The Peer-Delivered Body Project for Young Women in High School

Study Overview
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Brief Summary
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This study will evaluate the impact of the Body Project (a dissonance-based program designed to address body image concerns and prevent eating disorders) on key eating disorder risk factors and relevant social and self-constructs at three time-points (pre, post, and one-year follow-up). Young women will be recruited from two high schools and will be randomized to receive the Body Project or to the control group. The Body Project will be facilitated by college-aged women.

Detailed Description
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Preventive models that can avert the onset of eating disorders and innovative delivery methods that increase engagement with care offer a promising approach to improving the mental health and wellness of young women. This study aims to implement and evaluate the Body Project, a 4-hour dissonance-based program designed to address body image concerns and prevent eating disorders with high school young women using a peer delivery model. This study will evaluate the impact of the Body Project on key eating disorder risk factors and relevant social and self-constructs at three time-points (pre, post, and one-year follow-up). Young women will be recruited from two high schools and will be randomized to receive the Body Project program or to the control group. The Body Project will be facilitated by college-aged young women who have been trained to deliver the Body Project.

Official Title
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Implementation and Evaluation of the Peer-Delivered Body Project for Young Women in High School

Conditions
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Eating Disorders in Adolescence

Intervention / Treatment
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* Behavioral: The Body Project


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Female high school student Exclusion Criteria: - Previous participation in the Body Project program
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental: The Body Project for high school young women<br>The 4-hour Body Project workshop delivered by trained peer leaders | Behavioral: The Body Project<br>* The Body Project is a 4-hour dissonance-based program designed to address body image concerns and prevent eating disorders. The curriculum consists of written, verbal, and behavioral exercises that provide participants with the opportunity to voluntarily and publicly critique the appearance ideal.<br>|
| No Intervention: Control<br>The business-as-usual comparison group does not participate in the Body Project but may engage in any other programs or services they normally would | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Thin-Ideal Internalization Scale | Self-report measure of endorsement of the thin ideal (scale 1-5 with higher scores indicating higher levels of thin ideal internalization) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in Satisfaction and Dissatisfaction with Body Parts Scale | Self-report measure of body dissatisfaction (scale 1-5 with higher scores indicating higher levels of dissatisfaction) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in Dutch Restrained Eating Scale | Self-report measure of dietary restraint (scale 1-5 with higher scores indicating higher levels of eating restraint) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in Positive Affect and Negative Affect Scale-Revised | Self-report measure of negative affect (scale 1-5 with higher scores indicating higher levels of negative affect) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Objectified Body Consciousness Scale - Body Surveillance Subscale | Self-report measure of body monitoring and surveillance (scale 1-7 with higher scores indicating higher levels of body surveillance) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in UCLA Loneliness Scale | Self-report measure of loneliness (scale 1-4 with higher scores indicating higher levels of loneliness) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in Inventory of Peer Influence on Eating Concerns | Self-report measure of peer influence on eating and body concerns (scale 1-5 with higher scores indicating higher levels of peer influence) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in Patient Health Questionnaire (PHQ-9) | Self-report measure for depressive symptom severity(scale 0-3 with higher scores indicating higher levels of depression) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in Generalized Anxiety Disorder (GAD-7) | Self-report measure for symptoms of generalized anxiety (scale 0-3 with higher scores indicating higher levels of anxiety) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in General Self-Efficacy Scale | Self-report measure of self-efficacy (scale 1-4 with higher scores indicating higher levels of self-efficacy) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in Self-Compassion Scale | Self-report measure of self-compassion (scale 1-5 with higher scores indicating higher levels of self-compassion) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Change in Rosenberg Self-Esteem Scale | Self-report measure of global self-worth (scale 1-4 with higher scores indicating higher levels of self-esteem) | Baseline, Post-intervention (4 weeks after baseline), 1 year post-intervention follow-up | 
| Sense of Belonging (Body Project group only) | Self-report measure of anticipated belonging with group (scale 1-7 with higher scores indicating higher levels of anticipated belonging) | Baseline | 
| Sense of Belonging Follow-Up (Body Project group only) | Self-report measure of belonging with group (scale 1-7 with higher scores indicating higher levels of experienced belonging) | Post-intervention (4 weeks after baseline) | 
| Working Alliance Inventory (Body Project group only) | Self-report measure of therapeutic alliance with peer leaders (scale 1-5 with higher scores indicating higher levels of working alliance) | Post-intervention (4 weeks after baseline) | 
| Program Satisfaction (Body Project group only) | Self-reported ratings of satisfaction with program and peer leaders (scale 1-4 with higher scores indicating higher levels of program satisfaction) | Post-intervention (4 weeks after baseline) | 
| Fidelity and Competence (Body Project group only) | Observer-rated assessments of peer leader fidelity and competence (scale 1-10 with higher scores indicating higher levels of facilitator fidelity and competence) | From the first Body Project session to the final (fourth) Body Project session, 4 weeks on average | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Eating disorder prevention, Body Project, Female, Adolescence, Peer delivery