Ecologically Valid Disordered Eating Prevention Program for At-Risk College Women

针对高危女大学生的生态有效的饮食失调预防计划

• 批准号: 7761292
• 负责人: KRISTIN E HERON
• 金额: $ 4.12万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-16 至 2011-01-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7761292
• 关键词: Address; Affect; Age; Anxiety; Attitude; Behavior; Body Image; CD-ROM; Caring; Clinical; Cognitive; Collection; Cues; Data Collection; Development; Devices; Eating; Eating Behavior; Eating Disorders; Effectiveness; Emotional; Environment; Female; Food; Future; Health; Incidence; Individual; Informal Social Control; Intervention; Interview; Learning; Life; Memory; Mental Depression; Mental Health; Mental disorders; Methodology; Moods; Obesity; Participant; Personal Digital Assistant; Prevention; Prevention program; Prevention strategy; Psychosocial Assessment and Care; Public Health; Randomized; Randomized Controlled Trials; Reporting; Research; Risk; Signal Transduction; Suicide attempt; Surveys; Techniques; Technology; Time; Well in self; Woman; Work; base; behavior change; brief intervention; college; design; disorder prevention; eating pathology; emotional factor; experience; follow up assessment; girls; improved; innovation; intervention program; negative mood; psychosocial; response; skills; social cognitive theory; standard care; tool; Address; Affect; Age; Anxiety; Attitude; Behavior; Body Image; CD-ROM; Caring; Clinical; Cognitive; Collection; Cues; Data Collection; Development; Devices; Eating; Eating Behavior; Eating Disorders; Effectiveness; Emotional; Environment; Female; Food; Future; Health; Incidence; Individual; Informal Social Control; Intervention; Interview; Learning; Life; Memory; Mental Depression; Mental Health; Mental disorders; Methodology; Moods; Obesity; Participant; Personal Digital Assistant; Prevention; Prevention program; Prevention strategy; Psychosocial Assessment and Care; Public Health; Randomized; Randomized Controlled Trials; Reporting; Research; Risk; Signal Transduction; Suicide attempt; Surveys; Techniques; Technology; Time; Well in self; Woman; Work; base; behavior change; brief intervention; college; design; disorder prevention; eating pathology; emotional factor; experience; follow up assessment; girls; improved; innovation; intervention program; negative mood; psychosocial; response; skills; social cognitive theory; standard care; tool

DESCRIPTION (provided by applicant): The aim of this proposal is to use personal digital assistants (PDAs) to integrate psychosocial assessments and interventions (based on Social Cognitive Theory) for disordered eating prevention for at-risk college women. PDAs have been used in two distinct capacities: (a) an assessment device employing Ecological Momentary Assessment (EMA); (b) a device for delivering interventions. The proposed work is innovative because it combines the assessment and intervention capacities of PDAs. Participants will complete EMA reports, and micro-interventions (Mis) will be administered on PDAs based on concurrent EMA responses. Mis are brief treatment extensions delivered on portable devices. The Ml will be targeted to three specific experiences (eating, media exposure, negative mood) when women are most vulnerable to body image dissatisfaction (identified in preliminary research). Undergraduate women at-risk of developing disordered eating (n=144) will be randomly assigned to a CD-ROM intervention and EMA reports (EMA+CD), CD, EMA and micro-interventions (EMA+CD+MI), or EMA only (EMA) groups. All participants will complete baseline assessments of body image dissatisfaction, disordered eating, and psychological well-being. Six times daily for the following 1 week, participants will complete EMA surveys (including body image dissatisfaction, eating behavior, media exposure, and mood items) on PDAs. The EMA+CD and EMA+CD+MI groups will receive the Food, Mood, and Attitude CD-ROM intervention. One week later all participants will receive the PDAs again and complete the same EMA survey. The EMA+CD+MI group will also receive targeted. Mis consist of reminders to use skills learned in the CD-ROM and will be administered on the PDA immediately following the survey, and then 10 to 20 minutes following the EMA. All participants will complete 1- and 3-month follow-up assessments of disordered eating, body image dissatisfaction, and psychological well-being. The EMA only group will receive the CD-ROM intervention after completing the 3-month assessment. All participants will be given referral information if they wish to seek additional care. The public health significance of this research includes the innovative development of a methodology to increase the efficacy of eating pathology prevention programs (i.e., micro-interventions). These prevention programs will prove useful in reducing the incidence of eating disorders and have implications for other treatments and prevention strategies, by informing the development and implementation of treatment extensions more broadly.

描述（由申请人提供）：该提案的目的是使用个人数字助手（PDA）将心理社会评估和干预措施（基于社会认知理论）整合起来，以预防高危大学女性的无序饮食饮食。 PDA已在两个不同的能力中使用：（a）采用生态瞬时评估（EMA）的评估设备； （b）用于提供干预措施的设备。拟议的工作具有创新性，因为它结合了PDA的评估和干预能力。参与者将完成EMA报告，并根据并发的EMA响应在PDA上管理微型干预（MIS）。 MIS是在便携式设备上交付的简短处理扩展。当女性最容易受到身体形象不满的影响时，ML将针对三种特定的经历（饮食，媒体暴露，负面情绪）（在初步研究中确定）。正在发展中饮食疾病的本科妇女（n = 144）将随机分配给CD-ROM干预和EMA报告（EMA+CD）（EMA+CD），CD，EMA和Micro Inventions（EMA+CD+MI）或仅EMA（EMA）组。所有参与者将完成对身体形象不满，饮食不足和心理健康的基线评估。在接下来的1周中，每天六次，参与者将在PDA上完成EMA调查（包括身体形象的不满，饮食行为，媒体曝光和情绪项目）。 EMA+CD和EMA+CD+MI组将接受食物，情绪和态度CD-ROM干预。一个星期后，所有参与者将再次收到PDA并完成同样的EMA调查。 EMA+CD+MI组也将接收目标。 MIS包括提醒使用CD-ROM中学习的技能，并将在调查后立即在PDA上进行管理，然后在EMA之后10到20分钟。所有参与者将完成1个月和3个月的随访评估，对饮食失调，身体形象不满和心理健康。完成3个月评估后，仅EMA组将接受CD-ROM干预。如果所有参与者希望寻求额外的护理，他们都将获得推荐信息。这项研究的公共卫生意义包括一种创新的发展方法，以提高预防病理学计划的疗效（即微型干预）。这些预防计划将通过更广泛地告知治疗扩展的开发和实施，对减少饮食失调的发生率有用，并对其他治疗和预防策略产生影响。