Parents and prevention: a systematic review of interventions involving parents that aim to prevent body dissatisfaction or eating disorders
Open accessAbstract
Objective: To systematically review the literature on interventions involving parents that aim to prevent body dissatisfaction or eating disorders in children, and provide directions for future research by highlighting current gaps. Method: The literature was searched for articles using key concepts: parents, prevention and eating disorders or disordered eating or body dissatisfaction. All English language publications between 1992 and 2013 were searched across a range of academic databases. Studies were reviewed if they: (i) delivered an intervention designed to reduce eating disorders or body dissatisfaction or their risk factors, in children or adolescents; (ii) provided some intervention component for parents; and (iii) included some outcome measure of intervention effectiveness on disordered eating or body dissatisfaction. A scoring matrix based on the Critical Appraisal Skills Program (CASP) screening questions was used to assess each study's sample representativeness, relevance and data quality. Results: From 647 novel records uncovered by the search, 20 separate studies met inclusion criteria. The CASP scoring matrix revealed eight studies provided no relevant data, four relevant and eight highly relevant data on the effects of involving parents in prevention programs. Two of four high‐quality studies reported that parental involvement significantly improved child outcomes on measures of body dissatisfaction or disordered eating. Discussion: Although a greater focus on engaging and retaining parents is needed, this review demonstrates that a small number of prevention studies with parents have led to significant reductions in risk of body image and eating problems, and future research is indicated. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:157–169)
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Existing systematic reviews find that appropriately directed parental involvement can reduce body dissatisfaction and disordered eating development in youth.
“Additionally, existing systematic reviews find that appropriately directed parental involvement can reduce youth body dissatisfaction and development of disordered eating.303”
From Digital Ecosystems, Children, and Adolescents: Technical Report (2026) · cites this paper as [303]
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“Parents clearly play an important role in shaping the development of unhealthy eating patterns, body dissatisfaction and weight bias in young children [6].”
BackgroundSelf-citationLiechty, J. M., Clarke, S., Birky, J. P., & Harrison, K. (2016) · Body Image · doi:10.1016/j.bodyim.2016.08.010 · Cited by 26 · see citing works
Abdalla, S. I. A., Buffarini, R., Weber, A. M., Cislaghi, B., Costa, J. C., Menezes, A. M. B., Gonçalves, H., Wehrmeister, F. C., Meausoone, V., Victora, C. G., et al. (2019) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2019.09.007 · Cited by 26 · see citing works
“In addition, preventative interventions that involve parents remain inadequately tested [12]; most widely tested interventions tend to work exclusively with adolescents [13,14].”
Maternal Communication Strategies That Promote Body Image in Daughters
Arroyo, A., Southard, B. A. S., Cohen, H., & Caban, S. (2018) · Communication Research · doi:10.1177/0093650218781737 · Cited by 24 · see citing works
Trojanowski, P. J., Frietchen, R. E., Harvie, B., Mehlenbeck, R., & Fischer, S. F. (2022) · Pediatric Diabetes · doi:10.1111/pedi.13395 · Cited by 16 · see citing works
“1 diabetes, Body Project (T1D Style) was systematically adapted for an adolescent population, included greater integration of Body Project and diabetes-specific material, and involved caregivers, which was deemed critical during intervention development(11) and has historically been absent in ED prevention programs.(2…”
BackgroundDevelopment and validation of parenting measures for body image and eating patterns in childhood
Damiano, S. R., Hart, L., & Paxton, S. J. (2015) · Journal of Eating Disorders · doi:10.1186/s40337-015-0043-5 · Cited by 16 · see citing works
“Rodgers RF, Paxton SJ, Massey R, Campbell KJ, Wertheim EH, Skouteris H, et al. Maternal feeding practices predict weight gain and obesogenic eating behaviors in young children: a prospective study.”
BackgroundMethodInfluentialSelf-citationEating disorders prevention: Looking backward, moving forward; looking inward, moving outward
Neumark‐Sztainer, D. (2015) · Eating Disorders · doi:10.1080/10640266.2015.1113825 · Cited by 16 · see citing works
Sociocultural Influences on Compulsive Exercise in Young People: A Systematic Review
Reynolds, K. A., Plateau, C. R., & Haycraft, E. (2022) · Adolescent Research Review · doi:10.1007/s40894-022-00180-x · Cited by 15 · see citing works
“Parents in particular are an important factor in the development of body-change desires and strategies in children (Hart et al., 2015).”
BackgroundCoen, J. D., Verbeken, S., & Goossens, L. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1228860 · Cited by 15 · see citing works
Granfield, P., Kemps, E., Yager, Z., Alleva, J. M., & Prichard, I. J. (2023) · Body Image · doi:10.1016/j.bodyim.2023.101648 · Cited by 13 · see citing works
“Given that mothers are a predominant influence on children ’ s early body image (Hart et al., 2015), we chose to test Expand Your Horizon with mothers of 0 – 10-year-old children.”
Digital Ecosystems, Children, and Adolescents: Technical Report
Munzer, T., Milkovich, L. M., Madigan, S., Tomopoulos, S., Parga-Belinkie, J., Ajumobi, T., Cross, C., Gerwin, R., Council on Communications and Media, Radesky, J., et al. (2026) · Pediatrics · doi:10.1542/peds.2025-075321 · Cited by 14 · see citing works
Coen, J. D., Goossens, L., Bosmans, G., Debra, G., & Verbeken, S. (2023) · Body Image · doi:10.1016/j.bodyim.2023.101647 · Cited by 11 · see citing works
Preventing eating disorders and disordered eating in genetically vulnerable, high‐risk families
Levine, M. P., & Sadeh‐Sharvit, S. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23887 · Cited by 11 · see citing works
Damiano, S. R., Yager, Z., Prichard, I. J., & Hart, L. (2019) · Body Image · doi:10.1016/j.bodyim.2019.03.006 · Cited by 9 · see citing works
Self-citationFiskum, C., Riiber, Å., & Eik‐Nes, T. T. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.895781 · Cited by 9 · see citing works
“However, most current interventions are centered on child weight and weight reduction (32, 33) and do not consider family or parental stress.”
BackgroundLaboe, A. A., Hocking, J. E., & Gondoli, D. M. (2022) · Body Image · doi:10.1016/j.bodyim.2022.08.004 · Cited by 9 · see citing works
Slater, A., & Tiggemann, M. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.05.002 · Cited by 9 · see citing works
Female Adolescent Athletes’ Experiences of Body Dissatisfaction Across Individual and Team Sports
Deogracias-Schleich, A., Blom, L. C., Myers, K., Ægisdóttir, S., Coker-Cranney, A., Ausmus, J. C., & Walker, M. J. (2022) · Journal of Athlete Development and Experience · doi:10.25035/jade.04.03.04 · Cited by 8 · see citing works
“Research has demonstrated coach and parent communication with adolescent female athletes can be influential in their development of a positive body image and health choices (Beckner & Record, 2016; Forney et al., 2012; Hart et al., 2014).”
BackgroundDalhaug, E. M., & Haakstad, L. A. H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192316375 · Cited by 8 · see citing works
“Since mothers strongly influence how their child will judge their own body later in life [46], the results of this study underline the importance of addressing these issues during pregnancy.”
ResultForbes, J., Paxton, S. J., & Yager, Z. (2024) · Body Image · doi:10.1016/j.bodyim.2024.101718 · Cited by 9 · see citing works
Self-citationHuang, Y. (2022) · Clinical Social Work Journal · doi:10.1007/s10615-022-00855-x · Cited by 7 · see citing works
Chen, J., Liu, K., Zhang, J., Liu, S., Wang, Y., Cao, R., Peng, X., Han, M., Han, H., Yao, R., et al. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s418535 · Cited by 7 · see citing works
Al-walah, M. A., Donnelly, M., & Heron, N. (2024) · Frontiers in Pediatrics · doi:10.3389/fped.2024.1333173 · Cited by 9 · see citing works
“While parents may know ideal PA practices, practical implementation can be challenging (32, 34, 35).”
BackgroundBody Image. Mediating dimensions in psychopathology and types of intervention
Kirszman, D., & Salgueiro, M. D. C. (2015) · Revista Mexicana de Trastornos Alimentarios/Mexican Journal of Eating Disorders · doi:10.1016/j.rmta.2015.10.004 · Cited by 7 · see citing works
Garbett, K. M., & Diedrichs, P. C. (2016) · Body Image · doi:10.1016/j.bodyim.2016.07.004 · Cited by 7 · see citing works
“Hart et al. (2015), however, concluded that most studies suffered from small parent sample sizes, often due to difficulties with recruitment and retention.”
InfluentialRamos‐Vidal, I. (2019) · Archivos de Medicina (Manizales) · doi:10.30554/archmed.19.1.2742.2019 · Cited by 7 · see citing works
Norton, L., Hart, L., Butel, F. E., Moloney, S., O’Connor, N., Attenborough, V., & Roberts, S. (2021) · Health Promotion Journal of Australia · doi:10.1002/hpja.487 · Cited by 6 · see citing works
Self-citationUse of non‐directive therapy for adolescents with autism spectrum disorder: A systematic review
Casper-White, R., Shloim, N., & Hebron, J. (2021) · Counselling and Psychotherapy Research · doi:10.1002/capr.12504 · Cited by 6 · see citing works
Epidemiology of eating disorders part III: social epidemiology and case definitions revisited
Rosenvinge, J. H., & Pettersen, G. (2015) · Advances in Eating Disorders · doi:10.1080/21662630.2015.1022197 · Cited by 7 · see citing works
A Pilot Trial of Confident Body, Confident Child in the United States
Meskin, L. A., Colvin, M. L., & Hart, L. (2020) · Families in Society The Journal of Contemporary Social Services · doi:10.1177/1044389420947227 · Cited by 5 · see citing works
Self-citationImpacto de práticas parentais de peso e dieta na imagem corporal de adolescentes do sexo feminino
Guimarães, T. J., Perez, A., & Dunker, K. L. L. (2020) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085000000262 · Cited by 5 · see citing works
Role of parental confirmation in body dissatisfaction and body change behaviors among college men
Taniguchi, E. (2019) · Journal of American College Health · doi:10.1080/07448481.2019.1684299 · Cited by 4 · see citing works
“Multiple factors contribute to the development and maintenance of body dissatisfaction,(13) and family-of-origin experience is one of the key factors contributing to this problem.(14) Parental warmth and care were related to positive body image whereas perceptions of cold and controlling parents were associated with b…”
BackgroundRozenblat, V., Ryan, J. L., Wertheim, E. H., King, R. M., Olsson, C. A., Letcher, P., & Krug, I. (2017) · European Eating Disorders Review · doi:10.1002/erv.2530 · Cited by 4 · see citing works
Hochgraf, A. K., Barry, M. R., Lanza, S. T., Jacobsen, M., & Neumark‐Sztainer, D. (2025) · Journal of Child and Family Studies · doi:10.1007/s10826-025-03154-4 · Cited by 3 · see citing works
“Existing family-centered interventions that aim to prevent psychological or behavioral adjustment problems among youth rarely address body dissatisfaction or disordered eating behavior (Hart et al., 2014; Program Search , 2024).”
Almenara, C. A., Umemura, T., & Macek, P. (2016) · Studia Psychologica · doi:10.21909/sp.2016.03.718 · Cited by 3 · see citing works
Golan, M., Benifla, S., Samo, A., Alon, N., & Mozeikov, M. (2022) · BMC Public Health · doi:10.1186/s12889-022-12581-7 · Cited by 3 · see citing works
“A systemic review of the parental component in prevention programs to promote well-being reported that most programs included a minimal or unassessed parental component [8].”
BackgroundSchool health class associated with reduced odds of eating disorder symptoms in American adolescents
Kremer, M. J., Kremer, K. P., & Kremer, T. R. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23194 · Cited by 3 · see citing works
Trojanowski, P. J., Mehlenbeck, R., & Fischer, S. F. (2022) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2022.2042876 · Cited by 3 · see citing works
The role of mothers’ involvement in their daughters’ self-esteem and dieting behaviors
Spivak‐Lavi, Z., Latzer, Y., & Katz, R. (2023) · Health Care For Women International · doi:10.1080/07399332.2023.2183205 · Cited by 2 · see citing works
“But many existing programs have included both parents (i.e., mothers and fathers) and researchers have failed to recruit sufficient sample sizes to enable significant statistical analyses (Hart et al., 2015).”
BackgroundResultInfluentialBody Image Throughout the Lifespan
Massey‐Stokes, M., Golman, M., Ochoa, A. Q., Stokes, A. B., & Robert-McComb, J. J. (2023) · Springer eBooks · doi:10.1007/978-3-031-15485-0_2 · Cited by 2 · see citing works
Yeatts, P. E., Martin, S. B., & Farren, G. L. (2019) · Journal of Family Studies · doi:10.1080/13229400.2019.1674682 · Cited by 2 · see citing works
The Role of Parents and Other Caregivers in the Early Detection of Eating Disorders
Ciao, A. C., Pascual, S., & Hodges, G. (2023) · Springer eBooks · doi:10.1007/978-3-031-16691-4_19 · Cited by 2 · see citing works
Prevention of Eating Disorders
Le, L. K., Tan, E. J., & Wilksch, S. M. (2023) · Springer eBooks · doi:10.1007/978-3-030-97416-9_52-1 · Cited by 2 · see citing works
Hotte, J. (2018) · Scholarship at UWindsor (University of Windsor) · Cited by 2 · see citing works
The Role of Parents and Other Caregivers in the Early Detection of Eating Disorders
Ciao, A. C., Pascual, S., & Hodges, G. (2022) · Springer eBooks · doi:10.1007/978-3-030-67929-3_19-1 · Cited by 1 · see citing works
Blomquist, K. K., Ellison, W. D., Siddiqui, S., & Montgomery, K. (2023) · Body Image · doi:10.1016/j.bodyim.2023.101675 · Cited by 1 · see citing works
Wirtz, M. A., Schulz, A. A., Heiberger, A., & Dresch, C. (2024) · BMC Public Health · doi:10.1186/s12889-024-20436-6 · Cited by 1 · see citing works
“…and adjusting activities to achieve specific goals) must be specifically taken into account both in the health education of individuals and in the design of public health communication (e.g., obesity prevention [22, 23], dental health [24], body dissatisfaction or eating disorder prevention [25]).”
BackgroundMethodA scoping review protocol of existing body image guidelines for parents of youth
Vani, M. F., Mansoor, A., Christopoulos, E., Xu, F., Meadows, L., & Sabiston, C. M. (2026) · PLoS ONE · doi:10.1371/journal.pone.0343304 · Cited by 1 · see citing works
“One review examining interventions for parents for youth body dissatisfaction has been conducted [18].”
Body image resources for parents of youth: a scoping review
Vani, M. F., Mansoor, A., Christopoulos, E., Xu, F., Meadows, L., Ricketts, C., & Sabiston, C. M. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1869014 · Cited by 1 · see citing works
“In addition, the article was designed as a systematic review with a narrower methodological scope (Hart et al., 2015).”
InfluentialErfaringer med samtalekortene «Hei Kropp og selvfølelse»: en kvalitativ undersøkelse
Fiskum, C., & Eik‐Nes, T. T. (2023) · Tidsskrift for Norsk psykologforening · doi:10.52734/nchg3914 · Cited by 1 · see citing works
Piran, N. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-805410-9.00007-4 · Cited by 1 · see citing works
Construção de escalas de silhuetas brasileiras para crianças entre quatro e seis anos de idade
Junqueira, A. C. P. (2016) · doi:10.11606/d.59.2016.tde-13052016-082842 · Cited by 1 · see citing works
Prevention of Eating Disorders
Le, L. K., Tan, E. J., & Wilksch, S. M. (2024) · Springer eBooks · doi:10.1007/978-3-031-46096-8_52 · Cited by 1 · see citing works
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Chang, H. J., Reed, D. B., & McCool, B. (2017) · Military Behavioral Health · doi:10.1080/21635781.2017.1325802
Intervention Effects of an Eating Disorder Prevention Program Utilized by a Public University
DeCeault, K. B. (2017) · doi:10.30707/etd2017.deceault.k
“Current strategies include incorporating parents into eating disorder prevention for their children (Hart et al., 2015), mindfulness-based interventions (Atkinson & Wade, 2015), and psychoeducational approaches.”
BackgroundHurst, K. (2017) · Griffith Research Online · doi:10.25904/1912/1275
Chen, J., Liu, K., Zhang, J., Liu, S., Wang, Y. Y., Cao, R., Peng, X., Han, M., Han, H., Yao, R., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-2262148/v1
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Revisão sistemática de fatores de proteção para transtorno alimentar e comer transtornado
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Schroeder, M., Hernandez, R. A., & Kauer, T. (2025) · Journal of Social and Personal Relationships · doi:10.1177/02654075251356640
“In one meta-analysis, researchers found that parental involvement in interventions to improve children ’ s body image led to less body dissatisfaction and disordered eating among children in some cases (Hart et al., 2015).”
Zarceño, E. L., López-Pozo, J., García, S. F., Portero, A. P., Manchón, J., Beltrán‐Carrillo, V. J., & Marcos, Y. Q. (2026) · Mental Health & Prevention · doi:10.1016/j.mhp.2026.200551
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Grant, S., Gunce, Y., & Constable, T. (2026) · Eating Behaviors · doi:10.1016/j.eatbeh.2026.102141
- Authors
- Hart, L. M., Cornell, C., Damiano, S. R., & Paxton, S. J.
- Affiliations
- La Trobe University (AU)
- Corresponding author
- Hart, Laura M.
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2014-05-06
- Volume
- 48
- Issue
- 2
- Pages
- 157-169
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W1629885867
- Cited by
- 93
- References
- 68
- Citations by year
- 2026: 8 · 2025: 2 · 2024: 5 · 2023: 13 · 2022: 12 · 2021: 4 · 2020: 4 · 2019: 7 · 2018: 5 · 2017: 12 · 2016: 11 · 2015: 8 · 2014: 2
- FWCI
- 1.67
- Type
- journal article
- Language
- en
- Open access
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Funders
- CAGES Foundation, Australia
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- parental involvement, eating disorder prevention, body dissatisfaction, disordered eating, children, adolescents, prevention interventions, body image, risk factors
- MeSH terms
- Adolescent, Body Image, Child, Clinical Trials as Topic, Female, Humans, Male, Parents, Personal Satisfaction, Risk Factors, Cluster Analysis, Parenting, Feeding and Eating Disorders of Childhood
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