Diabetes Body Project: Acute Effects of an Eating Disorder Prevention Program for Young Women With Type 1 Diabetes. A Multinational Randomized Controlled Trial.

Diabetes care Pub Date : 2025-02-01 DOI:10.2337/dc24-1599
Mareille H C L Hennekes, Severina Haugvik, Maartje de Wit, Elena Toschi, Christopher D Desjardins, Torild Skrivarhaug, Knut Dahl-Jørgensen, Eric Stice, Line Wisting
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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 = -0.30, 95% CI -0.06, -0.69) (primary outcome), diabetes distress (d = -0.42), quality of life (d = 0.39) and dietary restraint (d = -0.31), and medium effect sizes for diabetes-specific disordered eating behaviors (d = -0.70), body dissatisfaction (d = -0.59), and pursuit of thin appearance ideal (d = -0.56).

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.

糖尿病身体项目:针对 1 型糖尿病年轻女性的饮食紊乱预防计划的急性效果:一项多国随机对照试验。
目的:患有 1 型糖尿病的年轻女性有罹患饮食失调症(ED)的风险。我们在一项多国随机对照试验中评估了一项新型的进食障碍预防计划:患有 1 型糖尿病的女性(14-35 岁)被随机分配到虚拟糖尿病身体项目组或教育对照组。结果:与教育对照组(14 人)相比,虚拟糖尿病肢体项目组的干预效果更好:结果:与教育对照组(146 人)相比,糖尿病肢体项目参与者(147 人)在以下方面有显著改善(所有 P 均小于 0.05):ED 症状(d = -0.30, 95% CI -0.06, -0.69)(主要结果)、糖尿病困扰(d = -0.42)、生活质量(d = 0.39)和饮食节制(d = -0.31),以及糖尿病特异性饮食紊乱行为(d = -0.70)、身体不满意(d = -0.59)和追求苗条外表理想(d = -0.56)的中等效应大小:结论:与教育对照组相比,"糖尿病身体项目 "产生的急性效应明显更大,效应大小为中小型,具有广泛实施的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
29.50
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