The Norwegian healthy body image intervention promotes positive embodiment through improved self-esteem
Peer reviewed, Journal article
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Original versionSundgot-Borgen, C., Stenling, A., Rosenvinge, J. H., Pettersen, G., Friborg, O., Sundgot-Borgen, J., Kolle, E., Torstveit, M. K., Svantorp-Tveiten, K. M. E. & Bratland-Sanda, S. (2020). The Norwegian healthy body image intervention promotes positive embodiment through improved self-esteem. Body Image, 35, 84-95. https://doi.org/10.1016/j.bodyim.2020.08.014
We examined both direct and indirect effects of the Healthy Body Image (HBI) intervention on positive embodiment among Norwegian high school students. In total, 2446 12th grade boys (43 %) and girls (mean age 16.8 years) from 30 schools participated in a cluster-randomized controlled study with the HBI intervention and a control condition as the study arms. We tested mediation models using path analysis and found that among several hypothesized mediators, only self-esteem mediated a positive intervention effect on positive embodiment for both boys and girls. A direct effect of the intervention on positive embodiment was only found in girls. The study provides novel findings indicating that health promotion interventions to address a positive embodiment should focus on enhancing adolescent’s self-esteem. Serial mediation modeling might reveal more complex explanations of change mechanisms and could further evolve current knowledge.