title: Effectiveness of an eating disorder preventative intervention in primary care medical settings.
abstract: OBJECTIVE
  To conduct a pilot effectiveness trial of a brief dissonance-based eating disorder preventative program, the Body Project, when implemented at primary care medical clinics.
  
  
  METHODS
  Sixty-six female adolescents between the ages of 13 and 17 who reported at least some body image dissatisfaction were recruited at two primary care clinics and randomized to Body Project groups or an educational video control condition; eating disorder risk factors and symptoms were measured at pretest, posttest, and 3-month follow-up.
  
  
  RESULTS
  Body Project versus educational video control participants showed significantly greater reductions in thin-ideal internalization, pressure to be thin, dieting, and eating disorder symptoms at posttest, which were medium to large effect sizes. Body Project participants also showed greater decreases in body dissatisfaction and negative affect at posttest, though these moderate sized effects were not significant. Effects persisted through 3-month follow-up.
  
  
  CONCLUSIONS
  Average pre-post effect sizes (d = 0.58) compare favorably to those observed in past Body Project efficacy (average d = 0.59) and effectiveness trials (average ds of 0.43 and 0.69), suggesting that primary care clinics may represent a novel venue for offering and extending the reach of this eating disorder prevention program.
authors.affiliation: College of Education, University of Oregon, 5251 University of Oregon, Eugene, OR 97403, USA. Electronic address: Linville@uoregon.edu.
authors.forename: Deanna
authors.initials: D
authors.lastname: Linville
authors.affiliation: College of Education, University of Oregon, 5251 University of Oregon, Eugene, OR 97403, USA. Electronic address: erin.cobb08@gmail.com.
authors.forename: Erin
authors.initials: E
authors.lastname: Cobb
authors.affiliation: College of Education, University of Oregon, 5251 University of Oregon, Eugene, OR 97403, USA. Electronic address: bluhming@gmail.com.
authors.forename: Tracy
authors.initials: T
authors.lastname: Lenee-Bluhm
authors.affiliation: College of Education, University of Oregon, 5251 University of Oregon, Eugene, OR 97403, USA. Electronic address: glopezzeron@gmail.com.
authors.forename: Gabriela
authors.initials: G
authors.lastname: López-Zerón
authors.affiliation: Oregon Research Institute, 1776 Millrace Dr., Eugene, OR 97403, USA. Electronic address: jeffg@ori.org.
authors.forename: Jeff M
authors.initials: JM
authors.lastname: Gau
authors.affiliation: Oregon Research Institute, 1776 Millrace Dr., Eugene, OR 97403, USA. Electronic address: estice@ori.org.
authors.forename: Eric
authors.initials: E
authors.lastname: Stice
mesh_terms: D000293:Adolescent; D001828:Body Image / Q000523:psychology*; D003073:Cognitive Dissonance; D001068:Feeding and Eating Disorders / Q000517:prevention & control* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods*; D012657:Self-Help Groups; D013334:Students; D016896:Treatment Outcome
keywords: Eating disorders; Implementation trial; Integrated care; Prevention