OBJECTIVE Young women with type 1 diabetes are at risk to develop eating disorders (ED). We evaluated a novel ED prevention program in a multinational randomized controlled trial. RESEARCH DESIGN AND METHODS Women (14–35 years old) with type 1 diabetes were randomized to virtual Diabetes Body Project groups or educational control. Outcomes were assessed at pretest and posttest (1–2 weeks after intervention). RESULTS Compared with educational controls (n = 146), participants in the Diabetes Body Project (n = 147) showed significant improvements (all P < 0.05), with small Cohen’s d effect sizes for ED symptoms (d = −0.30, 95% CI −0.06, −0.69) (primary outcome), diabetes distress (d = −0.42), quality of life (d = 0.39) and dietary restraint (d = −0.31), and medium effect sizes for diabetes-specific disordered eating behaviors (d = −0.70), body dissatisfaction (d = −0.59), and pursuit of thin appearance ideal (d = −0.56). CONCLUSIONS The Diabetes Body Project produced significantly larger acute effects with small to medium effect sizes compared with educational controls and has potential for broad implementation.

中文翻译：

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糖尿病身体项目：饮食失调预防计划对 1 型糖尿病年轻女性的急性影响。一项多国随机对照试验


目的 患有 1 型糖尿病的年轻女性有患饮食失调 （ED） 的风险。我们在一项多国随机对照试验中评估了一种新的 ED 预防计划。研究设计和方法 患有 1 型糖尿病的女性（14-35 岁）被随机分配到虚拟糖尿病身体项目组或教育对照组。在前测和后测（干预后 1-2 周）评估结果。结果与教育对照 （n = 146） 相比，糖尿病身体项目的参与者 （n = 147） 显示出显着改善（均 P < 0.05），ED 症状的 Cohen's d 效应量较小 （d = -0.30,95% CI -0.06， -0.69） （主要结果）、糖尿病困扰 （d = -0.42）、生活质量 （d = 0.39） 和饮食限制 （d = -0.31），糖尿病特异性饮食失调行为的效应量中等 （d = -0.70）， 对身材的不满 （d = −0.59） 和追求理想的苗条外表（d = −0.56）。结论 与教育对照相比，糖尿病身体项目在中小效应量下产生了明显更大的急性效应，并具有广泛实施的潜力。