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| Name | Class |
|---|---|
| Queen Elizabeth II Health Sciences Centre Foundation | UNKNOWN |
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The goal of this study is to evaluate the Body Project, which is an eating disorder prevention program for youth 15-22 years old. The main question it aims to answer is 'Can an eating disorder prevention program, specifically the Body Project, be successfully delivered to youth in Nova Scotia'?
This study will determine the feasibility of implementing the Body Project in Nova Scotia by assessing the following objectives:
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the Body Project | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eating disorder prevention program (the Body Project) | Behavioral | The Body Project is an eating disorder prevention program for girls and young women aged 15-22 years old. The program will be delivered in groups of 6-10 youth by peer mentors, and in two formats: in-person and virtual. We are assessing two versions of the program - a 6-session version (6 weekly 45-minute sessions) and a 2-session version (2 weekly 2-hour sessions). Participants will be divided into 4 cohorts: high school in-person, university in-person, high school-aged (15-18 years) virtual, and university-aged (19-22 years) virtual. The high school in-person groups will do the 6-session version, and the university in-person groups as well as all virtual groups will do 2 weekly 2-hour sessions. Both versions cover similar content, and use a scripted intervention manual. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of the Body Project as measured with focus groups | All participants will complete a focus group with their fellow Body Project group members immediately following their final session. The focus group will follow a semi-structured guide based on a framework for assessing acceptability of health interventions. | Immediately following completion of the final Body Project session for each group (week 2 for university and virtual groups; or week 6 for high school in-person groups) |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of the Body Project as measured with program dropout rate | Participants will be coded as a 'dropout' from the intervention if they stop attending sessions (determined with session attendance records from group facilitators). Acceptability based on dropout rate will be indicated if the dropout rate in the final session is equal to, or less than, the 20-30% rate reported in effectiveness trials for the BP. |
| Measure | Description | Time Frame |
|---|---|---|
| Integration of the Body Project as assessed with group facilitator surveys | Facilitators will complete an open-ended feedback survey to ascertain what went well, what alterations (if any) are needed, and what barriers facilitators encountered or identified. | After a facilitator has completed their last session (at study completion - about 24 months after recruitment starts). |
Inclusion Criteria:
Exclusion Criteria:
Eligible individuals are those who self-identify as a girl or woman.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Susan Gamberg, PhD | Contact | 902-473-2239 | susan.gamberg@nshealth.ca |
| Name | Affiliation | Role |
|---|---|---|
| Susan Gamberg, PhD | Nova Scotia Health Authority | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Abbie J Lane Memorial Building, QEII Health Sciences Centre, Nova Scotia Health Authority | Recruiting | Halifax | Nova Scotia | B3H 2E2 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28126032 | Background | Sekhon M, Cartwright M, Francis JJ. Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res. 2017 Jan 26;17(1):88. doi: 10.1186/s12913-017-2031-8. | |
| 10259963 | Background | Attkisson CC, Zwick R. The client satisfaction questionnaire. Psychometric properties and correlations with service utilization and psychotherapy outcome. Eval Program Plann. 1982;5(3):233-7. doi: 10.1016/0149-7189(82)90074-x. |
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| From a participant's first session (week 1) to last session (either week 2 or week 6, depending on group). |
| Acceptability of the Body Project as measured with a questionnaire on participant satisfaction with the program | Acceptability in terms of satisfaction with the program will be measured using an investigator-created questionnaire based on the Client Satisfaction Questionnaire - an 8-item self-report measure of the quality and effectiveness of a health service. Item responses are on a 4-point scale. Scores range from 8-32, with higher scores indicating higher satisfaction. Acceptability based on satisfaction questionnaire scores will be demonstrated if participants, on average, report at least moderate satisfaction (defined as a score of 24). | After a participant's last session (either week 2 or week 6, depending on group). |
| Demand for the Body Project as measured with recruitment rate | Demand feasibility will be met if there are enough participants to run 3-5 rounds of Body Project groups per cohort (totaling 96-120 youth) during the recruitment period. | At 24 months after recruitment begins. |
| Effectiveness of the Body Project for reducing pursuit of the thin ideal as measured with the Thin-Ideal Internalization Scale (TIIS) | The TIIS is the modernized version of the Ideal Body Stereotype Scale and is an 8-item self-report measure assessing internalization of the thin beauty ideal. Response options range from 1 = strongly disagree to 5 = strongly agree. Scores range from 8-40, with higher scores indicating higher internalization of the thin ideal. Feasibility will be met if there are significant within-group reductions of at least a moderate effect size (Cohen's d > 0.5). | From baseline to after a participant's last session (either week 2 or week 6, depending on group). |
| Effectiveness of the Body Project for reducing body dissatisfaction as measured with the Satisfaction and Dissatisfaction with Body Parts Scale (SDBPS) | Nine items from the Body Image Satisfaction Scale will be used to assess satisfaction with nine body parts, in line with previous Body Project research. Responses range from 1 = extremely satisfied to 6 = extremely dissatisfied. Scores range from 9-54, with higher scores indicating greater dissatisfaction. Feasibility will be met if there are significant within-group reductions of at least a moderate effect size (Cohen's d > 0.5). | From baseline to after a participant's last session (either week 2 or week 6, depending on group). |
| Effectiveness of the Body Project for reducing negative affect as measured with the Positive Affect and Negative Affect Scale-Revised (PANAS-X) | In line with previous BP research, 20 items from the PANAS-X subscales for sadness, guilt, and fear/anxiety will be used to assess negative affect. Responses range from 1 = not at all to 5 = extremely. Scores range from 20-100, with higher scores indicating greater negative affect. Feasibility will be met if there are significant within-group reductions of at least a moderate effect size (Cohen's d > 0.5). | From baseline to after a participant's last session (either week 2 or week 6, depending on group). |
| Effectiveness of the Body Project for reducing disordered eating behaviors and attitudes as measured with the Eating Disorder Examination Questionnaire (EDE-Q) | The EDE-Q global score is calculated from 22 attitudinal questions regarding eating restraint and concerns, weight concerns, and shape concerns. EDE-Q global scores range from 0-6, with higher scores indicating increased severity of ED psychopathology. Feasibility will be met if there are significant within-group reductions of at least a moderate effect size (Cohen's d > 0.5). | From baseline to after a participant's last session (either week 2 or week 6, depending on group). |