Centre for Appearance Research, University of the West of England, Bristol, UK.
Centre for Appearance Research, University of the West of England, Bristol, UK.
Body Image. 2021 Jun;37:282-290. doi: 10.1016/j.bodyim.2021.02.011. Epub 2021 Apr 1.
This pilot study evaluated the acceptability and preliminary efficacy of a culturally adapted school-based body image intervention, Dove Confident Me, for use in urban India. Two private schools in New Delhi were randomly assigned at the school level to receive either the five-session intervention facilitated by trained psychologists or lessons-as-usual (control). Participants were Year 7 students (N = 166; M = 11.9 years). Students, facilitators, and observing teachers, provided acceptability feedback. Fidelity was assessed. Body image and related measures were completed by students in a classroom setting at pre-intervention, post-intervention, and two-month follow-up. Most students enjoyed (73.7 %) and understood (84.2 %) the intervention. Facilitators (90 %) and observing teachers (70 %) reported that the learning objectives were achieved. Adherence and facilitator competence were rated as very good. Body esteem improved significantly among intervention students at post-intervention and follow-up (Cohen's ds = .45-.46), relative to control students. Positive affect also improved at post-intervention (d = .58). No significant effects on internalisation, life engagement, eating pathology, self-esteem, or negative affect emerged. This study provides evidence for the acceptability and preliminary efficacy of Dove Confident Me in urban India. Intervention refinements to increase acceptability and efficacy are recommended.
本试点研究评估了一项基于学校的身体意象干预措施——自信 Dove（Dove Confident Me）的可接受性和初步效果，该措施适用于印度城市地区。新德里的两所私立学校在学校层面被随机分配接受由经过培训的心理学家实施的五节干预课程或常规课程（对照组）。参与者为七年级学生（N=166；M=11.9 岁）。学生、促进者和观察教师提供了可接受性反馈。评估了忠实性。学生在课堂环境中完成了身体意象和相关措施的评估，分别在干预前、干预后和两个月随访时进行。大多数学生喜欢（73.7%）并理解（84.2%）干预措施。促进者（90%）和观察教师（70%）报告称实现了学习目标。依从性和促进者能力的评价非常好。与对照组学生相比，干预组学生在干预后和随访时的身体自尊显著提高（Cohen's ds=.45-.46）。积极情绪也在干预后得到改善（d=.58）。内化、生活参与、饮食病理学、自尊或消极情绪方面没有出现显著影响。本研究为自信 Dove 在印度城市地区的可接受性和初步效果提供了证据。建议对干预措施进行改进以提高可接受性和效果。
