Effectiveness of the Body Project eating disorder prevention program for different racial and ethnic groups and an evaluation of the potential benefits of ethnic matching.
Effectiveness of the Body Project eating disorder prevention program for different racial and ethnic groups and an evaluation of the potential benefits of ethnic matching.
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DOI：
10.1037/ccp0000697
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发表时间：
2021-12
影响因子：
5.9
通讯作者：
Gau, Jeff M
中科院分区：
文献类型：
--
作者：
Stice, Eric;Onipede, Z Ayotola;Shaw, Heather;Rohde, Paul;Gau, Jeff M
对团体提供的基于不和谐的进食障碍预防计划(Body Project)是否对不同种族和民族同样有效进行足够有力的测试，并评估少数族裔参与者种族/民族与其他团体成员之间更好的匹配是否与更大的效果相关。研究1检查了来自7所高中和4所大学的539名年轻女性的数据，研究2检查了来自50所大学的1195名完成身体项目的年轻女性和男性的数据，重点是测试前后成绩的减少。在研究1中，白人与亚裔、黑人和印第安人在瘦理想内化、身体不满、节食、负面情绪和饮食紊乱症状方面的减少没有显著差异，尽管我们没有能力对比种族和少数民族群体。在研究2中，对于少数群体来说，只有一个干预效果比白人弱(黑人和白人参与者在薄理想内化方面的减少较小)，但有证据表明，西班牙裔参与者的干预效果明显大于白人和黑人参与者，西班牙裔参与者的干预效果比亚裔和土著美国人小一些；这些差异部分是由不同种族群体测试前风险的差异造成的。民族/种族匹配与更大的影响无关。结果表明，与白人参与者相比，身体项目对种族/少数民族群体产生的影响相对相似，对亚裔和西班牙裔参与者的影响有时更大，招募风险更高的黑人参与者可能对这一种族群体产生更大的影响。
Provide adequately powered tests of whether a group-delivered dissonance-based eating disorder prevention program (Body Project) is similarly effective for different racial and ethnic groups and evaluate whether an improved match between minority participant race/ethnicity and fellow group members is associated with larger effects. Study 1 examined data from 539 young women from 7 high schools and 4 universities and Study 2 examined data from 1195 young women and men from 50 universities who completed the Body Project, focusing on pretest-to-posttest reductions in outcomes. In Study 1, reductions in thin-ideal internalization, body dissatisfaction, dieting, negative affect, and eating disorder symptoms did not significantly differ for White versus Asian, Black, and Native Americans, though we did not have power to contrast racial and ethnic minority groups. In Study 2, only one intervention effect was weaker for a minority group relative to Whites (Black versus White participants showed smaller reductions in thin-ideal internalization), but there was evidence that intervention effects were significantly larger for Hispanic versus White and Black participants, and to a lesser extent for Hispanic versus Asian and Native Americans; these differences were partially driven by differences in pretest risk across ethnic groups. Ethnic/racial matching was not associated with larger effects. Results suggest that the Body Project produced relatively similar effects for racial/ethnic minority groups relative to White participants, that the effects were sometimes larger for Asian and Hispanic participants, and that recruiting Black participants at higher risk may contribute to larger effects for this racial group.