NCT04253041

Brief Summary

From magazines to Miss America, the media has consistently contributed to the spread of sociocultural beauty standards for decades. While initial research on the effects of media on body image primarily focused on magazine and television, recent research has shifted towards exploring the effects of social media due to its rapid and constant accessibility. Current research has associated the promulgation of the thin-ideal with bulimia, dieting, supplement use, negative affect, and body dissatisfaction. Literature related to thin-ideal media (thinspiration), decreased body dissatisfaction, and negative mood is robust with a common understanding that thin-ideal media instigates increased appearance comparisons to seemingly unattainable beauty standards. Literature has also suggested that depression and anxiety have increased with the growth of social media and pressure to achieve unattainable beauty. The fit-ideal, often referred to as Fitspiration, was created as an "antidote" to thin-ideal beauty standards. However, research has found that though well intended, fitspiration content continues to promote the thin-ideal and has been associated with similarly detrimental outcomes of body dissatisfaction and negative mood. Over the last decade, body image research has shifted the focus on body disturbance to examining concepts related to positive body image. However, to date there are no known studies examining the impacts of fit-ideal content versus body positive content on women's body appreciation, body satisfaction, and state mood. The purpose of the present study is to experimentally examine the impact of exposure to body positive and fitspiration Instagram content on the body satisfaction, body appreciation, and mood of undergraduate women at Arizona State University. Participants will be 90 female undergraduate students (18-29 years old) currently attending Arizona State University. Participants will be randomly allocated to view either fitspiration, body-positive, or appearance neutral Instagram images. Dependent variables including state body appreciation, state body dissatisfaction, and state mood will be measured using Visual Analogue Scales. Trait thin-ideal internalization and trait social comparison will also be measured as moderators using the Sociocultural Attitudes Towards Appearance Questionnaire-4 and the Physical Appearance Comparison Scale-Revised. We hypothesize that viewing body positive content from Instagram will result in greater state body satisfaction, greater state body appreciation, and greater state positive mood compared to participants exposed to fitspiration and appearance neutral content. We also hypothesize that viewing fitspiration content from Instagram will result in greater state body dissatisfaction, decreased state body appreciation, and greater state negative mood compared to participants exposed to body positive and appearance neutral content. Short answer qualitative interview questions will also be included as an exploratory aim of this study where we intend to fill a gap in the literature regarding the specific aspects of each content topic that elicit the observed quantitative outcomes.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
98

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 31, 2020

Completed
3 days until next milestone

Study Start

First participant enrolled

February 3, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 5, 2020

Completed
19 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 24, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 24, 2020

Completed
Last Updated

May 1, 2020

Status Verified

April 1, 2020

Enrollment Period

21 days

First QC Date

January 31, 2020

Last Update Submit

April 30, 2020

Conditions

Outcome Measures

Primary Outcomes (3)

  • State Body Satisfaction

    State body satisfaction will be measured using Visual Analogue Scales. Subjects will be asked to indicate their responses by marking a position on the scale between '0' to '100'. The three body satisfaction scales will be: 'At this moment, I am satisfied with my weight,' 'At this moment, I am satisfied with my overall appearance,' and 'At this moment, I am satisfied with my body shape.' A series of statements related to lifestyle satisfaction (i.e. relationship satisfaction, household living satisfaction, fiscal satisfaction) will also be added to this scale to uphold the cover story of this study being the effects of social media on Lifestyle Satisfaction.

    Through study completion (1 day with pretest and posttest measures)

  • State Body Appreciation

    State body appreciation will be measured using three Visual Analogue Scales. These questions were adapted from the Body Appreciation Scale (Avalos, Tylka, \& Wood-Barcalow, 2005) into state measures and were found to have high internal reliability within the previous study (Slater, Varsani, \& Diedrichs, 2017). Subjects will be asked to indicate their responses by marking a position on the scale between '0' to '100'. The three body satisfaction scales will be: 'Right now, despite my flaws, I accept my body for what it is' 'right now, my feelings towards my body are positive for the most part,' and 'right now, my self-worth is independent of my body weight or shape'

    Through study completion (1 day with pretest and posttest measures)

  • State Mood

    Subjective mood will be measured at both pre-intervention and post-intervention in the laboratory using Visual Analogue Scales. These scales will ask participants to indicate how they feel "at this moment" with regards to the following emotions: anxiety, anger, confidence, happiness, and depression

    Through study completion (1 day with pretest and posttest measures)

Secondary Outcomes (2)

  • Trait thin-ideal internalization

    Through study completion (1 day with baseline measures only)

  • Trait Social Coparison

    Through study completion (1 day with baseline measures only)

Study Arms (3)

Control

EXPERIMENTAL

The control group will be exposed to 15 different appearance-neutral images of interior design, with a manipulation checkpoint between every other image asking participants a basic question (such as what color was most prevalent in the previous image?) regarding characteristics of the last image they were exposed to.

Behavioral: Effects of Instagram Exposure on Lifestyle Satisfaction

Fitspiration

EXPERIMENTAL

Participants assigned to the Fitspiration condition (n=30) will be exposed to 15 different fitspiration images, with a manipulation checkpoint between every other image asking participants a basic question (such as what color was the swimsuit of the model in the previous image?) regarding characteristics of the last image they were exposed to.

Behavioral: Effects of Instagram Exposure on Lifestyle Satisfaction

Body Positive

EXPERIMENTAL

Participants assigned to the Body Positive condition (n=30) will be exposed to 15 different body positive images, with a manipulation checkpoint between every other image asking participants a basic question (such as what color was the swimsuit of the model in the previous image?) regarding characteristics of the last image they were exposed to.

Behavioral: Effects of Instagram Exposure on Lifestyle Satisfaction

Interventions

Participants will complete initial measures of sociodemographic information, the Sociocultural Attitudes Towards Appearance Scale, The Physical Appearance Comparison Scale-Revised, and baseline measures of body appreciation, body satisfaction, and mood using online Visual Analogue Scales via Qualtrics. Female undergraduate students will be randomly assigned to one of three groups. The Fitspiration and Body Positive groups will view a series of 15 Fitspiration or Body Positive images sourced from Instagram while the control group will view 15 interior design images sourced from Instagram. After viewing images, participants will complete posttest measures of body satisfaction, body appreciation, and mood using Visual Analogue scales. Thereafter, participants will be provided with four, brief short answer questions regarding their perspective on the images observed.

Body PositiveControlFitspiration

Eligibility Criteria

Age18 Years - 29 Years
Sexfemale(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Female
  • Enrolled as part or full-time undergraduate students at Arizona State University
  • years old
  • Access to computer and internet
  • Able to read, speak, and understand English
  • Willing to be randomized into one of three treatment groups

You may not qualify if:

  • History of a clinical diagnosis or treatment for body dysmorphic disorder, disordered eating, anorexia, bulimia or clinical depression
  • Pregnant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Arizona State University

Tempe, Arizona, 85281, United States

Location

Study Officials

  • Cheryl Der Ananian, PhD

    Arizona State University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
To mask the true purpose of the current research and avoid biased answers related to sensitive topic such as body image and satisfaction, we will present this research as a study exploring social media's impact on lifestyle satisfaction. Visual Analogue Scales will be used to test measures of body satisfaction and appreciation, but will also include scales related to financial, social, home, and school satisfaction. At the end of this study, participants will be debriefed on the true purpose using the statement: The true purpose of this study was to examine the impacts of exposure to different Instagram images on women's body satisfaction, body appreciation, and mood. In order to understand the true effects of such without giving away the intervention, these questions were masked within a lifestyle satisfaction intervention. All of your answers will remain anonymous and will not be linked to your personal information in any way. Do you have any questions?
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 31, 2020

First Posted

February 5, 2020

Study Start

February 3, 2020

Primary Completion

February 24, 2020

Study Completion

February 24, 2020

Last Updated

May 1, 2020

Record last verified: 2020-04

Locations