ABSTRACT

Although disordered eating is prevalent in college women, most will not receive treatment, and existing approaches have limitations. Thus, novel and accessible approaches are warranted. However, few behavioral health interventions progress beyond initial implementation, underscoring the importance of feasibility and acceptability data to guide intervention development and refinement. Stakeholder perspectives can enrich these data, as they can highlight potential mechanisms to investigate in larger randomized-controlled trials (RCTs). The current study examined participant and leader feedback from an 8-week pilot intuitive eating (IE) intervention for college women with disordered eating delivered through group and guided self-help (GSH) modalities. Participants (N = 71) and leaders (N = 8) completed anonymous weekly surveys and exit questionnaires. Overall, the intervention was acceptable and feasible for both participants and leaders. Unique benefits of each modality, such as validation and support in group, and individualization and convenience in GSH, contributed to participant satisfaction and efficacy. Moreover, potential mechanisms of intervention effects, such as interoceptive awareness and self-compassion, were cited in both conditions, and should be explored in a future, fully-powered RCT. Areas for potential refinement include extending the intervention, assessing a hybrid treatment, online delivery, and careful design of a control condition to isolate the intervention’s mechanisms of change.

摘要

尽管饮食失调在大学女性中很普遍，但大多数人不会接受治疗，现有的方法也有局限性。因此，有必要采用新颖且可访问的方法。然而，很少有行为健康干预措施在初步实施之后取得进展，这强调了可行性和可接受性数据对指导干预措施开发和改进的重要性。利益相关者的观点可以丰富这些数据，因为它们可以突出在更大的随机对照试验 (RCT) 中进行调查的潜在机制。目前的研究检查了参与者和领导者从为期 8 周的试点直观饮食 (IE) 干预中获得的反馈，该干预针对通过小组和引导式自助 (GSH) 方式提供的饮食失调的大学女性。参与者（N = 71）和领导者（N= 8) 完成匿名每周调查和退出问卷。总体而言，干预对参与者和领导者来说都是可以接受和可行的。每种模式的独特优势，例如小组验证和支持，以及 GSH 的个性化和便利性，有助于提高参与者的满意度和有效性。此外，在这两种情况下都引用了干预效果的潜在机制，例如内感受意识和自我同情，应在未来的全功率 RCT 中进行探索。潜在改进的领域包括扩展干预、评估混合治疗、在线交付和仔细设计控制条件以隔离干预的变化机制。