Diabetes Body Project: Acute Effects of an Eating Disorder Prevention Program for Young Women With Type 1 Diabetes: A Multinational Randomized Controlled Trial
Unge kvinner med Type 1 Diabetes (T1D) er en risikogruppe for å utvikle spiseforstyrrelser. Vi utviklet derfor en diabetestilpasset versjon av det gruppebaserte forebyggingsprogrammet Body Project. Målet med denne studien var å undersøke korttidseffekter av Diabetes Body Project grupper sammenlignet med en kontrollgruppe blant unge kvinner med T1D i alderen 14-35 år.
Forfatter:
Line Wisting
Medforfatter:
Mareille H.C.L. Hennekes, Severina Haugvik, Maartje de Wit, Elena Toschi, Christopher D. Desjardins, Torild Skrivarhaug, Knut Dahl-Jørgensen, Eric Stice, and Line Wisting
Tidsskrift:
Diabetes Care
Deltakere i Diabetes Body Project grupper viste signifikant større effekt på spiseforstyrrelses risikofaktorer og symptomer sammenlignet med kontrollgruppen, med små-medium effektstørrelser.
Abstract
OBJECTIVE:
Young women with type 1 diabetes are at risk to develop eating disorders (ED).We evaluated a novel ED prevention program in a multinational randomized controlled trial.
RESEARCH DESIGN AND METHODS:
Women (14–35 years old) with type 1 diabetes were randomized to virtual Diabetes Body Project groups or educational control. Outcomes were assessed at pretest and posttest (1–2 weeks after intervention).
RESULTS:
Compared with educational controls (n = 146), participants in the Diabetes Body Project (n = 147) showed significant improvements (all P < 0.05), with small Cohen’s d effect sizes for ED symptoms (d = 20.30, 95% CI 20.06, 20.69) (primary outcome), diabetes distress (d = 20.42), quality of life (d = 0.39) and dietary restraint (d = 20.31), and medium effect sizes for diabetes-specific disordered eating behaviors (d = 20.70), body dissatisfaction (d = 20.59), and pursuit of thin
appearance ideal (d = 20.56).
CONCLUSIONS:
The Diabetes Body Project produced significantly larger acute effects with small to medium effect sizes compared with educational controls and has potential for broad implementation.