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Prevention Across the Spectrum: A randomized-controlled trial of three programs to reduce risk factors for both eating disorders and obesity

Prevention Across the Spectrum: A randomized-controlled trial of three programs to reduce risk factors for both eating disorders and obesity

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12616000650493
Acronym
PAS
Enrollment
1316
Registered
2016-05-19
Start date
2011-05-02
Completion date
2012-06-04
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The Prevention Across the Spectrum (PAS) project builds on previous school-based eating disorder prevention research by Dr Simon Wilksch and Prof Tracey Wade as well as a considerable body of prevention work by Prof Susan Paxton (LaTrobe University) and work in the area of obesity by Dr Sue Byrne (University of Western Australia). In brief, the PAS project will compare the effect of three prevention programs on risk factors for both eating disorders and obesity, in a controlled trial with Grade 7 male and female students across South Australia, Victoria and Western Australia. Two of the interventions, Media Smart (MS: Wilksch & Wade, 2009) and Happy Being Me (HBM: Richardson & Paxton, in press), have been found to be promising eating disorder risk reduction programs. However, their effect on risk factors for obesity has not yet been evaluated and this is the key aim of the current project - to see if it is possible for individual programs to reduce the risk of both eating disorders and obesity developing. Happy Being Me is a 3-lesson program that was adapted into an 8-lesson program titled Helping, Encouraging, Listening and Protecting Peers (HELPP) for the current study (so that all 3 programs were of the same length to rule out dose-response as a reason for differences across the groups). These two interventions will be compared to a control group and a program developed for the purpose of this study, Life Smart (LS). While MS and HBM were originally developed to directly target eating disorder risk factors, LS is designed to focus more on obesity risk factors and is informed by aspects of previous successful school-based obesity prevention programs (e.g., Gortmaker et al., 1999).

Interventions

Three school-based programs for students in Grades 7 and 8, where classes were randomly assigned to receive either 1 of the 3 programs or attend their usual classes (control condition). Each program was 8 X 45-minute lessons in duration and was delivered at the rate of 2 lessons per week (i.e., 4-weeks total). Programs were presented by postgraduate clinical psychology students who attended a 6 hour training workshop delivered by the Chief Investigator. Presenters received training in all thre

Three school-based programs for students in Grades 7 and 8, where classes were randomly assigned to receive either 1 of the 3 programs or attend their usual classes (control condition). Each program was 8 X 45-minute lessons in duration and was delivered at the rate of 2 lessons per week (i.e., 4-weeks total). Programs were presented by postgraduate clinical psychology students who attended a 6 hour training workshop delivered by the Chief Investigator. Presenters received training in all three programs and were required to deliver each program in order to reduce the likelihood of presenter effects contaminating program outcomes. Each program involved interactive classroom learning activities (e.g., role plays, small group presentations) and involved an accompanying student workbook. The three programs were: 1) Media Smart; 2) Life Smart; and, 3) the Helping, Encouraging, Listening and Protecting Peers Initiative (HELPP). Media Smart targeted media internalisation, a prospectively identified eating disorder risk factor; Life Smart targeted a range of contributors to health including nutrition, physical activity, emotional and social well being. HELPP targeted appearance-based conversations, another identified risk factor for disordered eating.

Sponsors

Dr Simon Wilksch
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
11 Years to 14 Years
Healthy volunteers
Yes

Inclusion criteria

No inclusion criteria other than: being a student in Grades 7 or 8 at participating schools and parental consent

Exclusion criteria

Student not wishing to participate or parental consent not received

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026