Combining in-person and online components for the body project program during the COVID-19 pandemic: an implementation feasibility trial



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Approximately 13% of college women exhibit eating disorder (ED) symptoms and the numbers appear to be rising since the COVID-19 pandemic. Effective and accessible ED prevention is needed. The purpose of this study was to test the feasibility of the adapted Body Project ED prevention program that combined both in-person and online components. It was hypothesized that participants who received the adapted Body Project would have greater decreases in ED risk factors and symptoms compared to control participants. It was also hypothesized that the effect size for ED risk factors and symptoms for the adapted Body Project would be similar to the effect sizes of other published Body Project studies. Participants attended a two-hour virtual Zoom group Body Project session followed by online modules to be completed over the next week. Pre- and post-intervention, participants completed the Ideal Body Stereotype Scale – Revised, the Positive and Negative Affect Schedule – Revised, and the Eating Disorder Examination- Questionnaire. The adapted Body Project program was found to be moderately feasible to implement in a college setting. Body Project participants had significant reductions in thin-ideal internalization, body dissatisfaction, and ED symptoms. Additionally, the effect sizes for the adapted Body Project were found to be similar to most other similar Body Project studies. This study contributes to the literature by providing important details about how to effectively implement and deliver prevention programs in university setting. These findings will aid future researchers, clinicians, and universities in delivering the adapted Body Project program or another version of the Body Project that best fits with their needs and resources.



Eating Disorder, Prevention, Body Image, Feasibility, Implementation