intervention. There were no changes in body dissatisfaction or body appreciation in the control group. There was a reduction in thin-ideal internalization for all participants. These preliminary findings suggest that undergraduate students can be effective interventionists for dissonance-based programs in schools and dissonance-based interventions can promote body appreciation.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionsupporting

confidence: 77%

mentioning

confidence: 99%

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Dissemination of evidence-based body image interventions: A pilot study into the effectiveness of using undergraduate students as interventionists in secondary schools

et al. 2015

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“…Two, only a small proportion of the preventive intervention studies produced so far have moved beyond the efficacy trial stage to be evaluated in effectiveness (Austin et al, 2007;Becker, Smith, & Ciao, 2006;Becker et al, 2010;Matusek, Wendt, & Wiseman, 2004;Perez, Becker, & Ramirez, 2010;Stice et al, 2013) and dissemination Kilpela et al, 2014) studies. Large-scale impact of behavioral interventions on population health necessitates progression through the phases of evaluation from efficacy to effectiveness to dissemination (Brownson & Jones, 2009;Flay, 1986;Glasgow, Lichtenstein, & Marcus, 2003).…”

Section: Discussionmentioning

confidence: 99%

Accelerating Progress in Eating Disorders Prevention: A Call for Policy Translation Research and Training

Austin

2015

Eating Disorders

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The public health burden of eating disorders is well documented, and over the past several decades, researchers have made important advances in the prevention of eating disorders and related problems with body image. Despite these advances, however, several critical limitations to the approaches developed to date leave the field far from achieving the large-scale impact that is needed. This commentary provides a brief review of what achievements in prevention have been made and identifies the gaps that limit the potential for greater impact on population health. A plan is then offered with specific action steps to accelerate progress in high-impact prevention, most compellingly by promoting a shift in priorities to policy translation research and training for scholars through the adoption of a triggers-to-action framework. Finally, the commentary provides an example of the application of the triggers-to-action framework as practiced at the Strategic Training Initiative for the Prevention of Eating Disorders, a program based at the Harvard T. H. Chan School of Public Health and Boston Children's Hospital. Much has been achieved in the nearly 30 years of research carried out for the prevention of eating disorders and body image problems, but several critical limitations undermine the field's potential for meaningful impact. Through a shift in the field's priorities to policy translation research and training with an emphasis on macro-environmental influences, the pace of progress in prevention can be accelerated and the potential for large-scale impact substantially improved.

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“…Although many of these trials were limited by shorter follow-ups (i.e., 1-8 months), in an effectiveness trial with 14-month follow-up, Becker et al (2010) found both a similar pattern of effects relative to an active control and similar within-group effect sizes compared with Stice et al's (2006) efficacy RCT at 12 months. Notably, delivery of the Body Project can be task shifted to undergraduate peer leaders, markedly increasing its scalability (Becker et al, 2006(Becker et al, , 2008Perez, Becker, & Ramirez, 2010;Stice, Rohde, Durant, Shaw, & Wade, 2013;Stice, Rohde, Shaw, & Gau, 2016).…”

Section: The Mission Of the Association For Behavioral Andmentioning

confidence: 88%

From Efficacy to Global Impact: Lessons Learned About What Not to Do in Translating Our Research to Reach

Becker

2017

Behavior Therapy

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Although members of the Association for Behavioral and Cognitive Therapies have made significant strides toward the collective goals outlined in our mission statement, we routinely acknowledge that our ability to develop empirically supported treatments exceeds our success in improving dissemination and implementation of said interventions. Further, as noted by Kazdin and Blase (2011), even if we succeeded in having every clinician worldwide administer our best treatments with excellent competency, we still would be unsuccessful in markedly impacting the worldwide burden of mental illness because most treatments require intensive labor by expensive providers. To this end, Kazdin and Blase and others call for increased use of alternative strategies. Examples include increased attention toward prevention; use of lower-cost, simplified interventions; task shifting; train-the-trainer models; community participatory research methodology; and identification of novel funding sources. The Body Project is an empirically supported, cognitive dissonance-based prevention intervention that targets body image, a well-established risk factor for eating disorders, negative affect, unhealthy weight control behaviors, smoking behavior, and decreased physical activity. Supported by a global village of researchers, community activists, and organizational partners, the Body Project is currently being implemented in 125 countries. The aim of this paper is to share lessons our team has learned in taking a prevention intervention from early testing to widespread implementation and connect these back to broader conversations occurring in our field regarding the importance of scalability and new directions in improving global mental health.

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Peer-facilitated cognitive dissonance versus healthy weight eating disorders prevention: A randomized comparison

Cited by 107 publications

References 35 publications

Dissemination of evidence-based body image interventions: A pilot study into the effectiveness of using undergraduate students as interventionists in secondary schools

Dissemination of evidence-based body image interventions: A pilot study into the effectiveness of using undergraduate students as interventionists in secondary schools

Accelerating Progress in Eating Disorders Prevention: A Call for Policy Translation Research and Training

From Efficacy to Global Impact: Lessons Learned About What Not to Do in Translating Our Research to Reach

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