Body image dissatisfaction, disordered eating, psychosocial well-being. Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: School Inclusion Criteria: 1. Co-educational 2. = 5 classes per year 3. Available to include all Year 7 and/or 8 classes in the study 4. Average or below national average proportion of students with special educational needs Student Inclusion Criteria: 1. Young person enrolled in Year 7 or 8 at eligible British Secondary School.
Exclusion criteria
Exclusion criteria: School Exclusion Criteria: 1. All girls or all boys school 2. < 5 classes per year 3. Not available to include all Year 7 and/or 8 classes in the study 4. Above national average proportion of students with special educational needs Student Inclusion Criteria: 1. Young person not enrolled in Year 7 or 8 at an eligible British Secondary School.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Body image is the primary outcome assessed via self-report questionnaires at 1-week pre-intervention, immediate post-intervention (same day or week as final lesson delivered), 8-9 weeks follow-up, and 6- and 12-month follow-up (12 month will be assessed in the Phase 2 trial only). 1. Body Esteem Scale for Adolescents & Adults (Mendelson, Mendelson, & White, 2001) 2. Project-EAT III Body Areas Satisfaction Scale (Neumark-Sztainer, 2004) 3. Body dissatisfaction subscale of EDI-3 (Garner, 2004) 4. Weight and shape concern subscales of the EDE-Q (Fairburn & Beglin, 1994) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include risk factors for body image, related psychosocial and disordered eating outcomes, and process outcomes measured at the same timepoints as the primary outcome measures. 1. Risk Factor Outcome Measures: 1.1 Internalisation of appearance ideals; Sociocultural Attitudes Towards Appearance Questionnaire-3 (Thompson, van den Berg, Roehrig, Guarda, & Heinberg, 2004) 1.2. Perceived appearance-related sociocultural pressures; Purpose-built measure derived from existing scales of sociocultural pressures (e.g., Stice & Bearman, 2001; Thompson et al., 2004) 1.3. Appearance-related social comparisons; Social Comparison to Models and Peers Scale (Jones, 2001)-Adapted. 1.4. Appearance-related teasing; Project EAT-III Teasing Scale (Neumark-Sztainer et al., 2007) - Adapted. 1.5. Appearance-related conversations with friends; Appearance Conversations with Friends subscale of the Culture Among Friends (Jones, Vigfusdottir, & Lee, 2004) 2. Psychosocial and Disordered Eating-related Outcome Measures: 2.1. Negative affect; Positive and Negative Affect Schedule for Children (Ebesutani et al., 2012) 2.2 Self-esteem; Rosenberg Self-Esteem Scale Shortened (Neumark-Sztainer et al., 2007; Rosenberg, 1965) 2.3 Dietary restraint; Dutch Eating Behaviour Questionnaire, (van Strien, Frijters, Bergers, & Defares, 1986) 2.4 Eating disorder symptoms; SCOFF (Morgan, Reid, & Lacey, 1999) 2.5 Life engagement; Purpose-built measure. 3. Teacher and Student Process Evaluation Outcomes assessed post-intervention via lesson observations, self-report questionnaires and semi-structured focus groups: 3.1 Fidelity and competence of interventionists 3.2 Ratings of interest, comfort and engagement with the Workshops 3.3 Feedback on the workshop materials, key concepts and structure. 4. Media Exposure Outcome Measures (Phase 1 only measured 7-10 months post-intervention): 4.1 Purpose built visual analogue scales assessing body dissatisfaction and mood after exposure to media images. 5 | — |
Countries
United Kingdom