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Effectiveness of a brief school-based body image intervention 'Dove Confident Me: Single Session' when delivered by teachers and researchers: Results from a cluster randomised controlled trial

Steer, Rebecca J.; Diedrichs, Phillippa C; Garbett, Kirsty M.; Atkinson, Melissa J.; Rumsey, Nichola; Halliwell, Emma

Effectiveness of a brief school-based body image intervention 'Dove Confident Me: Single Session' when delivered by teachers and researchers: Results from a cluster randomised controlled trial Thumbnail


Authors

Rebecca J. Steer



Abstract

© 2015 The Authors. This study evaluated a 90-min single session school-based body image intervention (Dove Confident Me: Single Session), and investigated if delivery could be task-shifted to teachers. British adolescents (N = 1707; 11-13 years; 50.83% girls) participated in a cluster randomised controlled trial [lessons as usual control; intervention teacher-led (TL); intervention researcher-led (RL)]. Body image, risk factors, and psychosocial and disordered eating outcomes were assessed 1-week pre-intervention, immediate post-intervention, and 4-9.5 weeks follow-up. Multilevel mixed-models showed post-intervention improvements for intervention students relative to control in body esteem (TL; girls only), negative affect (TL), dietary restraint (TL; girls only), eating disorder symptoms (TL), and life engagement (TL; RL). Awareness of sociocultural pressures increased at post-intervention (TL). Effects were small-medium in size (ds 0.19-0.76) and were not maintained at follow-up. There were no significant differences between conditions at post or follow-up on body satisfaction, appearance comparisons, teasing, appearance conversations and self-esteem. The intervention had short-term benefits for girls' body image and dietary restraint, and for eating disorder symptoms and some psychosocial outcomes among girls and boys. A multi-session version of the intervention is likely to be necessary for sustained improvements. Teachers can deliver this intervention effectively with minimal training, indicating broader scale dissemination is feasible. Trial registration: ISRCTN16782819.

Journal Article Type Article
Publication Date Nov 1, 2015
Journal Behaviour Research and Therapy
Print ISSN 0005-7967
Electronic ISSN 1873-622X
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 74
Pages 94-104
Institution Citation Garbett, K. M., Steer, R. J., Diedrichs, P. C., Atkinson, M. J., Steer, R., Garbett, K., …Halliwell, E. (2015). Effectiveness of a brief school-based body image intervention 'Dove Confident Me: Single Session' when delivered by teachers and researchers: Results from a cluster randomised controlled trial. Behaviour Research and Therapy, 74, 94-104. https://doi.org/10.1016/j.brat.2015.09.004
DOI https://doi.org/10.1016/j.brat.2015.09.004
Keywords body image, schools, intervention, task-shifting, adolescence
Publisher URL http://dx.doi.org/10.1016/j.brat.2015.09.004

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