Table 11 Internet-based chatrooms (with synchronous discussion group) for emerging adults (18–25 years)
References | Type of study | Sample size | Intervention | Outcomes | Results |
|---|---|---|---|---|---|
Zabinski et al. [58] | RCT | Undergraduate females who scored > 57 on WCS, at risk of ED n = 28 intervention chatroom n = 30 waitlist control | Internet chatroom: once per week for 8 weeks, used a private chatroom for a 1-h moderated discussion focused on improving body image and eating behaviours; also included psychoeducation, asynchronous support, homework | EDE-Q (eating concern, restraint, shape concern and weight concern), RSES, MSPSS, OSSS, satisfaction questionnaire | Intervention participants significantly reduced eating pathology (EDE-Q shape concern, eating concern) and improved self-esteem over controls at post-treatment, and 10-week follow-up. High satisfaction with intervention mode (86% satisfied or very satisfied with program; 79% felt chats were better or much better than face-to-face) |
Zabinski et al. [57] | Open trial (pilot) | Undergraduate females with high BSQ scores n = 4 | Moderated, synchronous Internet Relay Chat (IRC): 7-week online chatroom program. Had to complete weekly readings, chat discussions, and summaries of each chat. Chatroom component was for 1 h/week. Content of readings/homework was based on cognitive-behavioural approach to address unhealthy eating practices and negative body image/attitudes | BSQ, EDI (drive for thinness and bulimia subscales), EDE-Q, RSES, OSSS, acceptability of program | Participants rated satisfaction with the program very highly; believed it was easier for them to be honest on the computer vs. face-to-face discussion. All reported that the program helped to prevent negative attitudes about their weight and shape from making them feel badly, and to recognize the thoughts and situations that trigger negative feelings/behaviours. All reported a positive overall experience with the group. Almost all ED measures showed improvement at post-intervention and 10-week follow-up except for EDI-Bulimia (skewed by 1 participant). No changes on RSE. BMI remained stable from pre to post |