Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention

Abstract Background Body image concerns are prevalent among Brazilian adolescents and can lead to poor psychological and physical health. Yet, there is a scarcity of culturally-appropriate, evidence-based interventions that have been evaluated and made widely available. Chatbot technology (i.e., sof...

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Autores principales:	E. L. Matheson, H. G. Smith, A. C. S. Amaral, J. F. F. Meireles, M. C. Almeida, G. Mora, C. Leon, G. Gertner, N. Ferrario, L. Suarez Battan, J. Linardon, M. Fuller-Tyszkiewicz, P. C. Diedrichs
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Adolescent Body image Mental health Chatbot Micro-intervention Brazil Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/175dd5272dae4b8385324553a7bb0ba9
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spelling	oai:doaj.org-article:175dd5272dae4b8385324553a7bb0ba92021-11-21T12:11:20ZImproving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention10.1186/s12889-021-12129-11471-2458https://doaj.org/article/175dd5272dae4b8385324553a7bb0ba92021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12129-1https://doaj.org/toc/1471-2458Abstract Background Body image concerns are prevalent among Brazilian adolescents and can lead to poor psychological and physical health. Yet, there is a scarcity of culturally-appropriate, evidence-based interventions that have been evaluated and made widely available. Chatbot technology (i.e., software that mimics written or spoken human speech) offers an innovative method to increase the scalability of mental health interventions for adolescents. The present protocol outlines the co-creation and evaluation of a body image chatbot for Brazilian adolescents via a partnership between academics, industry organisations and the United Nations Children’s Fund (UNICEF). Methods A two-armed fully remote randomised controlled trial will evaluate the chatbot’s effectiveness at improving body image and well-being. Adolescent girls and boys (N = 2800) aged 13–18 years recruited online will be randomly allocated (1:1) into either: 1) a body image chatbot or 2) an assessment-only control condition. Adolescents will engage with the chatbot over a 72-hour period on Facebook Messenger. Primary outcomes will assess the immediate and short-term impact of the chatbot on state- and trait-based body image, respectively. Secondary outcomes will include state- and trait-based affect, trait self-efficacy and treatment adherence. Discussion This research is the first to develop an evidence-informed body image chatbot for Brazilian adolescents, with the proposed efficacy trial aiming to provide support for accessible, scalable and cost-effective interventions that address disparities in body image prevalence and readily available resources. Trial registration number NCT04825184 , registered 30th March 2021.E. L. MathesonH. G. SmithA. C. S. AmaralJ. F. F. MeirelesM. C. AlmeidaG. MoraC. LeonG. GertnerN. FerrarioL. Suarez BattanJ. LinardonM. Fuller-TyszkiewiczP. C. DiedrichsBMCarticleAdolescentBody imageMental healthChatbotMicro-interventionBrazilPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Adolescent Body image Mental health Chatbot Micro-intervention Brazil Public aspects of medicine RA1-1270
spellingShingle	Adolescent Body image Mental health Chatbot Micro-intervention Brazil Public aspects of medicine RA1-1270 E. L. Matheson H. G. Smith A. C. S. Amaral J. F. F. Meireles M. C. Almeida G. Mora C. Leon G. Gertner N. Ferrario L. Suarez Battan J. Linardon M. Fuller-Tyszkiewicz P. C. Diedrichs Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention
description	Abstract Background Body image concerns are prevalent among Brazilian adolescents and can lead to poor psychological and physical health. Yet, there is a scarcity of culturally-appropriate, evidence-based interventions that have been evaluated and made widely available. Chatbot technology (i.e., software that mimics written or spoken human speech) offers an innovative method to increase the scalability of mental health interventions for adolescents. The present protocol outlines the co-creation and evaluation of a body image chatbot for Brazilian adolescents via a partnership between academics, industry organisations and the United Nations Children’s Fund (UNICEF). Methods A two-armed fully remote randomised controlled trial will evaluate the chatbot’s effectiveness at improving body image and well-being. Adolescent girls and boys (N = 2800) aged 13–18 years recruited online will be randomly allocated (1:1) into either: 1) a body image chatbot or 2) an assessment-only control condition. Adolescents will engage with the chatbot over a 72-hour period on Facebook Messenger. Primary outcomes will assess the immediate and short-term impact of the chatbot on state- and trait-based body image, respectively. Secondary outcomes will include state- and trait-based affect, trait self-efficacy and treatment adherence. Discussion This research is the first to develop an evidence-informed body image chatbot for Brazilian adolescents, with the proposed efficacy trial aiming to provide support for accessible, scalable and cost-effective interventions that address disparities in body image prevalence and readily available resources. Trial registration number NCT04825184 , registered 30th March 2021.
format	article
author	E. L. Matheson H. G. Smith A. C. S. Amaral J. F. F. Meireles M. C. Almeida G. Mora C. Leon G. Gertner N. Ferrario L. Suarez Battan J. Linardon M. Fuller-Tyszkiewicz P. C. Diedrichs
author_facet	E. L. Matheson H. G. Smith A. C. S. Amaral J. F. F. Meireles M. C. Almeida G. Mora C. Leon G. Gertner N. Ferrario L. Suarez Battan J. Linardon M. Fuller-Tyszkiewicz P. C. Diedrichs
author_sort	E. L. Matheson
title	Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention
title_short	Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention
title_full	Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention
title_fullStr	Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention
title_full_unstemmed	Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention
title_sort	improving body image at scale among brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention
publisher	BMC
publishDate	2021
url	https://doaj.org/article/175dd5272dae4b8385324553a7bb0ba9
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Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention

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