Psychology Commons^™

Reducing Eating Disorder Risk Factors: A Pilot Effectiveness Trial Of A Train-The-Trainer Approach To Dissemination And Implementation, Rebecca Greif, Carolyn Becker, Tom Hildebrandt

Psychology Faculty Research

Objective: Impediments limit dissemination and implementation of evidence-based interventions (EBIs), including lack of sufficient training. One strategy to increase implementation of EBIs is the train-the-trainer (TTT) model. The Body Project is a peer-led body image program that reduces eating disorder (ED) risk factors. This study examined the effectiveness of a TTT model at reducing risk factors in Body Project participants. Specifically, this study examined whether a master trainer could train a novice trainer to train undergraduate peer leaders to administer the Body Project such that individuals who received the Body Project (i.e., participants) would evidence comparable outcomes to previous trials.We …

Reducing Eating Disorder Risk Factors: A Controlled Investigation Of A Blended Task-Shifting/Train-The-Trainer Approach To Dissemination And Implementation, Lisa S. Kilpela, Kaitlin Hill, Mackenzie Kelly, Joanna Elmquist, Paige Ottoson, Thomas Hildebrandt, Carolyn Becker

Psychology Faculty Research

Recent advances in psychological intervention research have led to an increase in evidence-based interventions (EBIs), yet there remains a lag in dissemination and implementation of EBIs. Task-shifting and the train-the-trainer (TTT) model offer two potential strategies for enhancing reach of EBIs. The Body Project, an EBI found to prevent onset of eating disorders, served as the vehicle for this dissemination/implementation study. The primary aim of this study was to determine if training of peer-leaders for the Body Project could be task-shifted to undergraduate students using a hybrid task-shifting/TTT model. Our secondary aim was to determine if subgroups of participants evidenced …

Reducing Eating Disorder Risk Factors: A Controlled Investigation Of A Blended Task-Shifting/Train-The-Trainer Approach To Dissemination And Implementation, Lisa S. Kilpela, Kaitlin Hill, Mackenzie Kelly, Joanna Elmquist, Paige Ottoson, D. Keith, Thomas Hildebrandt, Carolyn Becker

Psychology Faculty Research

Recent advances in psychological intervention research have led to an increase in evidence-based interventions (EBIs), yet there remains a lag in dissemination and implementation of EBIs. Task-shifting and the train-the-trainer (TTT) model offer two potential strategies for enhancing reach of EBIs. The Body Project, an EBI found to prevent onset of eating disorders, served as the vehicle for this dissemination/implementation study. The primary aim of this study was to determine if training of peer-leaders for the Body Project could be task-shifted to undergraduate students using a hybrid task-shifting/TTT model. Our secondary aim was to determine if subgroups of participants evidenced …

Eating Disorder Prevention: Current Evidence-Base And Future Directions, Eric Stice, Carolyn Becker, S. Yokum

Psychology Faculty Research

Objective

This narrative review sought to (a) characterize prevention programs that have produced reliable, reproducible, and clinically meaningful effects in efficacy trials, (b) discuss effectiveness trials that have tested whether prevention programs produce intervention effects under ecologically valid real-world conditions, (c) discuss dissemination efforts and research on dissemination, and (d) offer suggestions regarding directions for future research in this field.

Conclusion

A literature revealed that 6 prevention programs have produced significant reductions in eating disorder symptoms through at least 6-month follow-up and that 2 have significantly reduced future eating disorder onset. Effectiveness trials indicate that 2 prevention programs have produced …

Peer-Facilitated Cognitive Dissonance Versus Healthy Weight Eating Disorders Prevention: A Randomized Comparison, Carolyn Becker, Chantale Wilson, Allison Williams, Mackenzie Kelly, Leda Mcdaniel, Joanna Elmquist

Psychology Faculty Research

Research supports the efficacy of both cognitive dissonance (CD) and healthy weight (HW) eating disorders prevention, and indicates that CD can be delivered by peer-facilitators, which facilitates dissemination. This study investigated if peer-facilitators can deliver HW when it is modified for their use and extended follow-up of peer-facilitated CD as compared to previous trials. Based on pilot data, we modified HW (MHW) to facilitate peer delivery, elaborate benefits of the healthy-ideal, and place greater emphasis on consuming nutrient dense foods. Female sorority members (N=106) were randomized to either two 2-hour sessions of CD or MHW. Participants completed assessment …