Evidence map›Paper›PMID 41804178›Full record

Trial reportThe International journal of eating disorders2026

Efficacy of the Intervention Against the Stigmatization of Men With Eating Disorders in Primary Healthcare (iSMEsH): Results From a Randomized Waitlist-Controlled Study.

Martin S Lehe, Georg Halbeisen, Sabine Steins-Loeber, Georgios Paslakis

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The International journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Martin S LeheUniversity Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr University Bochum, Lübbecke, Germany.ORCID https://orcid.org/0000-0003-0467-7361
Georg HalbeisenUniversity Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr University Bochum, Lübbecke, Germany.ORCID https://orcid.org/0000-0002-9529-2215
Sabine Steins-LoeberDepartment of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.ORCID https://orcid.org/0000-0002-7651-0627
Georgios PaslakisUniversity Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr University Bochum, Lübbecke, Germany.ORCID https://orcid.org/0000-0002-2069-0024

Funding

Bundesministerium für Gesundheit ZMI5-2523FSB212
6 · The paper itself

Abstract

objectiveEating disorders (EDs) in men are underdiagnosed and undertreated, partly due to stigma hindering help-seeking. This randomized waitlist-controlled study tested the efficacy of the iSMEsH online anti-stigma intervention targeting German general practitioners (GPs) and medical students. The program aimed to reduce stigmatizing attitudes toward men with EDs and improve knowledge and self-efficacy in managing ED symptoms.

methodA total of 292 participants (130 GPs, 162 medical students) were randomly assigned to immediate intervention or waitlist control. The intervention consisted of six video-based, on-demand modules co-developed with men who have lived experience of an ED, combining education and contact-based strategies. Outcomes included cognitive stigma (knowledge), affective stigma (biased attitudes), and behavioral stigma (treatment self-efficacy), assessed at three timepoints.

resultsThe iSMEsH anti-stigma intervention significantly increased knowledge of male-specific ED presentations and enhanced treatment self-efficacy in both GP and medical student populations. Effects on affective stigma were less consistent. DISCUSSION: Findings support the efficacy of the iSMEsH anti-stigma intervention in improving knowledge and treatment self-efficacy regarding EDs in men among healthcare professionals. Effects on affective stigma were limited and may require longer follow-up periods to be comprehensively captured. The intervention shows promise as a scalable tool to reduce stigma and improve care for men with EDs.

trial registrationOn July 1, 2024 (#181,415; https://aspredicted.org/tzds-h5yq.pdf) and a study protocol is published under Lehe et al. (2025).

Indexed as

Feeding and Eating DisordersHealth Knowledge, Attitudes, PracticeSocial StigmaAdultGeneral PractitionersHumansMaleMiddle AgedPrimary Health CareSelf EfficacyStudents, MedicalYoung Adultaccess to careanti‐stigmaeating disordersgeneral practitionerhelp seekingmalemedical staffmenprimary healthcarestigma

Identifiers

PMID41804178
PMCPMC13326786

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.