Nacke Barbara, Beintner Ina, Görlich Dennis, Vollert Bianka, Schmidt-Hantke Juliane, Hütter Kristian, Taylor C Barr, Jacobi Corinna
Technische Universität Dresden, Institut für Klinische Psychologie & Psychotherapie, Chemnitzer Str. 46, 01187 Dresden, Germany.
Westfälische Wilhelms-Universität Münster, Institut für Biometrie und Klinische Forschung, Schmeddingstraße 56, 48149 Münster, Germany.
Internet Interv. 2018 Feb 26;16:20-25. doi: 10.1016/j.invent.2018.02.008. eCollection 2019 Apr.
Although there is extensive evidence for the efficacy of online eating disorder (ED) prevention programs in clinical trials, these programs have rarely been adopted beyond the trial phase and offered to a wider audience. As risk factors for eating disorders are partly associated with overweight and overweight in turn is correlated to disordered eating, this study will offer a combined eating disorder prevention program which also promotes a balanced lifestyle to normal weight and overweight individuals alike. The efficacy of the program has been proven in previous trials. The study aims to evaluate the dissemination of a combined eating disorder prevention and health promotion program (everyBody) to women of all age groups and varying levels of ED risk status in the general population.
A dissemination trial will be conducted in German-speaking countries, including 4160 women from the general population. Participants will be screened to exclude participants who are likely to have an ED. Eligible participants will be allocated to one of five program arms based on their BMI and respective ED symptoms. The guided program consists of 4 to 12 weeks of weekly sessions offering CBT-based exercises, psychoeducational material, self-monitoring, and group discussions. Outcomes will be assessed according to the RE-AIM model, including measures of effectiveness, reach, adoption, implementation, and maintenance of the program.
DISCUSSION/CONCLUSIONS: This trial aims to disseminate a combined ED prevention and health promotion program in the general population, offering universal, selective and indicated prevention in one program. To our knowledge, it is the first trial to systematically evaluate dissemination efforts based on the RE-AIM model. This trial will be conducted as part of the EU-funded ICare (Integrating Technology into Mental Health Care Delivery in Europe) project.
尽管在临床试验中有大量证据表明在线饮食失调（ED）预防项目具有疗效，但这些项目在试验阶段之外很少被采用并提供给更广泛的受众。由于饮食失调的风险因素部分与超重相关，而超重又与饮食紊乱相关，本研究将提供一个综合饮食失调预防项目，该项目还向正常体重和超重个体推广平衡的生活方式。该项目的疗效已在先前的试验中得到证实。本研究旨在评估一项综合饮食失调预防与健康促进项目（everyBody）在普通人群中向所有年龄组和不同ED风险水平的女性传播的情况。
将在德语国家进行一项传播试验，包括4160名来自普通人群的女性。将对参与者进行筛查，以排除可能患有ED的参与者。符合条件的参与者将根据其BMI和各自的ED症状被分配到五个项目组之一。指导项目包括每周进行4至12周的课程，提供基于认知行为疗法的练习、心理教育材料、自我监测和小组讨论。将根据RE-AIM模型评估结果，包括项目的有效性、覆盖面、采用率、实施情况和维持情况的衡量指标。
讨论/结论：本试验旨在在普通人群中传播一项综合ED预防与健康促进项目，在一个项目中提供普遍、选择性和针对性预防。据我们所知，这是第一项基于RE-AIM模型系统评估传播工作的试验。本试验将作为欧盟资助的ICare（将技术整合到欧洲心理健康护理中）项目的一部分进行。
