Abstract
Mobile interventions promoting positive body image are lacking. This study presents a randomized controlled evaluation of BodiMojo, a mobile application (app) intervention grounded in self-compassion to promote positive body image. A sample of 274 adolescents, mean (SD) age = 18.36 (1.34) years, 74% female, were allocated to a control group or used BodiMojo for 6 weeks. Appearance esteem, body image flexibility, appearance comparison, mood, and self-compassion were assessed at baseline, 6, and 12 weeks. Significant time by group interactions emerged for appearance esteem and self-compassion, with appearance esteem and self-compassion increasing in the intervention relative to the control group. These findings provide preliminary support for BodiMojo, a cost-effective mobile app for positive body image.
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Albertson, E. R., Neff, K. D., & Dill-Shackleford, K. E. (2015). Self-compassion and body dissatisfaction in women: a randomized controlled trial of a brief meditation intervention. Mindfulness, 6(3), 444–454. https://doi.org/10.1007/s12671-014-0277-3.
Alleva, J. M., Sheeran, P., Webb, T. L., Martijn, C. & Miles, E. (2015). A meta-analytic review of stand-alone interventions to improve body image. Plosad- ONE, 10(9), e0139177
Altman, J. K., Linfield, K., Salmon, P. G., & Beacham, A. O. (2017). The body compassion scale: development and initial validation. Journal of Health Psychology, 22(8), 965–1100.
Atkinson, M. J., & Wade, T. D. (2016). Does mindfulness have potential in eating disorders prevention? A preliminary controlled trial with young adult women. Early Intervention in Psychiatry, 10(3), 234–245. https://doi.org/10.1111/eip.12160.
Atkinson, M. J., & Wade, T. D. (2015). Mindfulness‐based prevention for eating disorders: a school‐based cluster randomized controlled study. International Journal of Eating Disorders, 48(7), 1024–1037. https://doi.org/10.1002/eat.22416.
Braun, T. D., Park, C. L., & Gorin, A. (2016). Self-compassion, body image, and disordered eating: a review of the literature. Body Image, 17, 117–131. https://doi.org/10.1016/j.bodyim.2016.03.003.
Breton, E. R., Fuemmeler, B. F., & Abroms, L. C. (2011). Weight loss—there is an app for that! But does it adhere to evidence-informed practices? Translational Behavioral Medicine, 1(4), 523–529. https://doi.org/10.1007/s13142-011-0076-5.
Bucchianeri, M. M., Arikian, A. J., Hannan, P. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2013). Body dissatisfaction from adolescence to young adulthood: findings from a 10-year longitudinal study. Body Image, 10(1), 1–7. https://doi.org/10.1016/j.bodyim.2012.09.001.
Butryn, M. L., Juarascio, A., Shaw, J., Kerrigan, S. G., Clark, V., O’Planick, A., et al. (2013). Mindfulness and its relationship with eating disorders symptomatology in women receiving residential treatment. Eating Behaviors, 14(1), 13–16. https://doi.org/10.1016/j.eatbeh.2012.10.005.
Donovan, E., Rodgers, R. F., Cousineau, T. M., McGowan, K. M., Luk, S., Yates, K., et al. (2016). Brief report: feasibility of a mindfulness and self-compassion based mobile intervention for adolescents. Journal of Adolescence, 53, 217–221. https://doi.org/10.1016/j.adolescence.2016.09.009.
Ebesutani, C., Regan, J., Smith, A., Reise, S., Higa-McMillan, C., & Chorpita, B. F. (2012). The 10-item positive and negative affect schedule for children, child and parent shortened versions: application of item response theory for more efficient assessment. Journal of Psychopathology and Behavioral Assessment, 34(2), 191–203. https://doi.org/10.1007/s10862-011-9273-2.
Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: an experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377–389. https://doi.org/10.1037/0022-3514.84.2.377.
Ferreira, C., Pinto-Gouveia, J., & Duarte, C. (2013). Self-compassion in the face of shame and body image dissatisfaction: implications for eating disorders. Eating Behaviors, 14(2), 207–210. https://doi.org/10.1016/j.eatbeh.2013.01.005.
Franko, D. L., Cousineau, T. M., Rodgers, R. F., & Roehrig, J. P. (2013). BodiMojo: effective internet-based promotion of positive body image in adolescent girls. Body Image, 10(4), 481–488. https://doi.org/10.1016/j.bodyim.2013.04.008.
Froh, J. J., Sefick, W. J., & Emmons, R. A. (2008). Counting blessings in early adolescents: an experimental study of gratitude and subjective well-being. Journal of School Psychology, 46(2), 213–233. https://doi.org/10.1016/j.jsp.2007.03.005.
Grist, R., Porter, J., & Stallard, P. (2017). Mental health mobile apps for preadolescents and adolescents: a systematic review. Journal of Medical Internet Research, 19(5), e176 https://doi.org/10.2196/jmir.7332.
Holsen, I., Kraft, P., & Røysamb, E. (2001). The relationship between body image and depressed mood in adolescence: a 5-year longitudinal panel study. Journal of Health Psychology, 6(6), 613–627. https://doi.org/10.1177/135910530100600601.
Juarascio, A. S., Manasse, S. M., Goldstein, S. P., Forman, E. M., & Butryn, M. L. (2015). Review of smartphone applications for the treatment of eating disorders. European Eating Disorders Review, 23(1), 1–11.
Kauer, S. D., Reid, S. C., Crooke, A. H. D., Khor, A., Hearps, S. J. C. & Jorm, A. F. et al (2012). Self-monitoring using mobile phones in the early stages of adolescent depression: randomized controlled trial. Journal of Medical Internet Research, 14(3), e67
Kenny, R., Dooley, B., & Fitzgerald, A. (2016). Developing mental health mobile apps: exploring adolescents’ perspectives. Health Informatics Journal, 22(2), 265–275. https://doi.org/10.1177/1460458214555041.
Mendelson, B. K., Mendelson, M. J., & White, D. R. (2001). Body-esteem scale for adolescents and adults. Journal of Personality Assessment, 76(1), 90–106.
Melioli, T., Bauer, S., Franko, D. L., Moessner, M., Ozer, F., Chabrol, H., et al. (2016). Reducing eating disorder symptoms and risk factors using the internet: a meta‐analytic review. International Journal of Eating Disorders, 49(1), 19–31. https://doi.org/10.1002/eat.22477.
Mosewich, A. D., Kowalski, K. C., Sabiston, C. M., Sedgwick, W. A., & Tracy, J. L. (2011). Self-compassion: a potential resource for young women athletes. Journal of Sport and Exercise Psychology, 33(1), 103–123.
Neff, K. (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032.
Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027.
Neff, K. D. (2011). Self-compassion, self-esteem, and well-being. Social and Personality Psychology Compass, 5(1), 1–12. https://doi.org/10.1111/j.1751-9004.2010.00330.x.
Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240. https://doi.org/10.1080/15298860902979307.
Neff, K. D., & Vonk, R. (2009). Self‐compassion versus global self‐esteem: two different ways of relating to oneself. Journal of Personality, 77(1), 23–50.
Neff, K. D., Whittaker, T. A., & Karl, A. (2017). Examining the factor structure of the self-compassion scale in four distinct populations: is the use of a total scale score justified? Journal of Personality Assessment, 99(6), 596–607. https://doi.org/10.1080/00223891.2016.1269334.
Neumark-Sztainer, D., Paxton, S. J., Hannan, P. J., Haines, J., & Story, M. (2006). Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. Journal of Adolescent Health, 39(2), 244–251.
Laurent, J., Catanzaro, S. J., Joiner Jr, T. E., Rudolph, K. D., Potter, K. I., Lambert, S., et al. (1999). A measure of positive and negative affect for children: scale development and preliminary validation. Psychological assessment, 11(3), 326–338.
Odou, N., & Brinker, J. (2015). Self-compassion, a better alternative to rumination than distraction as a response to negative mood. The Journal of Positive Psychology, 10(5), 447–457. https://doi.org/10.1080/17439760.2014.967800.
Parent, M. C. (2013). Handling item-level missing data: simpler is just as good. The Counseling Psychologist, 41(4), 568–600.
Paxton, S. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2006). Prospective predictors of body dissatisfaction in adolescent girls and boys: a five-year longitudinal study. Developmental Psychology, 42(5), 888–899. https://doi.org/10.1037/0012-1649.42.5.888.
Rodgers, R. F., Franko, D. L., Donovan, E., Cousineau, T., Yates, K., McGowan, K., et al. (2017). Body image in emerging adults: the protective role of self-compassion. Body Image, 9, 148–155.
Rodgers, R. F., Franko, D. L., Shiyko, M., Intille, S., Wilson, K., O’Carroll, D., et al.(2016a). Exploring healthy eating among ethnic minority students using mobile technology: feasibility and adherence. Health Informatics Journal, 22(3), 440–450. https://doi.org/10.1177/1460458214565950.
Rodgers, R. F., McLean, S. A., Marques, M., Dunstan, C. J., Paxton, S. J. (2016b). Trajectories of body dissatisfaction and dietary restriction in early adolescent girls: a latent class growth analysis. Journal of Youth and Adolescence, 45(8), 1664–1677. https://doi.org/10.1007/s10964-015-0356-3.
Rodgers, R. F., Pernal, W., Matsumoto, A., Shiyko, M., Intille, S., Franko, D. L. (2016c). Capitalizing on mobile technology to support healthy eating in ethnic minority college students. Journal of American College Health, 64(2), 125–132. https://doi.org/10.1080/07448481.2015.1085055.
Ross, A., Paxton, S. J., & Rodgers, R. F. (2013). Y’s Girl: increasing body satisfaction among primary school girls. Body Image, 10(4), 614–618. https://doi.org/10.1080/07448481.2015.1085055.
Sandoz, E. K., Wilson, K. G., Merwin, R. M., & Kellum, K. K. (2013). Assessment of body image flexibility: the body image-acceptance and action questionnaire. Journal of Contextual Behavioral Science, 2(1-2), 39–48. https://doi.org/10.1016/j.jcbs.2013.03.002.
Schoffman, D. E., Turner-McGrievy, G., Jones, S. J., & Wilcox, S. (2013). Mobile apps for pediatric obesity prevention and treatment, healthy eating, and physical activity promotion: just fun and games? Translational Behavioral Medicine, 3(3), 320–325. https://doi.org/10.1007/s13142-013-0206-3.
Schoenfelder, E., Moreno, M., Wilner, M., Whitlock, K. B., & Mendoza, J. A. (2017). Piloting a mobile health intervention to increase physical activity for adolescents with ADHD. Preventive Medicine Reports, 6, 210–213.
Stice, E., Becker, C. B., & Yokum, S. (2013). Eating disorder prevention: current evidence base and future directions. International Journal of Eating Disorders, 46(5), 478–485. https://doi.org/10.1002/eat.22105.
Stice, E., & Shaw, H. E. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. Journal of Psychosomatic Research, 53(5), 985–993. https://doi.org/10.1016/S0022-3999(02)00488-9.
Stice, E., Rohde, P., Shaw, H., & Gau, J. M. (2017). Clinician-led, peer-led, and internet-delivered dissonance-based eating disorder prevention programs: acute effectiveness of these delivery modalities. Journal of Consulting and Clinical Psychology, 85(9), 883–895.
Thompson, J. K., Heinberg, L., & Tantleff-Dunn, S. (1991). The physical appearance comparison scale. The Behavior Therapist, 14, 174.
Thompson, J. K., Heinberg, L. J., Altabe, M., & Tantleff-Dunn, S. (1999). Exacting beauty: theory, assessment, and treatment of body image disturbance. Washington, DC: American Psychological Association.
Tregarthen, J. P., Lock, J., & Darcy, A. M. (2015). Development of a smartphone application for eating disorder self‐monitoring. International Journal of Eating Disorders, 48(7), 972–982.
Tylka, T. L., & Iannantuono, A. C. (2016). Perceiving beauty in all women: psychometric evaluation of the broad conceptualization of beauty scale. Body Image, 17, 67–81. https://doi.org/10.1016/j.bodyim.2016.02.005.
Wasylkiw, L., MacKinnon, A. L., & MacLellan, A. M. (2012). Exploring the link between self-compassion and body image in university women. Body Image, 9(2), 236–245.
Wood, A. M., Froh, J. J., & Geraghty, A. W. (2010). Gratitude and well-being: a review and theoretical integration. Clinical Psychology Review, 30(7), 890–905. https://doi.org/10.1016/j.cpr.2010.03.005.
Zabinski, M. F., Celio, A. A., Jacobs, M. J., Manwaring, J., & Wilfley, D. E. (2003). Internet‐based prevention of eating disorders. European Eating Disorders Review, 11(3), 183–197. https://doi.org/10.1002/erv.525.
Zabinski, M. F., Pung, M. A., Wilfley, D. E., Eppstein, D. L., Winzelberg, A. J., Celio, A., et al. (2001). Reducing risk factors for eating disorders: targeting at‐risk women with a computerized psychoeducational program. International Journal of Eating Disorders, 29(4), 401–408. https://doi.org/10.1002/eat.1036.
Authors’ Contributions
R.R., D.F., E.L., and T.C. conceived of the study, participated in its design and coordination and drafted the manuscript; K.M. participated in the design and interpretation of the data; K.Y. participated in the design and coordination of the study, as well as the assessment management; E.C. participated in the design and coordination of the study; E.C., A.L. and R.R. performed the statistical analysis; and E.C. and A.L. helped to draft the manuscript. All authors read and approved the final manuscript.
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This study was funded by Grant R44 DK085748-02 through the National Institute of Health.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Rodgers, R.F., Donovan, E., Cousineau, T. et al. BodiMojo: Efficacy of a Mobile-Based Intervention in Improving Body Image and Self-Compassion among Adolescents. J Youth Adolescence 47, 1363–1372 (2018). https://doi.org/10.1007/s10964-017-0804-3
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DOI: https://doi.org/10.1007/s10964-017-0804-3