PEER-LED TEACHING AND SUPPORT TO REDUCE EATING DISORDERS ON CAMPUS
Keywords:
Peer instruction, health education, peer health educationAbstract
Increasingly, university students seek help for eating issues, and along with the eating issues, they often present with multiple underlying problems that require intensive support and challenge university resources. In this paper, I share highlights of my ongoing practice-research program, “It‘s Not about Food” (INAF), designed to identify and address knowledge and social support needs of university women with self-identified eating issues, and the specific support rendered by upper level nursing students whoserved as peer facilitators. These highlights are contextualized through a short film depicting the peer learning process. Mixed-method evaluation of the project conveyed the meaning, effectiveness, and value of the INAF group. For women living with eating issues, the group became a safe zone enabling contemplation of personal and health changes, including the need for seeking outside support and guidance for nutritional and mental health concerns. From the perspectives of the nursing students as
peer facilitators, the most salient finding was their learning how to preserve rapport, a strategy which helped them get to know the participants as persons beyond the eating issues, and to feel as though they are developing greater competency, professional satisfaction, and leadership capacity. The facilitators pondered the practicality of this type of therapeutic practice within their traditionally timepressed, task-focused clinical placements. In the final analysis, INAF provided participants and peer facilitators with a transformed view of self and global concerns, such as the need for prevention interventions targeting younger persons and support for men and older persons living with eating issues.
References
American College Health Association–National College Health Association II. (2013, September 26). Canadian Reference Group Data Report Spring 2013. Hanover, MN: American College Health Association. Retrieved from http://www.acha-ncha.org/reports_ACHA-NCHAII.html
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Anstine, D., & Grinenko, D. (2000). Rapid screening for disordered eating in college-aged females in the primary care setting. Journal of Adolescent Health, 26(5), 338-342.
Baker, O., Aberson, C. L., Barrow, J.C. & Draper, M. R. (2006). Nature and severity of college students' psychological concerns: A comparison of clinical and nonclinical national samples. Professional Psychology: Research and Practice, 37(3), 317-323. doi: dx.doi.org/10.1037/0735-7028.37.3.317
Benner, P. (2004). Seeing the person beyond the disease. American Journal of Critical Care, 13(1), 75-78. http://www.medscape.com/viewarticle/468790
Bristow, K., Edwards, S., Funnel, E., Fisher, L., Gask, L., Dowrick, C., & Chew Graham, C. (2011). Help seeking and access to primary care for people from “hard-to-reach” groups with common mental health problems. International Journal of Family Medicine, 2011, Article ID 490634, 10 pages. doi:10.1155/2011/490634. Retrieved from http://www.hindawi.com/journals/ijfm/2011/490634/#B11
Collier, R. (2013). Treatment challenges for men with eating disorders. Canadian Medical Association Journal, 185(3), 137-138. doi:10.1503/cmaj109-4363
Dean, J. (2013). Birth of a habit. Making habits, breaking habits: Why we do things, why we don‘t, and how to make any change stick. (pp. 1-13). Boston, MA: Da Capo.
Deziel, S. (2011, November 3). Big brains: Big danger. Universities are "perfect incubators" for mental illness. Macleans Magazine. Retrieved from http://www.macleans.ca/education/uniandcollege/big-brains-big-danger/
Foucault, M. (1973). The birth of the clinic. London, England: Tavistock.
Gallagher, R. P., Gill, A. M., & Sysco, H. M., (2000). National survey of counseling center directors 2000. Alexandria, VA: International Association of Counseling Service.
Hoerr, S.L., Bokram, R., Lugo, B., Bivins, T., & Keast, D.R. (2002). Risk for disordered eating relates to both gender and ethnicity for college students. Journal of the American College of Nutrition, 21(4), 307-314.
Hudson, J.I., Hiripi, E., Pope, H.G. Jr, & Kessler, R.C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61(3), 348-358.
Lally, P., van Jaarsveld, C. H. M., Potts, H. W. W. & Wardle, J. (2010), How are habits formed: Modelling habit formation in the real world. European Journal of Social Psychology, 40, 998–1009. doi: 10.1002/ejsp.674
Marks P, Beumont P, & Birmingham CL. (2003). GPs managing patients with eating disorders. A tiered approach. Australian Family Physician, 32, 509-514.
Meyer, D. (2005). Psychological correlates of help seeking for eating-disorder symptoms in female college students. Journal of College Counseling, 8, 20-30.
Shaffer, P. A.., Vogel, D.L. & Wei, M. (2006) The mediating roles of anticipated risks, anticipated benefits, and attitudes on the decision to seek professional help: An attachment perspective. Journal of Counseling Psychology, 53(4) 442-452.
Sira, N., & Pawlak, R. (2010). Prevalence of overweight and obesity, and dieting attitudes among Caucasian and African American college students in Eastern North Carolina: A cross-sectional survey. Nutrition Research and Practice, 4(1), 36-42.
Soet, J., & Sevig, T. (2006). Mental health issues facing a diverse sample of college students: Results from the College Student Mental Health Survey. National Association of Student Personnel Administrators Journal, 43(3), 410-431.
Soran, C. (2006). What about the boys? Addressing issues of masculinity within male anorexia nervosa in a feminist therapeutic environment. International Journal of Men‘s Health, 5, 251–267.
Thome, J. (2004). Relations among exercise, coping, disordered eating, and psychological health among college students. Eating Behaviors, 5(4), 337-351.
Uffelman, R. A & Hardin, S.I. (2002) Session limits at university counseling centers: Effects on help seeking attitudes. Journal of counseling psychology, 49(11), 127-132.
Vogel, D.L, Wade, N.G. & Haake, S. (2006). Measuring the self-stigma associated with seeking professional help. Journal of Counselling Psychology, 53(3), 325-337.
Wonderlich-Tierney, A.L., & Vander Wal, J.S. (2010). The effects of social support and coping on the relationship between social anxiety and eating disorders. Eating Behaviors, 11(2), 85-91.
Woodside, D. B., Bulik, C. M., Thornton, L., Klump, K. L., Tozzi, F., Fichter, M. M., et al. (2004). Personality in men with eating disorders. Journal of Psychosomatic Research, 57, 273–278.
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