The purpose of this study is to learn if a novel online single-session intervention can help improve body dissatisfaction in new moms. The active intervention condition, Body Acceptance After Baby (BABI), uses acceptance-based skills to help participants cope with body dissatisfaction. BABI will be evaluated against another active intervention condition (a brief infographic that provides psychoeducation about body image during postpartum) and a waitlist control condition.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
375
BABI is an online, self-directed single-session intervention designed to improve body dissatisfaction in postpartum moms (up to one year after delivery) aged 18 or older.
The postpartum body image infographic is an online pamphlet that provides psychoeducation about body image during postpartum.
Northeastern University
Boston, Massachusetts, United States
RECRUITINGPostpartum body image
Postpartum body image will be measured using the Body Image in Pregnancy Scale adapted for postpartum. Only the following subscales will be measured: (1) Preoccuptation with Physical Appearance; (2) Prioritization of Appearance over Function; (3) Appearance-Related Behavioral Avoidance. Subscales range from 1-5 with higher scores indicating greater body image disturbance.
Time frame: Baseline, 1 month, 3 months
Body appreciation
Body Appreciation will be measured using The Body Appreciation Scale-2 Short Form. Scores range from 3-15 with higher scores indicating greater body appreciation.
Time frame: Baseline, 1 month, 3 months
Psychological flexibility
Psychological flexibility will be measured with the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT). Scores range from 0-138 with higher scores indicating greater psychological flexibility. Subscales can also be calculated to measure (1) Openness to Experience, (2) Behavioral Awareness, and (3) Valued Action.
Time frame: Baseline, 1 month, 3 months
Postpartum depression
Postpartum depression will be measured with the Edinburgh Postnatal Depression Scale (EPDS). Scores range from 0-30 with higher scores indicating greater depressive symptoms.
Time frame: Baseline, 1 month, 3 months
Eating disorder symptoms
Eating disorder symptoms will be measured with the Eating Disorder Examination Questionnaire Short (EDE-QS). Scores range from 0-36 with higher scores indicating greater severity of eating disorder symptoms.
Time frame: Baseline, 1 month, 3 months
Intuitive eating
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Intuitive eating will be measured with the Intuitive Eating Scale-3 (IES-3) . Each item ranges from 1-5 and can be averaged to obtain a global score with higher scores indicating greater intuitive eating. Subscale scores (Unconditional Permission to Eat; Eating for Physical Reasons; Reliance on Hunger and Satiety Cues; Body-Food Choice Congruence) can also be calculated.
Time frame: Baseline, 1 month, 3 months
Breastfeeding self-efficacy
Breastfeeding self-efficacy will be measured with the Breastfeeding Self-Efficacy Scale (BSES-SF). Scores range from 14-70 with higher scores indicating greater self-efficacy.
Time frame: Baseline, 1 month, 3 months
Bottle-feeding self-efficacy
Bottle-feeding self-efficacy will be measured with the Bottle Feeding Self-Efficacy Scale. Scores range from 20-100 with higher scores indicating greater self-efficacy.
Time frame: Baseline, 1 month, 3 months
State mood and body image
Visual analog scales will be used to measure state anxiety, negative affect, positive affect, appearance satisfaction, weight satisfaction, muscle tone satisfaction, confidence, body acceptance, body positivity, anger, body functionality appreciation, body appreciation, broad concept of beauty (body sizes and body shapes) and body positive protective filter. Each item ranges from 0-100 with greater scores indicating greater levels of the respective variable.
Time frame: Baseline
Hopelessness
Hopelessness will be measured with the Beck Hopelessness Scale - 4-item version (BHS). Each item ranges from 0-3. Items are averaged to obtain a total score with higher scores indicating greater hopelessness.
Time frame: Baseline