将普遍预防和针对性预防相结合，用于学校饮食失调项目。
Combining universal and targeted prevention for school-based eating disorder programs.
作者信息
Abascal Liana, Bruning Brown Jennifer, Winzelberg Andrew J, Dev Parvati, Taylor C Barr
机构信息
Department of Psychiatry, Stanford University School of Medicine, Stanford, California 94305-5722, USA.
出版信息
Int J Eat Disord. 2004 Jan;35(1):1-9. doi: 10.1002/eat.10234.
OBJECTIVE
This study examined a step toward providing a universal prevention program to all students while targeting those at risk.
METHOD
Seventy-eight 10th-grade female students were provided an on-line eating disorder prevention program and randomized to participate in (1) a higher risk and higher motivated group, (2) a lower risk or lower motivated group, or (3) a combined group.
RESULTS
The students in the first group made significantly fewer negative and more positive comments in the on-line group discussion than the higher risk and higher motivated participants in the combined group. However, there were no differences among groups on outcome measures.
DISCUSSION
The results suggest that, because it is relatively easy to provide interventions with separate groups, it seems appropriate to do so, if for no other reason than to minimize the few very negative comments that were posted by students that might have created an adverse environment for the higher risk-participants that the intervention specifically targets.
目的
本研究朝着为所有学生提供通用预防计划迈出了一步，同时针对有风险的学生。
方法
78名十年级女生参加了一项在线饮食失调预防计划，并被随机分为三组：（1）高风险且积极性较高的组；（2）低风险或积极性较低的组；（3）混合组。
结果
与混合组中高风险且积极性较高的参与者相比，第一组的学生在在线小组讨论中发表的负面评论明显更少，正面评论更多。然而，在结果指标上各小组之间没有差异。
讨论
结果表明，由于为不同小组提供干预措施相对容易，这样做似乎是合适的，即便没有其他原因，至少可以尽量减少学生发表的少数非常负面的评论，这些评论可能为干预措施专门针对的高风险参与者营造不利环境。
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