Prevention Program Promoting Self Resilience, Positive Self-Image and Body Image Among Adolescents

Study Overview
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Brief Summary
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The study is a group randomized controlled trial. High school classes were allocated by randomization to the intervention or control group by a Randomization function in Excel computer program. Outcomes were measured by questionnaire at pre-intervention, post-intervention and 3-months follow-up. The study protocol was approved by Tel Hai College institutional review board. Parents of all participants, in the intervention and in the control group, received information about the program and the study and were asked to provide informed consent.

Detailed Description
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The study is a group randomized controlled trial. High school classes were allocated by randomization to the intervention or control group by a Randomization function in Excel computer program. Outcomes were measured by questionnaire at pre-intervention, post-intervention and 3-month follow-up. The study protocol was approved by Tel Hai College institutional review board. Parents of all participants, in the intervention and in the control group, shall receive information about the program and the study and shall be asked to provide informed consent. Participants and setting: A high school in the northern region of Israel was recruited for the study. 9th and 10th grade classes were chosen to participate in the study, all mixed gender classes. All data will be collected within the school setting. Program description: In Favor of a Resilient Self is an interactive, cognitive behavior program aiming to address low resilience, low self-esteem and body dissatisfaction. This program is part of a series of intervention programs named In Favor of Myself which has been in development since 2008. This resilience-based program contains a range of coping strategies to help adolescents improve resilience, self-esteem and body image. The program consists of nine 90-min sessions delivered by one group leader in the presence of the classes' teachers. Participants in the control group shall receive one session of 90 minutes of health nutrition education.

Official Title
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In Favor of Resilient Self- A Prevention Program Promoting Positive Self-Image and Body Image Among Adolescence Aged 15-17

Conditions
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Primary Prevention

Intervention / Treatment
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* Behavioral: Prevention program: In Favor of Resilient Self


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Participants who filled out the questionnaires before and after the program, and whose parents signed a letter of informed consent. Exclusion Criteria: • Participants who do not complete the questionnaires at least twice

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

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: Prevention Program In Favor of Resilient Self<br>The program In Favor of Resilient Self delivered to adolescence aged 15-17, over 3 months. The program contained nine weekly 90-min sessions that focus on enhancing self- resilience, self-esteem, self-image, body image. All participants will complete a self-report questionnaire at baseline, conclusion and 3 months after program conclusion. | Behavioral: Prevention program: In Favor of Resilient Self<br>* Prevention program: In Favor of Resilient Self<br>|
| No Intervention: No Intervention: control group<br>The control group didn't receive the intervention program, instead they received a lesson on healthy nutrition. The control group will complete the same self-report questionnaire as the intervention group at baseline, conclusion and 3 months after program conclusion. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in the Sociocultural Attitudes towards Appearance Questionnaire-4 | The Sociocultural Attitudes Towards Appearance Questionnaire (Schaefer et al., 2015) We included 3 subscales: Internalization - Thin/Low Body Fat, Internalization - Muscular/Athletic, Pressures - Media- 14 items | Measured three times over six months, measuring a change in scores | 
| Change from Baseline in Rosenberg Self Esteem Scale | Rosenberg Self Esteem Scale (Rosenberg, 1965)- 10 items | Measured three times over six months, measuring a change in scores | 
| Change from Baseline in Eating Attitudes Test | Eating Attitudes Test- 26 items The Eating Attitudes validated scale for children and adolescents (Maloney, McGuire, & Daniels, 1988) | Measured three times over six months, measuring a change in scores | 
| Change from Baseline in Body Esteem Scale | Body Esteem Scale- 23 items Body Esteem Scale for adolescents & adults (Mendelson, Mendelson, & White, 2001) Weight, appearance and attribution subscales. | Measured three times over six months, measuring a change in scores | 
| Change from Baseline in Contingencies of Self Worth Scale | Contingencies of Self Worth Scale- 25 items (Crocker et al., 2003). We used 2 subscales: Appearance and Approval from others. | Measured three times over six months, measuring a change in scores | 
| Change from Baseline in Contour Drawing Rating Scale | Contour Drawing Rating Scale- 3 items The Figure Body Images (Collins et al., 1981). It contains 9 figures with gender differences, the participants need to choose the figure which reflects themselves and their ideal figure goal. | Measured three times over six months, measuring a change in scores | 
| Change from Baseline in Advertising Scale | The Advertising scale contains 1 item- Identification of strategies used by media. This question is reflected as a protective factor. It contains 8 different strategies (Golan et al., 2013). | Measured three times over six months, measuring a change in scores | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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resilience, prevention program, body-image, self-esteem