Effectiveness of a brief school-based body image intervention 'Dove Confident Me: Single Session' when delivered by teachers and researchers: Results from a cluster randomised controlled trial.

About this resource

This study evaluated a 90-min single session school-based body image intervention (Dove Confident Me: Single Session), and investigated if delivery could be task-shifted to teachers. British adolescents (N = 1707; 11-13 years; 50.83% girls) participated in a cluster randomised controlled trial [lessons as usual control; intervention teacher-led (TL); intervention researcher-led (RL)]. Body image, risk factors, and psychosocial and disordered eating outcomes were assessed 1-week pre-intervention, immediate post-intervention, and 4-9.5 weeks follow-up. Multilevel mixed-models showed post-intervention improvements for intervention students relative to control in body esteem (TL; girls only), negative affect (TL), dietary restraint (TL; girls only), eating disorder symptoms (TL), and life engagement (TL; RL). Awareness of sociocultural pressures increased at post-intervention (TL). Effects were small-medium in size (ds 0.19-0.76) and were not maintained at follow-up. There were no significant differences between conditions at post or follow-up on body satisfaction, appearance comparisons, teasing, appearance conversations and self-esteem. The intervention had short-term benefits for girls' body image and dietary restraint, and for eating disorder symptoms and some psychosocial outcomes among girls and boys. A multi-session version of the intervention is likely to be necessary for sustained improvements. Teachers can deliver this intervention effectively with minimal training, indicating broader scale dissemination is feasible.

AuthorDiedrichs, Phillippa C.; Atkinson, Melissa J.; Steer, Rebecca J.; Garbett, Kirsty M.; Rumsey, Nichola & Halliwell, Emma
JournalBehaviour Research and Therapy
PDF Available ?Yes
Is Free ?Yes

See also

Practical Responses to Eating Disorders: A Guide to Implementing Responses to Eating Disorders in General Health Services

Implementation translates evidence into practice.

Read more

Long Term Remission of Anorexia Nervosa: Factors Involved in the Outcome of Female Patients

BACKGROUND: Anorexia nervosa (AN) is usually marked by difficult recovery.

Read more

Neurobiology of eating disorders - an overview

Neurobiology of eating disorders and its overlap with other psychiatric illnesses is reviewed.

Read more

Multidisciplinary treatment of eating disorders--Part 1: Structure and costs of treatment

This article describes the structure and costs of a multidisciplinary hospital-based program for severe eating disorders.

Read more

Help us improve!

Give us feedback!

We will continue throughout 2020 to update and improve the NEDC website and welcome any feedback you may have on the site.

Provide feedback