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Inclusive dissonance-based body image interventions for college students: Two randomized-controlled trials of the EVERYbody Project.
Journal of Consulting and Clinical Psychology ( IF 7.156 ) Pub Date : 2021-04-01 , DOI: 10.1037/ccp0000636
Anna C Ciao 1 , Bethany R Munson 1 , Kevin D Pringle 1 , Savannah R Roberts 1 , Indira A Lalgee 1 , Kendall A Lawley 1 , Janae Brewster 1
Affiliation  

OBJECTIVES Two randomized-controlled studies explored the feasibility, acceptability, and efficacy of the EVERYbody Project, a gender-inclusive, diversity-focused, dissonance-based body image intervention for college students. METHOD Trial 1 (N = 98; 80% female, 14% male, and 6% gender-expansive) piloted the two-session intervention delivered by an expert (faculty or staff) and peer cofacilitators compared to a waitlist control. Trial 2 (N = 141; 79% female, 15% male, and 6% gender-expansive) utilized peer leaders, comparing the EVERYbody Project to a video and expressive writing intervention. Around half of the participants in both trials self-identified in one or more specific marginalized identity category. Changes in eating disorder symptoms and risk factors were assessed through 1-month follow-up. Trial 1 also assessed the intervention's impact on students with marginalized identities through qualitative interviews. RESULTS In Trial 1, the EVERYbody Project produced greater reductions in eating disorder symptoms, internalized appearance norms, body dissatisfaction, and negative affect compared to the waitlist control through 1-month follow-up, with medium effect sizes. The impact was similar in students with marginalized and majority identities, and qualitative interviews suggested specific positives of the intervention. In Trial 2, there were significant changes in two of four outcomes for participants in the EVERYbody Project compared to the video and expressive writing intervention, but overall, the intervention impact was modest. CONCLUSIONS The EVERYbody Project is a feasible and acceptable inclusive dissonance-based body image program. It appears to be beneficial when delivered via experts, but research is needed to establish whether the program can be delivered using peer leaders with greater impact. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

针对大学生的基于包容性失调的身体意象干预:每个人项目的两项随机对照试验。

目标 两项随机对照研究探讨了每个人项目的可行性、可接受性和有效性,这是一项针对大学生的性别包容、关注多样性、基于失调的身体意象干预措施。方法 试验 1(N = 98;80% 女性、14% 男性和 6% 性别扩展)试点由专家(教职员工)和同伴共同协调人提供的两阶段干预与等候名单控制相比。试验 2(N = 141;79% 女性,15% 男性,6% 性别广泛)利用同伴领导,将每个人项目与视频和表达性写作干预进行比较。两项试验中约有一半的参与者自我认同为一个或多个特定的边缘化身份类别。通过 1 个月的随访评估饮食失调症状和危险因素的变化。试验 1 还评估了干预措施' 通过定性访谈了解对边缘化学生的影响。结果 在试验 1 中,通过 1 个月的随访,EVERYbody 项目在饮食失调症状、内化外观规范、身体不满和负面影响方面产生了更大的减少,通过 1 个月的随访,效果中等。这种影响在边缘化和多数身份的学生中是相似的,定性访谈表明干预具有特定的积极意义。在试验 2 中,与视频和表达性写作干预相比,每个人项目参与者的四个结果中有两个发生了显着变化,但总体而言,干预影响不大。结论 每个人计划是一个可行且可接受的基于包容性失调的身体意象计划。通过专家进行交付似乎是有益的,但需要研究以确定是否可以使用具有更大影响的同行领导来交付该计划。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。
更新日期:2021-04-01
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