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A qualitative study of modifications and adaptations to an evidence-based prevention intervention during implementation on college campuses.

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Title: A qualitative study of modifications and adaptations to an evidence-based prevention intervention during implementation on college campuses.
Authors: Duru, Chinwendu (AUTHOR), Bearman, Sarah Kate (AUTHOR), Rohde, Paul (AUTHOR), Shaw, Heather (AUTHOR), Stice, Eric (AUTHOR)
Source: Eating Disorders. Jul/Aug2026, Vol. 34 Issue 4, p397-413. 17p.
Subjects: Prevention of eating disorders, Pearson correlation (Statistics), Supervision of employees, Research funding, Qualitative research, Occupational roles, Affinity groups, Evaluation of human services programs, Universities & colleges, Interviewing, Descriptive statistics, Psychological adaptation, Thematic analysis, Research, Research methodology, Health education, Evidence-based medicine, College students
Geographic Terms: California
Abstract: Rates of eating disorders increase during young adulthood, but access to evidence-based intervention is limited in routine healthcare settings such as on college campuses. A preventive approach and task-shifting eating disorder interventions to peer educators trained by on-campus supervisors might increase access, but may introduce changes as they move further from developer oversight. Modifications are commonplace during implementation in routine care settings; understanding the nature of these modifications can help to clarify whether they improve intervention fit or undermine fidelity. Peer education supervisors from 63 colleges that implemented an evidence-based preventive intervention for eating disorders (Body Project) as part of a larger randomized trial completed semi-structured interviews about modifications made to the Body Project when it was delivered by peer educators. Thematic analyses of the interviews using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) suggested that modifications were primarily fidelity-consistent, adherent, planned/proactive, and made to improve fit with recipients. Results support prior work suggesting that delivery of evidence-based interventions in routine settings may require at least minor modifications to meet recipient needs without compromising fidelity. This study was preregistered with ClinicalTrials: . [ABSTRACT FROM AUTHOR]
Copyright of Eating Disorders is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A qualitative study of modifications and adaptations to an evidence-based prevention intervention during implementation on college campuses.
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  Data: <searchLink fieldCode="AR" term="%22Duru%2C+Chinwendu%22">Duru, Chinwendu</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bearman%2C+Sarah+Kate%22">Bearman, Sarah Kate</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rohde%2C+Paul%22">Rohde, Paul</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shaw%2C+Heather%22">Shaw, Heather</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stice%2C+Eric%22">Stice, Eric</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Eating+Disorders%22">Eating Disorders</searchLink>. Jul/Aug2026, Vol. 34 Issue 4, p397-413. 17p.
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  Data: Rates of eating disorders increase during young adulthood, but access to evidence-based intervention is limited in routine healthcare settings such as on college campuses. A preventive approach and task-shifting eating disorder interventions to peer educators trained by on-campus supervisors might increase access, but may introduce changes as they move further from developer oversight. Modifications are commonplace during implementation in routine care settings; understanding the nature of these modifications can help to clarify whether they improve intervention fit or undermine fidelity. Peer education supervisors from 63 colleges that implemented an evidence-based preventive intervention for eating disorders (Body Project) as part of a larger randomized trial completed semi-structured interviews about modifications made to the Body Project when it was delivered by peer educators. Thematic analyses of the interviews using the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) suggested that modifications were primarily fidelity-consistent, adherent, planned/proactive, and made to improve fit with recipients. Results support prior work suggesting that delivery of evidence-based interventions in routine settings may require at least minor modifications to meet recipient needs without compromising fidelity. This study was preregistered with ClinicalTrials: . [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Eating Disorders is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194842790
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10640266.2025.2497638
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 17
        StartPage: 397
    Subjects:
      – SubjectFull: Prevention of eating disorders
        Type: general
      – SubjectFull: Pearson correlation (Statistics)
        Type: general
      – SubjectFull: Supervision of employees
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Occupational roles
        Type: general
      – SubjectFull: Affinity groups
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Universities & colleges
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Research
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Health education
        Type: general
      – SubjectFull: Evidence-based medicine
        Type: general
      – SubjectFull: College students
        Type: general
      – SubjectFull: California
        Type: general
    Titles:
      – TitleFull: A qualitative study of modifications and adaptations to an evidence-based prevention intervention during implementation on college campuses.
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            NameFull: Duru, Chinwendu
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            NameFull: Bearman, Sarah Kate
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            NameFull: Rohde, Paul
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            NameFull: Shaw, Heather
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              M: 07
              Text: Jul/Aug2026
              Type: published
              Y: 2026
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              Value: 34
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