Is it safe? Exploring positive and negative outcome changes following a web-based intervention for adolescents distressed by a visible difference (YP Face IT)

Kling, Johanna; Zelihić, Deniz; Williamson, Heidi; Feragen, Kristin Billaud

doi:10.1016/j.bodyim.2022.07.012

Cited by 4 publications

(8 citation statements)

References 57 publications

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“…Other participants (adolescents and parents) felt that YPF did not meet their needs because the adolescent had lower levels of appearance-related concerns and perceived their visible difference to be less noticeable and stigmatising than examples provided within YPF. These findings, which align with previous qualitative 20 and quantitative findings, 22 , 23 reaffirm the value of obtaining subjective assessments of appearance concerns rather than relying on objective predictors of adjustment such as size and location of visible difference.…”

Section: Discussionsupporting

confidence: 85%

“…Based on the few previous quantitative evaluations of the Norwegian version of YPF, the intervention has displayed potential clinical effectiveness. 22,23 However, gaining knowledge about participants' perceptions of YPF, its acceptability, and their experiences of using it is also vital in order to inform its potential implementation. Two previous studies in the Netherlands and UK have qualitatively explored YPF participants' experiences of the programme.…”

Section: Introductionmentioning

confidence: 99%

“…Based on the few previous quantitative evaluations of the Norwegian version of YPF, the intervention has displayed potential clinical effectiveness. 22 , 23 …”

Section: Introductionmentioning

confidence: 99%

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Adolescents and parents’ perception of Young Person's Face IT: An online intervention for adolescents struggling with conditions affecting their appearance

et al. 2022

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Objective A visible difference in appearance caused by a congenital or acquired condition can negatively affect adolescents’ psychosocial well-being. Young Person's Face IT (YPF) is an online intervention based on cognitive behavioural therapy and social skills training, developed to help adolescents who struggle with adjusting to a visible difference. The objective of the present study was to explore adolescents’ and parents’ perceptions of the intervention's relevance and usefulness in supporting young people with appearance-related psychosocial concerns. Methods Participants were adolescents ( N = 76, aged 11–18) and parents ( N = 15), recruited in a larger randomised controlled trial aiming at evaluating YPF. This qualitative study with descriptive data includes adolescents’ ratings on YPF's usefulness, and interview data from adolescents and parents on their experiences with YPF. The interviews were analysed using a thematic approach. Results Results indicated that YPF was experienced as useful and relevant. Interviews showed that adolescents felt validated through the programme's content, discovered that other young people had similar experiences and felt that YPF could contribute to changing self-perceptions for the better. However, results could not confirm whether perceived usefulness led to the development and use of new social skills in real-life situations. Conclusion This study offers new perspectives on the relevance and usefulness of YPF in supporting adolescents with appearance-related psychosocial concerns. Findings suggest that updates and modifications are required so that YPF stays relevant and useful for adolescents in need of support. Trial registration number NCT03165331

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

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Adolescents and parents’ perception of Young Person's Face IT: An online intervention for adolescents struggling with conditions affecting their appearance

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“…However, only 1 participant (with concurrent diagnosis of eating disorder and clinical depression) was excluded on this basis. Given the findings from a recent study that demonstrated that YPF is safe [ 61 ], it would be interesting for future research to investigate potential intervention effects after completion of YPF for adolescents with moderate-to-severe psychological difficulties receiving psychological support elsewhere to explore whether YPF could be beneficial as an adjunct to other psychological interventions. However, the authors also underscore that YPF was designed to be a low-level intervention, targeting appearance-related and social distress in adolescents with a visible difference, and was not developed for adolescents with more severe psychological difficulties [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Adolescents’ Response to a Web-Based Intervention to Improve Psychosocial Adjustment to Having an Appearance-Affecting Condition (Young Person’s Face IT): Prospective Study

Zelihić¹,

Feragen²,

Pripp³

et al. 2023

JMIR Form Res

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Background Adolescents with a condition affecting their appearance that results in a visible difference can be at risk of psychosocial distress and impaired adjustment. Evidence for the effectiveness of existing interventions in improving psychosocial outcomes is limited, and relevant treatment can be difficult to access. Young Person’s Face IT (YPF), a self-guided web-based intervention, has demonstrated potential in reducing social anxiety in adolescents with a visible difference. However, more knowledge is needed about the variables that contribute to variations in intervention effects to identify those who may benefit most from YPF. Objective This study aimed to investigate demographic, psychosocial, and intervention-related variables as predictors of overall intervention effects after adolescents’ use of YPF. Methods We used longitudinal data collected as part of a larger, ongoing mixed methods project and randomized controlled trial (ClinicalTrials.gov NCT03165331) investigating the effectiveness of the Norwegian version of YPF. Participants were 71 adolescents (mean age 13.98, SD 1.74 years; range 11-18 years; 43/71, 61% girls) with a wide range of visible differences. The adolescents completed primary (body esteem and social anxiety symptoms) and secondary (perceived stigmatization, life disengagement, and self-rated health satisfaction) outcome measures at baseline and postintervention measurement. The predictor variables were demographic (age and gender), psychosocial (frequency of teasing experiences related to aspects of the body and appearance as well as depressive and anxiety symptoms), and intervention-related (time spent on YPF) variables. Results Two-thirds (47/71, 66%) of the adolescents completed all YPF sessions and spent an average of 265 (SD 125) minutes on the intervention. Backward multiple regression analyses with a 2-tailed P-value threshold of .20 revealed that several variables were retained in the final models and predicted postintervention outcome changes. Body esteem was predicted by age (P=.14) and frequency of teasing experiences (P=.09). Social anxiety symptoms were predicted by gender (P=.12), frequency of teasing experiences (P=.03), depressive and anxiety symptoms (P=.08), and time spent on YPF (P=.06). Perceived stigmatization was predicted by age (P=.09), gender (P=.09), frequency of teasing experiences (P=.19), and depressive and anxiety symptoms (P=.06). Life disengagement was predicted by gender (P=.03), depressive and anxiety symptoms (P=.001), and time spent on YPF (P=.14). Self-rated health satisfaction was predicted by age (P=.008). However, the results were limited by relatively low explained postintervention variance, ranging from 1.6% to 24.1%. Conclusions This study suggests that adolescent boys, adolescents who experience higher levels of psychosocial distress related to their visible difference, and adolescents who spend sufficient time on YPF may obtain better overall intervention effects.

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“…Self‐perceptions about one's appearance is a common source of social and psychological distress, especially during adolescence (Ricciardelli & Yager, 2016), and particularly for those involuntarily having an appearance that noticeably deviates from the norm (Crerand, Rumsey, Kazak, Clarke, Rausch & Sarwer, 2020). Young Person's Face IT (YP Face IT; YPF; Williamson, Hamlet, White et al ., 2016), a web‐based self‐guided psychosocial intervention, has demonstrated promising results in reducing psychological distress among adolescents with a visible difference (Kling, Zelihić, Williamson & Feragen, 2022; Zelihić, van Dalen, Kling et al ., 2022). However, health economic evaluations of YPF and similar interventions for this population are lacking.…”

Section: Introductionmentioning

confidence: 99%

Cost‐effectiveness analysis of a psychosocial web‐based intervention for adolescents distressed by a visible difference: Results from a randomized controlled trial in Norway

Kling

Asphaug

Feragen

2022

Scandinavian J Psychology

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Cost-effectiveness analysis of a psychosocial web-based intervention for adolescents distressed by a visible difference: Results from a randomized controlled trial in Norway. Scandinavian Journal of Psychology.Adolescents with a visible difference to the face or body (e.g., due to a congenital condition, illness, or injury), may be at risk of elevated psychological distress. Young Person's Face IT (YPF), a web-based psychosocial intervention, has displayed effectiveness, but no previous study has specifically evaluated its cost-effectiveness. The aim of our study was to investigate whether YPF could be a cost-effective alternative for psychosocial support to adolescents distressed by a visible difference, relative to care-as-usual (CAU). Within the context of a randomized controlled trial in Norway, 102 participants (43% boys) were allocated to intervention (n = 55) or waiting list control group (n = 47). Mean age was 13.9 years (SD = 1.71; range 11-18), and all self-identified as experiencing distress related to a visible difference. Participants answered questionnaires including measures of health-related quality of life and social anxiety at baseline and 3-month follow-up. A health economic evaluation using the method of cost-utility analysis was performed, including quality-adjusted life-years (QALYs). Results indicated that the incremental cost-effectiveness of YPF was 63,641 Norwegian kroner per QALYs gained, which is well within the acceptability threshold in the Norwegian healthcare sector. Hence, YPF could potentially be considered a cost-effective intervention for adolescents experiencing distress related to a visible difference, but more research is needed that includes comparisons of YPF to other health-and societal resources and long-term follow-ups. Our study also constitutes an addition to research as, compared to interventions for somatic diseases, there is a lack of studies exploring the cost-effectiveness of psychological interventions.

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Is it safe? Exploring positive and negative outcome changes following a web-based intervention for adolescents distressed by a visible difference (YP Face IT)

Cited by 4 publications

References 57 publications

Adolescents and parents’ perception of Young Person's Face IT: An online intervention for adolescents struggling with conditions affecting their appearance

Adolescents and parents’ perception of Young Person's Face IT: An online intervention for adolescents struggling with conditions affecting their appearance

Predictors of Adolescents’ Response to a Web-Based Intervention to Improve Psychosocial Adjustment to Having an Appearance-Affecting Condition (Young Person’s Face IT): Prospective Study

Cost‐effectiveness analysis of a psychosocial web‐based intervention for adolescents distressed by a visible difference: Results from a randomized controlled trial in Norway

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