Engaging teachers in an eating disorder preventive intervention

OBJECTIVE: This study evaluated the effectiveness at 1-year follow-up of a psychoeducational eating disorders preventive intervention implemented by specifically trained teachers. METHOD: Participating teachers participated in a 5-week training program. One hundred forty-one female students attending nine classes at a vocational training school in Mestre (Venice) were assessed via a structured clinical interview (Structured Clinical Interview for DSM-IV Axis I disorders) and via the 40-item Eating Attitudes Test (EAT-40). Three classes were randomly selected to participate in a 6-week prevention program conducted by the trained teachers. RESULTS: Our data show that a disturbing number of the girls who were asymptomatic at baseline had developed a full or partial eating disorder 1 year later. This was the case for 2 (5%) participants and 10 (11%) subjects in the control group. Subjects in the prevention group differed significantly from the control group at the 1-year follow-up. This was the case for their EAT Bulimia subscale scores, which showed a significant improvement. The intervention group also revealed a lower development of food restraint and pathologic body attitudes. DISCUSSION: Given the sample size, our findings must be considered cautiously. However, they suggest that students can benefit from participation in a preventive intervention program conducted by teachers, and the benefits appear to be particularly pronounced for bulimic symptoms.