Screening and offering online programs for eating disorders: Reach, pathology, and differences across eating disorder status groups at 28 US universities
Screening and offering online programs for eating disorders: Reach, pathology, and differences across eating disorder status groups at 28 US universities
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DOI：
10.1002/eat.23134
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发表时间：
2019-10-01
影响因子：
5.5
通讯作者：
Wilfley, Denise E.
中科院分区：
文献类型：
--
作者：
Fitzsimmons-Craft, Ellen E.;Balantekin, Katherine N.;Wilfley, Denise E.
目的作为随机对照试验的一部分，基于互联网的健康身体形象(HBI)计划在美国28所大学部署，该计划使用在线筛查来识别低风险、高风险或患有进食障碍(ED)的个人，然后引导用户进行量身定制的、基于证据的在线或面对面干预，以解决个人的风险或临床状况。这项研究的目的是报告：(A)HBI的覆盖范围，(B)筛查结果，以及(C)不同ED状态组的差异。方法尽管招生对象主要是本科生，但所有18岁或18岁以上的学生都有资格参加。结果共完成筛查4894次，平均每个校区1.9%的本科生参加筛查。参与调查的学生中勃起功能障碍的风险很高--近60%的接受筛查的学生被确定为勃起障碍或患有勃起障碍的高危人群。不同的ED状态组在人口统计学、招募方法、ED病理、精神合并症和ED危险因素方面出现了关键差异，突出了高危组中病理和损害的增加。讨论结果表明，需要努力扩大HBI等项目的覆盖范围。结果还突显了高危人群中不断增加的病理和损害，以及HBI等项目的重要性，这些项目提供了及时筛查和干预的途径，以防止临床ED的发生。
Objective The Internet-based Healthy Body Image (HBI) Program, which uses online screening to identify individuals at low risk of, high risk of, or with an eating disorder (ED) and then directs users to tailored, evidence-based online or in-person interventions to address individuals' risk or clinical status, was deployed at 28 U.S. universities as part of a randomized controlled trial. The purpose of this study is to report on: (a) reach of HBI, (b) screen results, and (c) differences across ED status groups. Method All students on participating campuses ages 18 years or older were eligible, although recruitment primarily targeted undergraduate females. Results The screen was completed 4,894 times, with an average of 1.9% of the undergraduate female student body on each campus taking the screen. ED risk in participating students was high-nearly 60% of students screened were identified as being at high risk for ED onset or having an ED. Key differences emerged across ED status groups on demographics, recruitment method, ED pathology, psychiatric comorbidity, and ED risk factors, highlighting increasing pathology and impairment in the high-risk group. Discussion Findings suggest efforts are needed to increase reach of programs like HBI. Results also highlight the increasing pathology and impairment in the high-risk group and the importance of programs such as HBI, which provide access to timely screening and intervention to prevent onset of clinical EDs.