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Prevention Science

Erschienen in:

01.04.2016

Effectiveness and Cost-effectiveness of School-based Dissemination Strategies of an Internet-based Program for the Prevention and Early Intervention in Eating Disorders: A Randomized Trial

verfasst von: Markus Moessner, Carla Minarik, Fikret Ozer, Stephanie Bauer

Erschienen in: Prevention Science | Ausgabe 3/2016

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Abstract

Only little is known about costs and effects (i.e., success) of dissemination strategies, although cost-effective dissemination strategies are crucial for the transfer of interventions into routine care. This study investigates the effects and cost-effectiveness of five school-based dissemination strategies for an Internet-based intervention for the prevention and early intervention of eating disorders. Three-hundred ninety-five schools were randomly assigned to one of five dissemination strategies. Strategies varied with respect to intensity from only sending advertisement materials and asking the school to distribute them among students to organizing presentations and workshops at schools. Effects were defined as the number of page visits, the number of screenings conducted, and the number of registrations to the Internet-based intervention. More expensive strategies proved to be more cost-effective. Cost per page visit ranged from 2.83€ (introductory presentation plus workshop) to 20.37€ (dissemination by student representatives/peers). Costs per screening ranged from 3.30€ (introductory presentation plus workshop) to 75.66€ (dissemination by student representatives/peers), and costs per registration ranged from 6.86€ (introductory presentation plus workshop) to 431.10€ (advertisement materials only). Dissemination of an Internet-based intervention for prevention and early intervention is challenging and expensive. More intense, expensive strategies with personal contact proved to be more cost-effective. The combination of an introductory presentation on eating disorders and a workshop in the high school was most effective and had the best cost-effectiveness ratio. The sole distribution of advertisement materials attracted hardly any participants to the Internet-based program.

It is important to note that these schools are no study drop-outs. In contrast to efficacy trials, in this study, the willingness to participate is part of the effect/success of the respective dissemination strategy. Therefore, all costs related to approaching these schools were included in the analyses even though there was no effect of the respective strategy in these schools.

Atkinson, M. J., & Wade, T. D. (2013). Enhancing dissemination in selective eating disorders prevention: An investigation of voluntary participation among female university students. Behaviour Research and Therapy, 51, 806–816.CrossRefPubMed

Bauer, S., Moessner, M., Wolf, M., Haug, S., & Kordy, H. (2009). ES [S] PRIT–an Internet-based programme for the prevention and early intervention of eating disorders in college students. British Journal of Guidance & Counselling, 37, 327–336.CrossRef

Bauer, S., Papezova, H., Chereches, R., Caselli, G., McLoughlin, O., Szumska, I., van Furth, E., Ozer, F., & Moessner, M. (2013). Advances in the prevention and early intervention of eating disorders: The potential of Internet-delivered approaches. Mental Health & Prevention, 1, 26–32.CrossRef

Becker, C. B., Ciao, A. C., & Smith, L. M. (2008). Moving from efficacy to effectiveness in eating disorders prevention: The sorority body image program. Cognitive and Behavioral Practice, 15, 18–27.CrossRef

Becker, C. B., Stice, E., Shaw, H., & Woda, S. (2009). Use of empirically supported interventions for psychopathology: Can the participatory approach move us beyond the research-to-practice gap? Behaviour Research and Therapy, 47, 265–274.CrossRefPubMedPubMedCentral

Bennett, G. G., & Glasgow, R. E. (2009). The delivery of public health interventions via the internet: Actualizing their potential. Annual Review of Public Health, 30, 273–292.CrossRefPubMed

Buller, D. B., Meenan, R., Severson, H., Halperin, A., Edwards, E., & Magnusson, B. (2012). Comparison of 4 recruiting strategies in a smoking cessation trial. American Journal of Health Behavior, 36, 577–588.CrossRefPubMedPubMedCentral

Frantz, I., Stemmler, M., Hahlweg, K., Plück, J., & Heinrichs, N. (2015). Experiences in disseminating evidence-based prevention programs in a real-world setting. Prevention Science. Advance online publication. Retrieved from http://link.springer.com/article/10.1007/s11121-015-0554-y

Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93, 1261–1267.CrossRefPubMedPubMedCentral

Glasgow, R. E., Vinson, C., Chambers, D., Khoury, M. J., Kaplan, R. M., & Hunter, C. (2012). National Institutes of health approaches to dissemination and implementation science: Current and future directions. American Journal of Public Health, 102, 1274–1281.CrossRefPubMedPubMedCentral

Gordon, J. S., Akers, L., Severson, H. H., Danaher, B. G., & Boles, S. M. (2006). Successful participant recruitment strategies for an online smokeless tobacco cessation program. Nicotine & Tobacco Research, 8, 35–41.CrossRef

Graham, A. L., Milner, P., Saul, J. E., & Pfaff, L. (2008). Online advertising as a public health and recruitment tool: Comparison of different media campaigns to increase demand for smoking cessation interventions. Journal of Medical Internet Research, 10, e50.CrossRefPubMedPubMedCentral

Graham, A. L., Fang, Y., Moreno, J. L., Streiff, S. L., Villegas, J., Munoz, R. F., Tercyak, K. P., Mandelblatt, J. S., & Vallone, D. M. (2012). Online advertising to reach and recruit Latino smokers to an internet cessation program: Impact and costs. Journal of Medical Internet Research, 14, e116.CrossRefPubMedPubMedCentral

Gross, M. S., Liu, N. H., Contreras, O., Muñoz, R. F., & Leykin, Y. (2014). Using Google AdWords for international multilingual recruitment to health research websites. Journal of Medical Internet Research, 16, e18.CrossRefPubMedPubMedCentral

Lindenberg, K., & Kordy, H. (2015). Wirksamkeit eines gestuften, Internet-vermittelten Ansatzes zur Prävention von Essstörungen bei Schülern der 7.bis 10.Klasse [Efficacy of a stepped, Internet-delivered approach for the prevention of eating disorders in high school]. Kindheit und Entwicklung, 24, 55–63.CrossRef

Lindenberg, K., Moessner, M., Harney, J., McLaughlin, O., & Bauer, S. (2011). E-Health for individualized prevention of eating disorders. Clinical Practice and Epidemiology in Mental Health, 7, 74–83.CrossRefPubMedPubMedCentral

Melville, K. M., Casey, L. M., & Kavanagh, D. J. (2010). Dropout from Internet-based treatment for psychological disorders. British Journal of Clinical Psychology, 49, 455–471.CrossRefPubMed

Minarik, C., Moessner, M., Ozer, F., & Bauer, S. (2013). Implementierung und Dissemination eines internetbasierten Programms zur Prävention und frühen Intervention bei Essstörungen [Implementation and Dissemination of an Internet-based Program for Prevention and Early Intervention in Eating Disorders]. Psychiatrische Praxis, 40, 332–338.CrossRefPubMed

Morgan, A. J., Jorm, A. F., & Mackinnon, A. J. (2013). Internet-based recruitment to a depression prevention intervention: Lessons from the Mood Memos study. Journal of Medical Internet Research, 15, e31.CrossRefPubMedPubMedCentral

Muñoz, R. F., Beardslee, W. R., & Leykin, Y. (2012). Major depression can be prevented. American Psychologist, 67, 285–295.CrossRefPubMedPubMedCentral

O’Connell, M. E., Boat, T., & Warner, K. E. (Eds.). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington DC: National Academies Press.

Ruby, A., Marko-Holguin, M., Fogel, J., & Van Voorhees, B. W. (2013). Economic analysis of an internet-based depression prevention intervention. Journal of Mental Health Policy and Economics, 16, 121–130.PubMed

Shaw, H., Stice, E., & Becker, C. B. (2009). Preventing eating disorders. Child and Adolescent Psychiatric Clinics of North America, 18, 199–207.CrossRefPubMedPubMedCentral

Smit, E. S., Hoving, C., Cox, V. C. M., & de Vries, H. (2012). Influence of recruitment strategy on the reach and effect of a web-based multiple tailored smoking cessation intervention among Dutch adult smokers. Health Education Research, 27, 191–199.CrossRefPubMed

Stanczyk, N., Bolman, C., Smit, E., Candel, M., Muris, J., & de Vries, H. (2014). How to encourage smokers to participate in web-based computer-tailored smoking cessation programs: A comparison of different recruitment strategies. Health Education Research, 29, 23–40.CrossRefPubMed

Stice, E., & Shaw, H. (2004). Eating disorder prevention programs: A meta-analytic review. Psychological Bulletin, 130, 206–227.CrossRefPubMed

Stice, E., Shaw, H., & Marti, C. N. (2007). A meta-analytic review of eating disorder prevention programs: Encouraging findings. Annual Review of Clinical Psychology, 3, 207–231.CrossRefPubMed

Stice, E., Rohde, P., Shaw, H., & Marti, C. N. (2012). Efficacy trial of a selective prevention program targeting both eating disorder symptoms and unhealthy weight gain among female college students. Journal of Consulting and Clinical Psychology, 80, 164–170.CrossRefPubMedPubMedCentral

Taylor, C. B., Bryson, S., Luce, K. H., Cunning, D., Doyle, A. C., Abascal, L. B., Rockwell, R., Dev, P., Winzelberg, A. J., & Wilfley, D. E. (2006). Prevention of eating disorders in at-risk college-age women. Archives of General Psychiatry, 63, 881–888.CrossRefPubMed

Titel: Effectiveness and Cost-effectiveness of School-based Dissemination Strategies of an Internet-based Program for the Prevention and Early Intervention in Eating Disorders: A Randomized Trial
verfasst von: Markus Moessner
Carla Minarik
Fikret Ozer
Stephanie Bauer
Publikationsdatum: 01.04.2016
Verlag: Springer US
Erschienen in: Prevention Science / Ausgabe 3/2016
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI: https://doi.org/10.1007/s11121-015-0619-y

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Effectiveness and Cost-effectiveness of School-based Dissemination Strategies of an Internet-based Program for the Prevention and Early Intervention in Eating Disorders: A Randomized Trial

Abstract

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

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