Outcomes of a cluster randomised control trial of Be Real’s BodyKind; A universal body image programme for adolescents in Ireland

IF 5.2 1区心理学 Q1 PSYCHIATRY

Body Image Pub Date : 2025-05-30 DOI:10.1016/j.bodyim.2025.101905

Ciara Mahon , Denise Hamburger , Zali Yager , Jennifer B. Webb , Georgia Brown , Amanda Fitzgerald

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引用次数: 0

Abstract

Body image has a key impact on adolescent mental health. Yet there are few evidence-based interventions for older adolescents (aged 14 + years). This study evaluated the effectiveness of Be Real’s BodyKind, a strengths-focused, gender-inclusive programme, culturally adapted for older adolescents in Ireland, which combines empirically-supported principles of cognitive dissonance, self-compassion, compassion for others, and social activism to support positive body image. Twenty-three second-level schools in Ireland participated in a pragmatic cluster randomised controlled trial. Overall, 1099 students (612 girls, 460 boys, 27 gender minority students) in Transition (4th) Year aged 15–16 years (M=15.4, SD=.5) were randomly assigned to receive the 4-session intervention delivered by teachers (n = 630) or waitlist control (n = 469). Outcomes were assessed at baseline, post-intervention and 2-month follow-up. Significant improvements in the main outcome of body appreciation (p = .03, d=.17) were observed at post-intervention. Girls demonstrated higher levels of body appreciation at post-intervention, and self-compassion at follow-up, but not boys. No significant changes in body satisfaction, psychological wellbeing, body ideal internalisation, compassion for others or social activism were observed. Findings indicate that girls may experience brief gains in body appreciation, but refining the programme and optimising implementation may be warranted to enhance programme impact, particularly in boys.

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Be Real 's BodyKind聚类随机对照试验结果分析爱尔兰青少年普遍身体形象方案

身体形象对青少年的心理健康有重要影响。然而，针对年龄较大的青少年（14岁 以上）的循证干预措施很少。本研究评估了Be Real 's body kind的有效性，这是一个以优势为中心、性别包容的项目，适合爱尔兰年龄较大的青少年，它结合了经验支持的认知失调原则、自我同情、同情他人和社会行动主义，以支持积极的身体形象。爱尔兰的23所二级学校参与了一项实用的集群随机对照试验。总体而言，1099名15-16岁的过渡(4)年级学生（M=15.4， SD=.5）被随机分配接受由教师（n = 630）或候补组（n = 469）提供的4次干预。在基线、干预后和2个月随访时评估结果。身体欣赏的主要结果显著改善（p = ）。03, d=.17)。女孩在干预后表现出更高的身体欣赏水平，在随访中表现出更高的自我同情水平，而男孩则没有。在身体满意度、心理健康、身体理想内化、对他人的同情或社会活动方面没有观察到明显的变化。研究结果表明，女孩在欣赏身体方面可能会有短暂的收获，但可能需要改进方案并优化实施，以增强方案的影响，特别是对男孩的影响。

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来源期刊

Body Image Multiple-

CiteScore

8.70

自引率

28.80%

发文量

174

期刊介绍： Body Image is an international, peer-reviewed journal that publishes high-quality, scientific articles on body image and human physical appearance. Body Image is a multi-faceted concept that refers to persons perceptions and attitudes about their own body, particularly but not exclusively its appearance. The journal invites contributions from a broad range of disciplines-psychological science, other social and behavioral sciences, and medical and health sciences. The journal publishes original research articles, brief research reports, theoretical and review papers, and science-based practitioner reports of interest. Dissertation abstracts are also published online, and the journal gives an annual award for the best doctoral dissertation in this field.