School of Psychology, University College Dublin (UCD), Ireland.
Be Real USA, NFP, USA.
Body Image. 2023 Dec;47:101636. doi: 10.1016/j.bodyim.2023.101636. Epub 2023 Oct 7.
Body dissatisfaction is prevalent among adolescents and a primary risk factor for eating disorders, yet there are few body image interventions for older adolescents that support development of positive body image. Therefore, we assessed the feasibility, acceptability and preliminary effectiveness of BodyKind, a four-lesson, mixed gender, teacher-led, school-based curriculum for older adolescents, that combines principles of self-compassion, compassion for others, cognitive dissonance, and social activism to address contemporary adolescent body image concerns (i.e., appearance bias, comparisons on social media) and strengthen positive body image development. The sample contained 147 adolescents, predominantly racial/ethnic minorities (>95%), 54.8% male, 41.5% female and 4.1% gender-minority students aged 15-18 years (M=16.24, SD=.96) from a low-income, inner-city high school in the Midwestern US. Two teachers received training and delivered the curriculum to students. This single arm, mixed methods trial assessed student and teacher acceptability, teacher fidelity and student intervention outcomes. Despite reasonable teacher fidelity, recruitment/attendance rates, post-intervention data loss (35% attrition) limited evaluations of program effectiveness and study feasibility. Important learnings regarding study feasibility will inform optimisation for future school-based trials. Findings demonstrate high acceptability of BodyKind among teachers and adolescents in a lower socioeconomic school setting, and further randomized controlled effectiveness trials are required.
身体不满在青少年中普遍存在，是饮食失调的主要风险因素，但针对年龄较大的青少年的身体形象干预措施很少，无法支持积极身体形象的发展。因此，我们评估了 BodyKind 的可行性、可接受性和初步效果，这是一种四节课的、混合性别、教师主导的、基于学校的课程，适用于年龄较大的青少年，结合了自我同情、对他人的同情、认知失调和社会行动主义的原则，以解决当代青少年的身体形象问题（即外貌偏见、社交媒体上的比较），并加强积极的身体形象发展。该样本包含 147 名青少年，主要是少数族裔（>95%），54.8%为男性，41.5%为女性，4.1%为性别少数学生，年龄在 15-18 岁之间（M=16.24，SD=.96），来自美国中西部一所低收入、城市内的高中。两名教师接受了培训，并向学生教授了课程。这项单臂、混合方法试验评估了学生和教师的可接受性、教师的保真度和学生的干预结果。尽管教师的保真度合理，但招募/出勤率、干预后数据丢失（35%的流失率）限制了对计划效果和研究可行性的评估。关于研究可行性的重要经验教训将为未来基于学校的试验提供优化信息。研究结果表明，在社会经济地位较低的学校环境中，BodyKind 得到了教师和青少年的高度认可，需要进一步开展随机对照有效性试验。
