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Body ImageNCT05023213

Evaluating an Social Media Intervention to Reduce Body Dissatisfaction Among Young Indonesian Women

A study testing Warna-Warni Waktu in people with Body Image, run by University of the West of England at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The researchers will conduct a randomised controlled trial to evaluate a social media-based intervention aimed at reducing body dissatisfaction among young Indonesian women between 15 and 19 years old. Read more about this study

Who is it for?
Ages 15 to 19 years, women onlyHealthy volunteers can take part
Conditions the study is for
Body Image
What is being tested?
Warna-Warni Waktu
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,857 participants
Where
1 siteUnited Kingdom
Study dates
30 Aug 2021to 26 Jan 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 to 19 years
  • Women only
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • identifying as a girl
  • aged between 15 and 19 years old
  • own their own mobile phone
  • access Facebook or Instagram daily.

Who cannot join

  • follow the Girl Effect brand ('Springster') on any social media site
  • have ever accessed the Springster website
  • if under 18 years of age, do not have the written consent from a parent or guardian.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • University of the West of England

    Bristol

Other trials in United Kingdom

About this study

Official title: Evaluating "Warna Warni Waktu"; A Social Media-Based Intervention to Improve Body Image and Wellbeing Among Young Indonesian Women

The researchers will conduct a randomised controlled trial to evaluate a social media-based intervention aimed at reducing body dissatisfaction among young Indonesian women between 15 and 19 years old. The intervention (titled Warna-Warni Waktu) consists of six sequential videos that tell a fictional story of a typical Indonesian young woman. The videos address known risk factors for body dissatisfaction and include evidence-based techniques to mitigate body dissatisfaction. In addition, the intervention encompasses 18 short online activities intended to encourage participants to think critically about the messages learnt in the videos and practice applying the lessons in real life.

The primary aim is to evaluate the short-term (immediate and four-week post) impact of the intervention on young Indonesian women. The primary outcome is trait body dissatisfaction. Secondary outcomes include internalisation of societal appearance ideals, mood, appearance-related life engagement, and skin shade satisfaction.

Read more

The second aim is to evaluate the effectiveness of the videos individually on eliciting state-based improvements (i.e., improvements in the moment) in body dissatisfaction and mood. This will be a within-group design, whereby only participants in the intervention condition will complete single-item measures of body dissatisfaction and mood immediately before and after watching each episode. Further exploratory analyses are also planned.

Approximately 1800 young Indonesian women will be recruited for this research project.

The study's hypotheses are as follows:

  1. Participants randomised to the intervention condition will experience reduced body dissatisfaction, skin shade dissatisfaction, and internalisation of appearance ideals, as well as improvements in appearance-related life engagement and mood, at post-intervention, and one-month follow-up, relative to the waitlist control condition.
  2. Each video in the Warna-Warni Waktu series will elicit immediate state-based improvements in body satisfaction and mood.
  3. Greater engagement and adherence in the Warna-Warni Waktu intervention will result in greater reducing in body dissatisfaction, skin shade dissatisfaction, and internalisation of appearance ideals, as well as improvements in appearance-related life engagement, and mood. This analysis will be exploratory in nature, depending on participants' engagement and adherence in the intervention during the trial.
Read the detailed description

Background

There is a need for culturally-relevant, accessible, and scalable prevention efforts to reduce body dissatisfaction and improve positive body image among Indonesian girls. Currently, no body image interventions for this population exist.

Recruitment

Participants will be recruited using a local research agency's database of previous research participants.

Previous participants over the age of 40 will be contacted via telephone and screened regarding having a daughter within the eligible age range. If the respondent has more than one daughter in the age range, only one will be eligible. If the respondent does not have a daughter between 15 and 19 years of age, the recruiter will enquire if the respondent knows another family with a daughter of this age. If so, the recruiter will request the telephone number of that family in order to make contact. Only one phone number will be requested per call.

Should an eligible daughter be 15-17 years old, the recruiter will read the parental information sheet to the parent. Parents will then be requested to provide verbal consent for the daughter's participation, as well as verification of the parents' identity and daughter's age. Parents will then answer questions relating to the family's socio-economic status before the recruiter requests to speak to the daughter. If the daughter is not present, the recruiter will request a call back. The daughter will then be screened for eligibility and informed verbal assent obtained. Following a successful call, the parental information sheet will be sent to the parent via WhatsApp, and written informed parental consent obtained.

Should an eligible daughter be aged 18 or 19 years old, a similar pattern of communication will occur. Parents will verify the age of the parents and the daughter, and respond to questions regarding the family's socio-economic status. Rather than parents providing informed verbal and written consent, this will be completed by the daughters, in the same manner with which it will be completed by parents of those aged 15-17 years. Verification of identities and ages will be achieved through video calls via the presentation of a National ID card and family registration card.

Intervention

The intervention, Warna-Warni Waktu (translation to English: Colourful Time Travel), was developed over a 20-month period, from October 2019 - May 2021. In addition to the close collaboration amongst body image academics, creative agencies, social media specialists, not-for-profit organisations, as well as industry funders, development involved three rounds of feedback from the intervention's target audience.

The narrative story told in the six-video series is based on the concept of time travel so as to convey the additive impact of body image concerns to young people. A combination of both animated characters and real people was used.

Four risk factors for the development of body image concerns were identified by the researchers as relevant: 1) social media and influencers 2) appearance-based comparisons 3) appearance-based teasing, and 4) body talk. Each of these risk factors were targeted in videos two through five, with videos one and six being the introductory and concluding videos. Each video is four to five minutes in length. A number of change techniques (including those based upon psychoeducation and media literacy) were embedded within the videos.

Each video is accompanied by one to five short interactive activities, designed to elicit cognitive dissonance. Research consistently shows body image interventions that are interactive generate the most positive outcomes.

Procedure

All participants will enter the study (i.e., complete the baseline assessment questionnaire) on the same day (Day 1). Participants will receive a data package a day prior to this from the research agency to ensure participants have ample mobile phone data to allow participation in the study. A link to the baseline assessment, hosted on Qualtrics (Qualtrics, Provo, UT), will be sent to participants via WhatsApp, along with a unique participant identification number (PIN). Participants will be requested to enter the PIN on the first page of the baseline survey, in order to match participant responses over time. Participants will have 24 hours to complete the baseline assessment; participants that have not completed the baseline assessment within the first 8 hours will be sent a reminder message. Following the 24-hour window, participants who have completed the baseline assessment will be randomised into one of the two conditions. Participants will be alerted on Day 2 to what happens next, depending on which condition each has been randomised. Participants randomised to the intervention condition will be informed to expect a series of links to be sent over the following six days. Participants in the control condition will be informed that contact will be made again in one weeks' time to complete a second assessment.

On the third day (Day 3), participants in the intervention condition will be sent the unique PIN and a link to the first video in the intervention. Again, participants will be requested to enter the unique PIN on the first page of the link. Before watching video one in the Warna-Warni Waktu series, participants will complete state measures of body satisfaction and affect. State measures of body satisfaction and affect will be asked again, immediately after the video. Next, participants will be presented with the reinforcer activities for video one to complete. This process is repeated on Days 4-8, for videos two-six.

On Day 9 of the study, participants in both conditions will be sent a link to complete the second assessment. As with the baseline assessment, participants will be given 24 hours to complete this assessment, with reminder messages sent to non-completers after the first eight hours. The same process will be executed for the third and final assessment, one month later on Day 37.

Following the third assessment, all participants will be debriefed on the study aims and provided with additional sources of mental health support, as well as a certificate of participation. Those in the waitlist control condition will be provided with a link to the Warna-Warni Waktu video series to watch if desired.

Conditions
Body Image
Being tested
Warna-Warni Waktu
Keywords
body dissatisfaction, body satisfaction, positive body image

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Warna-Warni WaktuBehavioural

    Six videos and eighteen reinforcer activities

Study groups in NCT05023213
Study groupRoleWhat they receive
Warna-Warni Waktu interventionExperimentalParticipants in this condition will be asked to view six, approximately five minute videos (each with a number of associated short, interactive reinforcer activities), at a pace of one video per day, for 6 days.
Receives: Behavioral: Warna-Warni Waktu
Waitlist control conditionNo interventionThese participants will no be contacted during the intervention timeframe.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in body esteem

    Body esteem will be assessed using the Body Esteem Scale for adolescents \& adults (Mendelson, Mendelson \& White, 2001), which will be newly validated among Indonesian adolescents prior to the trial. Once the appropriate items are reverse coded, scores on all items are averaged; with lower scores indicating lower body esteem.

    Measured: baseline; post-intervention (day after the intervention is complete); follow-up (4 weeks later)

Secondary outcomes (4)
  1. Change in internalisation of societal appearance ideals

    Internalisation of societal appearance ideals will be assessed using The Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3): General Subscale, newly validated among Indonesian adolescents. Scores are averaged, with higher scores indicating higher internalisation.

    Measured: baseline; post-intervention (day after the intervention is complete); follow-up (4 weeks later)

  2. Change in mood

    Positive and Negative affect will be measured using the Positive and Negative Affect Schedule (Crawford \& Henry, 2004), newly validated among Indonesian adolescents. Scores on each subscales are averaged; with higher scores indicating greater negative affect and positive affect respectively.

    Measured: baseline; post-intervention (day after the intervention is complete); follow-up (4 weeks later)

  3. Change in life engagement

    Opting out of important life activities due to body image concerns will be assessed using the Body Image Life Engagement Questionnaire (BILEQ; Atkinson \& Diedrichs, 2021), newly validated among Indonesian adolescents. This measure assesses the extent that worries or feeling bad about the way you look has stopped you, or are likely to stop you, from engaging in life activities (e.g., going to a social event, doing physical activity, giving an opinion, going to school). Scores on all items are averaged; with higher scores indicating greater avoidance of activities due to appearance concerns.

    Measured: baseline; post-intervention (day after the intervention is complete); follow-up (4 weeks later)

  4. Change in skin shade satisfaction

    Single-item, purpose built measure to assess satisfaction with skin shade.

    Measured: baseline; post-intervention (day after the intervention is complete); follow-up (4 weeks later)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Aug 2021
  2. Study start30 Aug 2021
  3. Primary completion26 Nov 2021
  4. Study completion26 Jan 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,857 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05023213
Sponsor's protocol ID
DSEP_GE
Status last verified
Sep 2023
First submitted
12 Aug 2021
Last updated
14 Sep 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Garbett KM, Craddock N, Haywood S, Nasution K, White P, Saraswati LA, Medise BE; Girl Effect; Percolate Galactic; Diedrichs PC, Williamson H. A Novel, Scalable Social Media-Based Intervention ("Warna-Warni Waktu") to Reduce Body Dissatisfaction Among Young Indonesian Women: Protocol for a Parallel Randomized Controlled Trial. JMIR Res Protoc. 2022 Jan 28;11(1):e33596. doi: 10.2196/33596.

    PubMed 35089154

Questions about this trial

What is this clinical trial studying?

A study testing Warna-Warni Waktu in people with Body Image, run by University of the West of England at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in body esteem (time frame: baseline; post-intervention (day after the intervention is complete); follow-up (4 weeks later)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05023213, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Sep 2023.

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