Department of Psychology.
J Consult Clin Psychol. 2021 Apr;89(4):301-315. doi: 10.1037/ccp0000636.
Two randomized-controlled studies explored the feasibility, acceptability, and efficacy of the EVERYbody Project, a gender-inclusive, diversity-focused, dissonance-based body image intervention for college students.
Trial 1 (N = 98; 80% female, 14% male, and 6% gender-expansive) piloted the two-session intervention delivered by an expert (faculty or staff) and peer cofacilitators compared to a waitlist control. Trial 2 (N = 141; 79% female, 15% male, and 6% gender-expansive) utilized peer leaders, comparing the EVERYbody Project to a video and expressive writing intervention. Around half of the participants in both trials self-identified in one or more specific marginalized identity category. Changes in eating disorder symptoms and risk factors were assessed through 1-month follow-up. Trial 1 also assessed the intervention's impact on students with marginalized identities through qualitative interviews.
In Trial 1, the EVERYbody Project produced greater reductions in eating disorder symptoms, internalized appearance norms, body dissatisfaction, and negative affect compared to the waitlist control through 1-month follow-up, with medium effect sizes. The impact was similar in students with marginalized and majority identities, and qualitative interviews suggested specific positives of the intervention. In Trial 2, there were significant changes in two of four outcomes for participants in the EVERYbody Project compared to the video and expressive writing intervention, but overall, the intervention impact was modest.
The EVERYbody Project is a feasible and acceptable inclusive dissonance-based body image program. It appears to be beneficial when delivered via experts, but research is needed to establish whether the program can be delivered using peer leaders with greater impact. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
两项随机对照研究探讨了 EVERYbody 项目的可行性、可接受性和有效性，这是一个面向大学生的性别包容、多样性关注、基于不和谐的身体意象干预项目。
试验 1（N=98；80%为女性，14%为男性，6%为性别扩展）对由专家（教师或工作人员）和同伴共同进行的两部分干预措施进行了试点，与候补名单对照组进行了比较。试验 2（N=141；79%为女性，15%为男性，6%为性别扩展）使用了同伴领袖，将 EVERYbody 项目与视频和表达性写作干预进行了比较。两个试验中约有一半的参与者自我认同为一个或多个特定的边缘化身份类别。通过 1 个月的随访，评估饮食障碍症状和风险因素的变化。试验 1 还通过定性访谈评估了该干预措施对边缘化身份学生的影响。
在试验 1 中，与候补名单对照组相比，通过 1 个月的随访， EVERYbody 项目在饮食障碍症状、内化的外貌规范、身体不满和负面情绪方面产生了更大的减少，具有中等的效果大小。在具有边缘化和多数身份的学生中，影响是相似的，定性访谈表明了干预的具体优势。在试验 2 中，与视频和表达性写作干预相比， EVERYbody 项目的参与者有四个结果中的两个发生了显著变化，但总体而言，干预效果是适度的。
EVERbody 项目是一个可行且可接受的包容性不和谐的身体意象项目。当由专家提供时，它似乎是有益的，但需要研究来确定该项目是否可以通过具有更大影响力的同伴领袖来提供。
