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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
74
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.
University of Colorado Boulder
Boulder, Colorado, United States
Change in Thin-Ideal Internalization Scale
Self-report measure of endorsement of the thin ideal (scale 1-5 with higher scores indicating higher levels of thin ideal internalization)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Satisfaction and Dissatisfaction with Body Parts Scale
Self-report measure of body dissatisfaction (scale 1-5 with higher scores indicating higher levels of dissatisfaction)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Dutch Restrained Eating Scale
Self-report measure of dietary restraint (scale 1-5 with higher scores indicating higher levels of eating restraint)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Positive Affect and Negative Affect Scale-Revised
Self-report measure of negative affect (scale 1-5 with higher scores indicating higher levels of negative affect)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Objectified Body Consciousness Scale - Body Surveillance Subscale
Self-report measure of body monitoring and surveillance (scale 1-7 with higher scores indicating higher levels of body surveillance)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in UCLA Loneliness Scale
Self-report measure of loneliness (scale 1-4 with higher scores indicating higher levels of loneliness)
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Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Inventory of Peer Influence on Eating Concerns
Self-report measure of peer influence on eating and body concerns (scale 1-5 with higher scores indicating higher levels of peer influence)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Patient Health Questionnaire (PHQ-9)
Self-report measure for depressive symptom severity(scale 0-3 with higher scores indicating higher levels of depression)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Generalized Anxiety Disorder (GAD-7)
Self-report measure for symptoms of generalized anxiety (scale 0-3 with higher scores indicating higher levels of anxiety)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in General Self-Efficacy Scale
Self-report measure of self-efficacy (scale 1-4 with higher scores indicating higher levels of self-efficacy)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Self-Compassion Scale
Self-report measure of self-compassion (scale 1-5 with higher scores indicating higher levels of self-compassion)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Change in Rosenberg Self-Esteem Scale
Self-report measure of global self-worth (scale 1-4 with higher scores indicating higher levels of self-esteem)
Time frame: Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up
Sense of Belonging (Body Project group only)
Self-report measure of anticipated belonging with group (scale 1-7 with higher scores indicating higher levels of anticipated belonging)
Time frame: Baseline
Sense of Belonging Follow-Up (Body Project group only)
Self-report measure of belonging with group (scale 1-7 with higher scores indicating higher levels of experienced belonging)
Time frame: Post-intervention (4 weeks after baseline)
Working Alliance Inventory (Body Project group only)
Self-report measure of therapeutic alliance with peer leaders (scale 1-5 with higher scores indicating higher levels of working alliance)
Time frame: Post-intervention (4 weeks after baseline)
Program Satisfaction (Body Project group only)
Self-reported ratings of satisfaction with program and peer leaders (scale 1-4 with higher scores indicating higher levels of program satisfaction)
Time frame: Post-intervention (4 weeks after baseline)
Fidelity and Competence (Body Project group only)
Observer-rated assessments of peer leader fidelity and competence (scale 1-10 with higher scores indicating higher levels of facilitator fidelity and competence)
Time frame: From the first Body Project session to the final (fourth) Body Project session, 4 weeks on average