Maigaard Sidsel, Andreassen Pernille, Clausen Loa, Bruun Jens Meldgaard
The Danish National Center for Obesity, Aarhus University Hospital, Palle Juul-Jensens Boulevard 11, entrance A, 8200 Aarhus N, Denmark.
Aarhus University Hospital Psychiatry, Aarhus, Denmark.
J Eat Disord. 2025 Mar 28;13(1):55. doi: 10.1186/s40337-025-01237-7.
Binge Eating Disorder (BED) is prevalent among children and adolescents and is associated with severe psychological and somatic health complications. Early detection and intervention are therefore crucial. This study aimed to develop, pilot test, and validate the STOB screening tool (Screening Tool for the early detection Of BED), designed for use in children and adolescents aged 13-18 in primary care settings using a qualitative face validity approach. Additionally, the study explored the perceived acceptability of a supplementary dialogue tool.
The development, pilot testing, and validation of the screening tool followed a two-phase qualitative process. In phase one, development and pilot-testing of the 6-item STOB tool was conducted. In phase two, the validation process incorporated a survey and semi-structured interviews, both assessing various aspects of the screening tool, including language complexity, usability, acceptability, and the presence of uncomfortable or intrusive terms. A total of 42 participants, aged 14-18 years (mean age = 16.4 years), were recruited from a community sample for the survey (23 females, 19 males). For the interviews, 10 participants (8 females, 2 males; mean age = 15.7 years) from the community sample were included, resulting in seven individual interviews and one group interview. Additionally, two female participants with BED, aged 16 and 17, were recruited for interviews only.
A total of 16.7% of survey respondents met the screening tool threshold for possible BED, and 4.8% of the total sample scored positive on all questions, further increasing the suspicion of BED. Both the survey and interviews indicated that the screening questions were generally well-understood. However, a few linguistic challenges were identified during interviews, prompting minor semantic adjustments to enhance clarity and accessibility. The Interviews revealed age-related differences in language perception and notable differences in content comprehension between participants with and without BED.
The STOB screening tool demonstrates acceptable face validity and potential for implementation in primary care, particularly when accompanied by the supplementary dialogue tool. This study underscores the importance of evaluating self-report questionnaires in terms of terminology and acceptability within the target population. Further validation is recommended across broader adolescent populations.
Not applicable.
暴饮暴食症（BED）在儿童和青少年中很普遍，且与严重的心理和躯体健康并发症相关。因此，早期发现和干预至关重要。本研究旨在开发、进行预试验并验证STOB筛查工具（用于早期发现暴饮暴食症的筛查工具），该工具旨在使用定性的表面效度方法，供初级保健机构中13至18岁的儿童和青少年使用。此外，该研究还探讨了一种补充对话工具的可接受性。
筛查工具的开发、预试验和验证遵循两阶段定性过程。在第一阶段，对6项STOB工具进行了开发和预试验。在第二阶段，验证过程包括一项调查和半结构化访谈，两者均评估筛查工具的各个方面，包括语言复杂性、可用性、可接受性以及是否存在令人不适或侵扰性的术语。总共从社区样本中招募了42名年龄在14至18岁（平均年龄 = 16.4岁）的参与者进行调查（23名女性，19名男性）。对于访谈，纳入了社区样本中的10名参与者（8名女性，2名男性；平均年龄 = 15.7岁），进行了7次个人访谈和1次小组访谈。此外，还招募了两名患有暴饮暴食症的16岁和17岁女性参与者仅进行访谈。
共有16.7%的调查受访者达到了筛查工具对可能患有暴饮暴食症的阈值，且总样本中有4.8%在所有问题上得分呈阳性，这进一步增加了对暴饮暴食症的怀疑。调查和访谈均表明，筛查问题总体上易于理解。然而，在访谈过程中发现了一些语言方面的挑战，促使进行了一些小的语义调整以提高清晰度和可及性。访谈揭示了语言感知方面的年龄差异以及患有和未患有暴饮暴食症的参与者在内容理解上的显著差异。
STOB筛查工具显示出可接受的表面效度以及在初级保健中实施的潜力，特别是在辅以补充对话工具时。本研究强调了在目标人群中根据术语和可接受性评估自我报告问卷的重要性。建议在更广泛的青少年人群中进行进一步验证。
不适用。
