OBJECTIVE Evaluate whether the Body Project prevention program reduces eating disorder risk factors and symptoms when implemented via synchronous video telepsychiatry, which could markedly increase the reach of this intervention and test whether a pay-it-forward donation model could support sustained implementation of this intervention. METHOD Young women at high risk for eating disorders because of body image concerns (N = 75; age range 16-27) were randomized to Body Project groups delivered virtually by peer educators or a waitlist control condition; participants who completed the Body Project for free because of past donations were encouraged to donate money so that this intervention could be provided for free to others. RESULTS Participants randomized to virtually delivered Body Project groups showed significantly or marginally greater pretest-to-posttest reductions in pursuit of the thin ideal, body dissatisfaction, dieting, negative affect, and eating disorder symptoms than controls. The average effect was large (d = .79), which was 49% larger than the average effect observed previously for in-person peer-educator-delivered Body Project groups (d = .53; [.76-.53 = .23/.53 = 49%]). However, only 3.6% of participants donated money to support future implementation of this intervention. CONCLUSIONS The evidence that the Body Project produced large reductions in eating disorder risk factors and symptoms when implemented virtually and that the effects were larger than for in-person Body Project groups suggests it would be useful to implement this prevention program virtually, which could expand the reach of this intervention. Future studies should evaluate alternative methods for supporting sustained implementation of this prevention program. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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虚拟实施基于失调的饮食失调预防计划的有效性以及对支持持续实施的捐赠模式的评估。

目的 评估通过同步视频远程精神病学实施身体项目预防计划是否可以减少饮食失调的危险因素和症状，这可以显着增加该干预措施的覆盖范围，并测试转发捐赠模式是否可以支持该干预措施的持续实施。方法 由于身体形象问题而处于饮食失调高风险的年轻女性（N = 75；年龄范围 16-27）被随机分配到由同伴教育者或候补名单控制条件虚拟授课的身体项目组；我们鼓励因过去的捐款而免费完成身体项目的参与者捐款，以便将这项干预措施免费提供给其他人。结果 随机分配到虚拟身体项目组的参与者在追求瘦身理想、身体不满、节食、负面情绪和饮食失调症状方面表现出显着或略微更大的测试前到测试后减少。平均效果很大 (d = .79)，比之前观察到的面对面同行教育者提供的身体项目小组的平均效果 (d = .53；[.76-.53 = .23) 大 49% /.53 = 49%]）。然而，只有 3.6% 的参与者捐款支持这项干预措施的未来实施。结论 有证据表明，身体项目在虚拟实施时可以大幅减少饮食失调的危险因素和症状，并且效果比面对面的身体项目小组更大，这表明以虚拟方式实施这一预防计划将是有用的，这可以扩大预防计划的范围。这种干预的范围。未来的研究应该评估支持持续实施这一预防计划的替代方法。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。