TY - JOUR
T1 - ‘Dove Confident Me Indonesia
T2 - Single Session’: study protocol for a randomised controlled trial to evaluate a school-based body image intervention among Indonesian adolescents
AU - Craddock, Nadia
AU - Garbett, Kirsty M.
AU - Haywood, Sharon
AU - Nasution, Kholisah
AU - White, Paul
AU - Saraswati, L. Ayu
AU - Rizkiah, Chairunnisa
AU - Medise, Bernie E.
AU - Diedrichs, Phillippa C.
N1 - Funding Information:
The authors would like to thank numerous organisations and individuals for their valued contribution to this project. First, we thank our project partners at the Dove Self-Esteem Project, UNICEF Indonesia, and UNICEF UK as well as the Indonesian Ministry of Education and Culture for their collaboration, support, and shared vision to introduce evidence-based body image curriculum into Indonesian schools. Second, we thank our partners at UNICEF and Girl Effect, and local research agencies Innovesia and Cimigo for conducting focus groups and preliminary field testing in Bone (South Sulawesi), Sorong (West Papua), and Jakarta. Third, we wish to acknowledge the teams who led the creative and digital design of the UNICEF Life Skills Education curriculum materials and teacher-training e-module Sentra Studia, P3GTK, and UNIMUDA, as well as our Bahasa Indonesia-English translator Andika Wijaya. Fourth,?we thank students at Lazuardi Al Falah Depok Junior High for their role in reviewing the study measures. Finally, we would like to thank our colleagues at the Centre for Appearance Research Zo? Haime and Dr. Heidi Williamson for their feedback and advice on this manuscript.
Publisher Copyright:
© 2021, The Author(s).
PY - 2021/12
Y1 - 2021/12
N2 - 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.
AB - 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.
KW - Adolescent mental health
KW - Body image
KW - Indonesia
KW - Life skills education
KW - Low- and middle-income countries
KW - Randomised controlled trial
KW - School-based intervention
KW - Single-session intervention
KW - Southeast Asia
KW - Study protocol
UR - http://www.scopus.com/inward/record.url?scp=85119148188&partnerID=8YFLogxK
U2 - 10.1186/s12889-021-11770-0
DO - 10.1186/s12889-021-11770-0
M3 - Article
C2 - 34784916
AN - SCOPUS:85119148188
VL - 21
JO - BMC Public Health
JF - BMC Public Health
SN - 1471-2458
IS - 1
M1 - 2102
ER -