A school-based program implemented by community providers previously trained for the prevention of eating and weight-related problems in secondary-school adolescents : the MABIC study protocol

Background: The prevention of eating disorders and disordered eating are increasingly recognized as public health priorities. Challenges in this field included moving from efficacy to effectiveness and developing an integrated approach to the prevention of a broad spectrum of eating and weight-related problems. A previous efficacy trial indicated that a universal disordered eating prevention program, based on the social cognitive model, media literacy educational approach and cognitive dissonance theory, reduced risk factors for disordered eating, but it is unclear whether this program has effects under more real-world conditions. The main aim of this effectiveness trial protocol is to test whether this program has effects when incorporating an integrated approach to prevention and when previously-trained community providers implement the intervention. Methods/design: The research design involved a multi-center non-randomized controlled trial with baseline, post and 1-year follow-up measures. Six schools from the city of Sabadell (close to Barcelona) participated in the intervention group, and eleven schools from four towns neighboring Sabadell participated in the control group. A total of 174 girls and 180 boys in the intervention group, and 484 girls and 490 boys in the control group were registered in class lists prior to baseline. A total of 18 community providers, secondary-school class tutors, nurses from the Catalan Government's Health and School Program, and health promotion technicians from Sabadell City Council were trained and delivered the program. Shared risk factors of eating and weight-related problems were assessed as main measures. Discussion: It will be vital for progress in disordered eating prevention to conduct effectiveness trials, which test whether interventions are effective when delivered by community providers under ecologically valid conditions, as opposed to tightly controlled research trials. The MABIC project will provide new contributions in this transition from efficacy to effectiveness and new data about progress in the integrated approach to prevention. Pending the results, the effectiveness trial meets the effectiveness standards set down by the Society for Prevention Research. This study will provide new evidence to improve and enhance disordered eating prevention programs

The use of larvae and pupal exuviae to study the biodiversity of Chironomidae in Mediterranean streams

A total of 100 larval and 101 pupal taxa were found belonging to 60 and 36 genera, respectively, in 25 river sites in Catalonia (NE Spain). If we correct for the total number of individuals examined (7629 larvae, 1589 pupal exuviae) the number of genera per 100 individuals is 0.84 for larvae and 2.26 for pupal exuviae and the number of taxa per 100 individuals 1.40 and 6.10, respectively. The following points explain why a similar number of taxa have been found for larvae and pupae (despite the large difference in the number of genera): i) difficulties in differentiating the larvae species, especially in some complex rich and frequent genera, such as Cricotopus-Orthocladius (only six taxa as larvae but 31 as pupae); ii) many (24) larval genera were not found as pupae (even two subfamilies) while only three genera where found only as pupal exuviae. This is because of the larger number of larvae examined, but also because not all the larvae present at one site had emerged at the time of sampling. Given the difficulties in classifying the larvae to species level, the collection of pupae remains a useful method to complement quantification of chironomid biodiversity in a region; until massive DNA-sequencing of field samples of such invertebrates will be possible and easily available to many researchers (especially those in low income countries)