title: Evaluation of a school-based program designed to improve body image satisfaction, global self-esteem, and eating attitudes and behaviors: a replication study.
abstract: OBJECTIVE
  The purpose of the current study was to evaluate the effectiveness of a life-skills promotion program designed to improve body image satisfaction and global self-esteem, while reducing negative eating attitudes and behaviors and feelings of perfectionism, all of which have been identified as predisposing factors to disordered eating.
  
  
  METHODS
  A total of 258 girls with a mean age of 11.8 years (intervention group = 182 and control group = 76) completed questionnaires before, and 1 week after, the six-session school-based program, and again 6 and 12 months later.
  
  
  RESULTS
  The intervention was successful in improving body image satisfaction and global self-esteem and in reducing dieting attitude scores at post intervention only. The gains were not maintained at the 12-month follow-up.
  
  
  CONCLUSIONS
  The need to assess the influence of health promotion programs on predisposing risk factors, compared with problem-based outcome measures, is discussed.
authors.affiliation: Community Health Systems Resource Group, The Hospital for Sick Children, Toronto, Ontario, Canada. gail.mcvey@sickkids.ca
authors.forename: Gail L
authors.initials: GL
authors.lastname: McVey
authors.forename: Ron
authors.initials: R
authors.lastname: Davis
authors.forename: Stacey
authors.initials: S
authors.lastname: Tweed
authors.forename: Brian F
authors.initials: BF
authors.lastname: Shaw
mesh_terms: D000293:Adolescent; D001290:Attitude; D001828:Body Image; D015992:Body Mass Index; D002648:Child; D005247:Feeding Behavior; D001068:Feeding and Eating Disorders / Q000517:prevention & control*; D005260:Female; D006801:Humans; D010549:Personal Satisfaction; D010551:Personality; D015397:Program Evaluation; D012572:School Health Services / Q000592:standards*; D012649:Self Concept; D011795:Surveys and Questionnaires