Objective
The Internetâbased Healthy Body Image (HBI) Program, which uses online screening to identify individuals at low risk of, high risk of, or with an eating disorder (ED) and then directs users to tailored, evidenceâbased online or inâperson interventions to address individuals' risk or clinical status, was deployed at 28âU.S. universities as part of a randomized controlled trial. The purpose of this study is to report on: (a) reach of HBI, (b) screen results, and (c) differences across ED status groups.
Method
All students on participating campuses ages 18âyears or older were eligible, although recruitment primarily targeted undergraduate females.
Results
The screen was completed 4,894 times, with an average of 1.9% of the undergraduate female student body on each campus taking the screen. ED risk in participating students was highânearly 60% of students screened were identified as being at high risk for ED onset or having an ED. Key differences emerged across ED status groups on demographics, recruitment method, ED pathology, psychiatric comorbidity, and ED risk factors, highlighting increasing pathology and impairment in the highârisk group.
Discussion
Findings suggest efforts are needed to increase reach of programs like HBI. Results also highlight the increasing pathology and impairment in the highârisk group and the importance of programs such as HBI, which provide access to timely screening and intervention to prevent onset of clinical EDs.