TY  - JOUR
A1  - Warschburger, Petra
A1  - Zitzmann, Jana
T1  - The efficacy of a universal school-based prevention program for eating disorders among German adolescents
BT  - results from a randomized-controlled trial
JF  - Journal of youth and adolescence : a multidisciplinary research publication
N2  - Disordered eating is highly prevalent during adolescence and has a detrimental effect on further development. Effective prevention programs are needed to prevent unhealthy developmental trajectories. This study evaluated the efficacy of the POPS-program (POtsdam Prevention at Schools), a universal school-based eating disorder prevention program for adolescents. In a cluster-randomized design, we compared the intervention group receiving the prevention program to a waiting control group. Outcomes included indicators of disordered eating and relevant risk factors for eating disorders (body dissatisfaction, internalization of the thin ideal, perceived media pressure, perfectionism, emotional element of exercise, social comparison, and perceived teasing). Questionnaires were administered at the start of the intervention, 3 and 12 months post intervention. At baseline, 1112 adolescents aged 10 to 16 years participated (49% girls; 51% intervention group). Intention-to-treat analyses with the complete data set and per-protocol analyses as a completer analysis were performed. The intervention group showed a more favorable course compared to the control group regarding all observed risk factors for eating disorders except for perceived teasing. Effect sizes were small but comparable to other primary prevention programs. At 1-year follow-up, a small but significant effect on disordered eating was observed. Results of the per-protocol analyses were mostly confirmed by the intention-to-treat analyses. Results were promising for both genders although girls benefited more regarding disordered eating and internalization of the thin ideal. Further studies are warranted examining successful program elements and whether gender-specific programs are needed.
KW  - Eating disorders
KW  - Evaluation
KW  - Primary prevention
KW  - Adolescents
KW  - School-based
KW  - RCT
Y1  - 2018
U6  - https://doi.org/10.1007/s10964-018-0852-3
SN  - 0047-2891
SN  - 1573-6601
VL  - 47
IS  - 6
SP  - 1317
EP  - 1331
PB  - Springer
CY  - New York
ER  - 
TY  - JOUR
A1  - Salzwedel, Annett
A1  - Wegscheider, Karl
A1  - Schulz-Behrendt, Claudia
A1  - Dörr, Gesine
A1  - Reibis, Rona Katharina
A1  - Völler, Heinz
T1  - No impact of an extensive social intervention program on return to work and quality of life after acute cardiac event: a cluster-randomized trial in patients with negative occupational prognosis
JF  - International archives of occupational and environmental health
N2  - Objectives To examine the effectiveness of extensive social therapy intervention during inpatient multi-component cardiac rehabilitation (CR) on return to work and quality of life in patients with low probability of work resumption after an acute cardiac event. Methods Patients after acute cardiac event with negative subjective expectations about return to work or unemployment (n = 354) were included and randomized in clusters of 3-6 study participants. Clusters were randomized for social counseling and therapy led by a social worker, six sessions of 60 min each in 3 weeks, or control group (usual care: individual counseling meeting by request). The return to work (RTW) status and change in quality of life (QoL, short form 12: Physical and Mental Component Summary PCS and MCS) 12 months after discharge from inpatient CR were outcome measures. Results The regression model for RTW showed no impact of the intervention (OR 1.1, 95% CI 0.6-2.1, P = 0.79; n = 263). Predictors were unemployment prior to CR as well as higher anxiety values at discharge from CR. Likewise, QoL was not improved by social therapy (linear mixed model: Delta PCS 0.3, 95% CI - 1.9 to 2.5; P = 0.77; n = 177; Delta MCS 0.7, 95% CI - 1.9 to 3.3; P = 0.58; n = 215). Conclusions In comparison to usual care, an intensive program of social support for patients during inpatient cardiac rehabilitation after an acute cardiac event had no additional impact on either the rate of resuming work or quality of life.
KW  - Social work
KW  - Cardiac rehabilitation
KW  - Return to work
KW  - Quality of life
KW  - Acute coronary syndrome
KW  - RCT
Y1  - 2019
U6  - https://doi.org/10.1007/s00420-019-01450-3
SN  - 0340-0131
SN  - 1432-1246
VL  - 92
IS  - 8
SP  - 1109
EP  - 1120
PB  - Springer
CY  - New York
ER  -