Journal article
A. Ciao, Ally Duvall, Summer Pascual, Kendall A Lawley
International Journal of Eating Disorders, 2022
International Journal of Eating Disorders, 2022
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APA
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Ciao, A., Duvall, A., Pascual, S., & Lawley, K. A. (2022). Expert peer facilitation of the EVERYbody Project: A randomized-controlled evaluation of a diversity-focused, dissonance-based, universal body image program for college students. International Journal of Eating Disorders.
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Ciao, A., Ally Duvall, Summer Pascual, and Kendall A Lawley. “Expert Peer Facilitation of the EVERYbody Project: A Randomized-Controlled Evaluation of a Diversity-Focused, Dissonance-Based, Universal Body Image Program for College Students.” International Journal of Eating Disorders (2022).
MLA
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Ciao, A., et al. “Expert Peer Facilitation of the EVERYbody Project: A Randomized-Controlled Evaluation of a Diversity-Focused, Dissonance-Based, Universal Body Image Program for College Students.” International Journal of Eating Disorders, 2022.
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@article{a2022a,
title = {Expert peer facilitation of the EVERYbody Project: A randomized-controlled evaluation of a diversity-focused, dissonance-based, universal body image program for college students.},
year = {2022},
journal = {International Journal of Eating Disorders},
author = {Ciao, A. and Duvall, Ally and Pascual, Summer and Lawley, Kendall A}
}
Abstract
OBJECTIVE A novel peer facilitation model was used to deliver a two session, dissonance-based, inclusive body image intervention that critically examines how internalized size-based oppression intersects with race, class, gender, sexuality, and ability.
METHOD The EVERYbody Project was open to all college students and delivered by "expert" peer facilitators with body image and diversity experience and advanced facilitation skills. Recruitment was halted due to COVID-19; 90 students in the Northwest US (M age = 19.83 years, SD = 2.38; 80% female-identified, 13% male-identified, 7% gender expansive) were randomized to receive the EVERYbody Project or a video-based, low-dissonance comparison intervention.
RESULTS Around half of students (56%) held one or more specific socially marginalized identity (26% with a racial or ethnic identity other than white and non-Hispanic, 39% with a sexual identity other than straight, 7% with a gender identity other than cisgender). The EVERYbody Project produced greater reductions in three outcomes associated with poor body image (internalized appearance norms, body dissatisfaction, and negative affect) compared to the video intervention through 3-month follow-up (ps < .003) with medium between group effects. Both conditions experienced small reductions in eating disorder psychopathology over time.
DISCUSSION Expert peer facilitation may be a viable delivery model for inclusive, diversity-focused dissonance-based body image programs.
PUBLIC SIGNIFICANCE This study explored a novel facilitation approach for a diversity-focused body image program for college students. A brief (4 h) dissonance-based program was open to all college students and delivered by "expert" diverse peer leaders who were screened for facilitation readiness. Body image and related outcomes were improved through 3-month follow-up relative to a comparison condition, suggesting that expert peer facilitation may be a viable option for delivering universal, inclusive body image programming.
