title: Effectiveness of peer-led eating disorders prevention: a replication trial.
abstract: The aim of this study was to replicate and extend results of a previous trial that investigated the effectiveness of 2 peer-led eating disorders prevention interventions in reducing eating disorder risk factors in undergraduate women (C. B. Becker, L. M. Smith, & A. C. Ciao, 2006). To extend findings from the previous study by allowing for investigation of differential response, the authors randomly assigned a larger sample of both higher and lower risk sorority members (N = 188; age M = 18.64 years, range = 18-21; 20% minority) to either a cognitive dissonance (CD) or a media advocacy (MA) intervention under naturalistic conditions. Interventions were delivered by trained sorority peer leaders and consisted of two 2-hr group sessions. Participants completed questionnaires that assessed eating disorder risk factors at pretreatment, posttreatment, 7-week follow-up, and 8-month follow-up. Results indicate that both interventions reduced thin-ideal internalization, body dissatisfaction, dietary restraint, and bulimic pathology at 8 months, although higher and lower risk participants responded somewhat differently. Both CD and MA generally appeared effective for higher risk participants; only CD, however, appeared to benefit lower risk participants. Results further support the viability of using peer leaders in dissonance-based prevention.
authors: Department of Psychology, Trinity College, San Antonio, TX 78212-7200, USA. cbecker@trinity.edu
authors: Carolyn Black
authors: CB
authors: Becker
authors: Stephanie
authors: S
authors: Bull
authors: Katherine
authors: K
authors: Schaumberg
authors: Adele
authors: A
authors: Cauble
authors: Amanda
authors: A
authors: Franco
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image; D002032:Bulimia / Q000517:prevention & control / Q000523:psychology; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003073:Cognitive Dissonance; D004038:Diet, Reducing / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010379:Peer Group; D011615:Psychotherapy, Group / Q000379:methods*; D012307:Risk Factors; D013851:Thinness / Q000523:psychology