Reduction of Overweight and Eating Disorder Symptoms via the Internet in Adolescents: A Randomized Controlled Trial
Received 2 April 2007; accepted 11 January 2008. published online 02 May 2008.
Abstract
Purpose
Overweight in adolescence is a significant problem which is associated with body dissatisfaction and eating disorder (ED) behaviors. Cost-effective methods for early intervention of obesity and prevention of ED are important because of the refractory nature of both. This multisite RCT evaluated an Internet-delivered program targeting weight loss and ED attitudes/behaviors in adolescents.
Methods
A total of 80 overweight adolescents 12–17 years of age completed Student Bodies 2 (SB2), a 16-week cognitive–behavioral program, or usual care (UC).
Results
Body mass index (BMI) z-scores were reduced in the SB2 group compared with the UC group from baseline to post-intervention (p = .027; ηp2 = .08). The SB2 group maintained this reduction in BMI z-scores at 4-month follow-up, but significant differences were not observed because of improvement in the UC group. The SB2 group evidenced greater increases in dietary restraint post-intervention (p = .016) and less improvement on shape concerns at follow-up (p = .044); however these differences were not clinically significant. No other statistically significant differences were noted between groups on ED attitudes or behaviors. The SB2 participants reported using healthy eating–related and physical activity–related skills more frequently than UC participants post-intervention (p = .001) and follow-up (p = .012).
Conclusions
Findings suggest that an Internet-delivered intervention yielded a modest reduction in weight status that continued 4 months after treatment and that ED attitudes/behaviors were not significantly improved. Group differences on weight loss were not sustained at 4-month follow-up because of parallel improvements in the groups. Future studies are needed to improve program adherence and to further explore the efficacy of Internet-delivery of weight control programs for adolescents.
aDepartment of Psychiatry, The University of Chicago, Chicago, Illinois
bDepartment of Psychology, Washington University, St. Louis, Missouri
cDepartment of Nutrition, Food Studies & Public Health, New York University, New York, New York
dDepartment of Psychiatry & Behavioral Science, Stanford University, Palo Alto, California
eDepartment of Psychiatry, Washington University, St. Louis, Missouri
Address correspondence to: Angela Celio Doyle, Ph.D., The University of Chicago, Department of Psychiatry, 5841 S. Maryland Avenue, MC 3077, Chicago, IL 60637.
ABSTRACT