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Trial registered on ANZCTR
Registration number
ACTRN12625000515493
Ethics application status
Approved
Date submitted
13/11/2024
Date registered
23/05/2025
Date last updated
23/05/2025
Date data sharing statement initially provided
23/05/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
A pilot randomised controlled trial addressing body image on social media in adults
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Scientific title
A social network theory informed pilot randomised controlled trial addressing body image on social media in adults
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Secondary ID [1]
314261
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
disordered eating
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body image
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Condition category
Condition code
Mental Health
333824
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0
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Other mental health disorders
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Mental Health
332298
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0
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Reshape intervention seeks to reduce body dissatisfaction and providing advice and strategies around using social media in a safe way (including building resilience through social media literacy skills). The program presents visual and audio content and participants will work through 3 modules, 1 per week. Each module takes approximately 20-30 minutes to complete, plus a homework/reflective activity (~10 minutes for each). An example of a homework/reflective activity is to try using some self-prescribed strategies to improve their social media experience over the week. Some strategies include identifying and following positive accounts, or practicing mindfulness while using social media.
The program is accessed through an online website. Participants are instructed to work through the modules independently at their own pace and complete homework/reflection activities where necessary. A self-compassion lens is used throughout. Broadly, the intervention covers the following topics: (1) Social media is not real – discussion and activities around social comparisons, (2) Unpacking social media messages - how to spot subtle messaging and avoid getting manipulated. (3) Values at the core - exploring their values and how their social media use can more closely align with these. Online platform/website analytics records participant engagement with modules.
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Intervention code [1]
329956
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Lifestyle
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Comparator / control treatment
Waitlist control. These will be offered the intervention after the 3 month follow-up survey
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Control group
Active
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Outcomes
Primary outcome [1]
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Disordered eating
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Assessment method [1]
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Cognitive Restraint subscale from the Eating Pathology Symptom Inventory (EPSI)
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Timepoint [1]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline). The primary timepoint is post-intervention.
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Primary outcome [2]
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Facial appearance concerns
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Assessment method [2]
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Cognition-Affect dimension of the Facial Appearance Concern subscale of the Negative Physical Self Scale
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Timepoint [2]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline). The primary timepoint is post-intervention.
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Primary outcome [3]
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Body dissatisfaction
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Assessment method [3]
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Subscale from the Eating Disorder Examination-Questionnaire (EDE-Q)
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Timepoint [3]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline). The primary timepoint is post-intervention.
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Secondary outcome [1]
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Social media frequency
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Assessment method [1]
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Participant self-report data were collected using a study-specific questionnaire assessing social media use. One item asked participants to reflect on a typical day and estimate the amount of time they spend on platforms such as TikTok, Instagram, Twitter, Reddit and Facebook. Response options were provided on a five-point scale ranging from 'Less than 30 minutes' to 'More than 3 hours'.
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Timepoint [1]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Secondary outcome [2]
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Social media content exposure
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Assessment method [2]
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Participant self-report data were collected using a study-specific questionnaire assessing exposure to a wide range of content types, including food and recipes, travel, fitness, news, politics, weight loss, fashion, beauty, etc. Participants rated their exposure to each content type on a 5-point scale from Never to Always.
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Timepoint [2]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Secondary outcome [3]
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TikTok Usage
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Assessment method [3]
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TikTok usage is measured through optional participant-provided data. With consent, participants download their usage data from the TikTok app and upload it to a secure Qualtrics survey. Step-by-step instructions are provided. In line with existing ethics approval, the TikTok data collected includes: Timestamps of content viewed Duration of app use Hashtags associated with each post viewed Selected 'interest' categories URLs of viewed posts Interaction data (likes, comments) Comment text Post captions Additional metadata capturing user engagement patterns
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Timepoint [3]
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Baseline and post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline).
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Secondary outcome [4]
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Internalisation of appearance ideals
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Assessment method [4]
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Sociocultural Attitudes Towards Appearance Questionnaire (SATAQ-4R)
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Timepoint [4]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Secondary outcome [5]
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Social media photo editing
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Assessment method [5]
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5-item Photo Manipulation Scale-Revised
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Timepoint [5]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Secondary outcome [6]
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Social media comparisons
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Assessment method [6]
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Upward Physical Appearance Comparison Scale
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Timepoint [6]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Secondary outcome [7]
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Desire for cosmetic surgery
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Assessment method [7]
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A single-item assessing participant motivation towards desire for cosmetic surgery on a scale of 0= not at all to 10=completely.
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Timepoint [7]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Secondary outcome [8]
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Depressive symptoms
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Assessment method [8]
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7-item Depression subscale of the DASS-21
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Timepoint [8]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Secondary outcome [9]
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Body image flexibility
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Assessment method [9]
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Body Image-Acceptance and Action Questionnaire-5
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Timepoint [9]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Secondary outcome [10]
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Social media literacy
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Assessment method [10]
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A purpose-built self-report scale comprising 6 items rated on a 5-point Likert scale (1 = Never to 5 = Always). Sample items include: “I keep in mind that social media images are often staged, edited, and unrealistic.” Higher scores indicate greater levels of social media literacy.
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Timepoint [10]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline)..
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Secondary outcome [11]
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Motivations for using social media
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Assessment method [11]
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Motivations for Social Media Use Scale
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Timepoint [11]
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Baseline, post-intervention (i.e., after 3-weeks of intervention access / 1 month post baseline), 3-month follow-up (i.e., 4 months post baseline).
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Eligibility
Key inclusion criteria
Participants will be:
18 years or older,
fluent English speakers,
social media users,
living in Australia,
experiencing body/eating concerns.
This latter criterion will be determined using the 6-item InsideOut Institute-Screener (IOI-S; Bryant et al., 2021). The IOI-S is a digital screening tool designed to assess broad eating disorder risk and symptomatology, validated for individuals aged 14 and over. It covers six facets of common eating disorder psychopathology including an individual’s relationship with food, the extent to which body shape and weight determines self-worth, preoccupation with food or body weight, food-related anxiety, loss of control overeating, and compensatory behaviour. It is not a diagnostic tool or comprehensive assessment, but can be used to indicate moderate risk of significant body and eating concerns (>13; Bryant et al., 2023) - hence we used this cut-off.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
None
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be randomised via the survey software Qualtrics
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
We aim to obtain equivalent groups at baseline based on randomization to the two arms of the study. Randomisation will be achieved through Qualtrics on a 1:1 basis. As this is done once the participants complete the baseline survey, and automated by simple randomisation through Qualtrics itself, the researchers will not bias randomization
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
15/10/2024
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Date of last participant enrolment
Anticipated
1/06/2025
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Actual
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Date of last data collection
Anticipated
2/11/2025
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Actual
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Sample size
Target
197
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Accrual to date
70
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Deakin University Postdoctoral Research Fellowship
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Deakin University
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Deakin University Human Research Ethics Committee (DUHREC)
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Ethics committee address [1]
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https://www.deakin.edu.au/research/support-for-researchers/research-integrity?a=438168
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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28/09/2023
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Approval date [1]
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06/12/2023
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Ethics approval number [1]
316498
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Summary
Brief summary
Social media can contribute to negative body image and disordered eating attitudes and behaviours. To address this, we developed the Reshape intervention which seeks to reduce body and eating concerns and support safe and positive social media use. This study aims to evaluate the Reshape intervention compared to waitlist control in improving body image and reducing disordered eating. It also seeks to improve social media use and mitigate other related harms, such as depression.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Hannah Jarman
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Address
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221 Burwood Highway, Deakin University, Burwood, Victoria 3125,
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Country
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Australia
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Phone
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+61 435 753 403
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Hannah Jarman
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Address
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221 Burwood Highway, Deakin University, Burwood, Victoria 3125,
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Country
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Australia
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Phone
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+61 03 9244 6100
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Hannah Jarman
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Address
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221 Burwood Highway, Deakin University, Burwood, Victoria 3125,
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Country
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Australia
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Phone
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+61 03 9244 6100
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Ethical approval
2023320-231206-A-AM-o.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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