StudentBodies-eating disorders: A randomized controlled trial of a coached online intervention for subclinical eating disorders
Open accessAbstract
Eating disorders and subclinical eating disorders are serious and disabling diseases with high prevalence rates on college campuses. Many symptomatic students are never screened nor formally diagnosed with an eating disorder and do not receive mental health treatment. This pilot study examines the feasibility, acceptability, and short-term efficacy of a 10-week online intervention, StudentBodies-Eating Disorders, designed to reduce eating disorder symptoms, related psychopathology, and weight and shape concerns. A total of 65 participants were randomized to the online intervention or waitlist control. Results indicate that for study completers, the intervention had large effects for reduction of eating-related psychopathology (d = 1.5), weight concerns (d = .7), and psychosocial impairment (d = .7). Those who completed it rated the program very acceptable. This pilot study suggests the potential efficacy of StudentBodies-Eating Disorders as a self-help intervention for subclinical eating disorders in a non-clinical setting.
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With the exception of the study by Vollert et al. which did not report outcomes, all trials of indicated Internet-based eating disorder prevention programs reported eating disorder risk reduction following the intervention.
“With the exception of the study by Vollert et al. [28] who focussed on the impact of recruitment strategies and did not report outcomes, all trials reported eating disorder risk reduction following the intervention [25–27, 29].”
The online screening approach used in the current study is not without its limitations.
“although also employed in other indicated eating disorder prevention trials [25, 26, 29] the online screening approach used in the current study is not without its limitations.”
Other studies of indicated prevention programs have broadened their criteria to include individuals with lower levels of weight concerns (e.g., WCS > 47) or body dissatisfaction only without any additional behavioural criteria.
“other studies of indicated prevention programs have broadened their criteria to include individuals with lower levels of weight concerns (e.g., WCS > 47; [25, 26]) or body dissatisfaction only without any additional behavioural criteria [29].”
Findings on the relationship between symptom severity and program engagement are mixed.
“other findings with regard to the relationship between symptom severity and program engagement are mixed [26, 29]”
Telephone or face-to-face interview processes have the advantage of accurately excluding those with full syndrome eating disorders and may increase participant commitment.
“Telephone or face-to-face interview processes [25–27] have the advantage of accurately excluding those with full syndrome eating disorders and may increase participant commitment.”
Adherence to more structured interventions is not invariably superior.
“in the four indicated trials of StudentBodies, participants completed between 12 and 68% of required monitoring assessments [25–28], suggesting that adherence to more structured interventions are not invariably superior”
Attrition rates in the current trial were higher compared to indicated trials of StudentBodies and The Body Project, where assessment completion ranged from 63 to 91% at post-intervention.
“Thus, attrition rates was higher compared to indicated trials of StudentBodies and The Body Project, where assessment completion ranged from 63 to 91% at post-intervention [25–27, 29].”
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- Authors
- Saekow, J., Jones, M., Gibbs, E., Jacobi, C., Fitzsimmons-Craft, E. E., Wilfley, D., & Barr Taylor, C.
- Affiliations
- Palo Alto University (US)
- Stanford University (US)
- Technische Universität Dresden (DE)
- Washington University in St. Louis (US)
- Corresponding author
- Jones, Megan
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 2
- Issue
- 4
- Pages
- 419-428
- ISSN
- 2214-7829 (ISSN-L)
- OpenAlex
- W1952765564
- Cited by
- 63
- References
- 51
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 12 · 2021: 6 · 2020: 10 · 2019: 8 · 2018: 5 · 2017: 3 · 2016: 4
- FWCI
- 4.97
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- 2013 Academy for Eating Disorders Student Research Grant
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- subclinical eating disorders, online intervention, self-help intervention, university students, eating disorder symptoms, weight and shape concerns, psychosocial impairment, feasibility and acceptability, non-clinical settings
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