Comparison of face-to-face and internet interventions for body image and eating problems in adult women: an RCT

Int J Eat Disord. 2007 Dec;40(8):692-704. doi: 10.1002/eat.20446.

Abstract

Objective: The aim of this study was to compare the outcomes following an eight-session, small group, therapist-led, intervention for body dissatisfaction, and disordered eating in adult women, delivered either in face-to-face or synchronous, internet mode.

Method: Community women with high body dissatisfaction and internet access were randomly assigned to either face-to-face delivery (N = 42), internet delivery (N = 37), or delayed treatment control (N = 37). All groups were assessed at baseline and 8-9 weeks later. The intervention groups were reassessed at 6-months follow-up.

Results: Both intervention groups showed large improvements in body dissatisfaction compared with the delayed treatment control and these improvements were maintained at follow-up. However, posttreatment improvements were greater in the face-to-face than internet intervention.

Conclusion: In adult women, it is desirable to deliver the body image intervention in a face-to-face mode, but the internet mode is effective and has the potential to increase access to therapy.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Body Image*
  • Body Mass Index
  • Feeding and Eating Disorders / diagnosis
  • Feeding and Eating Disorders / psychology
  • Feeding and Eating Disorders / therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Internet*
  • Personality Inventory
  • Professional-Patient Relations*
  • Psychotherapy, Group*
  • Therapy, Computer-Assisted*
  • Treatment Outcome