A Pilot Randomised Control Trial to Examine the Acceptability, Feasibility, and Efficacy of 'Confident Me' School Workshops for Body Confidence in India
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 568
- 试验地点
- 2
- 主要终点
- Change in body esteem over time: Body Esteem Scale for adolescents & adults (Mendelson, Mendelson & White, 2001).
研究概览
简要总结
Body image is one of the leading concerns for young people. Such concerns can have serious health consequences, including unhealthy weight control and exercise behaviours, depression and self-harm, low self-esteem and substance abuse. Emerging approaches for improving body image are effective among adolescent girls and boys in the school setting. However, the vast majority of trials in this area are conducted in high-income westernised countries, despite body image concerns increasingly being recognised as a global concern. As such, it is important to develop and disseminate interventions to promote positive body image among adolescents in in low-to-middle income countries, too. 'Confident Me' has been found to be effective in improving body image and related outcomes among adolescent girls and boys in the UK up to 12-months later, and thus, could undergo adaptations for the Indian context.
The aim of the present study is two-fold:
- To conduct a small-scale acceptability study of a 'Confident Me', a body image intervention, among 11-13-year olds in New Delhi, India, to understand its acceptability, feasibility, and preliminary efficacy in a metropolitan area of India.
- To refine 'Confident Me' based on the acceptability study, and to conduct a randomised controlled trial to evaluate its efficacy at improving body image and related outcomes among 11-13-year olds in New Delhi, India.
The first aim will be fulfilled by recruiting two schools, of which one will be randomised to the intervention and the other to the control arm. We will compare the body image and well-being of students who take part in the programme to students in the control group. The investigators will also gather in-depth feedback from students, teachers and the interventionist via focus groups and interviews, in order to inform future improvement of the programme. The second aim will be fulfilled by randomising six schools to either the revised body image programme (3 schools) or the control arm (3 schools). Students will complete questionnaire assessments of body image and well-being before and after the 5-week programme period, and again 12 weeks later to assess longer-term benefits.
详细描述
Background:
Body image is a significant and prevalent concern for adolescents in high-income countries such as the UK, the USA, and Australia. For example, a study of 1,600 girls in the UK found that four in ten 11-16-year-old girls are unhappy with the way they look. Similarly, a nationally representative survey of nearly 22,000 young people in Australia found that 3 in 10 adolescent boys and girls are very concerned about their body image, and body image was voted among the top three life concerns. The high prevalence of body image concerns among adolescent boys and girls is worrisome, given their serious negative physical and psychological health consequences. For example, body dissatisfaction is associated with engagement in unhealthy weight loss behaviours and the onset of eating disorders, depression and self-harm, substance use, and lower levels of academic engagement.
There is increasing recognition that body image is a global issue, as opposed to one relegated to privileged adolescents in high-income Westernised countries. For example, in India, 57% of adolescents aged 15-19 years report being concerned with their appearance. Further, adolescent girls across different regions of India have expressed concerns in relation to their weight and report dieting behaviours. Skin colour has also been indicated as an additional source of appearance concern among young people in India. A large-scale study among Asian, African, and South American countries, found that 19% of Indian undergraduate students had used a skin lightening product in the previous 12 months, strongly suggesting dissatisfaction with their natural skin tone, which may be pertinent to younger groups.
Collectively, these findings indicate the importance of developing and disseminating interventions to promote positive body image among adolescents in India. To date, only one published study has investigated the effectiveness of a body image intervention delivered in schools to adolescents in India. The results indicated the potential for media literacy to improve body satisfaction among adolescent girls. While this study offers a promising first step, more research is needed to understand the potential for school body image interventions in India.
The aim of the present study is two-fold:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
masking not possible for participants within design, but outcome assessors do not know which condition participants are in
入排标准
- 年龄范围
- 11 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Change in body esteem over time: Body Esteem Scale for adolescents & adults (Mendelson, Mendelson & White, 2001).
时间窗: Baseline, post-intervention (6-weeks post baseline), 10-week follow-up
Assessment of body esteem using Body Esteem Scale for adolescents \& adults,18 items, 5-point Likert-type scale. Once the appropriate items are reverse coded, scores on all items are averaged; with lower scores indicating lower body esteem.
次要结局
- Life engagement Scale (Atkinson & Diedrichs, Manuscript in Preparation)(Baseline, post-intervention (6-weeks post baseline), 10-week follow-up)
- Change in eating pathology over time: Eating Disorder Examination Questionnaire (Fairburn & Beglin, 2008)(Baseline, post-intervention (6-weeks post baseline), 10-week follow-up)
- Internalisation of appearance ideals: The Sociocultural Attitudes Towards Appearance scale-3 (SATAQ-3): General Subscale (Thompson, Van Den Berg, Roehrig, Guarda, & Heinberg, 2004).(Baseline, post-intervention (6-weeks post baseline), 10-week follow-up)
- Positive and Negative Affect: The Positive and Negative Affect Scale (Crawford & Henry, 2004)(Baseline, post-intervention (6-weeks post baseline), 10-week follow-up)
- Self-Esteem: The Self-Esteem Scale (Rosenberg, 1965)(Baseline, post-intervention (6-weeks post baseline), 10-week follow-up)