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REbeL peer education: A model of a voluntary, after-school program for eating disorder prevention

机译：反叛同伴教育：自愿，课后饮食预防计划的模型

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Dissonance-based eating disorder prevention leads to decreases in risk factors for these disorders. Although controlled trials have demonstrated that targeted, manualized programs reduce eating disorder risk, concerns regarding implementation and dissemination remain. A primary concern is the difficulty in adapting programs for a high school setting for populations at highest risk: adolescents. This paper describes the REbeL Peer Education model and assesses the initial pilot trials of the intervention. The program is novel in that it utilizes a voluntary, self-selection model that is sustainable in a high school setting, and focuses on empowerment and effective cognitive dissonance based prevention activities. High school peer-educators self-selected into the semi-manualized dissonance based intervention. Group activities were peer led, designed to critique the thin ideal, and designed to empower macro (school and larger community wide) changes in the pilot trial (N = 47) assess the effectiveness and feasibility of the intervention. Results of the initial pilot study revealed preliminary support for the feasibility of the program, increases in feelings of empowerment, and decreases in eating disorder cognitions and behaviors with moderate to large effect sizes. Feedback from participants indicated that the intervention was enjoyable, educational, and empowering. This study is the first to adapt dissonance-based prevention models to a semi-manualized, peer-led, prevention program integrated into high school settings. (c) 2016 Elsevier Ltd. All rights reserved.
机译：不和谐的饮食障碍预防导致这些疾病的风险因素降低。虽然受控试验已经证明了目标，手动化方案降低饮食障碍风险，但仍然存在关于实施和传播的担忧。一个主要关注的是难以调整计划的高中环境，以获得最高风险的人口：青少年。本文介绍了反叛同行教育模式，并评估了干预的最初试验试验。该计划是新颖的，因为它利用了一个在高中环境中可持续的自愿的自我选择模型，并专注于赋予基于赋权和有效的认知不分散的预防活动。高中同行教育工作者自选择分为半手动消散的干预干预。集团活动是对等领导，旨在批评薄的理想，并设计为宏观（学校和较大的社区广泛）的试验试验（N = 47）的变化评估干预的有效性和可行性。最初的试验研究结果显示了对计划的可行性初步支持，赋权的感觉增加，并减少了饮食障碍认知和中度到大效果大小的行为。与会者的反馈表明干预是令人愉快，教育和赋权的。本研究是第一个将基于不和谐的预防模型适应半身手动，同行LED的预防计划集成到高中设置。 （c）2016 Elsevier Ltd.保留所有权利。

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