"The Healthy Body Image" (HBI) Program: A Program to Promote a Positive Body Image

NCT02901457 | Completed

• 1 other identifier: JCSB
• Study Type: interventional
• Target: 4,193
• Locations: 1 country
• Sites: 1

Brief Summary

Too many Norwegian adolescents experience severe body dissatisfaction (40-70 %), and strive to accomplish the "perfect body". At the same time, only 50 % meet the government's recommendations on physical activity and intake of fruits and vegetables. Also, 14-24 % has unhealthy sleeping habits. Optimizing these lifestyle factors is associated with physical and psychological health. These factors, along with the pressure to obtain the "perfect" body, are threatening the adolescent's physical and psychological health, jfr. Meld St nr 19. It is now a need for knowledge on how the investigators can contribute to promote positive body experience among the adolescents. It has recently, through a controlled study on elite youth athletes at Norwegian sports high schools, been shown that it is possible to change eating habits, improve body image and reduce new cases of eating disorder. It is now desirable to test an adapted program through a school-based program at regular Norwegian high school students (12th grade). Today, no controlled, school-based intervention studies with long-term follow-up have been conducted. The main aim of this project is to investigate if it is possible, through a school-based intervention program (Healthy Body Intervention), to promote positive body image, increase physical activity level, and healthy eating and sleeping habits in both boys and girls at Norwegian high schools. The intervention program will contribute with new evidence-based knowledge on the effect of an adapted health-promoting program.

Conditions

Quality of Life; Eating Behaviors; Physical Activity

Keywords

Body Image

Outcome Measures

Primary Outcomes (1)

• Proximal and distal effect of the "Healthy Body Intervention" (HBI) program on change in positive body image

  Participants are asked to respond to questions by choosing from different responses presented on a likert scale. Positive body image is assessed by the Experience of Embodiment Scale.

  Participants are asked to complete the questionnaire at post-tests planned at week 1, 3 months and 12 months after intervention

Secondary Outcomes (8)

• Proximal and distal effect of the HBI program on change in self-esteem

  Participants are asked to complete the questionnaire at post-tests planned at week 1, 3 months and 12 months after intervention

• Proximal and distal effect of the "Healthy Body Intervention" (HBI) program on change in the prevalence of students meeting the recommendations for health promoting physical activity.

  Participants are asked to complete the questionnaire at post-tests planned at week 1, 3 months and 12 months after intervention

• Experience of the intervention program and the feasibility of running the HBI program in schools.

  Post-test is planned within first week after intervention

• Proximal and distal effect of the HBI program on change in eating behavior (nutrition intake

  Participants are asked to complete the questionnaire at post-tests planned at week 1, 3 months and 12 months after intervention

• Proximal and distal effect of the HBI program on change in sleeping quality and sleep patterns

  Participants are asked to complete the questionnaire at post-tests planned at week 1, 3 months and 12 months after intervention

Study Arms (2)

Healthy Body Image

EXPERIMENTAL

Students receive the Healthy Body Image intervention containing 3x90 minutes of interactive workshops with the addition of related homework after each workshop.

Other: The "Healthy Body Image" intervention

Control group

NO INTERVENTION

Students do not receive the intervention program.

Interventions

The "Healthy Body Image" intervention OTHER

Interactive workshops (3 x 90 minutes) include training techniques to increase media literacy, enhance self-esteem, positive body image, awareness of perfectionism, and include discussions related to truths and myths related to life style factors. Homework is an extension of each workshop that is simple and not time-consuming tasks to increase reflection and awareness of how all the mentioned factors are a part of their lives.

Also known as: Healthy Body Image

Healthy Body Image

Eligibility Criteria

• Age: 16 Years - 19 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Norwegian high schools
• High schools located in either Oslo or Akershus County
• Students in the 2nd grade fall 2016
• Students within academic specialization education programs
• Teachers teaching included students in Norwegian, Social studies, Physical education, and contact teachers
• School nurses working at the randomly selected schools
• School administrators at randomly selected schools

You may not qualify if:

• Schools that follow foreign school systems
• Students within vocational education programs
• School departments connected to prison

Sponsors & Collaborators

• Norwegian School of Sport Sciences: lead
• The Norwegian Women´s Public Health Association: collaborator
• Norwegian Extra Foundation for Health and Rehabilitation: collaborator
• University of Tromso: collaborator
• University College of Southeast Norway: collaborator
• University of Agder: collaborator

Study Sites (1)

Norwegian School of Sports Sciences

Oslo, 0806, Norway

Location

Related Publications (12)

• Strand BH, Dalgard OS, Tambs K, Rognerud M. Measuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36). Nord J Psychiatry. 2003;57(2):113-8. doi: 10.1080/08039480310000932.

  PMID: 12745773 BACKGROUND

• Andersen JR, Natvig GK, Haraldstad K, Skrede T, Aadland E, Resaland GK. Psychometric properties of the Norwegian version of the Kidscreen-27 questionnaire. Health Qual Life Outcomes. 2016 Apr 9;14:58. doi: 10.1186/s12955-016-0460-4.

  PMID: 27062022 BACKGROUND

• Rosenberg M. Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press; 1965.

  BACKGROUND

• Pallesen S, Hetland J, Sivertsen B, Samdal O, Torsheim T, Nordhus IH. Time trends in sleep-onset difficulties among Norwegian adolescents: 1983--2005. Scand J Public Health. 2008 Nov;36(8):889-95. doi: 10.1177/1403494808095953.

  PMID: 19004908 BACKGROUND

• Schaefer LM, Burke NL, Thompson JK, Dedrick RF, Heinberg LJ, Calogero RM, Bardone-Cone AM, Higgins MK, Frederick DA, Kelly M, Anderson DA, Schaumberg K, Nerini A, Stefanile C, Dittmar H, Clark E, Adams Z, Macwana S, Klump KL, Vercellone AC, Paxton SJ, Swami V. Development and validation of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4). Psychol Assess. 2015 Mar;27(1):54-67. doi: 10.1037/a0037917. Epub 2014 Oct 6.

  PMID: 25285718 BACKGROUND

• Friborg O, Reas DL, Rosenvinge JH, Ro O. Core pathology of eating disorders as measured by the Eating Disorder Examination Questionnaire (EDE-Q): the predictive role of a nested general (g) and primary factors. Int J Methods Psychiatr Res. 2013 Sep;22(3):195-203. doi: 10.1002/mpr.1389. Epub 2013 Aug 19.

  PMID: 24038315 BACKGROUND

• Sandoz EK, Wilson, K.G., Merwin, R.M., Kellum, K.K. Assessment of body imageflexibility: The Body Image-Acceptance and Action Questionnaire. Journal of Contextual Behavioral Science. 2013:39-48

  BACKGROUND

• Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the Self-Compassion Scale. Clin Psychol Psychother. 2011 May-Jun;18(3):250-5. doi: 10.1002/cpp.702. Epub 2010 Jun 8.

  PMID: 21584907 BACKGROUND

• Smolak L, Murnen SK. Drive for leanness: assessment and relationship to gender, gender role and objectification. Body Image. 2008 Sep;5(3):251-60. doi: 10.1016/j.bodyim.2008.03.004. Epub 2008 Jun 26.

  PMID: 18585105 BACKGROUND

• Smolak L, & Piran, N. . Gender and the prevention of eating disorders. In: G. McVey MPL, N. Piran & H. B. Ferguson editor. Preventing eating-related and weight-related disorders: Collaborative research, advocacy, and policy change. Waterloo, ON: Wilfred Laurier Press; 2012. p. 201-24.

  BACKGROUND

• Sundgot-Borgen C, Friborg O, Kolle E, Torstveit MK, Sundgot-Borgen J, Engen KME, Rosenvinge JH, Pettersen G, Bratland-Sanda S. Does the Healthy Body Image program improve lifestyle habits among high school students? A randomized controlled trial with 12-month follow-up. J Int Med Res. 2020 Mar;48(3):300060519889453. doi: 10.1177/0300060519889453. Epub 2019 Dec 5.

  PMID: 31802697 DERIVED

• Sundgot-Borgen C, Bratland-Sanda S, Engen KME, Pettersen G, Friborg O, Torstveit MK, Kolle E, Piran N, Sundgot-Borgen J, Rosenvinge JH. The Norwegian healthy body image programme: study protocol for a randomized controlled school-based intervention to promote positive body image and prevent disordered eating among Norwegian high school students. BMC Psychol. 2018 Mar 6;6(1):8. doi: 10.1186/s40359-018-0221-8.

  PMID: 29510762 DERIVED

MeSH Terms

Conditions

Feeding Behavior; Motor Activity

Condition Hierarchy (Ancestors)

Behavior, Animal; Behavior

Study Officials

• Jorunn Sundgot-Borgen, Phd

  Norwegain School of Sports Sciences

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: April 24, 2016
• First Posted: September 15, 2016
• Study Start: August 1, 2016
• Primary Completion: February 1, 2018
• Study Completion: February 1, 2018
• Last Updated: March 21, 2024

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)