A body image training program for health professionals: A single group pre-post evaluation

Abstract

Health professionals (HPs) often overlook the complexity of body image. The Body Image Fundamentals program was designed to enhance HPs' knowledge and skills in managing body image concerns. The online program was evaluated over 16 weeks using a single-group pre-post design based on Kirkpatrick's Four-Level Training Model. Participants (dietitians, health coaches, fitness trainers, and nutritionists) completed pre-post surveys featuring closed and open-ended questions. Survey items assessed program acceptability (Level 1: Reactions) measuring satisfaction, perceived usefulness, and engagement, as well as feasibility (e.g., completion rates). Changes in knowledge and perceived skill acquisition (Level 2: Learning) and the application of knowledge (Level 3: Behavior) were assessed as preliminary indicators of the program’s effectiveness. Pre-post changes in participants' own body image and related attitudes were examined as secondary outcomes. Of the 127 participants who completed the initial survey, 52 (41 %) finished the post-program survey and completed 72.1 % of the eight modules. Participants reported high levels of satisfaction, usefulness, and understandability (ratings >92/100 %). Significant changes included increased body image knowledge (d =.88) and body appreciation (d =.42), reduced idealization of thin (d =.66) and athletic bodies (d =.73), and decreased anti-fat attitudes (d =.43). Open-ended responses indicated intended and on-going individualized and compassionate practices with clients/patients, while also highlighting the need for clearer guidelines on applying learned skills in practice. Results suggest the program has the potential to improve HPs' ability to address body image concerns.