Journal
BRITISH JOURNAL OF PSYCHIATRY
Volume 203, Issue 6, Pages 428-435Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1192/bjp.bp.113.128199
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Funding
- National Institute for Health Research (NIHR) [RP-PG-0606-1043]
- NIHR Biomedical Research Centre for Mental Health, South London
- Maudsley NHS Foundation Trust
- Institute of Psychiatry, King's College London
- National Institute for Health Research [RP-PG-0606-1043] Funding Source: researchfish
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Background Body image dissatisfaction during adolescence is common but not benign. School-based interventions have the potential for wide reach, but scalability of previous programmes is limited by a reliance on external facilitators. Aims To assess the acceptability, feasibility and efficacy of a teacher-delivered body image intervention. Method A pilot clustered randomised controlled trial in which 16 classes of adolescent girls were allocated to a 6-session body image programme (n=261), or usual curriculum control (n = 187) (registration: ISRCTN42594993). Results Students in the intervention group had significantly improved body esteem and self-esteem and reduced thin-ideal internalisation. Effects for body esteem and thin-ideal internalisation were maintained for 3 months. There were no group differences for eating pathology, peer factors or depression. Acceptability, feasibility and efficacy varied between schools. Conclusions Teacher-delivered body image lessons have promise but further work is needed to increase efficacy and make interventions suitable across a range of schools.
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