Primary prevention of disordered eating among preadolescent girls: Feasibility and short-term effect of a community-based intervention

Dianne Neumark-Sztainer, Nancy E. Sherwood, Tanya Coller, Peter J. Hannan

Research output: Contribution to journalArticle

121 Citations (Scopus)

Abstract

Objective: To evaluate a community-based intervention aimed at the primary prevention of disordered eating among preadolescent girls. Design: Girl Scout troop members were randomized into control and intervention groups. Program feasibility and effect at postintervention and 3-month follow-up were evaluated. Subjects/setting: 226 girls (mean age=10.6 years, standard deviation=0.7) from 24 Girl Scout troops. Intervention: Six 90-minute sessions focusing on media literacy and advocacy skills. Main outcome measures: Evaluation focused on program satisfaction and short-term effect on dieting behaviors, body image attitudes, and media knowledge, attitudes, and habits. Statistical analyses: performed t tests, χ2 tests, and analyses of covariance including troop as a random source of variation. Results: At baseline, 29% of the girls were trying to lose weight. The program had a notable positive influence on media-related attitudes and behaviors including internalization of sociocultural ideals, self-efficacy to impact weight-related social norms, and print media habits. A modest program effect on body-related knowledge and attitudes was apparent at post-intervention (ie, on body size acceptance, puberty knowledge, and perceived weight status) but not at follow-up. Significant changes were not noted for dieting behaviors, but they were in the hypothesized direction. Satisfaction with the program was high among girls, parents, and leaders. Applications/conclusions: It is feasible to use community youth settings, such as the Girl Scouts, to implement interventions to prevent disordered eating behaviors. The program led to positive trends in outcome variables; however, longer and more intensive interventions are needed for lasting changes in body image and dieting behaviors.

Original languageEnglish (US)
Pages (from-to)1466-1473
Number of pages8
JournalJournal of the American Dietetic Association
Volume100
Issue number12
DOIs
StatePublished - Jan 1 2000

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eating disorders
Primary Prevention
Eating
dieting
body image
Body Image
Weights and Measures
Habits
self-efficacy
advocacy
literacy
Body Size
Feeding Behavior
Self Efficacy
puberty
Puberty
eating habits
body size
Parents
Outcome Assessment (Health Care)

Cite this

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title = "Primary prevention of disordered eating among preadolescent girls: Feasibility and short-term effect of a community-based intervention",
abstract = "Objective: To evaluate a community-based intervention aimed at the primary prevention of disordered eating among preadolescent girls. Design: Girl Scout troop members were randomized into control and intervention groups. Program feasibility and effect at postintervention and 3-month follow-up were evaluated. Subjects/setting: 226 girls (mean age=10.6 years, standard deviation=0.7) from 24 Girl Scout troops. Intervention: Six 90-minute sessions focusing on media literacy and advocacy skills. Main outcome measures: Evaluation focused on program satisfaction and short-term effect on dieting behaviors, body image attitudes, and media knowledge, attitudes, and habits. Statistical analyses: performed t tests, χ2 tests, and analyses of covariance including troop as a random source of variation. Results: At baseline, 29{\%} of the girls were trying to lose weight. The program had a notable positive influence on media-related attitudes and behaviors including internalization of sociocultural ideals, self-efficacy to impact weight-related social norms, and print media habits. A modest program effect on body-related knowledge and attitudes was apparent at post-intervention (ie, on body size acceptance, puberty knowledge, and perceived weight status) but not at follow-up. Significant changes were not noted for dieting behaviors, but they were in the hypothesized direction. Satisfaction with the program was high among girls, parents, and leaders. Applications/conclusions: It is feasible to use community youth settings, such as the Girl Scouts, to implement interventions to prevent disordered eating behaviors. The program led to positive trends in outcome variables; however, longer and more intensive interventions are needed for lasting changes in body image and dieting behaviors.",
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AU - Sherwood, Nancy E.

AU - Coller, Tanya

AU - Hannan, Peter J.

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N2 - Objective: To evaluate a community-based intervention aimed at the primary prevention of disordered eating among preadolescent girls. Design: Girl Scout troop members were randomized into control and intervention groups. Program feasibility and effect at postintervention and 3-month follow-up were evaluated. Subjects/setting: 226 girls (mean age=10.6 years, standard deviation=0.7) from 24 Girl Scout troops. Intervention: Six 90-minute sessions focusing on media literacy and advocacy skills. Main outcome measures: Evaluation focused on program satisfaction and short-term effect on dieting behaviors, body image attitudes, and media knowledge, attitudes, and habits. Statistical analyses: performed t tests, χ2 tests, and analyses of covariance including troop as a random source of variation. Results: At baseline, 29% of the girls were trying to lose weight. The program had a notable positive influence on media-related attitudes and behaviors including internalization of sociocultural ideals, self-efficacy to impact weight-related social norms, and print media habits. A modest program effect on body-related knowledge and attitudes was apparent at post-intervention (ie, on body size acceptance, puberty knowledge, and perceived weight status) but not at follow-up. Significant changes were not noted for dieting behaviors, but they were in the hypothesized direction. Satisfaction with the program was high among girls, parents, and leaders. Applications/conclusions: It is feasible to use community youth settings, such as the Girl Scouts, to implement interventions to prevent disordered eating behaviors. The program led to positive trends in outcome variables; however, longer and more intensive interventions are needed for lasting changes in body image and dieting behaviors.

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