‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents

Abstract Background Due to the prevalence and associated adverse health consequences of negative body image among adolescents globally, there is a need to develop acceptable, effective, and scalable interventions. School-based body image interventions delivered by trained teachers show promise in re...

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Autores principales:	Nadia Craddock, Kirsty M. Garbett, Sharon Haywood, Kholisah Nasution, Paul White, L. Ayu Saraswati, Chairunnisa Rizkiah, Bernie E. Medise, Phillippa C. Diedrichs
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Body image Indonesia Southeast Asia Low- and middle-income countries Single-session intervention School-based intervention Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/225251a9acc3404784950df367bfe6c8
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spelling	oai:doaj.org-article:225251a9acc3404784950df367bfe6c82021-11-21T12:10:25Z‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents10.1186/s12889-021-11770-01471-2458https://doaj.org/article/225251a9acc3404784950df367bfe6c82021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-11770-0https://doaj.org/toc/1471-2458Abstract Background Due to the prevalence and associated adverse health consequences of negative body image among adolescents globally, there is a need to develop acceptable, effective, and scalable interventions. School-based body image interventions delivered by trained teachers show promise in reducing negative body image in adolescents. However, there is currently a lack of evidenced-based body image interventions for use in low- and middle-income countries (LMICs). This paper outlines a protocol for the development and evaluation of Dove Confident Me Indonesia: Single Session, a single-session, teacher-led body image intervention for Indonesian adolescents. Method The effectiveness of the intervention will be evaluated using a cluster randomised controlled trial design. Due to the COVID-19 pandemic, the trial will be conducted online. Trained teachers or school guidance counsellors will deliver the intervention. Self-report questionnaires will be collected at three time points: baseline, post-intervention, and two-month follow-up. The primary outcome is body esteem. Secondary outcomes are internalisation of appearance ideals, mood, engagement in life activities, tendency to engage in appearance comparisons, and skin shade satisfaction. A minimum of 1000 participants will provide 95% power to detect small-to-medium intervention effects. To account for attrition and potential internet issues, the sample will comprise of 2000 Indonesian adolescents in grades 7–9, attending state junior high schools in Surabaya, East Java. Quantitative and qualitative data on acceptability of the intervention will also be collected from teachers and students. Additionally, fidelity of lesson implementation will be assessed. This project received ethical approval from the Universitas Indonesia and the University of the West of England. The intervention will be disseminated in junior high schools throughout Indonesia via UNICEF’s Life Skills Education (LSE) programme, which will be freely available for teachers to download. Discussion This paper presents Dove Confident Me Indonesia: Single Session, a culturally adapted school-based intervention designed to improve Indonesian adolescents’ body image. It details the plan for evaluation, highlighting the strengths and limitations of the proposed study design. It will be informative for others aiming to adapt evidence-based school curricula to promote well-being among adolescents in LMICs. Trial registration NCT04665557 . Registered 11th December 2020.Nadia CraddockKirsty M. GarbettSharon HaywoodKholisah NasutionPaul WhiteL. Ayu SaraswatiChairunnisa RizkiahBernie E. MedisePhillippa C. DiedrichsBMCarticleBody imageIndonesiaSoutheast AsiaLow- and middle-income countriesSingle-session interventionSchool-based interventionPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-20 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Body image Indonesia Southeast Asia Low- and middle-income countries Single-session intervention School-based intervention Public aspects of medicine RA1-1270
spellingShingle	Body image Indonesia Southeast Asia Low- and middle-income countries Single-session intervention School-based intervention Public aspects of medicine RA1-1270 Nadia Craddock Kirsty M. Garbett Sharon Haywood Kholisah Nasution Paul White L. Ayu Saraswati Chairunnisa Rizkiah Bernie E. Medise Phillippa C. Diedrichs ‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents
description	Abstract Background Due to the prevalence and associated adverse health consequences of negative body image among adolescents globally, there is a need to develop acceptable, effective, and scalable interventions. School-based body image interventions delivered by trained teachers show promise in reducing negative body image in adolescents. However, there is currently a lack of evidenced-based body image interventions for use in low- and middle-income countries (LMICs). This paper outlines a protocol for the development and evaluation of Dove Confident Me Indonesia: Single Session, a single-session, teacher-led body image intervention for Indonesian adolescents. Method The effectiveness of the intervention will be evaluated using a cluster randomised controlled trial design. Due to the COVID-19 pandemic, the trial will be conducted online. Trained teachers or school guidance counsellors will deliver the intervention. Self-report questionnaires will be collected at three time points: baseline, post-intervention, and two-month follow-up. The primary outcome is body esteem. Secondary outcomes are internalisation of appearance ideals, mood, engagement in life activities, tendency to engage in appearance comparisons, and skin shade satisfaction. A minimum of 1000 participants will provide 95% power to detect small-to-medium intervention effects. To account for attrition and potential internet issues, the sample will comprise of 2000 Indonesian adolescents in grades 7–9, attending state junior high schools in Surabaya, East Java. Quantitative and qualitative data on acceptability of the intervention will also be collected from teachers and students. Additionally, fidelity of lesson implementation will be assessed. This project received ethical approval from the Universitas Indonesia and the University of the West of England. The intervention will be disseminated in junior high schools throughout Indonesia via UNICEF’s Life Skills Education (LSE) programme, which will be freely available for teachers to download. Discussion This paper presents Dove Confident Me Indonesia: Single Session, a culturally adapted school-based intervention designed to improve Indonesian adolescents’ body image. It details the plan for evaluation, highlighting the strengths and limitations of the proposed study design. It will be informative for others aiming to adapt evidence-based school curricula to promote well-being among adolescents in LMICs. Trial registration NCT04665557 . Registered 11th December 2020.
format	article
author	Nadia Craddock Kirsty M. Garbett Sharon Haywood Kholisah Nasution Paul White L. Ayu Saraswati Chairunnisa Rizkiah Bernie E. Medise Phillippa C. Diedrichs
author_facet	Nadia Craddock Kirsty M. Garbett Sharon Haywood Kholisah Nasution Paul White L. Ayu Saraswati Chairunnisa Rizkiah Bernie E. Medise Phillippa C. Diedrichs
author_sort	Nadia Craddock
title	‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents
title_short	‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents
title_full	‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents
title_fullStr	‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents
title_full_unstemmed	‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents
title_sort	‘dove confident me indonesia: single session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among indonesian adolescents
publisher	BMC
publishDate	2021
url	https://doaj.org/article/225251a9acc3404784950df367bfe6c8
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‘Dove Confident Me Indonesia: Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents

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