About this trial
LGBTQ+ individuals tend to have elevated risks for eating disorders (ED), possibly due to minority stress. For LGBTQ+ individuals living in rural Alabama, they tend to experience high levels of anti-LGBTQ+ structural stigma and limited access to LGBTQ+-specific resources, which engender compounded risk for ED development and reduced access to care. Brief digital single-session intervention that incorporates psychoeducation about minority stress and body neutrality may be efficacious in reducing ED risk and improve positive body image among LGBTQ+ adults in rural areas. Prior research from another lab developed a single-session intervention (Project Body Neutrality) among LGBTQ+ adolescents indicated immediate positive changes in body image constructs and psychological well-being. The present project evaluates and adapts Project Body Neutrality, specifically for LGBTQ+ adults in a rural high-stigma, low-resource region.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
At least 18 years old,
Identify as LGBTQ+,
Currently living in one of the following AL counties: Lee, Dallas, Lowndes, Autauga, Coosa, Elmore, Tallapoosa, Macon, or Russell
Have internet access (either via computer/tablet, mobile phone, or community center [e.g., library])
Disqualifiers
Being less than 18 years old,
Identifying as cisgender and heterosexual,
Not living in central AL,
Not having internet access.
Trial design
Single group
Treatments tested in this trial
Single session body neutrality program
BehavioralSingle session body neutrality program is a brief, 30-minute digital intervention program. Participants will at first be given a brief introduction to body neutrality and minority stress. Then, they will be given fictional vignettes of based on common regional examples of body image stressors for LGBTQ+ individuals and practice giving advice to them. Finally, participants are provided with their customized body neutrality action plan based on their responses during the intervention program.
Treatment groups
Trial outcomes
Primary outcomes
Functionality Appreciation Scale
Assesses changes in functionality appreciation (7 items, 7-point scale), with higher scores indicating higher levels of functionality appreciation.
Body Image State Scale
Assesses changes in one's evaluative/affective body image states (6 items, 9-point scale), with higher scores indicating more favorable body image states.
Positive and Negative Affect Schedule-Negative Affect
Assesses changes in one's negative affect (20 items, 5-point scale), with higher scores indicating higher levels of negative affect.
Internalized stigma among LGBTQ+ people scale
Assesses changes in one's internalized LGBTQ+ stigma (5 items, 5-point scale), with higher scores indicating higher levels of internalized LGBTQ+ stigma.
Secondary outcomes
Objectified Body Consciousness Scale- Surveillance scale
Assesses the extent to which one monitors one's physical appearance (8 items, 7-point scale), with higher scores indicating higher levels of body monitoring.
Eating Disorder Examination Questionnaire-10 item, 3 factor
Assesses the extent to which one endorses Dietary Restraint, Preoccupation and Eating Concern, and Shape/Weight Overvaluation (10 items, 7-point scale), with higher scores indicating higher levels of body monitoring.
Everyday Discrimination Scale
Assesses the frequency one experience day-to-day discrimination (9 items, 6-point scale), with higher scores indicating higher frequency of everyday discrimination.
Sponsors and contacts
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