Secondary prevention for eating disorders: the impact of education, screening, and referral in a college-based screening program.
OBJECTIVE
The first National Eating Disorders Screening Program (NEDSP), conducted on more than 400 college campuses in 1996, was an educational and two-stage screening program designed to detect potentially clinically significant disordered eating attitudes and behaviors and offer referrals for further evaluation when warranted. The current study assessed the impact of the NEDSP on participants.


METHODS
A randomly selected subset of this sample (n = 289) was contacted approximately 2 years after the NEDSP to assess the impact of the program on knowledge and treatment-seeking behaviors for eating disorders.


RESULTS
For greater than 80% of the participants, the program made participants aware of the danger of eating disorders and the availability of treatment. Of those who received a recommendation for further clinical evaluation of disordered eating (n = 109), nearly one half (47.7%) followed up on this recommendation and kept at least a first appointment and 39.4% actually sought treatment subsequent to the NEDSP.


CONCLUSIONS
The results of the current study suggest that educational and screening programs may be a promising strategy for secondary prevention of eating disorders. They also suggest that awareness of the risks of disordered eating and available treatment may not be sufficient to motivate individuals to adhere to recommendations to seek treatment. Clinicians should, therefore, be vigilant for nonadherence to treatment recommendations and proactive in facilitating treatment.
Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Anne E
AE
Becker
Debra L
DL
Franko
Karin
K
Nussbaum
David B
DB
Herzog
D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D001364:Awareness; D002648:Child; D001068:Feeding and Eating Disorders / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D015397:Program Evaluation; D012017:Referral and Consultation; D011795:Surveys and Questionnaires; D014495:Universities