From efficacy to effectiveness to broad implementation: Evolution of the Body Project.
From efficacy to effectiveness to broad implementation: Evolution of the Body Project.
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DOI：
10.1037/ccp0000204
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发表时间：
2017-08
影响因子：
5.9
通讯作者：
Stice E
中科院分区：
文献类型：
--
作者：
Becker CB;Stice E
在世纪之交，饮食失调(ED)预防基本上是不存在的。即使是在一项单独的试验中，也没有任何方案减少未来的ED发作，而且大多数都没有减少ED的症状。16年后，ED预防领域已将基本危险因素研究转化为干预措施，在一些试验中证明了其在减少ED风险因素和症状以及未来ED发病方面的有效性和有效性。本文回顾了前述的进展，重点是一种模式干预(即，身体项目(BP))。本文是对现有BP文献的定性综述。尽管临床心理学一直在努力弥合研究实践的差距，并将有效性和有效性研究转化为临床实施，但与BP合作的研究人员、临床医生和社区利益攸关方在解决可扩展性、大规模实施和可持续性方面的障碍方面取得了重大进展，覆盖了125个国家的350万女孩和年轻妇女。BP从基础研究到遍历efficacy-to-effectiveness-to-dissemination/implementation连续体的成功演变已经产生了重大的公共健康影响，因此是纪念美国心理协会125周年特刊的合适案例。BP的例子可能会帮助其他人广泛实施有效的干预措施来应对其他精神健康问题。身体计划(BP)减少了饮食失调(ED)的风险因素、症状和未来的ED发病，尽管后者的影响只在一些试验中观察到；研究还表明，BP可以使用可扩展的策略广泛实施。迄今为止，BP已经影响了125个国家超过350万女孩和年轻妇女的生活，这要归功于研究人员、临床医生和社区利益攸关方之间的战略伙伴关系。
At the turn of the millennium, eating disorders (ED) prevention was largely non-existent. No program had reduced future onset of EDs in even a single trial and most had not reduced ED symptoms. Sixteen years later, the ED prevention field has translated basic risk factor research into interventions with demonstrated efficacy and effectiveness in reducing ED risk factors and symptoms, as well as future ED onset in some trials. This paper reviews the aforementioned progress focusing on a model intervention (i.e., the Body Project (BP)). The paper is a qualitative review of the existing BP literature. Although clinical psychology has struggled with bridging the research practice gap and translating efficacy and effectiveness research into clinical implementation, researchers, clinicians, and community stakeholders working with the BP have made significant progress in addressing barriers to scalability, large-scale implementation, and sustainability, reaching 3.5 million girls and young women in 125 countries. The successful evolution of the BP from basic research to traversing the efficacy-to-effectiveness-to-dissemination/implementation continuum has yielded significant public health impact and is thus a fitting case for this special issue commemorating the 125th anniversary of the American Psychological Association. The BP example may help others broadly implement efficacious interventions for other mental health problems. The Body Project (BP) has reduced eating disorder (ED) risk factors, symptoms, and future ED onset, though the latter effects were only observed in some trials; research also indicates that the BP can be broadly implemented using scalable strategies. To date, the BP has impacted the lives of over 3.5 million girls and young women in 125 countries thanks to strategic partnerships between researchers, clinicians, and community stakeholders.
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