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The purpose of this study is to learn if a novel online single-session intervention can help improve body dissatisfaction in new moms. The active intervention condition, Body Acceptance After Baby (BABI), uses acceptance-based skills to help participants cope with body dissatisfaction. BABI will be evaluated against another active intervention condition (a brief infographic that provides psychoeducation about body image during postpartum) and a waitlist control condition.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Body Acceptance After Baby Intervention (BABI) | Experimental | The active condition, BABI, includes (1) psychoeducation about body image during postpartum; (2) psychoeducation about acceptance; (3) an activity to practice "unhooking" (cognitive defusion skill); (4) a values clarification exercise; (5) a peer advice activity (participants give advice in response to vignettes of new moms who are struggling with body image); and (6) the creation of a personalized action plan. BABI is designed to take approximately 30 minutes. |
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| Postpartum Body Image Infographic | Experimental | Participants will read a brief infographic that includes (1) psychoeducation about body image and the harms of "bounce-back" culture during postpartum and (2) ways to improve body image. This infographic is designed to be read in approximately 2 minutes. |
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| Waitlist Control | No Intervention | This group will receive no intervention, but will be given access to both active conditions at the end of follow-ups. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Body Acceptance after Baby (BABI) | Behavioral | BABI is an online, self-directed single-session intervention designed to improve body dissatisfaction in postpartum moms (up to one year after delivery) aged 18 or older. |
| Measure | Description | Time Frame |
|---|---|---|
| Postpartum body image | Postpartum body image will be measured using the Body Image in Pregnancy Scale adapted for postpartum. Only the following subscales will be measured: (1) Preoccuptation with Physical Appearance; (2) Prioritization of Appearance over Function; (3) Appearance-Related Behavioral Avoidance. Subscales range from 1-5 with higher scores indicating greater body image disturbance. | Baseline, 1 month, 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Body appreciation | Body Appreciation will be measured using The Body Appreciation Scale-2 Short Form. Scores range from 3-15 with higher scores indicating greater body appreciation. | Baseline, 1 month, 3 months |
| Psychological flexibility |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability | To measure intervention acceptability we will use the The Program Feedback Scale (PFS). The PFS asks participants to rate agreement with seven statements about the acceptability of the SSI (e.g. "I enjoyed the program") on a five-point scale. Higher scores reflect greater acceptability for each item. | Baseline |
Individuals must:
Cisgender women
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rachel Rodgers, PhD | Contact | 617 373 2105 | r.rodgers@northeastern.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northeastern University | Recruiting | Boston | Massachusetts | 02115 | United States |
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| Postpartum Body Image Infographic | Behavioral | The postpartum body image infographic is an online pamphlet that provides psychoeducation about body image during postpartum. |
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Psychological flexibility will be measured with the Comprehensive assessment of Acceptance and Commitment Therapy processes (CompACT). Scores range from 0-138 with higher scores indicating greater psychological flexibility. Subscales can also be calculated to measure (1) Openness to Experience, (2) Behavioral Awareness, and (3) Valued Action.
| Baseline, 1 month, 3 months |
| Postpartum depression | Postpartum depression will be measured with the Edinburgh Postnatal Depression Scale (EPDS). Scores range from 0-30 with higher scores indicating greater depressive symptoms. | Baseline, 1 month, 3 months |
| Eating disorder symptoms | Eating disorder symptoms will be measured with the Eating Disorder Examination Questionnaire Short (EDE-QS). Scores range from 0-36 with higher scores indicating greater severity of eating disorder symptoms. | Baseline, 1 month, 3 months |
| Intuitive eating | Intuitive eating will be measured with the Intuitive Eating Scale-3 (IES-3) . Each item ranges from 1-5 and can be averaged to obtain a global score with higher scores indicating greater intuitive eating. Subscale scores (Unconditional Permission to Eat; Eating for Physical Reasons; Reliance on Hunger and Satiety Cues; Body-Food Choice Congruence) can also be calculated. | Baseline, 1 month, 3 months |
| Breastfeeding self-efficacy | Breastfeeding self-efficacy will be measured with the Breastfeeding Self-Efficacy Scale (BSES-SF). Scores range from 14-70 with higher scores indicating greater self-efficacy. | Baseline, 1 month, 3 months |
| Bottle-feeding self-efficacy | Bottle-feeding self-efficacy will be measured with the Bottle Feeding Self-Efficacy Scale. Scores range from 20-100 with higher scores indicating greater self-efficacy. | Baseline, 1 month, 3 months |
| State mood and body image | Visual analog scales will be used to measure state anxiety, negative affect, positive affect, appearance satisfaction, weight satisfaction, muscle tone satisfaction, confidence, body acceptance, body positivity, anger, body functionality appreciation, body appreciation, broad concept of beauty (body sizes and body shapes) and body positive protective filter. Each item ranges from 0-100 with greater scores indicating greater levels of the respective variable. | Baseline |
| Hopelessness | Hopelessness will be measured with the Beck Hopelessness Scale - 4-item version (BHS). Each item ranges from 0-3. Items are averaged to obtain a total score with higher scores indicating greater hopelessness. | Baseline |