ABSTRACT

The research presented here evaluates the delivery of Happy Being Me (HBM; Dunstan, Paxton & McLean, 2017) with boys and girls in their first year of secondary school in the UK (Year 7 and after comparisons aged 11–12). HBM is a manualised universal prevention programme which aims to improve body dissatisfaction and associated risk factors. Risk factors studied here were internalization of the thin ideal, physical appearance comparisons, appearance conversations. Secondary outcomes measured were self-esteem and eating disorder symptoms

Study 1 tested the effectiveness of HBM (n = 172) compared to a control group (n = 197) who received curriculum as usual. HBM resulted in significantly improved body satisfaction post-intervention which was maintained at follow up. There were no significant changes in risk factors.

Study 2 compared clinician (n = 172) and teacher (n = 174) delivery. Students who received clinician-led, but not teacher-led, HBM had improved body satisfaction and this was maintained at follow up. Internalization of the thin ideal and self-esteem, improved in both clinician and teacher-led groups with small to medium sized effects. HBM can be delivered by clinicians independent of programme developers in a heterogeneous sample with positive effects on body satisfaction. Issues arising for wider delivery are discussed

摘要

此处介绍的研究评估了英国中学一年级（7 年级和 11-12 岁之后的比较）男孩和女孩对我的快乐（HBM；Dunstan, Paxton & McLean, 2017）的交付。HBM 是一个手动的通用预防计划，旨在改善身体不满意和相关的风险因素。这里研究的风险因素是瘦理想的内在化、外表比较、外表对话。测量的次要结果是自尊和饮食失调症状

研究 1 测试了 HBM (n = 172) 与照常接受课程的对照组 (n = 197) 相比的有效性。HBM 显着提高了干预后的身体满意度，并在随访中保持不变。危险因素没有显着变化。

研究 2 比较了临床医生 (n = 172) 和教师 (n = 174) 的分娩方式。接受临床医生指导而不是教师指导的 HBM 的学生提高了身体满意度，并在随访中保持这种状态。薄弱的理想和自尊的内化，在临床医生和教师领导的小组中都有所改善，具有中小型效果。HBM 可以由临床医生独立于程序开发人员在异质样本中提供，对身体满意度产生积极影响。讨论了为更广泛的交付而出现的问题