Basic Sciences and Studies Department, College of Community, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh, 11564, Saudi Arabia.
Department of Psychology, University of Sheffield, Sheffield, UK.
Eat Weight Disord. 2021 Dec;26(8):2503-2512. doi: 10.1007/s40519-021-01104-9. Epub 2021 Feb 1.
The main aim of this study was to test the feasibility of an adapted version of the Body Project for young Saudi women as their eating and body issues are comparable to western culture and linked to internalization of westernization. The study also aims to assess predictors of attrition and preliminary effectiveness.
The intervention was adapted to local culture in collaboration with a co-director of the Body Project Collaborative. 48 Saudi undergraduate females were recruited, mean age was 19.16 years (SD = 1.23), baseline BMI was (M = 24.42, SD = 5.46). Eating pathology, body image, and comorbidities were assessed pre and post the intervention with adapted self-report measures.
The Body Project is feasible for young Saudi women. Participants were willing to enrol, they found the intervention useful, understandable, and enjoyable. There was no difference between completers and non-completers. The preliminary effect sizes are similar or higher than other effectiveness trials in other cultures.
A cognitive dissonance-based eating disorders prevention can be applicable across cultures where westernization is an influence. The effectiveness is yet to be affirmed. Future research is needed to investigate effectiveness in further robust studies and a bigger sample.
EVIDENCE-BASED MEDICINE: Level IV (evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence).
本研究的主要目的是测试适用于沙特年轻女性的身体项目改编版的可行性，因为她们的饮食和身体问题与西方文化相似，并与西方化的内化有关。该研究还旨在评估退出率和初步效果的预测因素。
该干预措施是与身体项目合作的副主任合作，根据当地文化进行改编的。招募了 48 名沙特本科女性，平均年龄为 19.16 岁（SD=1.23），基线 BMI 为（M=24.42，SD=5.46）。在干预前后，使用改编的自我报告措施评估饮食病理学、身体形象和合并症。
身体项目对沙特年轻女性是可行的。参与者愿意注册，他们发现干预措施有用、易懂且有趣。完成者和未完成者之间没有差异。初步效果大小与其他文化中的其他有效性试验相似或更高。
基于认知失调的饮食失调预防可以适用于受到西方化影响的文化。其有效性仍有待证实。需要进一步的研究来调查在更有力的研究和更大样本中的有效性。
四级（从多个具有或不具有干预的时间序列中获得的证据，例如案例研究。在不受控制的试验中戏剧性的结果也可能被视为这种类型的证据）。
