{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T17:17:58Z","timestamp":1783012678613,"version":"3.54.6"},"reference-count":49,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003107","name":"Bundesministerium f\u00fcr Gesundheit","doi-asserted-by":"publisher","award":["ZMI5\u20102523FSB212"],"award-info":[{"award-number":["ZMI5\u20102523FSB212"]}],"id":[{"id":"10.13039\/501100003107","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Eating disorders (EDs) in men are underdiagnosed and undertreated, partly due to stigma hindering help\u2010seeking. This randomized waitlist\u2010controlled study tested the efficacy of the iSMEsH online anti\u2010stigma 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\u2010efficacy in managing ED symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 292 participants (130 GPs, 162 medical students) were randomly assigned to immediate intervention or waitlist control. The intervention consisted of six video\u2010based, on\u2010demand modules co\u2010developed with men who have lived experience of an ED, combining education and contact\u2010based strategies. Outcomes included cognitive stigma (knowledge), affective stigma (biased attitudes), and behavioral stigma (treatment self\u2010efficacy), assessed at three timepoints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The iSMEsH anti\u2010stigma intervention significantly increased knowledge of male\u2010specific ED presentations and enhanced treatment self\u2010efficacy in both GP and medical student populations. Effects on affective stigma were less consistent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings support the efficacy of the iSMEsH anti\u2010stigma intervention in improving knowledge and treatment self\u2010efficacy regarding EDs in men among healthcare professionals. Effects on affective stigma were limited and may require longer follow\u2010up periods to be comprehensively captured. The intervention shows promise as a scalable tool to reduce stigma and improve care for men with EDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      On July 1, 2024 (#181,415;\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/aspredicted.org\/tzds-h5yq.pdf\">https:\/\/aspredicted.org\/tzds\u2010h5yq.pdf<\/jats:ext-link>\n                      ) and a study protocol is published under Lehe et\u00a0al. (2025)\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70080","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:25:36Z","timestamp":1773123936000},"page":"1517-1530","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy of the Intervention Against the Stigmatization of Men With Eating Disorders in Primary Healthcare (\n                    <scp>iSMEsH<\/scp>\n                    ): Results From a Randomized Waitlist\u2010Controlled Study"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0467-7361","authenticated-orcid":false,"given":"Martin S.","family":"Lehe","sequence":"first","affiliation":[{"name":"University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East\u2010Westphalia Ruhr University Bochum  L\u00fcbbecke Germany"},{"name":"Department of Clinical Psychology and Psychotherapy University of Bamberg  Bamberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9529-2215","authenticated-orcid":false,"given":"Georg","family":"Halbeisen","sequence":"additional","affiliation":[{"name":"University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East\u2010Westphalia Ruhr University Bochum  L\u00fcbbecke Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7651-0627","authenticated-orcid":false,"given":"Sabine","family":"Steins\u2010Loeber","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Psychotherapy University of Bamberg  Bamberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2069-0024","authenticated-orcid":false,"given":"Georgios","family":"Paslakis","sequence":"additional","affiliation":[{"name":"University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East\u2010Westphalia Ruhr University Bochum  L\u00fcbbecke Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"issue":"3","key":"e_1_2_14_2_1","first-page":"226","article-title":"Reducing Mental Illness Stigma in Mental Health Professionals Using a Web\u2010Based Approach","volume":"46","author":"Bayar M. 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