Acceptability and preliminary efficacy of a school-based body image intervention in urban India: A pilot randomised controlled trial. (June 2021)

• Record Type: Journal Article
• Authors: Garbett, Kirsty M.; Lewis-Smith, Helena; Chaudhry, Anshula; Shroff, Hemal; Dhillon, Megha; White, Paul; Diedrichs, Phillippa C.
• Is Part Of: Body image. Volume 37(2021)
• Page Start: 282
• Page End: 290
• Publication Date: 2021-06
• Subjects: Schools -- Intervention -- Body dissatisfaction -- India -- Pilot trial -- Acceptability; Body image -- Periodicals; Body image -- Research -- Periodicals; Body Image -- Periodicals; 306.4613
• DOI: 10.1016/j.bodyim.2021.02.011
• Languages: English
• ISSNs: 1740-1445

Abstract

Highlights: Evidence-based body image school intervention adapted for the urban Indian setting. Pilot RCT evaluated the acceptability and preliminary efficacy. The intervention was acceptable for both teachers and students. Evidence of preliminary efficacy in improving body esteem and positive affect. Minor adaptations to Confident Me are recommended prior to full trial. Abstract: This pilot study evaluated the acceptability and preliminary efficacy of a culturally adapted school-based body image intervention, Dove Confident Me, for use in urban India. Two private schools in New Delhi were randomly assigned at the school level to receive either the five-session intervention facilitated by trained psychologists or lessons-as-usual (control). Participants were Year 7 students (N = 166; Mage = 11.9 years). Students, facilitators, and observing teachers, provided acceptability feedback. Fidelity was assessed. Body image and related measures were completed by students in a classroom setting at pre-intervention, post-intervention, and two-month follow-up. Most students enjoyed (73.7 %) and understood (84.2 %) the intervention. Facilitators (90 %) and observing teachers (70 %) reported that the learning objectives were achieved. Adherence and facilitator competence were rated as very good. Body esteem improved significantly among intervention students at post-intervention and follow-up (Cohen's d s = .45–.46), relative to control students. Positive affect also improved at post-intervention ( d = .58). No significant effects on internalisation, life engagement, eating pathology, self-esteem, or negative affect emerged. This study provides evidence for the acceptability and preliminary efficacy of Dove Confident Me in urban India. Intervention refinements to increase acceptability and efficacy are recommended.