Development of a Self-Help Program to Treat Binge Eating in Mexican Americans

制定治疗墨西哥裔美国人暴饮暴食的自助计划

• 批准号: 7624948
• 负责人: FARY Mahamedi CACHELIN
• 金额: $ 32.25万
• 依托单位: CALIFORNIA STATE UNIVERSITY LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-13 至 2013-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7624948
• 关键词: Accounting; Acculturation; American; Anxiety; Area; Behavioral Model; Belief; Binge Eating; Binge eating disorder; Body Image; Bulimia; Chronic; Clinic; Clinical; Collaborations; Communities; Comorbidity; Consult; Control Groups; Data; Development; Diabetes Mellitus; Disease; Disease remission; Eating; Eating Disorders; Educational workshop; Effectiveness; European; Face; Family; Focus Groups; Food; Funding; Funding Agency; Goals; Grant; Healthcare; Individual; Infertility; Instruction; International; Intervention; Manuals; Mental Health; Mexican; Mexican Americans; Minority Groups; Obesity; Outcome; Patients; Pattern; Population; Population Heterogeneity; Primary Health Care; Procedures; Psyche structure; Publications; Randomized Controlled Trials; Recording of previous events; Research; Resources; Risk; Role; Sampling; Severities; Site; Social support; Societies; Specialist; Staging; Sum; Syndrome; System; Testing; Therapeutic Studies; Training; Travel; Treatment Cost; Treatment Effectiveness; United States; Universities; Woman; attenuation; base; bone mass; cognitive behavior therapy; compliance behavior; cost; cost effectiveness; depression; design; eating pathology; efficacy testing; ethnic minority population; falls; follow-up; innovation; intervention program; meetings; neglect; physical conditioning; primary outcome; programs; psychologic; psychosocial; public health relevance; restraint; secondary outcome; self esteem; self help; success; symposium; treatment program; treatment trial

DESCRIPTION (provided by applicant): Women of ethnic minority groups are the most likely to suffer from unmet mental health needs including eating disorders such as binge eating and associated obesity. The long- term goal is to advance the treatment of binge eating and related problems for ethnic minority individuals by developing effective and accessible intervention programs. Despite their chronicity and severity, eating disorders largely go undetected and untreated, and women of ethnic minority groups face numerous barriers to seeking and receiving treatment. Yet no studies to date have examined the use of self-help programs to treat eating problems with ethnic minority populations, who are the groups most in need of accessible and low-cost treatment. The specific aims of the proposed project are to adapt a self-help program for Mexican American women with eating disorders and to test the effectiveness of this treatment on a community sample. Mexican Americans are one of the fastest growing populations in the United States and are at risk for binge eating and associated obesity. The first aim is to develop a Cognitive Behavior Therapy- based guided self-help program (CBT-GSH) for treatment of bulimia nervosa (BN) and binge eating disorder (BED) in Mexican American women. In the first stage of the project, focus groups and a pilot feasibility trial will be used to develop a CBT-GSH program that is culturally appropriate for Mexican values and beliefs. The second aim is to test the effectiveness of the modified CBT- GSH with a large community sample of Mexican American women with BN, BED and related binge eating problems. The study will use a between-groups (control vs. treatment) pretest-posttest design. Hypothesis #1 is that treatment with GSH (compared with no GSH) will result in a greater reduction of binge eating (primary outcome), and greater reduction in the secondary outcomes of associated eating pathology (dietary restraint, body image disturbance), attenuation of obesity, and improvement in psychological functioning. Hypothesis #2 is that treatment with GSH (compared with no GSH) will result in greater improvement or remission at 6 months follow-up. Findings from this study will contribute to advances in the treatment of BN, BED, and related binge eating problems including obesity for Mexican American women. The proposed project will provide an important step in developing effective and accessible treatment for ethnic minority individuals with eating disorders, who are groups largely, neglected in treatment trials and research and are currently underrepresented in clinic populations. Public Health Relevance: This study will be the first to develop and test an accessible, low-cost self-help treatment program for eating disorders with an ethnic minority population. This is a crucial step before dissemination on a wide scale can be implemented.

描述（由申请人提供）：少数民族群体的妇女最有可能遭受未满足的心理健康需求，包括饮食失调，如暴饮暴食和相关的肥胖症。长期目标是通过制定有效和可获得的干预计划来推进少数民族个人暴饮暴食和相关问题的治疗。尽管饮食失调症具有慢性和严重性，但在很大程度上未被发现和治疗，少数民族群体的妇女在寻求和接受治疗方面面临许多障碍。然而，到目前为止，还没有研究调查使用自助计划来治疗少数民族人口的饮食问题，他们是最需要获得低成本治疗的群体。拟议项目的具体目标是为患有饮食失调症的墨西哥裔美国妇女调整自助方案，并在社区样本中测试这种治疗的有效性。墨西哥裔美国人是美国增长最快的人口之一，有暴饮暴食和相关肥胖的风险。第一个目标是开发一个基于认知行为疗法的指导自助计划（CBT-GSH），用于治疗墨西哥裔美国妇女的神经性贪食症（BN）和暴食症（BED）。在该项目的第一阶段，焦点小组和试点可行性试验将用于制定一个CBT-GSH方案，该方案在文化上适合墨西哥的价值观和信仰。第二个目的是测试修改后的CBT-GSH的有效性与一个大的社区样本的墨西哥裔美国妇女与BN，床和相关的暴食问题。本研究将采用组间（对照组vs.治疗组）前后测设计。假设#1是GSH治疗（与无GSH相比）将导致暴食（主要结局）的更大减少，以及相关饮食病理学（饮食限制，身体形象障碍）的次要结局的更大减少，肥胖减轻和心理功能改善。假设#2是GSH治疗（与无GSH相比）将导致6个月随访时的更大改善或缓解。这项研究的结果将有助于促进BN，BED和相关暴食问题的治疗，包括墨西哥裔美国妇女的肥胖。拟议的项目将提供一个重要的步骤，为患有饮食失调症的少数民族个体制定有效和可获得的治疗方法，这些群体在很大程度上被治疗试验和研究所忽视，目前在临床人群中代表性不足。 公共卫生相关性：这项研究将是第一个开发和测试一个可访问的，低成本的自助治疗计划与少数民族人口的饮食失调。这是在大规模传播之前的一个关键步骤。