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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Evaluating a body image school-based intervention in India: A randomized controlled trial.

Helena Lewis-Smith1, Kirsty May Garbett1, Anshula Chaudhry2

  • 1Centre for Appearance Research, University of the West of England, UK.

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|January 6, 2023
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Summary

A school-based body image program in India effectively improved adolescent body satisfaction and reduced disordered eating. This intervention showed lasting positive effects on mental well-being for both genders.

Keywords:
AdolescentsBody ImageIndiaInterventionRandomized controlled trialSchool

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Area of Science:

  • Adolescent Psychology
  • Public Health Interventions
  • Mental Health Research

Background:

  • Body dissatisfaction is a significant issue among adolescents in low- and middle-income countries, with limited evidence-based interventions available in India.
  • Existing research often focuses on high-income nations, necessitating culturally relevant interventions for diverse populations.

Purpose of the Study:

  • To evaluate the efficacy of a novel, school-based, mixed-gender body image intervention program for adolescents in India.
  • To assess the intervention's impact on body image, disordered eating, self-esteem, and negative affect.

Main Methods:

  • A randomized controlled trial involving 568 Year 7 students (aged 11-14) across six schools in Delhi.
  • Schools were randomized to receive a five-session intervention delivered by psychologists or a wait-list control.
  • Outcomes were measured at pre-intervention, post-intervention, and 3-month follow-up using intention-to-treat analyses.

Main Results:

  • The intervention group demonstrated significant improvements in body image compared to the control group at both post-intervention and 3-month follow-up.
  • Positive changes were observed in internalization, life disengagement, disordered eating, self-esteem, and negative affect immediately post-intervention.
  • Improvements were largely maintained at follow-up, with specific outcomes showing sustained effects for girls (internalization) and boys (life disengagement).

Conclusions:

  • This study provides the first evidence of a successful mixed-gender school-based body image intervention in India.
  • The program is efficacious in enhancing body image and reducing disordered eating and related psychological distress among urban adolescents.
  • Findings support the implementation of similar interventions to address adolescent body image concerns in similar cultural contexts.