Eating Disorders in Adolescence
Conditions
Keywords
Eating disorder prevention, Body Project, Female, Adolescence, Peer delivery
Brief summary
This study will evaluate the impact of the Body Project (a dissonance-based program designed to address body image concerns and prevent eating disorders) on key eating disorder risk factors and relevant social and self-constructs at three time-points (pre, post, and one-year follow-up). Young women will be recruited from two high schools and will be randomized to receive the Body Project or to the control group. The Body Project will be facilitated by college-aged women.
Detailed description
Preventive models that can avert the onset of eating disorders and innovative delivery methods that increase engagement with care offer a promising approach to improving the mental health and wellness of young women. This study aims to implement and evaluate the Body Project, a 4-hour dissonance-based program designed to address body image concerns and prevent eating disorders with high school young women using a peer delivery model. This study will evaluate the impact of the Body Project on key eating disorder risk factors and relevant social and self-constructs at three time-points (pre, post, and one-year follow-up). Young women will be recruited from two high schools and will be randomized to receive the Body Project program or to the control group. The Body Project will be facilitated by college-aged young women who have been trained to deliver the Body Project.
Interventions
BEHAVIORALThe Body Project
The Body Project is a 4-hour dissonance-based program designed to address body image concerns and prevent eating disorders. The curriculum consists of written, verbal, and behavioral exercises that provide participants with the opportunity to voluntarily and publicly critique the appearance ideal.
Sponsors
University of Colorado, Boulder
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
\- Female high school student
Exclusion criteria
\- Previous participation in the Body Project program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Thin-Ideal Internalization Scale | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of endorsement of the thin ideal (scale 1-5 with higher scores indicating higher levels of thin ideal internalization) |
| Change in Satisfaction and Dissatisfaction with Body Parts Scale | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of body dissatisfaction (scale 1-5 with higher scores indicating higher levels of dissatisfaction) |
| Change in Dutch Restrained Eating Scale | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of dietary restraint (scale 1-5 with higher scores indicating higher levels of eating restraint) |
| Change in Positive Affect and Negative Affect Scale-Revised | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of negative affect (scale 1-5 with higher scores indicating higher levels of negative affect) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Patient Health Questionnaire (PHQ-9) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure for depressive symptom severity(scale 0-3 with higher scores indicating higher levels of depression) |
| Change in Generalized Anxiety Disorder (GAD-7) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure for symptoms of generalized anxiety (scale 0-3 with higher scores indicating higher levels of anxiety) |
| Change in General Self-Efficacy Scale | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of self-efficacy (scale 1-4 with higher scores indicating higher levels of self-efficacy) |
| Change in Self-Compassion Scale | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of self-compassion (scale 1-5 with higher scores indicating higher levels of self-compassion) |
| Sense of Belonging Follow-Up (Body Project group only) | Post-intervention (4 weeks after baseline) | Self-report measure of belonging with group (scale 1-7 with higher scores indicating higher levels of experienced belonging) |
| Sense of Belonging (Body Project group only) | Baseline | Self-report measure of anticipated belonging with group (scale 1-7 with higher scores indicating higher levels of anticipated belonging) |
| Working Alliance Inventory (Body Project group only) | Post-intervention (4 weeks after baseline) | Self-report measure of therapeutic alliance with peer leaders (scale 1-5 with higher scores indicating higher levels of working alliance) |
| Program Satisfaction (Body Project group only) | Post-intervention (4 weeks after baseline) | Self-reported ratings of satisfaction with program and peer leaders (scale 1-4 with higher scores indicating higher levels of program satisfaction) |
| Fidelity and Competence (Body Project group only) | From the first Body Project session to the final (fourth) Body Project session, 4 weeks on average | Observer-rated assessments of peer leader fidelity and competence (scale 1-10 with higher scores indicating higher levels of facilitator fidelity and competence) |
| Change in Rosenberg Self-Esteem Scale | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of global self-worth (scale 1-4 with higher scores indicating higher levels of self-esteem) |
| Change in Objectified Body Consciousness Scale - Body Surveillance Subscale | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of body monitoring and surveillance (scale 1-7 with higher scores indicating higher levels of body surveillance) |
| Change in UCLA Loneliness Scale | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of loneliness (scale 1-4 with higher scores indicating higher levels of loneliness) |
| Change in Inventory of Peer Influence on Eating Concerns | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | Self-report measure of peer influence on eating and body concerns (scale 1-5 with higher scores indicating higher levels of peer influence) |
Countries
United States
Outcome results
None listed