"The Healthy Body Image" (HBI) Program: A Program to Promote a Positive Body Image

NCT ID: NCT02901457

Last Updated: 2024-03-21

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 4193 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-08-31
• Study Completion Date: 2018-02-28

Brief Summary

Too many Norwegian adolescents experience severe body dissatisfaction (40-70 %), and strive to accomplish the "perfect body". At the same time, only 50 % meet the government's recommendations on physical activity and intake of fruits and vegetables. Also, 14-24 % has unhealthy sleeping habits. Optimizing these lifestyle factors is associated with physical and psychological health. These factors, along with the pressure to obtain the "perfect" body, are threatening the adolescent's physical and psychological health, jfr. Meld St nr 19. It is now a need for knowledge on how the investigators can contribute to promote positive body experience among the adolescents.

It has recently, through a controlled study on elite youth athletes at Norwegian sports high schools, been shown that it is possible to change eating habits, improve body image and reduce new cases of eating disorder. It is now desirable to test an adapted program through a school-based program at regular Norwegian high school students (12th grade). Today, no controlled, school-based intervention studies with long-term follow-up have been conducted.

The main aim of this project is to investigate if it is possible, through a school-based intervention program (Healthy Body Intervention), to promote positive body image, increase physical activity level, and healthy eating and sleeping habits in both boys and girls at Norwegian high schools.

The intervention program will contribute with new evidence-based knowledge on the effect of an adapted health-promoting program.

Detailed Description

The design is a school-based randomized controlled trial (RCT) intervention, using the methods questionnaire and interview to obtain data. Based on statistical power analyses, all high schools in Oslo and Akershus County will be asked to participate in the study. After the schools have responded, consenting schools will be stratified (by size and geographical affiliation) and randomized to the intervention or the control condition. To minimize contamination biases within schools, the investigators prepare a cluster-randomized design.The population should contain 17-20 schools (1400 students at 2nd year). Data collection is conducted through pre-test and post-test 1, 2, and 3 (acute, 3, and 12 month post-intervention). At post-test 1, a selection is invited to participate in an interview about feasibility in addition to the questionnaire. It is an intervention for students containing interactive lecturers with discussion, team work, discussions and home assignments.

Conditions

Quality of Life; Eating Behaviors; Physical Activity

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Healthy Body Image

Students receive the Healthy Body Image intervention containing 3x90 minutes of interactive workshops with the addition of related homework after each workshop.

Group Type: EXPERIMENTAL

The "Healthy Body Image" intervention

Intervention Type: OTHER

Interactive workshops (3 x 90 minutes) include training techniques to increase media literacy, enhance self-esteem, positive body image, awareness of perfectionism, and include discussions related to truths and myths related to life style factors. Homework is an extension of each workshop that is simple and not time-consuming tasks to increase reflection and awareness of how all the mentioned factors are a part of their lives.

Control group

Students do not receive the intervention program.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

The "Healthy Body Image" intervention

Interactive workshops (3 x 90 minutes) include training techniques to increase media literacy, enhance self-esteem, positive body image, awareness of perfectionism, and include discussions related to truths and myths related to life style factors. Homework is an extension of each workshop that is simple and not time-consuming tasks to increase reflection and awareness of how all the mentioned factors are a part of their lives.

Intervention Type: OTHER

Other Intervention Names

Healthy Body Image

Eligibility Criteria

Inclusion Criteria

• Norwegian high schools
• High schools located in either Oslo or Akershus County
• Students in the 2nd grade fall 2016
• Students within academic specialization education programs
• Teachers teaching included students in Norwegian, Social studies, Physical education, and contact teachers
• School nurses working at the randomly selected schools
• School administrators at randomly selected schools

Exclusion Criteria

• Schools that follow foreign school systems
• Students within vocational education programs
• School departments connected to prison

• Minimum Eligible Age: 16 Years
• Maximum Eligible Age: 19 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

The Norwegian Women´s Public Health Association

OTHER

Sponsor Role: collaborator

Norwegian Extra Foundation for Health and Rehabilitation

OTHER

Sponsor Role: collaborator

University of Tromso

OTHER

Sponsor Role: collaborator

University College of Southeast Norway

OTHER

Sponsor Role: collaborator

University of Agder

OTHER

Sponsor Role: collaborator

Norwegian School of Sport Sciences

OTHER

Sponsor Role: lead

Responsible Party

Professor Jorunn Sundgot-Borgen

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Jorunn Sundgot-Borgen, Phd

Role: STUDY_CHAIR

Norwegain School of Sports Sciences

Locations

Norwegian School of Sports Sciences

Oslo, , Norway

Countries

Norway

References

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

Sundgot-Borgen C, Friborg O, Kolle E, Torstveit MK, Sundgot-Borgen J, Engen KME, Rosenvinge JH, Pettersen G, Bratland-Sanda S. Does the Healthy Body Image program improve lifestyle habits among high school students? A randomized controlled trial with 12-month follow-up. J Int Med Res. 2020 Mar;48(3):300060519889453. doi: 10.1177/0300060519889453. Epub 2019 Dec 5.

Reference Type: DERIVED

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Reference Type: DERIVED

PMID: 29510762 (View on PubMed)

Other Identifiers

JCSB

Identifier Type: -

Identifier Source: org_study_id