title: Cost-effectiveness of achieving clinical improvement with a dissonance-based eating disorder prevention program.
abstract: Using data from an effectiveness trial delivered by college clinicians, we examined the cost-effectiveness of the dissonance-based Body Project program for reducing eating disorder symptoms in women with body dissatisfaction. The outcome of interest was individual-level change; 14.9% of Body Project participants attained clinically meaningful improvement vs. 6.7% of controls. Delivering the intervention costs approximately $70 (2012 U.S. dollars) per person. Incremental cost-effectiveness was $838 for each additional at-risk person reducing eating disorder symptomology to a clinically meaningful degree. These analyses demonstrate the economic value of the Body Project for college-age women with symptoms below the eating disorder diagnosis threshold.
authors.affiliation: a Oregon Research Institute , Eugene , Oregon , USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Akers
authors.affiliation: a Oregon Research Institute , Eugene , Oregon , USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Rohde
authors.affiliation: a Oregon Research Institute , Eugene , Oregon , USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Stice
authors.affiliation: b Department of Psychology , Drexel University , Philadelphia , Pennsylvania , USA.
authors.forename: Meghan L
authors.initials: ML
authors.lastname: Butryn
authors.affiliation: a Oregon Research Institute , Eugene , Oregon , USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Shaw
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image; D003073:Cognitive Dissonance; D003362:Cost-Benefit Analysis; D001068:Feeding and Eating Disorders / Q000191:economics / Q000517:prevention & control*; D005260:Female; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D011613:Psychotherapy / Q000191:economics / Q000379:methods*; D055815:Young Adult