The prevention of Eating Disorders (ED) has proven difficult due to the multi-faceted nature of bio-psychological causation, the insidious and covert appearance of early symptoms, and the challenge of creating prevention programs that do not inadvertently teach ED behaviors. Studies of programs in community settings directed to children over age ten have had only limited impact on the prevention of ED. Although researchers have found it difficult to enroll and retain parents in community-based ED studies, parental inclusion improves outcomes. When parents promote body image acceptance, self-esteem and resilience, their child's risk of developing an ED is lower. Primary care settings are effective sites for health promotion education directed to parents. Videos are proven modalities used to promote awareness of health problems and increase the potential for behavioral changes. The video presentation, "What Can A Parent Do?" was designed to provide knowledge to parents regarding how promoting body image acceptance, self-esteem, and resilience in their child can help prevent the development of ED. The video was pilot tested on twenty mothers of seven to ten year olds in a primary care setting as a part of a well-child visit and eleven primary care providers using a post-video evaluation survey. The pilot test demonstrated that a health promotion video could be easily introduced in the anticipatory guidance component of the well-child visit to provide new and helpful knowledge. The video received high quality ratings from both groups and was well received by mothers in an established therapeutic relationship with the primary care provider. Viewer level of comfort impacted degree of engagement and perceived value of the video experience in this setting. The conceptual framework used for this project was the Knowledge To Action for the implementation of evidenced based practice. Key Words: eating disorder, parent, prevention, video, primary care, health promotion, resilience; body image acceptance, and self-esteem.
|Commitee:||Farrell, Marian, Tuyn, Linda|
|School:||State University of New York at Binghamton|
|School Location:||United States -- New York|
|Source:||DAI-B 75/11(E), Dissertation Abstracts International|
|Subjects:||Mental health, Behavioral psychology, Public Health Education, Nursing, Individual & family studies, Health care management|
|Keywords:||Eating disorders, Parent education, Prevention, Primary care, Video|
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