Project Body Neutrality: Piloting a digital single‐session intervention for adolescent body image and depression

Smith, Arielle C.; Ahuvia, Isaac; Ito, Sakura; Schleider, Jessica L.

doi:10.1002/eat.23976

Cited by 19 publications

(7 citation statements)

References 118 publications

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Section: Prior Workmentioning

confidence: 99%

“…SSIs have also been shown to be effective with non-clinical populations at reducing body image concerns and eating psychopathology [16][17][18][19]. SSIs use a variety of strategies including psychoeducation [16,18,19], imagery rescripting [17,18], and cognitive dissonance interventions [16,17]. In all studies involving a control group, participants who engaged with the SSIs showed a comparative improvement in eating pathology [16][17][18].…”

Section: Prior Workmentioning

confidence: 99%

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Co-Design of a Single Session Intervention Chatbot for People on Waitlists for Eating Disorder Treatment: A Qualitative Interview and Workshop Study (Preprint)

Sharp,

Dwyer,

Xie

et al. 2024

Preprint

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BACKGROUND Eating disorders are a global concern and access to early treatment is critical to improve prognosis. Single session interventions have been proposed as an opportunity to provide short term support to people on waitlists for eating disorder treatment, however, there are not enough clinicians to provide this early intervention. Conversational artificial intelligence agents or “chatbots” reflect a unique opportunity to fill this gap in service provision. OBJECTIVE To co-design a novel chatbot capable of delivering a single session intervention for people on the waitlist for eating disorder treatment across the eating disorder diagnostic spectrum and ascertain its preliminary acceptability and feasibility. METHODS The study followed the design process of the Double Diamond model including four phases: discover, define, develop, and deliver. The study involved the co-design of a chatbot with 17 participants in total; 10 adults with a lived experience of eating disorders and 7 eating disorder clinicians, by conducting interviews and workshops with the participants. Feedback from the interviews and workshops of each phase informed the ideas and development of the next phase of the study. A final prototype of a single session intervention chatbot was presented to the participants in the deliver phase. RESULTS Qualitative thematic analysis identified four main themes that were present across the four rounds of interviews/workshops: conversational tone, safety and risk management, user journey and session structure, and content. CONCLUSIONS Overall, the feedback on the single session intervention chatbot was positive throughout the Double Diamond process from both people with a lived experience of eating disorders and clinicians. Incorporating the feedback across the four themes and four phases allowed for refinement of the chatbot. Further research is required to evaluate the chatbot’s efficacy in early treatment settings. CLINICALTRIAL N/A

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Section: Prior Workmentioning

confidence: 99%

Section: Prior Workmentioning

confidence: 99%

Co-Design of a Single Session Intervention Chatbot for People on Waitlists for Eating Disorder Treatment: A Qualitative Interview and Workshop Study (Preprint)

Sharp,

Dwyer,

Xie

et al. 2024

Preprint

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“… 52 However, some have expressed concern about potential pitfalls of body positivity, including its reinforcement of a focus on appearance. 53 , 54 The following section briefly reviews existing research investigating the impact of body-positive content on social media.…”

Section: Body Positivity On Social Mediamentioning

confidence: 99%

Mitigating Harms of Social Media for Adolescent Body Image and Eating Disorders: A Review

Mazzeo,

Weinstock,

Vashro

et al. 2024

PRBM

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“…Other recently-evaluated SSIs incorporating B.E.S.T. components have shown promise in reducing parental accommodation of child anxiety (Sung et al, 2021), body dissatisfaction in adolescents (per an open trial by Smith et al, 2023), and internalized stigma in LGBTQ+ adolescents (Shen et al, 2023).…”

Section: Digital Ssis For Youth Mental Health 15mentioning

confidence: 99%

Digital Single-Session Interventions for Youth Mental Health

Jans¹,

Sotomayor²,

Schleider³

2023

Preprint

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The mental healthcare system is overburdened and incapable of meeting the current need for services. This need-to-access gap is unlikely to be filled by dominant treatment delivery models, which often require multiple sessions of face-to-face therapy delivered by highly trained professionals. In this chapter, we overview how digital, self-administered single-session interventions (SSIs) can serve as a tool to help narrow the treatment gap and increase accessibility of evidence-based care. We review the state of the evidence on digital SSIs for youths and young adults and highlight trends among effective interventions. Lastly, we conclude with a discussion on maximizing the scalability and accessibility of digital SSIs.

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Project Body Neutrality: Piloting a digital single‐session intervention for adolescent body image and depression

Abstract: Data Availability Statement:The data and code that support the findings of this evaluation, excluding identifying information, are openly available at https://osf.io/w82bf/.

Cited by 19 publications

References 118 publications

Co-Design of a Single Session Intervention Chatbot for People on Waitlists for Eating Disorder Treatment: A Qualitative Interview and Workshop Study (Preprint)

Co-Design of a Single Session Intervention Chatbot for People on Waitlists for Eating Disorder Treatment: A Qualitative Interview and Workshop Study (Preprint)

Mitigating Harms of Social Media for Adolescent Body Image and Eating Disorders: A Review

Digital Single-Session Interventions for Youth Mental Health

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