Evaluating Dove Confident Me Single Session in Indonesia

NCT04665557 | Completed

• 2 other identifiers: DSEP_UNICEF_INDOHAS-HSS-18-098
• Study Type: interventional
• Target: 1,926
• Locations: 1 country
• Sites: 1

Brief Summary

Negative body image is an important public health concern for young people due to its prevalence and detrimental impact on young people's health, education, and social life. Encouragingly, a number of interventions have been designed to improve adolescent body image in school settings, with promising results. However, the vast majority of studies testing these interventions are conducted in high-income, English speaking countries, despite increasingly recognition that negative body image is a global concern. As such, it is important to develop and disseminate interventions to foster positive body image among adolescents in low-to-middle income countries, too. Research indicates high prevalence rates of negative body image among adolescents in many Asian countries. Indonesia - the focus of the present research - is an emerging middle-income country in South East Asia. A recent U-Report Poll (UNICEF, 2020) found almost 80% of the young people surveyed wanted to change something about their appearance, suggesting a degree of body dissatisfaction and approximately 50% stopped themselves from doing something that was important to them because of appearance concerns. Moreover, according to the same poll, over 90% of Indonesian adolescents surveyed reported to wanting to learn ways to improve their body image in school or online. To date, no body image interventions have been adapted and trialled in Indonesia. Therefore, this project aims to evaluate the effectiveness as well as the acceptability and feasibility of a specially adapted version of Dove Confident Me Single Session among Indonesian adolescents that will be integrated into UNICEF's Life Skills Education curriculum. Notably, the session has been designed to be feasible to deliver in low-resource schools (e.g., that do not access to the internet or facilities to show videos or PowerPoint slides). To assess the acceptability, feasibility, and effectiveness of the intervention, the study will compare the body image and well-being of students who take part in the programme to students who do not take part in any programme (classes as usual). Investigators will also gather in-depth feedback from students, and teachers via focus groups and surveys, in order to inform future improvement of the programme for wider implementation. To undertake this project, the investigators will recruit students and teachers from approximately 10 state junior secondary schools in Indonesia via a local research agency. Students will complete questionnaire assessments of body image and well-being before and after programme period, and again 8 weeks later to assess longer-term benefits. COVID response: In light of the ongoing pandemic, some research activities will take place online. Decisions on delivery format (online / in-person / hybrid) were made on the basis of continued risk assessments and considerations of local government guidelines.

Conditions

Body Image

Outcome Measures

Primary Outcomes (1)

• Change in body esteem

  Body esteem will be assessed using the weight and appearance evaluation subscales of the Body Esteem Scale for Adolescents \& Adults (BESAA, Mendelson, Mendelson \& White, 2001). Responses to the 18 items are on a 5-point Likert-type scale. Once the appropriate items are reverse coded, scores will be averaged with higher scores indicating higher body esteem.

  Baseline; post intervention (1 week after the intervention) and follow-up (8 weeks after the intervention).

Secondary Outcomes (4)

• Change in internalisation of societal appearance ideals

  Baseline; post intervention (1 week after the intervention) and follow-up (8 weeks after the intervention).

• Change in mood

  Baseline; post intervention (1 week after the intervention) and follow-up (8 weeks after the intervention).

• Change in tendency to engage in appearance comparisons

  Baseline; post intervention (1 week after the intervention) and follow-up (8 weeks after the intervention).

• Skin shade satisfaction

  Baseline; post intervention (1 week after the intervention) and follow-up (8 weeks after the intervention)

Study Arms (2)

Dove Confident Me Indonesia - Single Session

EXPERIMENTAL

Dove Confident Me Indonesia Single Session is school-based, body image curriculum.

Behavioral: Dove Confident Me Indonesia Single Session

Lessons As Usual Control

NO INTERVENTION

School lessons as usual.

Interventions

Dove Confident Me Indonesia Single Session BEHAVIORAL

Dove Confident Me Indonesia Single Session is an adaptation of Dove Confident Me Global Single Session, designed to be facilitated by schoolteachers or school counsellors. Dove Confident Me Indonesia includes four interactive activities (to be delivered in a single 90-minute session) as well as a homework challenge and commitment pledge. The programme incorporates three primary techniques to improve Indonesian adolescents' body confidence and self-esteem: (1) psychoeducation, (2) media literacy, and (3) cognitive dissonance as well as two secondary techniques: (4) self-affirmation and (5) cognitive reframing. As the curriculum was adapted to be delivered in Indonesian schools with limited resources, videos or PowerPoint presentations are not included. Instead, a detailed teacher guide and student worksheets are provided. Due to COVID-19, the intervention will be delivered online via video conferencing platform.

Dove Confident Me Indonesia - Single Session

Eligibility Criteria

• Age: 11 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• All participating schools must be state junior secondary schools.
• Students in grade 7 through 9 are eligible.
• Students must speak Bahasa Indonesia and must have moderate-high literacy. levels in Bahasa Indonesia - i.e., need to be able to read on their own.
• Students must have access to a device with online access (e.g., laptop or iPad).

You may not qualify if:

• Non-Bahasa Indonesia speaking students.
• Religious or private schools.

Sponsors & Collaborators

• University of the West of England: lead
• Indonesia University: collaborator
• University of Hawaii: collaborator
• UNICEF: collaborator
• Unilever R&D: collaborator

Study Sites (1)

Centre for Appearance Research, UWE

Bristol, BS16 1QY, United Kingdom

Location

Related Publications (1)

• Craddock N, Garbett KM, Haywood S, Nasution K, White P, Saraswati LA, Rizkiah C, Medise BE, Diedrichs PC. 'Dove Confident Me Indonesia: Single Session': study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents. BMC Public Health. 2021 Nov 16;21(1):2102. doi: 10.1186/s12889-021-11770-0.

  PMID: 34784916 DERIVED

Study Officials

• Nadia Craddock, PhD

  Centre for Appearance Research, UWE

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Masking not possible for participants within design, but outcome assessors will not know what condition participants are assigned to.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Two-arm parallel clustered randomised controlled trial

Study Record Dates

• First Submitted: September 29, 2020
• First Posted: December 11, 2020
• Study Start: March 1, 2021
• Primary Completion: April 4, 2022
• Study Completion: July 1, 2022
• Last Updated: July 25, 2023

Record last verified: 2023-07

Locations

GB (1)