Doctor of Philosophy, University of Toledo, 2022, Health Education
Introduction: A high percentage of adolescents are dissatisfied with their bodies or experience body image disturbances. Body image disturbances that occur during adolescence is concerning given that self-image, self-esteem, and body image are closely related. Negative outcomes associated with body image disturbances include depressive symptoms, disordered eating, obesity, and reduced academic performance. Purpose: This dissertation includes two separate studies. The first study was a critical literature review, conducted to summarize and identify gaps in the literature regarding educational programs addressing body image among secondary schools. The second study was a pilot study evaluation of the effectiveness of the Respect YOU curriculum to determine its impact on students' eating expectancies, body image satisfaction and knowledge.
Methods: (Study 1) The comprehensive literature review was completed using multiple academic databases, including Academic Search Complete, ERIC, MEDLINE, PsycInfo, PubMed, Web of Science, ProQuest, and Google Scholar. The article inclusion criteria consisted of programs that were conducted sometime between 2011-2021, implemented in the United States or Canada, and were targeted to adolescents. (Study 2) To evaluate the Respect YOU curriculum a quasi-experimental research design was used. More specifically, a pre-survey (n = 512) and post-survey (n = 444) were administered in the classroom with predetermined control groups to assess the impact of the curriculum. Results: (Study 1) Of the 11 articles reviewed, the level of scientific rigor varied, as neither the response rates nor validity measures were included in several articles. Of the articles reviewed, a total of 14 different scales were used to assess body image; making it difficult to draw comparisons in outcomes among the programs. However, in eight of the 11 articles reviewed, there was a small to medium positive effect on body image outcomes post-intervention. (Study 2) (open full item for complete abstract)
Committee: Tavis Glassman (Committee Chair); Aaron Kruse-Diehr (Committee Member); Joseph Dake (Committee Member); Gerald Natal (Committee Member); Barbara Saltzman (Committee Member)
Subjects: Curriculum Development; Health Education; Physical Education; Public Health Education; Secondary Education