A school-based program implemented by community providers previously trained for the prevention of eating and weight-related problems in secondary-school adolescents: the MABIC study protocol

BMC Public Health

Esther Trepat³  Mireia Querol⁵  Joaquim Puntí⁵  Montserrat Pàmias⁵  Juan Ramón Barrada²  Jordi Fauquet¹  Gemma López-Guimerà⁴  David Sánchez-Carracedo⁴ 

[1] Neuroimaging Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona Biomedical Research Park, C/ Doctor Aiguader, 88, 08003 Barcelona, Spain;Department of Psychology and Sociology, University of Zaragoza, 44003 Teruel, Spain;Institute of Psychology Foundation, República Argentina, 182, 08023 Barcelona, Spain;Research Unit on Eating and Weight-related Behaviors (UCAP), Universitat Autònoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès) Barcelona, Spain;Mental Health Unit of the Parc Taulí Health Corporation (CSPT), 08208 Sabadell, Barcelona, Spain

关键词: Eating and weight-related problems;    Obesity;    Overweight;    Eating disorders;    Disordered eating;    Effectiveness;    Prevention;   

Others  :  1161667
DOI  :  10.1186/1471-2458-13-955

 received in 2013-07-31, accepted in 2013-09-30,  发布年份 2013

【 摘 要 】

Background

The prevention of eating disorders and disordered eating are increasingly recognized as public health priorities. Challenges in this field included moving from efficacy to effectiveness and developing an integrated approach to the prevention of a broad spectrum 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. The main aim of this effectiveness trial protocol is to test whether this program has effects when incorporating an integrated approach to prevention and when previously-trained community providers implement the intervention.

Methods/design

The research design involved a multi-center non-randomized controlled trial with baseline, post and 1-year follow-up measures. Six schools from the city of Sabadell (close to Barcelona) participated in the intervention group, and eleven schools from four towns neighboring Sabadell participated in the control group. A total of 174 girls and 180 boys in the intervention group, and 484 girls and 490 boys in the control group were registered in class lists prior to baseline. A total of 18 community providers, secondary-school class tutors, nurses from the Catalan Government’s Health and School Program, and health promotion technicians from Sabadell City Council were trained and delivered the program. Shared risk factors of eating and weight-related problems were assessed as main measures.

Discussion

It will be vital for progress in disordered eating prevention to conduct effectiveness trials, which test whether interventions are effective when delivered by community providers under ecologically valid conditions, as opposed to tightly controlled research trials. The MABIC project will provide new contributions in this transition from efficacy to effectiveness and new data about progress in the integrated approach to prevention. Pending the results, the effectiveness trial meets the effectiveness standards set down by the Society for Prevention Research. This study will provide new evidence to improve and enhance disordered eating prevention programs.

Trial registration

Current Controlled Trials ISRCTN47682626

【 授权许可】

   
2013 Sánchez-Carracedo et al.; licensee BioMed Central Ltd.

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