Evaluating reach, adoption, implementation and maintenance of Internet-based interventions to prevent eating disorders in adolescents: a systematic review.

Background Past research has yielded promising results on the effectiveness of Internet-based interventions to prevent eating disorders (EDs) in adolescents, but further information is needed to evaluate the public health impact of their large-scale dissemination. This article used an established fr...

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Publicado en:European Journal of Public Health Vol. 30; no. 1; pp. 179 - 189
Autores principales: Zeiler, Michael, Kuso, Stefanie, Nacke, Barbara, Klesges, Lisa M, Waldherr, Karin
Formato: research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Evaluating reach, adoption, implementation and maintenance of Internet-based interventions to prevent eating disorders in adolescents: a systematic review.
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        au:
          Zeiler, Michael
          Kuso, Stefanie
          Nacke, Barbara
          Klesges, Lisa M
          Waldherr, Karin
        affil: Eating Disorder Unit, Department for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria
      sug:
        subj:
          Eating Disorders Prevention and Control
          Internet
          Public Health
          Health Promotion Evaluation
          Conceptual Framework
          Universal Health Care
          Attitude to Health Evaluation
          Community Programs
          Human
          Systematic Review
          Adolescence
          Health Education
          Program Evaluation
          Program Implementation
          PubMed
          Psycinfo
          Coding
          Descriptive Statistics
          School Health Services
          Adolescent: 13-18 years
      ab: Background Past research has yielded promising results on the effectiveness of Internet-based interventions to prevent eating disorders (EDs) in adolescents, but further information is needed to evaluate the public health impact of their large-scale dissemination. This article used an established framework to systematically review the extent to which indicators of the reach, effectiveness, adoption, implementation and maintenance [cf. Reach-Effectiveness-Adoption-Implementation-Maintenance (RE-AIM)-framework] of universal and targeted online ED prevention programmes are reported in the literature, in order to estimate their future dissemination potential. Methods The literature search was conducted on PubMed, Web of Science and PsycINFO, and complemented by searching existing reviews and the reference lists of the studies included. Twenty-two studies published between 2000 and April 2019 met the inclusion criteria. We extracted data on a total of 43 indicators, within RE-AIM dimensions for each article, including qualitative coding of fostering and hindering factors. Results Reach (55.0%) and implementation (54.0%) were the dimensions reported on most frequently, followed by effectiveness (46.8%), adoption (34.7%) and maintenance (18.2%). While internal validity indicators were frequently reported (e.g. sample size, effects and intervention intensity), most studies failed to report on elements of external validity, such as representativeness of participants and settings, adoption rates, implementation costs and programme sustainability. Conclusions Evidence indicates that Internet-based ED prevention programmes can reach a large number of adolescents and can be feasibly implemented in school settings. However, given the paucity of large-scale dissemination studies available for review, the degree to which schools are willing to adopt preventive interventions, as well as the transferability of programmes to different settings and geographical regions remains unclear.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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