Acceptability and preliminary efficacy of a school-based body image intervention in urban India: A pilot randomised controlled trial

Garbett, Kirsty M.; Lewis‐Smith, Helena; Chaudhry, Anshula; Shroff, Hersh; Dhillon, Megha; White, Paul; Diedrichs, Phillippa C.

doi:10.1016/j.bodyim.2021.02.011

Cited by 17 publications

(19 citation statements)

References 35 publications

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“…en the weight value K u which expresses the sum of all the relativity feedback is calculated as follows [21][22][23]:…”

Section: Experiments and Evaluationmentioning

confidence: 99%

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[Retracted] Personalized Education Based on Hybrid Intelligent Recommendation System

Zheng

2022

Journal of Mathematics

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Differentiated pedagogy is a flexible and organized adaptation of teaching and learning as it argues that students, even those of the same age, have differences in learning readiness, interests, learning style, experiences, and living circumstances. These differences are important in the determination of requirements of their learning and the way of effective learning. In addition, the foundation for effective learning is the sense of community within the classroom, the authentic learning opportunities of using educational equipment, and the connection of the lesson with the experiences and interests of the students. In essence, the support of a teacher guides the pupils to learn to work on their own during a declining guidance policy, to improve their abilities and skills. Thus, the teachers are asked to modify their teaching methods instead of applying a similar way of teaching for all students. The modified teaching style should meet the different levels of readiness of students, the different ways they learn, and their different interests. In support of this specific task for teachers, the current work presents a personalized education system based on hybrid intelligent recommendations. Specifically, a hybrid framework of artificial intelligence is proposed, which focuses on the way to provide targeted recommendations for the implementation of integrated standard lesson plans, which will be the main tool for creating flexible differentiated pedagogical programs that will perfectly meet the personal needs and particularities of each student.

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“…en the weight value K u which expresses the sum of all the relativity feedback is calculated as follows [21][22][23]:…”

Section: Experiments and Evaluationmentioning

confidence: 99%

“…Similarly, R X b represents the meaning given to the type of pedagogical method, R X C is the meaning of feedback, R X d is the meaning of enrichment and, finally, the term R X e indicates the meaning of explicit feedback. Finally, the similarity is calculated as follows [21,23]:…”

Section: Experiments and Evaluationmentioning

confidence: 99%

[Retracted] Personalized Education Based on Hybrid Intelligent Recommendation System

Zheng

2022

Journal of Mathematics

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“…Quantitative analyses were conducted independently for teachers and students, using SPSS software. As per previous school-based acceptability research (Garbett et al ., 2021 ), the five response options were collapsed into three categories; ‘a lot’ and ‘very much’ were collapsed to indicate favourable attitudes towards the comics, ‘not at all’ and ‘a little’ were collapsed to indicate less favourable views, and ‘in the middle’ constituted neutral views.…”

Section: Methodsmentioning

confidence: 99%

“…Government, teachers, parents and students have argued for school-delivered mental health support (Strategy Handbook, 2014 ; Parikh et al ., 2019 ), as schools provide an ideal environment for cost-effective and large-scale intervention delivery (Yager et al ., 2013 ; Chua et al ., 2020 ). In response to this, an evidence-based mixed-gender body image intervention, Confident Me , was culturally adapted and found to be effective in Indian private schools (Garbett et al ., 2021 ; Lewis-Smith et al ., Under review ). However, whilst offering promise to higher socio-economic regions of India, Confident Me's acceptability and implementation in lower socio-economic areas may be limited.…”

Section: Introductionmentioning

confidence: 99%

“…Given that storytelling is a promising strategy for improving body image (Dohnt and Tiggemann, 2008 ), this suggests that AdhaFULL comics targeting body dissatisfaction may constitute an acceptable and effective intervention among adolescents in lower socio-economic parts of India. This task-shifting of intervention delivery to teachers in schools will promote cost-effectiveness, scalability and sustainability of this intervention in lower socio-economic regions of India (Sharpe et al ., 2013 ; Garbett et al ., 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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Comics as a body image intervention among adolescents in Indian Hindi medium schools: insights from an acceptability study

et al. 2022

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Background Indian adolescents experience body dissatisfaction. However, empirically supported interventions are lacking, particularly in lower socio-economic regions of India. This paper describes the acceptability testing of a six-session teacher-led comics-based intervention, aiming to improve body image and related outcomes among adolescents in Indian Hindi medium schools. Methods Thirty-five students (50% girls; Mage, girls = 12.3 years; Mage, boys = 13 years) and nine teachers (11% women) from Hindi medium schools in Rajasthan, India, completed a quantitative acceptability questionnaire regarding comics that target body dissatisfaction and associated risk factors. They also participated in online or telephone semi-structured interviews to share in-depth feedback, with teachers providing additional feedback on an accompanying teacher guide. The quantitative data were analysed descriptively, with the interviews analysed using qualitative codebook thematic analysis. Results Quantitative analyses revealed that 73% of students felt the comics made them feel good about themselves. Qualitative analyses revealed four themes: (1) body dissatisfaction is a concern; (2) the comics are powerful; (3) increasing ease of understanding; (4) a teacher guide to aid delivery. Conclusion This study demonstrates acceptability of a novel teacher-led comics-based body image intervention for adolescents in Indian Hindi medium schools from lower socio-economic settings. These findings are currently informing intervention optimizations, which will be evaluated in a randomized controlled effectiveness trial. If found to be effective, this intervention will be disseminated across eight Indian states by UNICEF. Trial registration. This trial has been registered with ClinicalTrials.gov; a database of privately and publicly funded studies conducted around the world. Registration date: 2nd May 2020; Registration ID: (NCT04317755). https://clinicaltrials.gov/ct2/show/NCT04317755?term=NCT04317755&draw=2&rank=1.

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Adaptation and validation of the Eating Disorder Examination‐Questionnaire in English among urban Indian adolescents

Lewis‐Smith

Garbett

Chaudhry³

et al. 2020

Intl J Eating Disorders

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Objective Eating pathology is a salient issue in India, with clinical features reported among adults and adolescents. However, there are currently no validated measures of disordered eating in the Indian context. The present study therefore aimed to validate a culturally appropriate English language version of the Eating Disorder Examination Questionnaire (EDE‐Q), a widely used measure, among adolescents in India. Method We adapted and examined the factor structure, reliability, and construct validity of the EDE‐Q among an urban sample of 1,413 Indian adolescents (mean age = 13 years; 45% girls). Results In contrast to the original four‐factor model, exploratory factor analysis identified a two‐factor solution for girls and boys, which was verified by confirmatory factor analysis; a “Preoccupation and Control” subscale and a “Weight and Shape Concerns” subscale. The total scale comprised 15 items for girls and 18 items for boys. Test–retest reliability and internal consistency were satisfactory for the girls' and boys' scales (Cronbach's α = .91 for both) and their comprising subscales (αs ≥ .80). Concurrent validity was established through medium‐high significant correlations with measures of body image and internalization of appearance ideals. Combining items common to both versions of the scale led to a psychometrically acceptable model which was largely invariant across both genders, thus facilitating gendered comparison. Discussion Findings indicate the reliability and validity of the EDE‐Q among English‐speaking urban Indian adolescents. This will facilitate further research examining the prevalence and nature of eating pathology among adolescents in India.

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Acceptability and preliminary efficacy of a school-based body image intervention in urban India: A pilot randomised controlled trial

Cited by 17 publications

References 35 publications

[Retracted] Personalized Education Based on Hybrid Intelligent Recommendation System

[Retracted] Personalized Education Based on Hybrid Intelligent Recommendation System

Comics as a body image intervention among adolescents in Indian Hindi medium schools: insights from an acceptability study

Adaptation and validation of the Eating Disorder Examination‐Questionnaire in English among urban Indian adolescents

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