Factibilidad y aceptabilidad de un programa virtual de prevención integrada de problemas relacionados con la alimentación, el peso y la imagen corporal (programa PIA- 2 virtual): Experiencia del usuario
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Publicado
Sep 20, 2023
Julieta Sanday
María Luz Scappatura
María Belén Banasco Falivelli
Guillermina Rutsztein
https://orcid.org/0000-0002-5986-8897
Resumen
Las intervenciones virtuales en el campo de la prevención y/o promoción de la salud han crecido exponencialmente en su desarrollo a lo largo de los últimos años ya que presentan importantes ventajas en cuanto a su implementación. El objetivo del presente estudio fue evaluar la aceptabilidad y factibilidad de un programa virtual de prevención integrada de problemas relacionados con la alimentación, el peso y la imagen corporal (Programa PIA-2 virtual). Participaron en el estudio 80 féminas adolescentes entre 14 y 17 años (M= 16.06; DE= 0.68) residentes en Argentina. Mediante una encuesta online se recabaron datos sobre la comprensión, utilidad, viabilidad y satisfacción con el Programa. Se encontraron buenos niveles de factibilidad y aceptación del Programa. La experiencia del usuario resulta relevante al momento de evaluar una intervención virtual para así poder atender satisfactoriamente la demanda creciente de este tipo de intervenciones.
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Keywords
prevención integrada, programa PIA-2 virtual, problemas relacionados con la alimentación, el peso y la imagen corporal, experiencia del usuario
References
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https://doi.org/10.2196/12920
Beintner, I., Emmerich, O. L. M., Vollert, B., Taylor, C. B., & Jacobi, C. (2019). Promoting positive body image and intuitive eating in women with overweight and obesity via an online intervention: Results from a pilot feasibility study. Eating Behaviors, 34, 101307.
https://doi.org/10.1016/j.eatbeh.2019.101307
Bell, M. J., Zeiler, M., Herrero, R., Kuso, S., Nitsch, M., Etchemendy, E., Fonseca-Baeza, S., Oliver, E., Adamcik, T., Karwautz, A., Wagner, G., Baños, R., Botella, C., Görlich, D., Jacobi, C., & Waldherr, K. (2019). Healthy Teens @ School: Evaluating and disseminating transdiagnostic preventive interventions for eating disorders and obesity for adolescents in school settings. Internet Interventions, 16, 65-75. https://doi.org/10.1016/j.invent.2018.02.007
Bradley, K. L., Robinson, L. M., & Brannen, C. L. (2012). Adolescent help-seeking for psychological distress, depression, and anxiety using an internet program. International Journal of Mental Health Promotion, 14(1), 23-34. https://doi.org/10.1080/14623730.2012.665337
Brooke, J. (1995). SUS-A quick and dirty usability scale. In P. W. Jordan, B. Thomas, B. A. Weerdmeester & I. L. McClelland (Ed.), Usability evaluation in industry (pp. 189-194). Taylor & Francis.
Cousineau, D., & Chartier, S. (2010). Outliers detection and treatment: A review. International Journal of Psychological Research, 3(1), 58-67. http://dx.doi.org/10.21500/20112084.844
Das, J. K., Salam, R. A., Lassi, Z. S., Khan, M. N., Mahmood, W., Patel, V., & Bhutta, Z. A. (2016). Interventions for adolescent mental health: An overview of systematic reviews. Journal of Adolescent Health, 59(4), S49-S60. https://doi.org/10.1016/j.jadohealth.2016.06.020
Donkin, L., Christensen, H., Naismith, S. L., Neal, B., Hickie, I. B., & Glozier, N. (2011). A systematic review of the impact of adherence on the effectiveness of e-therapies. Journal of Medical Internet Research, 13(3), e1772. https://doi.org/10.2196/jmir.1772
Dopp, A. R., Parisi, K. E., Munson, S. A., & Lyon, A. R. (2019). A glossary of user-centered design strategies for implementation experts. Translational Behavioral Medicine, 9(6), 1057-1064. https://doi.org/10.1093/tbm/iby119
Etchevers, M. J., Garay, C. J., Putrino, N., Grasso, J., Natalí, V., & Helmich, N. (2020). Salud Mental en Cuarentena. Relevamiento del impacto psicológico a los 7-11 y 50-55 días de cuarentena en población argentina. Observatorio de Psicología Social Aplicada, Facultad de Psicología, Universidad de Buenos Aires. http://www.psi.uba.ar/opsa/informes/opsa_salud_mental_informe.pdf
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Food and Agriculture Orgnization of the United Nations [FAO], & Comisión Económica para América Latina y Caribe [CEPAL]. (2020). Sistemas alimentarios y COVID- 19 en América Latina y el Caribe: Hábitos de consumo de alimentos y malnutrición. Boletín N.°10. FAO. https://doi.org/10.4060/cb0217es
Franko, D. L., Jenkins, A., & Rodgers, R. F. (2012). Toward reducing risk for eating disorders and obesity in Latina college women. Journal of Counseling & Development, 90(3), 298-307. https://doi.org/10.1002/j.1556-6676.2012.00038.x
Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: A systematic literature review. The American Journal of Clinical Nutrition, 109(5), 1402-1413. https://doi.org/10.1093/ajcn/nqy342
González Alvarado, Y., & Saucedo Molina, T. J. (2022, 14-16 de septiembre). Riesgo de trastornos de la conducta alimentaria y de factores asociados en universitarios mexicanos [Presentación oral]. Memo-rias del Congreso Argentino de Salud Mental. Buenos Aires, Argentina.
Gorenstein, A. (2020, 14 de mayo). Más comida, menos ejercicio. Más de la mitad de los argentinos aumentó de peso en cuarentena: Cuántos kilos subieron. Clarín. https://www.clarin.com/buena-vida/mitad-argentinos-aumento-peso-cuarentena-kilossubieron_0_WMEZUU5F1.html
Hay, P., & Mitchison, D. (2019). Eating disorders and obesity: The challenge for our times. Nutrients, 11(5), 1055. https://doi.org/10.3390/nu11051055
Jeong, S. H., Cho, H., & Hwang, Y. (2012). Media literacy interventions: A meta-analytic review. Journal of Communica-tion, 62(3), 454-472. https://doi.org/10.1111/j.1460-2466.2012.01643.x
Jones, M., Kass, A. E., Trockel, M., Glass, A. I., Wilfley, D. E., & Taylor, C. B. (2014). A population-wide screening and tailored intervention platform for eating disorders on college campuses: The healthy body image program. Journal of American College Health, 62(5), 351-356. https://doi.org/10.1080/07448481.2014.901330
Juarascio, A. S., Manasse, S. M., Goldstein, S. P., Forman, E. M., & Butryn, M. L. (2015). Review of smartphone applica-tions for the treatment of eating disorders. European Eating Disorders Review, 23(1), 1-11. http://doi.org/10.1002/erv.2327
Kuosmanen, T., Fleming, T. M., & Barry, M. M. (2018). Using computerized mental health programs in alternative education: Understanding the requirements of students and staff. Health Communica-tion, 33(6), 753-761. https://doi.org/10.1080/10410236.2017.1309620
Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assess-ment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2(3), 197-207. https://doi.org/10.1016/0149-7189(79)90094-6.
Leme, A. C. B., Philippi, S. T., Thompson, D., Nicklas, T., & Baranowski, T. (2019). “Healthy Habits, Healthy Girls—Brazil”: An obesity prevention program with added focus on eating disorders. Eating and Weight Disorders, 24(1), 107-119. https://doi.org/10.1007/s40519-018-0510-5
Morrison, D., Wyke, S., Thomson, N. C., McConnachie, A., Agur, K., Saunderson, K., Chaudhuri, R., & Mair, F. S. (2014). A Randomized trial of an Asthma Internet Self-management Intervention (RAISIN): Study protocol for a randomized controlled trial. Trials, 15(1), 185. https://doi.org/10.1186/1745-6215-15-185
Neil, A., Batterham, P., Christensen, H., Bennett, K., & Griffiths, K. (2009). Predictors of adherence by adolescents to a cognitive behavior therapy website in school and community-based settings. Journal of Medical Internet Research, 11(1), e1050.
https://doi.org/10.2196/jmir.1050
Neumark-Sztainer, D., & Loth, K. A. (2018). An integrated approach to eating disorders and obesity prevention: What has the research taught us? Adolescent Medicine: State of the Art Reviews, 29(2), 228-244.
Nitsch, M., Adamcik, T., Kuso, S., Zeiler, M., & Waldherr, K. (2019). Usability and engagement evaluation of an unguided online program for promoting a healthy lifestyle and reducing the risk for eating disorders and obesity in the school setting. Nutrients, 11(4), 713. https://doi.org/10.3390/nu11040713
Organización Mundial de la Salud [OMS]. (2021, 9 de junio). Obesidad y sobrepeso. Datos y cifras.
https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., & Hensley, M. (2010). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65-76. https://doi.org/10.1007/s10488-010-0319-7
Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommenda-tions. General Psychiatry, 33(2). https://doi.org/10.1136/gpsych-2020-100213
Rancourt, D., & McCullough, M. B. (2015). Overlap in eating disorders and obesity in adolescence. Current Diabetes Reports, 15, 78. https://doi.org/10.1007/s11892-015-0645-y
Rogers, C. B., Webb, J. B., Bauert, L., & Carelock, J. (2022). Feasibility and acceptability of a guided self-help, text-messaging intervention to promote positive body image of emerging adult women. Frontiers in Global Women's Health, 3, 849836.
https://doi.org/10.3389/fgwh.2022.849836
Rutsztein, G., Elizathe, L., Scappatura, M. L., Banasco Falivelli, M. B., Sanday, J., & Bidacovich, G. (2022). Programa PIA-2 virtual: Prevención integrada de trastornos alimentarios y obesidad. En C. J. Garay (Ed.), Terapia cognitivo-conductual, tecnologías digitales y tecnologías de la información y la comunicación (pp. 137-155.). Editorial Akadia.
Rutsztein, G., Scappatura, M.L., Elizathe, L., Leonardelli, E., Murawsk, B., Lievendag, L., Sanday, J., Banasco Falivelli, M. B., Bidacovich, G., & Keegan, E. (2023). Efficacy of an integrated program (PIA-2) to reduce the risk for problems related to eating, weight and body image in female adolescents from Argentina. Interna-tional Journal of Eating Disorders, 56(4), 758-769. https://doi.org/10.1002/eat.23900
Sanday, J., Scappatura, M. L., & Rutsztein, G. (2020). Impacto de la pandemia por COVID-19 en los hábitos alimentarios y la Imagen Corporal. XII Congreso Internacional de Investigación y Práctica Profesional en Psicología. XXVII Jornadas de Investigación. XVI Encuentro de Investigadores en Psicología del MERCOSUR. II Encuentro de Investigación de Terapia Ocupacional. II Encuentro de Musicoterapia. Facultad de Psicología-Universidad de Buenos Aires. https://www.aacademica.org/000-007/269.pdf?view
Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of Abnormal Psychology, 122(2), 445-457. https://doi.org/10.1037/a0030679
Unikel-Santoncini, C., de León-Vázquez, C. D., Rivera-Márquez, J. A., Bojorquez-Chapela, I., & Méndez-Ríos, E. (2019). Dissonance-based program for eating disorders prevention in Mexican university students. Psychosocial Intervention, 28(1), 29-35.
https://doi.org/10.5093/pi2018a17
Weiner, B. J., Lewis, C. C., Stanick, C., Powell, B. J., Dorsey, C. N., Clary, A. S., Boynton, H., & Halko, H. (2017). Psychometric assessment of three newly developed implementation outcome measures. Implementation Science, 12(1), 1-12.
https://doi.org/10.1186/s13012-017-0635-3
Wilksch, S. M., Paxton, S. J., Byrne, S. M., Austin, S. B., McLean, S. A., Thompson, K. M., Dorairaj, K., & Wade, T. D. (2015). Prevention across the spectrum: A randomized controlled trial of three programs to reduce risk factors for both eating disorders and obesity. Psycholo-gical Medicine, 45(9), 1811-1823. https://doi.org/10.1017/s003329171400289x
Wilksch, S., Paxton, S., Byrne, S., Austin, S. B., & Wade, T. (2014). An RCT of three programs aimed at reducing risk factors for both eating disorders and obesity: Outcomes from the Prevention Across the Spectrum study. Journal of Eating Disorders, 2(1), 1-1. https://doi.org/10.1186/2050-2974-2-S1-O43
Anastasiadou, D., Folkvord, F., Serrano-Troncoso, E., & Lupiañez-Villanueva, F. (2019). Mobile health adoption in mental health: User experience of a mobile health app for patients with an eating disorder. JMIR mHealth and uHealth, 7(6), e12920.
https://doi.org/10.2196/12920
Beintner, I., Emmerich, O. L. M., Vollert, B., Taylor, C. B., & Jacobi, C. (2019). Promoting positive body image and intuitive eating in women with overweight and obesity via an online intervention: Results from a pilot feasibility study. Eating Behaviors, 34, 101307.
https://doi.org/10.1016/j.eatbeh.2019.101307
Bell, M. J., Zeiler, M., Herrero, R., Kuso, S., Nitsch, M., Etchemendy, E., Fonseca-Baeza, S., Oliver, E., Adamcik, T., Karwautz, A., Wagner, G., Baños, R., Botella, C., Görlich, D., Jacobi, C., & Waldherr, K. (2019). Healthy Teens @ School: Evaluating and disseminating transdiagnostic preventive interventions for eating disorders and obesity for adolescents in school settings. Internet Interventions, 16, 65-75. https://doi.org/10.1016/j.invent.2018.02.007
Bradley, K. L., Robinson, L. M., & Brannen, C. L. (2012). Adolescent help-seeking for psychological distress, depression, and anxiety using an internet program. International Journal of Mental Health Promotion, 14(1), 23-34. https://doi.org/10.1080/14623730.2012.665337
Brooke, J. (1995). SUS-A quick and dirty usability scale. In P. W. Jordan, B. Thomas, B. A. Weerdmeester & I. L. McClelland (Ed.), Usability evaluation in industry (pp. 189-194). Taylor & Francis.
Cousineau, D., & Chartier, S. (2010). Outliers detection and treatment: A review. International Journal of Psychological Research, 3(1), 58-67. http://dx.doi.org/10.21500/20112084.844
Das, J. K., Salam, R. A., Lassi, Z. S., Khan, M. N., Mahmood, W., Patel, V., & Bhutta, Z. A. (2016). Interventions for adolescent mental health: An overview of systematic reviews. Journal of Adolescent Health, 59(4), S49-S60. https://doi.org/10.1016/j.jadohealth.2016.06.020
Donkin, L., Christensen, H., Naismith, S. L., Neal, B., Hickie, I. B., & Glozier, N. (2011). A systematic review of the impact of adherence on the effectiveness of e-therapies. Journal of Medical Internet Research, 13(3), e1772. https://doi.org/10.2196/jmir.1772
Dopp, A. R., Parisi, K. E., Munson, S. A., & Lyon, A. R. (2019). A glossary of user-centered design strategies for implementation experts. Translational Behavioral Medicine, 9(6), 1057-1064. https://doi.org/10.1093/tbm/iby119
Etchevers, M. J., Garay, C. J., Putrino, N., Grasso, J., Natalí, V., & Helmich, N. (2020). Salud Mental en Cuarentena. Relevamiento del impacto psicológico a los 7-11 y 50-55 días de cuarentena en población argentina. Observatorio de Psicología Social Aplicada, Facultad de Psicología, Universidad de Buenos Aires. http://www.psi.uba.ar/opsa/informes/opsa_salud_mental_informe.pdf
Festinger, L. (1957). A theory of cognitive dissonance. Stanford University Press.
Food and Agriculture Orgnization of the United Nations [FAO], & Comisión Económica para América Latina y Caribe [CEPAL]. (2020). Sistemas alimentarios y COVID- 19 en América Latina y el Caribe: Hábitos de consumo de alimentos y malnutrición. Boletín N.°10. FAO. https://doi.org/10.4060/cb0217es
Franko, D. L., Jenkins, A., & Rodgers, R. F. (2012). Toward reducing risk for eating disorders and obesity in Latina college women. Journal of Counseling & Development, 90(3), 298-307. https://doi.org/10.1002/j.1556-6676.2012.00038.x
Galmiche, M., Déchelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000–2018 period: A systematic literature review. The American Journal of Clinical Nutrition, 109(5), 1402-1413. https://doi.org/10.1093/ajcn/nqy342
González Alvarado, Y., & Saucedo Molina, T. J. (2022, 14-16 de septiembre). Riesgo de trastornos de la conducta alimentaria y de factores asociados en universitarios mexicanos [Presentación oral]. Memo-rias del Congreso Argentino de Salud Mental. Buenos Aires, Argentina.
Gorenstein, A. (2020, 14 de mayo). Más comida, menos ejercicio. Más de la mitad de los argentinos aumentó de peso en cuarentena: Cuántos kilos subieron. Clarín. https://www.clarin.com/buena-vida/mitad-argentinos-aumento-peso-cuarentena-kilossubieron_0_WMEZUU5F1.html
Hay, P., & Mitchison, D. (2019). Eating disorders and obesity: The challenge for our times. Nutrients, 11(5), 1055. https://doi.org/10.3390/nu11051055
Jeong, S. H., Cho, H., & Hwang, Y. (2012). Media literacy interventions: A meta-analytic review. Journal of Communica-tion, 62(3), 454-472. https://doi.org/10.1111/j.1460-2466.2012.01643.x
Jones, M., Kass, A. E., Trockel, M., Glass, A. I., Wilfley, D. E., & Taylor, C. B. (2014). A population-wide screening and tailored intervention platform for eating disorders on college campuses: The healthy body image program. Journal of American College Health, 62(5), 351-356. https://doi.org/10.1080/07448481.2014.901330
Juarascio, A. S., Manasse, S. M., Goldstein, S. P., Forman, E. M., & Butryn, M. L. (2015). Review of smartphone applica-tions for the treatment of eating disorders. European Eating Disorders Review, 23(1), 1-11. http://doi.org/10.1002/erv.2327
Kuosmanen, T., Fleming, T. M., & Barry, M. M. (2018). Using computerized mental health programs in alternative education: Understanding the requirements of students and staff. Health Communica-tion, 33(6), 753-761. https://doi.org/10.1080/10410236.2017.1309620
Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assess-ment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2(3), 197-207. https://doi.org/10.1016/0149-7189(79)90094-6.
Leme, A. C. B., Philippi, S. T., Thompson, D., Nicklas, T., & Baranowski, T. (2019). “Healthy Habits, Healthy Girls—Brazil”: An obesity prevention program with added focus on eating disorders. Eating and Weight Disorders, 24(1), 107-119. https://doi.org/10.1007/s40519-018-0510-5
Morrison, D., Wyke, S., Thomson, N. C., McConnachie, A., Agur, K., Saunderson, K., Chaudhuri, R., & Mair, F. S. (2014). A Randomized trial of an Asthma Internet Self-management Intervention (RAISIN): Study protocol for a randomized controlled trial. Trials, 15(1), 185. https://doi.org/10.1186/1745-6215-15-185
Neil, A., Batterham, P., Christensen, H., Bennett, K., & Griffiths, K. (2009). Predictors of adherence by adolescents to a cognitive behavior therapy website in school and community-based settings. Journal of Medical Internet Research, 11(1), e1050.
https://doi.org/10.2196/jmir.1050
Neumark-Sztainer, D., & Loth, K. A. (2018). An integrated approach to eating disorders and obesity prevention: What has the research taught us? Adolescent Medicine: State of the Art Reviews, 29(2), 228-244.
Nitsch, M., Adamcik, T., Kuso, S., Zeiler, M., & Waldherr, K. (2019). Usability and engagement evaluation of an unguided online program for promoting a healthy lifestyle and reducing the risk for eating disorders and obesity in the school setting. Nutrients, 11(4), 713. https://doi.org/10.3390/nu11040713
Organización Mundial de la Salud [OMS]. (2021, 9 de junio). Obesidad y sobrepeso. Datos y cifras.
https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., Griffey, R., & Hensley, M. (2010). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65-76. https://doi.org/10.1007/s10488-010-0319-7
Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommenda-tions. General Psychiatry, 33(2). https://doi.org/10.1136/gpsych-2020-100213
Rancourt, D., & McCullough, M. B. (2015). Overlap in eating disorders and obesity in adolescence. Current Diabetes Reports, 15, 78. https://doi.org/10.1007/s11892-015-0645-y
Rogers, C. B., Webb, J. B., Bauert, L., & Carelock, J. (2022). Feasibility and acceptability of a guided self-help, text-messaging intervention to promote positive body image of emerging adult women. Frontiers in Global Women's Health, 3, 849836.
https://doi.org/10.3389/fgwh.2022.849836
Rutsztein, G., Elizathe, L., Scappatura, M. L., Banasco Falivelli, M. B., Sanday, J., & Bidacovich, G. (2022). Programa PIA-2 virtual: Prevención integrada de trastornos alimentarios y obesidad. En C. J. Garay (Ed.), Terapia cognitivo-conductual, tecnologías digitales y tecnologías de la información y la comunicación (pp. 137-155.). Editorial Akadia.
Rutsztein, G., Scappatura, M.L., Elizathe, L., Leonardelli, E., Murawsk, B., Lievendag, L., Sanday, J., Banasco Falivelli, M. B., Bidacovich, G., & Keegan, E. (2023). Efficacy of an integrated program (PIA-2) to reduce the risk for problems related to eating, weight and body image in female adolescents from Argentina. Interna-tional Journal of Eating Disorders, 56(4), 758-769. https://doi.org/10.1002/eat.23900
Sanday, J., Scappatura, M. L., & Rutsztein, G. (2020). Impacto de la pandemia por COVID-19 en los hábitos alimentarios y la Imagen Corporal. XII Congreso Internacional de Investigación y Práctica Profesional en Psicología. XXVII Jornadas de Investigación. XVI Encuentro de Investigadores en Psicología del MERCOSUR. II Encuentro de Investigación de Terapia Ocupacional. II Encuentro de Musicoterapia. Facultad de Psicología-Universidad de Buenos Aires. https://www.aacademica.org/000-007/269.pdf?view
Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of Abnormal Psychology, 122(2), 445-457. https://doi.org/10.1037/a0030679
Unikel-Santoncini, C., de León-Vázquez, C. D., Rivera-Márquez, J. A., Bojorquez-Chapela, I., & Méndez-Ríos, E. (2019). Dissonance-based program for eating disorders prevention in Mexican university students. Psychosocial Intervention, 28(1), 29-35.
https://doi.org/10.5093/pi2018a17
Weiner, B. J., Lewis, C. C., Stanick, C., Powell, B. J., Dorsey, C. N., Clary, A. S., Boynton, H., & Halko, H. (2017). Psychometric assessment of three newly developed implementation outcome measures. Implementation Science, 12(1), 1-12.
https://doi.org/10.1186/s13012-017-0635-3
Wilksch, S. M., Paxton, S. J., Byrne, S. M., Austin, S. B., McLean, S. A., Thompson, K. M., Dorairaj, K., & Wade, T. D. (2015). Prevention across the spectrum: A randomized controlled trial of three programs to reduce risk factors for both eating disorders and obesity. Psycholo-gical Medicine, 45(9), 1811-1823. https://doi.org/10.1017/s003329171400289x
Wilksch, S., Paxton, S., Byrne, S., Austin, S. B., & Wade, T. (2014). An RCT of three programs aimed at reducing risk factors for both eating disorders and obesity: Outcomes from the Prevention Across the Spectrum study. Journal of Eating Disorders, 2(1), 1-1. https://doi.org/10.1186/2050-2974-2-S1-O43
Cómo citar
Factibilidad y aceptabilidad de un programa virtual de prevención integrada de problemas relacionados con la alimentación, el peso y la imagen corporal (programa PIA- 2 virtual): Experiencia del usuario. (2023). Revista Puertorriqueña De Psicologia, 34(2), 248-260. https://doi.org/10.55611/reps.3402.09
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Artículo de investigación
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Cómo citar
Factibilidad y aceptabilidad de un programa virtual de prevención integrada de problemas relacionados con la alimentación, el peso y la imagen corporal (programa PIA- 2 virtual): Experiencia del usuario. (2023). Revista Puertorriqueña De Psicologia, 34(2), 248-260. https://doi.org/10.55611/reps.3402.09