Psychology Commons^™

From Efficacy To Global Impact: Lessons Learned About What Not To Do In Translating Our Research To Reach, Carolyn Becker

Psychology Faculty Research

Although members of the Association for Behavioral and Cognitive Therapies have made significant strides towards the collective goals outlined in our mission statement, we routinely acknowledge that our ability to develop empirically supported treatments exceeds our success in improving dissemination and implementation of said interventions. Further, as noted by Kazdin and Blase (2011), even if we succeeded in having every clinician world-wide administer our best treatments with excellent competency, we still would be unsuccessful in markedly impacting the worldwide burden of mental illness because most treatments require intensive labor by expensive providers. To this end, Kazdin and Blase and others …

Our Critics Might Have Valid Concerns: Reducing Our Propensity To Conflate, Carolyn Becker

Psychology Faculty Research

As noted by Austin elsewhere in this issue, the field of eating disorders (ED) prevention has made remarkable scientific strides in the past two decades (see Austin, 2016). Over this same period, the field also has seen improved political standing within the greater ED community. For instance, prevention researchers present more regularly at key ED conferences, increasingly via invitation “up on the big stage” in plenaries and keynote addresses. Prevention researchers and advocates also appear to have grown in number and hold more positions in a variety of ranks throughout key ED organizations. Finally, a number of prominent ED researchers …

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 …

Moderators And Predictors Of Response To Eating Disorder Risk Factor Reduction Programs In Collegiate Female Athletes, T M. Stewart, Maribel Plasencia, H Han, H Jackson, Carolyn Becker

Psychology Faculty Research

Objective

The primary aim of this paper was to investigate moderators and predictors of response to two programs designed to reduce eating disorder risk factors in collegiate female athletes. This study served as an ancillary study to a parent trial that investigated the feasibility of an athlete modified cognitive dissonance-based program (AM-DBP) and an athlete modified healthy weight intervention program (AM-HWI).

Design

157 female collegiate athletes were randomized to either the AM-DBP or the AM-HWI program. Participants completed surveys at baseline, post-intervention, 6 weeks, and 1 year.

Methods

After classifying sports as either lean or non-lean, we investigated if sport …

Changing The Course Of Comorbid Eating Disorders And Depression: What Is The Role Of Public Health Interventions In Targeting Shared Risk Factors?, Carolyn Becker, Maribel Plasencia, Lisa S. Kilpela, Morgan Briggs, Tiffany Stewart

Psychology Faculty Research

Public health has a productive history of improving global health due to its focus on reaching large populations using effective and scalable interventions. Yet, the marriage between evidence-based science and the implementation of community/public health interventions within mental illness remains underdeveloped. Research suggests that major depression is the most commonly cited comorbidity for eating disorders (EDs). Thus, identification of public health strategies that jointly impact depression and EDs, including shared risk factors, has the potential to significantly impact mental health suffering. The primary aim of this paper is to examine and discuss such public health approaches as well as explore …

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 …

Can We Reduce Eating Disorder Risk Factors In Female College Athletes? A Randomized Exploratory Investigation Of Two Peer-Led Interventions, Carolyn Becker, Leda Mcdaniel, Stephanie Bull, Marc Powell, Kevin Mcintyre

Psychology Faculty Research

Female athletes are at least as at risk as other women for eating disorders (EDs) and at risk for the female athlete triad (i.e., inadequate energy availability, menstrual disorders, and osteoporosis). This study investigated whether two evidence-based programs appear promising for future study if modified to address the unique needs of female athletes. Athletes were randomly assigned to athlete-modified dissonance prevention or healthy weight intervention (AM-HWI). ED risk factors were assessed pre/post-treatment, and 6-week and 1-year follow-up. Results (analyzed sample, N = 157) indicated that both interventions reduced thin-ideal internalization, dietary restraint, bulimic pathology, shape and weight concern, and negative …

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 …

Effectiveness Of Peer-Led Eating Disorders Prevention: A Replication Trial, Carolyn Becker, Stephanie Bull, Katherine Schaumberg, Adele Cauble, Amanda Franco

Psychology Faculty Research

The aim of this study was to replicate and extend results of a previous trial that investigated the effectiveness of two peer-led eating disorders prevention interventions on reducing eating disorder risk factors in undergraduate women (Becker, Smith & Ciao, 2006). In order to extend findings from the previous study by allowing for investigation of differential response, we randomly assigned a larger sample of both higher- and lower-risk sorority members (N = 188; age M = 18.64, range = 18-21; 20% minority) to either a cognitive dissonance (CD) or a media advocacy (MA) intervention under naturalistic conditions. Interventions were delivered by …

Dissonance-Based Interventions For The Prevention Of Eating Disorders: Using Persuasion Principles To Promote Health, Eric Stice, H. Shaw, Carolyn Becker, P. Rohde

Psychology Faculty Research

The limited efficacy of prior eating disorder (ED) prevention programs led to the development of dissonance-based interventions (DBI) that utilize dissonance-based persuasion principles from social psychology. Although DBIs have been used to change other attitudes and behaviors, only recently have they been applied to ED prevention. This article reviews the theoretical rationale and empirical support for this type of prevention program. Relative to assessment-only controls, DBIs have produced greater reductions in ED risk factors, ED symptoms, future risk for onset of threshold or subthreshold EDs, future risk for obesity onset, and mental health utilization, with some effects persisting through 3-year …

Peer Facilitated Eating Disorder Prevention: A Randomized Effectiveness Trial Of Cognitive Dissonance And Media Advocacy, Carolyn Becker, Lisa M. Smith, Anna C. Ciao

Psychology Faculty Research

This study investigated the effectiveness of two interventions in reducing eating disorder risk factors under naturalistic conditions in sororities. Based on previous research, the campus sororities chose to implement a semi-mandatory, two-session eating disorder prevention program to all new sorority members (N=90) during sorority orientation. To facilitate evaluation, sororities agreed to random assignment of new members to either a cognitive dissonance or media advocacy intervention. Undergraduate peer facilitators ran the groups. Although both interventions had an effect, cognitive dissonance generally was superior at eight-month followup. Results further support the utility of cognitive dissonance in reducing eating disorder risk factors, and …