Online Expert Peer Facilitation of the EVERYbody Project

NCT05336253 | Completed

• 1 other identifier: 4482EX21
• Study Type: interventional
• Target: 170
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized-controlled trial examines an online dissonance-based body image program for college students called the EVERYbody Project-Connect. The online (videoconferencing) intervention will be delivered using expert peer leaders in three 90-minute weekly sessions. Expert peer leaders for the EVERYbody Project-Connect are college students with lived and/or academic expertise within both body image and diversity and equity domains who are trained and screened for facilitation readiness. The comparison intervention is a passive, time-matched self-help condition using The Body Is Not An Apology Workbook by Sonya Renee Taylor. Both interventions explore diversity and representation within sociocultural body image pressures and provide tools for body acceptance. The study is open to all college students in a universal prevention and risk factor reduction framework. Outcomes will be assessed before and after the three weeks of intervention and at three-month follow-up.

Conditions

Body Image; Eating Disorder Symptom; Weight Bias

Keywords

Dissonance Intervention; Body Image; Eating Disorders Prevention

Outcome Measures

Primary Outcomes (4)

• Internalized appearance norms

  Internalization subscales from the Sociocultural Attitudes Toward Appearance Questionnaire-4 (SATAQ-4). Average of 10 items; higher scores indicate greater internalization of cultural messages surrounding appearance and attractiveness.

  Change from baseline through post-intervention (3 weeks later) and follow-up (3 months)

• Body dissatisfaction

  Satisfaction and Dissatisfaction with Body Parts Scale (SDBPS). Average of 9 items; higher scores equal greater dissatisfaction with nine body parts that are commonly endorsed as concerning (e.g., stomach, thighs, hips). The scale will be reverse scored from the original.

  Change from baseline through post-intervention (3 weeks later) and follow-up (3 months)

• Eating disorder pathology

  8-item version of the Eating Disorders Examination Questionnaire (EDE-Q8). Average of 8 items for Global Score; higher scores equal greater frequency and severity of disordered attitudes and behaviors over the past month.

  Change from baseline through post-intervention (3 weeks later) and follow-up (3 months)

• Negative affect

  Fear, guilt, and sadness subscales of the Positive and Negative Affect Schedule-Revised (PANAS). Average of 20 items; higher scores equal greater negative emotion.

  Change from baseline through post-intervention (3 weeks later) and follow-up (3 months)

Secondary Outcomes (2)

• Weight bias

  Change from baseline through post-intervention (3 weeks later) and follow-up (3 months)

• Positive body image

  Change from baseline through post-intervention (3 weeks later) and follow-up (3 months)

Other Outcomes (4)

• Week 1 weight bias change

  Assessed at Week 1 of intervention (one week after baseline)

• Week 1 internalization change

  Assessed at Week 1 of intervention (one week after baseline)

• Program satisfaction

  Assessed at post-intervention (three weeks after baseline)

Study Arms (2)

EVERYbody Project-Connect Online Program

EXPERIMENTAL

Three weekly 90-minute online group sessions facilitated by expert peer leaders. Retains key dissonance activities and the inclusivity focus of the original EVERYbody Project (e.g., expanded gender focus, critically discussing the impact of limited diversity representation in cultural appearance norms). Additional activities were added, including an increased focus on body compassion (self-acceptance) and weight neutrality content to target weight bias. College students with body image interest and lived or academic diversity and advocacy experience will complete 16 hours of training to become expert peer leaders. Training includes observation, practice, and feedback on using the program manual and managing groups. Students will self-assess and be evaluated by the primary trainer on facilitation readiness. Only peer leaders with sufficient expertise will be invited to facilitate groups.

Behavioral: EVERYbody Project-Connect

Self-Help Workbook

ACTIVE COMPARATOR

In this time-matched comparison intervention, participants will be provided with an online copy of The Body Is Not An Apology Workbook by author and activist Sonya Renee Taylor (2021). Weekly emails will assign workbook activities to complete on their own (90 minutes per week for three weeks). This low-dissonance comparison intervention covers many of the same topics within the EVERYbody Project-Connect (body acceptance and scrutinizing the diversity within body ideals) and its activities include reflective writing and drawing exercises to challenge media messages around bodies, identify systems of oppression underpinning body messages, challenge body stereotypes, and make peace with your own body. Activities within the workbook are considered low-dissonance since they will be done privately and not shared.

Behavioral: Self-Help Workbook

Interventions

EVERYbody Project-Connect BEHAVIORAL

3-week dissonance-based, group, online body image program (4.5 hours total)

EVERYbody Project-Connect Online Program

Self-Help Workbook BEHAVIORAL

Time-matched 3-week passive, individual workbook condition (4.5 hours total)

Self-Help Workbook

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Current college students (enrolled with university email address)

You may not qualify if:

• None

Sponsors & Collaborators

• Western Washington University: lead

Study Sites (1)

Western Washington University

Bellingham, Washington, 98225, United States

Location

Related Publications (13)

• Ciao AC, Munson BR, Pringle KD, Roberts SR, Lalgee IA, Lawley KA, Brewster J. Inclusive dissonance-based body image interventions for college students: Two randomized-controlled trials of the EVERYbody Project. J Consult Clin Psychol. 2021 Apr;89(4):301-315. doi: 10.1037/ccp0000636.

  PMID: 34014692 BACKGROUND

• Ciao AC, Ohls OC, Pringle KD. Should body image programs be inclusive? A focus group study of college students. Int J Eat Disord. 2018 Jan;51(1):82-86. doi: 10.1002/eat.22794. Epub 2017 Nov 6.

  PMID: 29105805 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

• Stice E, Shaw H, Burton E, Wade E. Dissonance and healthy weight eating disorder prevention programs: a randomized efficacy trial. J Consult Clin Psychol. 2006 Apr;74(2):263-75. doi: 10.1037/0022-006X.74.2.263.

  PMID: 16649871 BACKGROUND

• Berscheid, E., Hatfield [Walster], E., & Bohrnstedt, G. (1973). The happy American body: A survey report. Psychology Today, 7, 119-131.

  BACKGROUND

• Watson, D., & Clark, L. A. (1992). Affects separable and inseparable: On the hierarchical arrangement of the negative affects. Journal of Personality and Social Psychology, 62, 489-505. http://dx.doi.org/10.1037/ 0022-3514.62.3.489

  BACKGROUND

• Kliem S, Mossle T, Zenger M, Strauss B, Brahler E, Hilbert A. The eating disorder examination-questionnaire 8: A brief measure of eating disorder psychopathology (EDE-Q8). Int J Eat Disord. 2016 Jun;49(6):613-6. doi: 10.1002/eat.22487. Epub 2015 Dec 29.

  PMID: 26711183 BACKGROUND

• Becker CB, Stice E. From efficacy to effectiveness to broad implementation: Evolution of the Body Project. J Consult Clin Psychol. 2017 Aug;85(8):767-782. doi: 10.1037/ccp0000204.

  PMID: 28726480 BACKGROUND

• Ciao AC, Latner JD, Brown KE, Ebneter DS, Becker CB. Effectiveness of a peer-delivered dissonance-based program in reducing eating disorder risk factors in high school girls. Int J Eat Disord. 2015 Sep;48(6):779-84. doi: 10.1002/eat.22418. Epub 2015 May 8.

  PMID: 25959408 BACKGROUND

• Crandall, C., & Biernat, M. (1990). The Ideology of Anti-Fat Attitudes. Journal of Applied Social Psychology, 20(3), 227-243.

  BACKGROUND

• Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.

  PMID: 17695343 BACKGROUND

• Tylka TL, Wood-Barcalow NL. The Body Appreciation Scale-2: item refinement and psychometric evaluation. Body Image. 2015 Jan;12:53-67. doi: 10.1016/j.bodyim.2014.09.006. Epub 2014 Oct 21.

  PMID: 25462882 BACKGROUND

• Taylor, S. R. (2021). The Body Is Not An Apology Workbook: Tools for Living Radical Self-Love. Beret-Koehler Publishers, Inc.

  BACKGROUND

MeSH Terms

Conditions

Weight Prejudice

Condition Hierarchy (Ancestors)

Prejudice; Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be randomized on a 1:1 basis through survey software to the EVERYbody Project-Connect or the self-help workbook condition

Study Record Dates

• First Submitted: March 1, 2022
• First Posted: April 20, 2022
• Study Start: January 14, 2022
• Primary Completion: August 30, 2023
• Study Completion: August 30, 2023
• Last Updated: December 18, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: Data will be made available three months after data collection is complete.

Locations

US (1)