Randomized Controlled Trial of an Online Mother-Daughter Body Image and Well-Being Intervention

Phillippa C. Diedrichs; Melissa J. Atkinson; Kirsty M. Garbett; Heidi Williamson; Emma Halliwell; Nichola Rumsey; George Leckie; Chris G. Sibley; Fiona Kate Barlow

doi:10.1037/hea0000361

Randomized Controlled Trial of an Online Mother-Daughter Body Image and Well-Being Intervention

Phillippa C. Diedrichs^*, Melissa J. Atkinson, Kirsty M. Garbett, Heidi Williamson, Emma Halliwell, Nichola Rumsey, George Leckie, Chris G. Sibley, Fiona Kate Barlow

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

33 Citations (Scopus)

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Abstract

Objective: Poor body image is a public health issue. Mothers are a key influence on adolescents’ body image. This study evaluated an accessible, scalable, low-intensity internet based intervention delivered to mothers (Dove Self-Esteem Project Website for Parents) on mothers’ and their adolescent daughters’ body image and psychosocial well-being.

Methods: British mother-daughter dyads (N=235) participated in a cluster randomized controlled trial [assessment-only control; mothers viewed the website without structured guidance website unstructured); mothers viewed the website via a tailored pathway (website-tailored)]. Dyads completed standardized self-report measures of body image, related risk factors, and psychosocial outcomes at baseline, 2-weeks post-exposure, 6-week and 12-month follow-up.

Results: Dyadic models showed that relative to the control, mothers who viewed the website reported significantly higher self-esteem at post-exposure (website-tailored), higher weight esteem at 6-week follow-up (website-tailored), lower negative affect at 12-month follow-up (website-tailored), engaged in more self-reported conversations with their daughters about body image at post-exposure and 6-week follow-up, and were 3-4.66 times more likely to report seeking additional support for body image issues at post-exposure (website-tailored), 6-week, and 12-month (website-tailored) follow-up. Daughters whose mothers viewed the website had higher self-esteem and reduced negative affect at 6-week follow-up. There were no differences on daughters’ body image, and risk factors among mothers or daughters, at post-exposure or follow-up. Tailoring website content appeared beneficial.

Conclusions: This intervention offers a promising ‘first-step’ towards improving psychosocial well-being among mothers and daughters. In order to further optimise the intervention, future research to improve body image-related outcomes and to understand mechanisms for change would be
beneficial.

Original language	English
Pages (from-to)	996-1006
Number of pages	11
Journal	Health Psychology
Volume	35
Issue number	9
Early online date	12 May 2016
DOIs	https://doi.org/10.1037/hea0000361
Publication status	Published - Sept 2016

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

body image
self-esteem
intervention
internet
parents
adolescent girls

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title = "Randomized Controlled Trial of an Online Mother-Daughter Body Image and Well-Being Intervention",

abstract = "Objective: Poor body image is a public health issue. Mothers are a key influence on adolescents{\textquoteright} body image. This study evaluated an accessible, scalable, low-intensity internet based intervention delivered to mothers (Dove Self-Esteem Project Website for Parents) on mothers{\textquoteright} and their adolescent daughters{\textquoteright} body image and psychosocial well-being. Methods: British mother-daughter dyads (N=235) participated in a cluster randomized controlled trial [assessment-only control; mothers viewed the website without structured guidance website unstructured); mothers viewed the website via a tailored pathway (website-tailored)]. Dyads completed standardized self-report measures of body image, related risk factors, and psychosocial outcomes at baseline, 2-weeks post-exposure, 6-week and 12-month follow-up. Results: Dyadic models showed that relative to the control, mothers who viewed the website reported significantly higher self-esteem at post-exposure (website-tailored), higher weight esteem at 6-week follow-up (website-tailored), lower negative affect at 12-month follow-up (website-tailored), engaged in more self-reported conversations with their daughters about body image at post-exposure and 6-week follow-up, and were 3-4.66 times more likely to report seeking additional support for body image issues at post-exposure (website-tailored), 6-week, and 12-month (website-tailored) follow-up. Daughters whose mothers viewed the website had higher self-esteem and reduced negative affect at 6-week follow-up. There were no differences on daughters{\textquoteright} body image, and risk factors among mothers or daughters, at post-exposure or follow-up. Tailoring website content appeared beneficial. Conclusions: This intervention offers a promising {\textquoteleft}first-step{\textquoteright} towards improving psychosocial well-being among mothers and daughters. In order to further optimise the intervention, future research to improve body image-related outcomes and to understand mechanisms for change would be beneficial.",

keywords = "body image, self-esteem, intervention, internet, parents, adolescent girls",

author = "Diedrichs, \{Phillippa C.\} and Atkinson, \{Melissa J.\} and Garbett, \{Kirsty M.\} and Heidi Williamson and Emma Halliwell and Nichola Rumsey and George Leckie and Sibley, \{Chris G.\} and Barlow, \{Fiona Kate\}",

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doi = "10.1037/hea0000361",

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T1 - Randomized Controlled Trial of an Online Mother-Daughter Body Image and Well-Being Intervention

AU - Diedrichs, Phillippa C.

AU - Atkinson, Melissa J.

AU - Garbett, Kirsty M.

AU - Williamson, Heidi

AU - Halliwell, Emma

AU - Rumsey, Nichola

AU - Leckie, George

AU - Sibley, Chris G.

AU - Barlow, Fiona Kate

PY - 2016/9

Y1 - 2016/9

N2 - Objective: Poor body image is a public health issue. Mothers are a key influence on adolescents’ body image. This study evaluated an accessible, scalable, low-intensity internet based intervention delivered to mothers (Dove Self-Esteem Project Website for Parents) on mothers’ and their adolescent daughters’ body image and psychosocial well-being. Methods: British mother-daughter dyads (N=235) participated in a cluster randomized controlled trial [assessment-only control; mothers viewed the website without structured guidance website unstructured); mothers viewed the website via a tailored pathway (website-tailored)]. Dyads completed standardized self-report measures of body image, related risk factors, and psychosocial outcomes at baseline, 2-weeks post-exposure, 6-week and 12-month follow-up. Results: Dyadic models showed that relative to the control, mothers who viewed the website reported significantly higher self-esteem at post-exposure (website-tailored), higher weight esteem at 6-week follow-up (website-tailored), lower negative affect at 12-month follow-up (website-tailored), engaged in more self-reported conversations with their daughters about body image at post-exposure and 6-week follow-up, and were 3-4.66 times more likely to report seeking additional support for body image issues at post-exposure (website-tailored), 6-week, and 12-month (website-tailored) follow-up. Daughters whose mothers viewed the website had higher self-esteem and reduced negative affect at 6-week follow-up. There were no differences on daughters’ body image, and risk factors among mothers or daughters, at post-exposure or follow-up. Tailoring website content appeared beneficial. Conclusions: This intervention offers a promising ‘first-step’ towards improving psychosocial well-being among mothers and daughters. In order to further optimise the intervention, future research to improve body image-related outcomes and to understand mechanisms for change would be beneficial.

AB - Objective: Poor body image is a public health issue. Mothers are a key influence on adolescents’ body image. This study evaluated an accessible, scalable, low-intensity internet based intervention delivered to mothers (Dove Self-Esteem Project Website for Parents) on mothers’ and their adolescent daughters’ body image and psychosocial well-being. Methods: British mother-daughter dyads (N=235) participated in a cluster randomized controlled trial [assessment-only control; mothers viewed the website without structured guidance website unstructured); mothers viewed the website via a tailored pathway (website-tailored)]. Dyads completed standardized self-report measures of body image, related risk factors, and psychosocial outcomes at baseline, 2-weeks post-exposure, 6-week and 12-month follow-up. Results: Dyadic models showed that relative to the control, mothers who viewed the website reported significantly higher self-esteem at post-exposure (website-tailored), higher weight esteem at 6-week follow-up (website-tailored), lower negative affect at 12-month follow-up (website-tailored), engaged in more self-reported conversations with their daughters about body image at post-exposure and 6-week follow-up, and were 3-4.66 times more likely to report seeking additional support for body image issues at post-exposure (website-tailored), 6-week, and 12-month (website-tailored) follow-up. Daughters whose mothers viewed the website had higher self-esteem and reduced negative affect at 6-week follow-up. There were no differences on daughters’ body image, and risk factors among mothers or daughters, at post-exposure or follow-up. Tailoring website content appeared beneficial. Conclusions: This intervention offers a promising ‘first-step’ towards improving psychosocial well-being among mothers and daughters. In order to further optimise the intervention, future research to improve body image-related outcomes and to understand mechanisms for change would be beneficial.

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KW - self-esteem

KW - intervention

KW - internet

KW - parents

KW - adolescent girls

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DO - 10.1037/hea0000361

M3 - Article (Academic Journal)

C2 - 27175574

AN - SCOPUS:84966781521

SN - 0278-6133

VL - 35

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EP - 1006

JO - Health Psychology

JF - Health Psychology

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ER -

Randomized Controlled Trial of an Online Mother-Daughter Body Image and Well-Being Intervention

Abstract

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Keywords

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