Improving body image at scale among Brazilian adolescents: study protocol for the co-creation and randomised trial evaluation of a chatbot intervention

• Published in: BMC public health Vol. 21; no. 1; p. 2135
• Main Authors: Matheson, E L, Smith, H G, Amaral, A C S, Meireles, J F F, Almeida, M C, Mora, G, Leon, C, Gertner, G, Ferrario, N, Suarez Battan, L, Linardon, J, Fuller-Tyszkiewicz, M, Diedrichs, P C
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 20.11.2021; BioMed Central; BMC
• Subjects: Adaptation; Adolescent; Adolescents; Body Image; Brazil; Chatbot; Chatbots; Child; Children; Children & youth; Cognitive dissonance; Cost-Benefit Analysis; Demographic aspects; Evaluation; Female; Girls; Health aspects; Humans; Innovations; Internet access; Intervention; Male; Management; Medical personnel; Mental health; Micro-intervention; Psychiatric services; Psychological aspects; Randomized Controlled Trials as Topic; Self image; Social networks; Software; Study Protocol; Technology application; Teenagers; Well being; Young adults; Youth; Brazil; United States > US; Study protocol; Low- and middle-income countries; Body image; Adolescent; Mental health; Randomised controlled trial; Brazil; Chatbot; Micro-intervention
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-021-12129-1

Body image concerns are prevalent among Brazilian adolescents and can lead to poor psychological and physical health. Yet, there is a scarcity of culturally-appropriate, evidence-based interventions that have been evaluated and made widely available. Chatbot technology (i.e., software that mimics written or spoken human speech) offers an innovative method to increase the scalability of mental health interventions for adolescents. The present protocol outlines the co-creation and evaluation of a body image chatbot for Brazilian adolescents via a partnership between academics, industry organisations and the United Nations Children's Fund (UNICEF). A two-armed fully remote randomised controlled trial will evaluate the chatbot's effectiveness at improving body image and well-being. Adolescent girls and boys (N = 2800) aged 13-18 years recruited online will be randomly allocated (1:1) into either: 1) a body image chatbot or 2) an assessment-only control condition. Adolescents will engage with the chatbot over a 72-hour period on Facebook Messenger. Primary outcomes will assess the immediate and short-term impact of the chatbot on state- and trait-based body image, respectively. Secondary outcomes will include state- and trait-based affect, trait self-efficacy and treatment adherence. This research is the first to develop an evidence-informed body image chatbot for Brazilian adolescents, with the proposed efficacy trial aiming to provide support for accessible, scalable and cost-effective interventions that address disparities in body image prevalence and readily available resources. NCT04825184 , registered 30th March 2021.