Real-world effectiveness of a German school-based intervention for primary prevention of anorexia nervosa in preadolescent girls

Wick, Katharina; Brix, Christina; Bormann, Bianca; Sowa, Melanie; Strauß, Bernhard; Berger, Uwe

doi:10.1016/j.ypmed.2010.11.022

Cited by 30 publications

(33 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Im Rahmen des BMBF-Projekts wurde unter anderem die Wirksamkeit eines primärpräventiven Programms gegen Magersucht (kurz "PriMa") untersucht [21]. An der Prä-Post-Kontrollgruppenstudie [22] nahmen im Schuljahr 2007/2008 1553 Schülerinnen der 6. Klasse aus 92 Thüringer Schulen teil, die zum hier relevanten ersten Messzeitpunkt (Base line-Erhebung ohne Gruppenzuordnung und Intervention) zwischen elf und 14 Jahre alt waren.…”

Section: Introductionunclassified

BMI-Selbstauskünfte

Wick

Holling

Schlack

et al. 2011

Bundesgesundheitsbl.

View full text Add to dashboard Cite

The decision to measure or to ask about data concerning height and weight in order to calculate body mass index (BMI) has an influence on the economy and validity of the measurements. Although self-reported information is less expensive, this information may possibly have a bias on the determined prevalences of different weight groups. Using representative data from the KiGGS study with a comparison of directly measured and self-reported BMI data, Kurth and Ellert (2010) developed two correction formulas for prevalences resulting from self-reported information. The aim of the study was to examine the practicability of the proposed correction formulas on our own data concerning self-reported BMI data of 11- to 13-year-old girls (n=1,271) and to assess the plausibility of the corrected measurements. As a result, the prevalences of our own data changed in the expected direction both for underweight and for overweight. Both formulas were found to be practicable, the consideration of the subjective weight status (formula 2) resulted in a greater change in prevalences compared to the first correction formula.

show abstract

Section: Introductionunclassified

BMI-Selbstauskünfte

Wick

Holling

Schlack

et al. 2011

Bundesgesundheitsbl.

View full text Add to dashboard Cite

show abstract

“…As mentioned before, no randomized group allocation could be realized. Instead, we applied a post-hoc parallelization in this study to control for possible confounders such as age (age range was 11 to 14 years), type of school and time period between pre-and post-measurement (see Wick et al 2011). To sum up, we found significant effects of the PriMa-intervention on ANrelated knowledge and body self esteem again, but no improvements on eating attitudes.…”

Section: How Barbie Helps To Prevent Anorexiamentioning

confidence: 90%

“…PriMa as well as the other programs of our comprehensive toolbox for the promotion of healthy eating and physical activity in schools, which will be referred to later, were described in detail in a German book (Berger 2008) as well as in several research articles with a special focus on program evaluation (Wick et al 2011;Berger et al 2008). To give an overview, basic contents of PriMa as well as the other programs will be briefly outlined in two tables (Table 1 and 2) as an application of first, the so called "circular HEPS quality model" and second, the "HEPS quality checklist" offered from the "HEPS inventory tool" (HEPS = "Health Promoting School Approach", see Dadaczynski et al 2010;StewartBrown 2006).…”

Section: How Barbie Helps To Prevent Anorexiamentioning

confidence: 99%

“…From a scientific point of view, it is difficult to evaluate the project as a whole. To ensure the quality of our concept, we first applied the so called CON-SORT-Statement (Schulz et al 2010) to make the evaluation of every single program evaluation transparent (see Wick et al 2011). Following the Oxford levels of evidence grading system, our evaluation studies reached evidence level 2b "Individual cohort study" on the scale from 1a "Systematical Review of RCTs" to 5 "Expert Opinion", see e. g. http://www2.cch.org.tw/ebm/file/CEBM-Levels-ofEvidence.pdf).…”

Section: Lessons Learnedmentioning

confidence: 99%

See 1 more Smart Citation

Primary prevention of eating-related problems in the real world

et al. 2011

Self Cite

View full text Add to dashboard Cite

Aim: As known from meta-analyses, prevention programs for eating disorders yield significant effects under ideal conditions. However, it is still unclear how these programs can be more widely disseminated. Since 2004 in Thuringia, Germany, several programs for preadolescent girls and boys (aged 10 to 15 years) covering a wide geographical range have been developed in order to prevent eating-related problems. Subjects and Methods: Over 3,500 pupils and more than 100 schools participated in the internal evaluation following the three-step standard of the Society of Prevention Research (SPR). To examine the program efficacy (step 1) and effectiveness (step 2), we conducted pre-post design studies with control groups. In order to describe the implementation process and the program dissemination (step 3), the Health Promoting School Approach (HEPS) was applied. Results: Girls (6th grade) showed significant improvements in eating attitudes and self esteem about their bodies, whereas boys only improved their knowledge about eating and physical activity. The evaluations of the programs for 7th and 8th graders are still pending. On the HEPS checklist, our health promotion concept fulfilled 64 points out of a maximum of 74, which indicates a high intervention quality. Conclusion: Broad dissemination of prevention programs requires methodological compromises and organizational flexibility. Quality assurance should be considered to be as important as the optimal level of evidence, which depends on the needs of all stakeholders and could not be derived from the standards for clinical studies. Furthermore, health promotion needs political support that is independent of legislative periods and the turnover of institutional staff

show abstract

“…role plays, exercises, analyses of film sequences, poster discussions) regarding the most relevant issues related to AN. Based on the cognitive dissonance theory (Festinger, 1957), the girls discuss normal AN-related issues (ideals of beauty, rebellion, power), problematic issues (loss of control, distorted body image, suicidal thoughts) and clinical issues (rigid rituals of eating, weight phobia, depression) (for further information, see Berger (2008); Wick et al (2011)). In order to implement the program under real world conditions and to ensure Changing roles, being aware of the danger of thinness further dissemination, the responsible teachers were trained prior to the program in order to be able to independently administer the program.…”

Section: The Primary Prevention Program Primamentioning

confidence: 99%