Springerplus. 2013 Dec 19;2:683. doi: 10.1186/2193-1801-2-683. eCollection 2013.
Investigation of the effectiveness of the "Girls on the Go!" program for building self-esteem in young women: trial protocol.
SpringerPlus
Loredana Tirlea, Helen Truby, Terry P Haines
Affiliations
Affiliations
- Department of Nutrition and Dietetics, Southern Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Level 1, 264 Ferntree Gully Road, Notting Hill, 3168 Victoria Melbourne Australia ; Monash Health, (formerly Southern Health) Greater Dandenong Community Health Services, Springvale, Melbourne Australia.
- Department of Nutrition and Dietetics, Southern Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Level 1, 264 Ferntree Gully Road, Notting Hill, 3168 Victoria Melbourne Australia.
- Department of Physiotherapy, Southern Physiotherapy Clinical School, Monash University, Frankston, Melbourne Australia ; Monash Health, (formerly Southern Health) Allied Health Research Unit, Kingston, Melbourne Australia.
PMID: 24386627
PMCID: PMC3877412 DOI: 10.1186/2193-1801-2-683
Abstract
BACKGROUND: Body Image is a major factor affecting health in a range of age groups, but has particular significance for adolescents. The aim of this research is to evaluate the efficacy of the "Girls on the Go!" program delivered outside of the school environment by health professionals to girls at risk of developing poor self-esteem on the outcomes of self-esteem, impairment induced by eating disorders, body satisfaction, self-efficacy, and dieting behaviour.
METHOD: A stepped wedge, cluster randomised controlled trial that was conducted in two phases on the basis of student population (Study 1 = secondary school age participants; Study 2 = primary school age participants). The waiting list for the "Girls on the Go!" program was used to generate the control periods. A total of 12 schools that requested the program were separated into study 1 or 2 on the basis of student population (Study 1 = secondary, Study 2 = primary). Schools were matched on the basis of number of students and were allocated to receiving the intervention immediately or having a waiting list period. Study 1 had one waiting list period of one school term, creating two steps in the stepped-wedge design (i.e. 3 schools were provided with "Girls on the Go!" each term over 2 terms). Study 2 had two waiting list periods of one and two school terms, creating three steps in the stepped-wedge design (i.e. 2 schools were provided with "Girls on the Go!" each term over 3 terms). Primary outcome measures were self-esteem and impairment inducted by eating disorders.
DISCUSSION: There is a lack of preventative interventions currently available that address low self-esteem, low self-efficacy and body dissatisfaction in young women. This project will be the first group-based, professional-led, targeted program conducted outside the school environment amongst school age young women to be evaluated via a randomised control trial. These findings will indicate if the "Girls on the Go!" program may be successfully used and applied in a culturally diverse environment and with young women of all shapes and sizes.
TRIAL REGISTRATION: (ACTRN12610000513011).
Keywords: Adolescents; Body image; Community health intervention; Disordered eating; Eating disorders; Girls; Group therapy; Health promotion; Self-esteem; Young women
References
- Am Psychol. 1996 Nov;51(11):1130-3 - PubMed
- J Abnorm Child Psychol. 2007 Jun;35(3):379-91 - PubMed
- Psychol Bull. 2002 Sep;128(5):825-48 - PubMed
- J Am Diet Assoc. 2000 Dec;100(12):1466-73 - PubMed
- Pers Soc Psychol Bull. 2008 May;34(5):583-98 - PubMed
- J Sch Health. 2000 Jan;70(1):18-21 - PubMed
- Appetite. 2010 Feb;54(1):5-15 - PubMed
- Int J Eat Disord. 1997 Sep;22(2):167-72 - PubMed
- J Clin Child Adolesc Psychol. 2006 Dec;35(4):539-49 - PubMed
- Eat Behav. 2003 Jan;3(4):387-96 - PubMed
- Body Image. 2009 Mar;6(2):75-82 - PubMed
- Int J Eat Disord. 2004 Jul;36(1):1-11 - PubMed
- Adolescence. 2006 Spring;41(161):55-74 - PubMed
- Int J Eat Disord. 2003 May;33(4):371-83; discussion 384-7 - PubMed
- Nutr J. 2011 Jan 24;10:9 - PubMed
- Am Sociol Rev. 1973 Oct;38(5):553-68 - PubMed
- Int J Eat Disord. 2000 Jul;28(1):43-57 - PubMed
- Behav Res Ther. 2008 Oct;46(10):1105-10 - PubMed
- Br J Clin Psychol. 1996 May;35(2):193-203 - PubMed
- J Sch Health. 2002 May;72(5):199-204 - PubMed
- J Pediatr Adolesc Gynecol. 2012 Feb;25(1):19-22 - PubMed
- Eat Disord. 2003 Fall;11(3):169-85 - PubMed
- Annu Rev Clin Psychol. 2007;3:207-31 - PubMed
- J Consult Clin Psychol. 1999 Dec;67(6):967-74 - PubMed
- Eat Disord. 2006 May-Jun;14(3):191-213 - PubMed
- J Am Diet Assoc. 2005 Jun;105(6):929-36 - PubMed
- Int J Eat Disord. 2001 Mar;29(2):107-18 - PubMed
- Eat Disord. 2004 Summer;12(3):225-39 - PubMed
- Percept Mot Skills. 1982 Jun;54(3):899-905 - PubMed
- Behav Res Ther. 2011 Jan;49(1):32-41 - PubMed
- Health Educ Res. 2004 Aug;19(4):357-72 - PubMed
- Eat Disord. 2002 Spring;10(1):1-13 - PubMed
- Eat Disord. 2001 Winter;9(4):313-25 - PubMed
- Int J Eat Disord. 2002 Dec;32(4):401-11 - PubMed
- Science. 1977 Apr 8;196(4286):129-36 - PubMed
- J Consult Clin Psychol. 2009 Oct;77(5):825-34 - PubMed
- Health Educ Res. 2005 Apr;20(2):259-65 - PubMed
- J Adolesc Health. 2007 Mar;40(3):245-51 - PubMed
- Health Educ Res. 1993 Mar;8(1):43-51 - PubMed
- Int J Eat Disord. 2008 Jan;41(1):72-81 - PubMed
- Psychol Bull. 2004 Mar;130(2):206-27 - PubMed
- Child Today. 1984 Nov-Dec;13(6):7-11 - PubMed
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