title: The MABIC project: An effectiveness trial for reducing risk factors for eating disorders.
abstract: Challenges in the prevention of disordered eating field include moving from efficacy to effectiveness and developing an integrated approach to the prevention of eating and weight-related problems. A previous efficacy trial indicated that a universal disordered eating prevention program, based on the social cognitive model, media literacy educational approach and cognitive dissonance theory, reduced risk factors for disordered eating, but it is unclear whether this program has effects under more real-world conditions. This effectiveness trial tested whether this program has effects when previously trained community providers in an integrated approach to prevention implement the intervention. The research design involved a multi-center non-randomized controlled trial with baseline, post-test and 1-year follow-up measures. The sample included girls in the 8th grade from six schools (n = 152 girls) in a city near Barcelona (intervention group), and from eleven schools (n = 413 girls) in four neighboring towns (control group). The MABIC risk factors of disordered eating were assessed as main outcomes. Girls in the intervention group showed significantly greater reductions in beauty ideal internalization, disordered eating attitudes and weight-related teasing from pretest to 1-year follow-up compared to girls in the control group, suggesting that this program is effective under real-world conditions.
authors.affiliation: Research Unit on Eating and Weight-related Behaviors, Dept. Clinical and Health Psychology, Universitat Autònoma de Barcelona, 08193, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain. Electronic address: David.Sanchez@uab.es.
authors.forename: David
authors.initials: D
authors.lastname: Sánchez-Carracedo
authors.affiliation: Research Unit on Eating and Weight-related Behaviors, Dept. Clinical and Health Psychology, Universitat Autònoma de Barcelona, 08193, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain; Dept. Psychobiology and Methodology of Health Sciences, Universitat Autònoma de Barcelona, 08193, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain; Neuroimaging Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona Biomedical ResearchPark, C/Doctor Aiguader, 88, 08003, Barcelona, Spain. Electronic address: Jordi.Fauquet@uab.cat.
authors.forename: Jordi
authors.initials: J
authors.lastname: Fauquet
authors.affiliation: Research Unit on Eating and Weight-related Behaviors, Dept. Clinical and Health Psychology, Universitat Autònoma de Barcelona, 08193, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain. Electronic address: Gemma.Lopez@uab.cat.
authors.forename: Gemma
authors.initials: G
authors.lastname: López-Guimerà
authors.affiliation: Dept. Methodology of Behavioral Sciences, Universitat de Barcelona, Passeig de la Vall d'Hebron, 171, 08035, Barcelona, Spain. Electronic address: dleivaur@ub.edu.
authors.forename: David
authors.initials: D
authors.lastname: Leiva
authors.affiliation: Research Unit on Eating and Weight-related Behaviors, Dept. Clinical and Health Psychology, Universitat Autònoma de Barcelona, 08193, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain; Mental Health Unit of the ParcTaulí Health Corporation, 08208, Sabadell, Barcelona, Spain. Electronic address: Joaquim.Punti@uab.es.
authors.forename: Joaquim
authors.initials: J
authors.lastname: Puntí
authors.affiliation: Institute of Psychology Foundation, República Argentina, 182, 08023, Barcelona, Spain. Electronic address: etrepat@ipsicologia.cat.
authors.forename: Esther
authors.initials: E
authors.lastname: Trepat
authors.affiliation: Mental Health Unit of the ParcTaulí Health Corporation, 08208, Sabadell, Barcelona, Spain; Dept. Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, 08193, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain. Electronic address: mpamias@tauli.cat.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Pàmias
authors.affiliation: Mental Health Unit of the ParcTaulí Health Corporation, 08208, Sabadell, Barcelona, Spain; Dept. Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, 08193, Bellaterra, Cerdanyola del Vallès, Barcelona, Spain. Electronic address: dpalao@tauli.cat.
authors.forename: Diego
authors.initials: D
authors.lastname: Palao
mesh_terms: D000293:Adolescent; D001828:Body Image / Q000523:psychology; D001835:Body Weight; D003073:Cognitive Dissonance; D057186:Comparative Effectiveness Research / Q000379:methods*; D005247:Feeding Behavior / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006801:Humans; D065228:Non-Randomized Controlled Trials as Topic; D012307:Risk Factors; D012574:Schools; D013334:Students
keywords: Disordered eating; Eating disorders; Effectiveness; Prevention