Department of Psychiatry, Washington University School of Medicine.
Department of Psychiatry and Behavioral Neuroscience, The University of Chicago.
Psychol Serv. 2019 May;16(2):239-249. doi: 10.1037/ser0000264. Epub 2018 Nov 8.
The Internet-based Healthy Body Image (HBI) Program platform uses online screening to identify individuals at low risk for, high risk for, or with an eating disorder (ED) and then directs users to tailored, evidence-based online/mobile interventions or referral to in-person care to address individuals' risk/clinical status. We examined findings from the first state-wide deployment of HBI over the course of 3 years in Missouri public universities, sponsored by the Missouri Eating Disorders Council and the Missouri Mental Health Foundation. First, the screen was completed 2,454 times, with an average of 2.5% of the undergraduate student body on each campus taking the screen. Second, ED risk level in the participating students was high-over 56% of students screened were identified as being at high risk for ED onset or having a clinical/subclinical ED. Third, uptake for the HBI online/mobile interventions ranged from 44-51%, with higher rates of uptake in the high-risk compared with low-risk group. Fourth, results showed that, for students with a clinical/subclinical ED, use of the clinical mobile application Student Bodies-Eating Disorders intervention resulted in significantly decreased restrictive eating and binge eating. Neither vomiting nor diet pill/laxative use was found to decrease, but reports of these behaviors were very low. This is the first deployment of a comprehensive online platform for screening and delivering tailored interventions to a population of individuals with varying ED risk and symptom profiles in an organized care setting. Implications for future research and sustaining and broadening the reach of HBI are discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
基于互联网的健康体像（HBI）计划平台使用在线筛查来识别处于低风险、高风险或患有饮食失调（ED）风险的个体，然后引导用户接受量身定制的、基于证据的在线/移动干预措施，或转介至面对面的治疗，以解决个体的风险/临床状况。我们检查了在密苏里州公立大学进行的为期 3 年的 HBI 首次全州部署的结果，该项目由密苏里饮食失调委员会和密苏里心理健康基金会赞助。首先，有 2454 人完成了筛查，每所校园的本科生平均有 2.5%参加了筛查。其次，参与学生的 ED 风险水平较高——超过 56%的筛查学生被确定为 ED 发病风险高或存在临床/亚临床 ED。第三，HBI 在线/移动干预措施的参与率从 44%到 51%不等，高危组的参与率高于低危组。第四，结果表明，对于有临床/亚临床 ED 的学生，使用临床移动应用程序 Student Bodies-Eating Disorders 干预措施可显著减少限制进食和暴食行为。虽然没有发现呕吐或减肥药/泻药的使用减少，但这些行为的报告非常低。这是首次在有组织的护理环境中，针对具有不同 ED 风险和症状特征的人群，全面部署在线筛查和提供量身定制干预措施的平台。讨论了对未来研究以及维持和扩大 HBI 覆盖范围的影响。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
