NCT06146647

Brief Summary

The goal of this 4-arm randomized controlled trial is to test the effectiveness of two positive body image media micro interventions (a tv show and a music video) in improving body image related constructs. The main questions this study aims to answer are:

  • 15-minute TV intervention
  • 15-minute active TV control
  • 3-minute music video intervention
  • 3-minute active music video control Children (and their parent or guardian) will visit a testing centre in groups of approximately 12 dyads. Children will complete T1 assessment interviews one-on-one with a researcher, before watching their assigned media with their parent. After watching their assigned media, children will complete their T2 assessment, again one-to-one with a researcher, while parents complete a survey regarding their acceptability of the media they watched. Parents/guardians will be given a link to rewatch their assigned media and encouraged to rewatch with their child before returning to the testing centre approximately one week later. When children and parents/guardians return one week later, the child will complete T3 assessment interviews one-to-one with a researcher, and parents will complete a short survey regarding their rewatch habits. Researchers will compare the two positive body image media micro-interventions with their time-matched active controls to examine if they are effective in yielding immediate improvements in children's body functionality appreciation and body appreciation and in reducing anti-fat attitudes.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
440

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 3, 2023

Completed
12 days until next milestone

First Submitted

Initial submission to the registry

November 15, 2023

Completed
9 days until next milestone

First Posted

Study publicly available on registry

November 24, 2023

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2024

Completed
Last Updated

February 9, 2024

Status Verified

February 1, 2024

Enrollment Period

4 months

First QC Date

November 15, 2023

Last Update Submit

February 6, 2024

Conditions

Body ImageAnti Fat Bias

Keywords

weight stigmaanti-fat biasbody appreciationbody functionalitybody satisfactionbody dissatisfactionchildren's mediamusic videobody image

Outcome Measures

Primary Outcomes (1)

  • Change in body appreciation

    Participants respond to two 4-point Likert scale questions, 'Do you love your body?' and 'Do you think your body is amazing?' (No, a little, bit, a medium bit, a lot)

    Baseline; post-intervention (immediate post); follow-up (10 days later)

Secondary Outcomes (2)

  • Change in anti-fat attitudes

    Baseline; post intervention (immediate post); follow-up (10 days later)

  • Change in body functionality appreciation

    Baseline; post intervention (immediate post); follow-up (approx. 10 days later)

Study Arms (4)

Intervention condition: 15 minute (approx.) show with positive body image messaging

EXPERIMENTAL

Those assigned to this arm will watch the 15 minute tv show with positive body image content.

Behavioral: Positive body image TV show

Control condition: 15 minute (approx.) show without positive body image messaging

ACTIVE COMPARATOR

Those assigned to this condition will watch a 15 minute tv show that does not contain positive body image content. The show that will be used for this condition is about a tv character visiting the dentist.

Behavioral: Active control TV show about a visit to the dentist

Intervention condition: Music video with positive body image messaging

EXPERIMENTAL

Those assigned to this condition will watch the music video containing positive body image messaging.

Behavioral: Positive body image music video

Control condition: Music video without positive body image content

ACTIVE COMPARATOR

Those assigned to this condition will watch a music video without positive body image messaging. The music video that will be used for this condition is about brushing teeth.

Behavioral: Active control music video about brushing teeth

Interventions

Positive body image TV showBEHAVIORAL

This is a 15 minute (approximately) show that has positive body image content embedded in the storyline. It also showcases a diverse range of body sizes in the casting.

Intervention condition: 15 minute (approx.) show with positive body image messaging
Positive body image music videoBEHAVIORAL

This is a positive body image song with strong visual representation of diverse body sizes in the music video.

Intervention condition: Music video with positive body image messaging
Active control TV show about a visit to the dentistBEHAVIORAL

14 minute tv show following a tv character as he visits the dentist.

Control condition: 15 minute (approx.) show without positive body image messaging
Active control music video about brushing teethBEHAVIORAL

Music video of a tv character singing about brushing teeth

Control condition: Music video without positive body image content

Eligibility Criteria

Age4 Years - 6 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Child is aged 4, 5, or 6 years old
  • Child is currently in reception or Year 1 of primary school
  • The child's parent/guardian resides in Greater London or the Midlands.

You may not qualify if:

  • Child has complex special educational needs
  • Child is a sibling of a child already recruited into the study
  • Child is not English speaking
  • Child is home-schooled

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Centre for Appearance Research, UWE

Bristol, BS16 1QY, United Kingdom

RECRUITING

Related Publications (7)

  • Bensley J, Riley HO, Bauer KW, Miller AL. Weight bias among children and parents during very early childhood: A scoping review of the literature. Appetite. 2023 Apr 1;183:106461. doi: 10.1016/j.appet.2023.106461. Epub 2023 Jan 13.

    PMID: 36642116BACKGROUND

  • Guest E, Jarman H, Sharratt N, Williamson H, White P, Harcourt D, Slater A; VTCT Foundation Research Team at the Centre for Appearance Research. 'Everybody's Different: The Appearance Game'. A randomised controlled trial evaluating an appearance-related board game intervention with children aged 9-11 years. Body Image. 2021 Mar;36:34-44. doi: 10.1016/j.bodyim.2020.09.010. Epub 2020 Nov 5.

    PMID: 33160256BACKGROUND

  • Matheson EL, Lewis-Smith H, Diedrichs PC. The effectiveness of brief animated films as a scalable micro-intervention to improve children's body image: A randomised controlled trial. Body Image. 2020 Dec;35:142-153. doi: 10.1016/j.bodyim.2020.08.015. Epub 2020 Oct 10.

    PMID: 33049455BACKGROUND

  • Matheson, E. L., Smith, H. G., Lewis-Smith, H., Arbon, R. E., & Diedrichs, P. C. (2022). Game on! A randomised controlled trial evaluation of playable technology in improving body satisfaction and negative affect among adolescents. new media & society, 24(12), 2635-2658.

    BACKGROUND

  • Paxton SJ, Damiano SR. The Development of Body Image and Weight Bias in Childhood. Adv Child Dev Behav. 2017;52:269-298. doi: 10.1016/bs.acdb.2016.10.006. Epub 2016 Dec 9.

    PMID: 28215287BACKGROUND

  • Rasmussen, E. E., Shafer, A., Colwell, M. J., White, S., Punyanunt-Carter, N., Densley, R. L., & Wright, H. (2016). Relation between active mediation, exposure to Daniel Tiger's Neighborhood, and US preschoolers' social and emotional development. Journal of Children and Media, 10(4), 443-461.

    BACKGROUND

  • Smith HG, Garbett KM, White P, Williamson H, Craddock N. Evaluating the effectiveness and acceptability of two positive body image media micro-interventions among children aged 4-6 years old - a study protocol. BMC Public Health. 2024 Dec 19;24(1):3539. doi: 10.1186/s12889-024-20869-z.

    PMID: 39702145DERIVED

MeSH Terms

Conditions

Weight Prejudice

Condition Hierarchy (Ancestors)

PrejudiceSocial BehaviorBehavior

Study Officials

  • Nadia Craddock, PhD

    University of the West of England

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Nadia Craddock, PhD

CONTACT

+441173287924nadia.craddock@uwe.ac.uk

Heidi Williamson, CPsychol

CONTACT

+441173281572heidi3.williamson@uwe.ac.uk

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Masking Details
Masking is not possible for the investigator due to the trial design and protocol for data collection.
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 15, 2023

First Posted

November 24, 2023

Study Start

November 3, 2023

Primary Completion

March 1, 2024

Study Completion

March 1, 2024

Last Updated

February 9, 2024

Record last verified: 2024-02

Data Sharing

IPD Sharing
Will not share

Locations

GB(1)