title: Randomized controlled trial of an online mother-daughter body image and well-being intervention.
abstract: Poor body image is a public health issue. Mothers are a key influence on adolescent girls' body image. This study evaluated an accessible, scalable, low-intensity internet-based intervention delivered to mothers (Dove Self Esteem Project Website for Parents) on mothers' and their adolescent daughters' body image and psychosocial well-being.
  
  
  
  British mother-daughter dyads (N = 235) participated in a cluster randomized controlled trial (assessment-only control; mothers viewed the website without structured guidance [website-unstructured]; mothers viewed the website via a tailored pathway [website-tailored]). Dyads completed standardized self-report measures of body image, related risk factors, and psychosocial outcomes at baseline, 2 weeks post-exposure, 6-week, and 12-month follow-up.
  
  
  
  Dyadic models showed that relative to the control, mothers who viewed the website reported significantly higher self-esteem at post-exposure (website-tailored), higher weight esteem at 6-week follow-up (website-tailored), lower negative affect at 12-month follow-up (website-tailored), engaged in more self-reported conversations with their daughters about body image at post-exposure and 6-week follow-up, and were 3-4.66 times more likely to report seeking additional support for body image issues at post-exposure (website-tailored), 6-week, and 12-month (website-tailored) follow-up. Daughters whose mothers viewed the website had higher self-esteem and reduced negative affect at 6-week follow-up. There were no differences on daughters' body image, and risk factors among mothers or daughters, at post-exposure or follow-up. Tailoring website content appeared beneficial.
  
  
  
  This intervention offers a promising 'first-step' toward improving psychosocial well-being among mothers and daughters. In order to further optimize the intervention, future research to improve body image-related outcomes and to understand mechanisms for change would be beneficial. (PsycINFO Database Record
authors.affiliation: Centre for Appearance Research, University of the West of England.
authors.forename: Phillippa C
authors.initials: PC
authors.lastname: Diedrichs
authors.affiliation: Centre for Appearance Research, University of the West of England.
authors.forename: Melissa J
authors.initials: MJ
authors.lastname: Atkinson
authors.affiliation: Centre for Appearance Research, University of the West of England.
authors.forename: Kirsty M
authors.initials: KM
authors.lastname: Garbett
authors.affiliation: Centre for Appearance Research, University of the West of England.
authors.forename: Heidi
authors.initials: H
authors.lastname: Williamson
authors.affiliation: Centre for Appearance Research, University of the West of England.
authors.forename: Emma
authors.initials: E
authors.lastname: Halliwell
authors.affiliation: Centre for Appearance Research, University of the West of England.
authors.forename: Nichola
authors.initials: N
authors.lastname: Rumsey
authors.affiliation: Centre for Multilevel Modelling, University of Bristol.
authors.forename: George
authors.initials: G
authors.lastname: Leckie
authors.affiliation: School of Psychology, University of Auckland.
authors.forename: Chris G
authors.initials: CG
authors.lastname: Sibley
authors.affiliation: School of Applied Psychology, Griffith University.
authors.forename: Fiona Kate
authors.initials: FK
authors.lastname: Barlow
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image / Q000523:psychology*; D002648:Child; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D020407:Internet; D008875:Middle Aged; D009034:Mother-Child Relations / Q000523:psychology*; D009035:Mothers / Q000523:psychology*; D009679:Nuclear Family / Q000523:psychology*; D050177:Overweight / Q000453:epidemiology / Q000523:psychology; D012307:Risk Factors; D012649:Self Concept; D057566:Self Report