Effectiveness of a School-based Programme Integrating Social Media Literacy and Third-wave Cognitive-behavioral Interventions in Promoting Positive Body Image Among Adolescents: a Cluster Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 184
- 试验地点
- 1
- 主要终点
- Change in body esteem
研究概览
简要总结
Background and study aims Many teenagers feel unhappy with their bodies, which can lead to problems like eating disorders, low self-esteem, and depression. Social media plays an important role in shaping how young people see themselves, often promoting unrealistic beauty standards. This study aims to test the effectiveness of a school-based programme called IMPACTREEL, which teaches adolescents how to critically understand social media and improve their relationship with their body using strategies from third-wave psychological therapies. The goal is to help teenagers feel better about their bodies and reduce the risks of developing mental health problems.
Who can participate? The study is open to first year high-school adolescents who attend selected secondary schools in the province of Alicante (Spain). Participation is voluntary, and both the students and their parents/legal guardians must give consent to take part. Young people showing severe symptoms of eating disorders will not be included, as they may need clinical treatment.
What does the study involve?
Participants will be randomly assigned by classroom to one of two groups:
The intervention group will receive the IMPACTREEL programme, which consists of seven weekly sessions, each lasting 55 minutes, delivered at school by trained facilitators.
The control group will not receive the programme during the study but will be offered it later.
Both groups will be asked to complete a series of questionnaires about body image, social media use, emotional well-being, and quality of life before the programme, after it ends, and again 6 months and 12 months later. These questionnaires are confidential and anonymous.
What are the possible benefits and risks of participating? Participants in the intervention group may learn new skills to help them manage how they feel about their body and how they use social media. These strategies may also help reduce stress and improve emotional well-being.
There are no known risks of taking part in this study. Completing the questionnaires or discussing body image may make some students feel uncomfortable, but they are free to stop participating at any time. No clinical diagnosis or treatment is involved in this study.
Where is the study run from? The study is being run by psychologists and researchers from the Universidad Miguel Hernández de Elche (Spain), in collaboration with local secondary schools in the province of Alicante.
When is the study starting and how long is it expected to run for? The study started in 2024 and is expected to continue until 2028, including follow-up assessments and data analysis.
Who is funding the study? The study is funded by a FPU (Formación del Profesorado Universitario) grant from the Spanish Ministry of Universities, which supports doctoral training and research.
Who is the main contact?
Main contact:
Sheila Fernández García Email: sheila.fernandezg@umh.es Affiliation: Universidad Miguel Hernández de Elche
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Investigator, Outcomes Assessor)
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
- •Firts year of high-school.
排除标准
- •Presence of severe symptoms of eating disorders, indicated by a score above 20 on the EAT-26
研究组 & 干预措施
IMPACTREEL Intervention Group
Participants in this arm will receive the IMPACTREEL programme, a school-based intervention combining social media literacy and third-wave strategies (e.g., mindfulness, self-compassion). The programme consists of 7 weekly 55-minute group sessions delivered during school hours by trained facilitators.
干预措施: IMPACTREEL programme (Behavioral)
Waitlist Control Group
Participants in this arm will receive no intervention during the study period but will be offered the IMPACTREEL programme after the final 12-month follow-up assessment. They will complete the same assessments as the intervention group at baseline, post-intervention, and 6- and 12-month follow-ups.
结局指标
主要结局
Change in body esteem
时间窗: Baseline, post-intervention (week 9), 6-month follow-up, and 12-month follow-up
Body esteem will be assessed using one validated questionnaire: the Body Esteem Scale for Adolescents and Adults (BESAA). This tool assesses self-perception and satisfaction with one's own body appearance, weight, and attribution by others. Body self-esteem measures a person's satisfaction or dissatisfaction with his or her own body. The positive appearance and negative appearance subscales assess overall satisfaction or dissatisfaction with physical appearance, including various visual aspects without focusing on a specific ideal. An example item is: "I like the way I look in pictures". The third subscale, weight, focuses on the person's satisfaction with his or her own weight, as in the item: "I am satisfied with my weight". The higher the score, the higher the body esteem. The range of scores is from 18 to 90.
次要结局
- Change in life satisfaction(Baseline, post-intervention, 6-month follow-up, 12-month follow-up)
- Change in self-compassion(Baseline, post-intervention (week 9), 6-month follow-up, and 12-month follow-up)
- Change in depressive symptoms(Baseline, post-intervention, 6-month follow-up, 12-month follow-up)
- Change in perceived pressure and comparison on social media(Baseline, post-intervention, 6-month follow-up, 12-month follow-up)
- Change in internalisation of appearance ideals (SATAQ-4)(Baseline, post-intervention (week 9), 6-month follow-up, and 12-month follow-up)
- Change in social media literacy(Baseline, post-intervention, 6-month follow-up, 12-month follow-up)
- Change in social media engagement(Baseline, post-intervention, 6-month follow-up, 12-month follow-up)
- Change in eating disorder(Baseline, post-intervention, 6-month follow-up, 12-month follow-up)
- Change in body image perception(Baseline, post-intervention (week 9), 6-month follow-up, and 12-month follow-up.)
研究者
Sheila Fernández García
Maria Jose Quiles Sebastian - Principal Investigator
Universidad Miguel Hernandez de Elche