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The effectiveness of interventions aiming to promote positive body image in adults: A systematic review
Open accessAbstract
Theory suggests promoting positive body image (PBI) through interventions would have a significant impact on health and well-being. However, little is known about the effectiveness of existing interventions. This review aimed to identify and assess the evidence of effectiveness of interventions to increase PBI in adults. Database searches were conducted using CINAHL Plus, Medline, PsychINFO, Wiley Online Library, and SCOPUS. Application of inclusion criteria and data extraction were conducted by two reviewers. Methodological quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool, and narrative synthesis was conducted. Fifteen studies, evaluating 13 interventions, were included. Three studies, evaluating one online writing-based functionality intervention, were judged to have strong methodological quality and had evidence of improving body appreciation, body esteem, and functionality satisfaction. Six moderate quality studies found interventions using intuitive eating, CBT, self-compassion, and exercise improved PBI. There was limited evidence of effectiveness of interventions for men, suggesting future research is needed to better understand PBI mechanisms in men. Lack of heterogeneity of outcome measures is discussed as a limitation. Findings suggest existing interventions are effective at increasing aspects of PBI among women and support the development of interventions that target multiple components of PBI.
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“Cognitive behavioral therapy is vital in this effort, as it helps individuals unravel negative perceptions and adopt healthier attitudes toward their bodies [206].”
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Wood-Barcalow, N. L., Alleva, J. M., & Tylka, T. L. (2024) · Body Image · doi:10.1016/j.bodyim.2024.101741 · Cited by 64
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“To achieve this, positive body image interventions may be an effective mechanism (Guest et al., 2019).”
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“Psychoeducation is easily delivered online and it is often combined with other structured online interventions (e.g. writing tasks) to maximize its positive impact on body image (Guest et al., 2019).”
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“Importantly, much of this work has to date been carried out with women-only samples; therefore, a recent systematic review highlighted the need for future research on positive body image interventions which include men (Guest et al., 2019).”
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MethodTrends in the Study of Attitudes to Appearance from the Point of View of Applied Social Psychology
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How Being in Nature can Promote Healthier Body Image
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Associations between Body Image and Self-Perceived Physical Fitness in Future Spanish Teachers
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“Moreover, interventions must have a sex-related perspective due to the differentiated sex-related characteristics [28], focused on the acquisition of PA habits and the enjoyment of practicing PA, especially in women, and considering increased risk for females and little attention dedicated to males [84].”
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“A recent systematic review concluded, that various strategies including exercise-related interventions targeting multiple components of positive body image can effectively promote positive body image in adults (Guest et al., 2019).”
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Batchelor, R., O’Leary, B., Egan, S. J., & Thøgersen‐Ntoumani, C. (2025) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-025-01735-2 · Cited by 8
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“In fact, a systematic review showed that EYH is currently the most effective intervention for improving positive body image in adults (Guest et al. 2019).”
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“A systematic review indicates that most existing interventions with diverse populations capitalize on enhancing intuitive eating, identifying cognitive-behavioral patterns, fostering self-compassion, or motivating exercise behavior to promote positive body image (Guest et al., 2019).”
BackgroundAdkins, K., Overton, P. G., & Thompson, A. R. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.1064012 · Cited by 9
The determinants and consequences of positive body image and its promotion strategies
Chao, Y., Zhijie, D., Haoyan, W., Yizhou, Z., Yanli, W., & Fangzhou, Y. (2023) · Advances in Psychological Science · doi:10.3724/sp.j.1042.2023.00815 · Cited by 8
“00 07 1v 1 健康饮食行为习惯的形成,避免成瘾行为的发生,而内感受是可能的且具有潜在研究价值 的重要因子。 5 积极身体意象的提升 随着积极心理学的发展,研究者们将注意力由消极身体意象的缓解转移至积极身体意 象的提升,本研究拟对使用较多的功能性聚焦干预与基于自我同情的干预进行阐释,并明 晰两者的区辨关系。 5.1 功能性聚焦干预 身体外观包括体重、尺寸等指标,且易通过与社会理想体型的对比引发上行社会比较 (Ren et al., 2018)。因此,对身体外观的过度关注并无益处,通常会加重个体对自身外观缺 点的关注,进而削弱身体满意度(Fredrickson & Roberts, 1997)。而身体功能则泛指身体的效 能,包…”
InfluentialKelly, E. L., Minehan, M., & Pumpa, K. L. (2023) · Women in Sport and Physical Activity Journal · doi:10.1123/wspaj.2022-0088 · Cited by 7
“A systematic review reported that interventions encouraging women to appreciate their bodies ’ functionality signi fi cantly increased facets of positive body image (Guest et al., 2019).”
BackgroundHuellemann, K. L., Tremblay, P. F., & Calogero, R. M. (2023) · Body Image · doi:10.1016/j.bodyim.2023.07.008 · Cited by 7
Brkic, E., Prichard, I. J., Daly, A., Dudley, S., & Beatty, L. (2024) · Patient Education and Counseling · doi:10.1016/j.pec.2024.108356 · Cited by 8
Nolen, E., Siegel, J. A., Pownall, M., Talbot, C. V., & Dann, C. (2022) · Body Image · doi:10.1016/j.bodyim.2022.06.007 · Cited by 7
Rodrigues, T. F., Baenas, I., Coelho, C., Ramos, R., Fernández‐Aranda, F., & Machado, P. P. P. (2024) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2024.100779 · Cited by 7
Alleva, J. M., Custers, M., Chatzi, N., Vogt, J., Lukan, C., Annerbo, V., Hartmann, S., & Martijn, C. (2024) · Body Image · doi:10.1016/j.bodyim.2024.101794 · Cited by 6
Effects of an Intervention Aimed at Enhancing Elementary School Children’s Positive Body Image
Namatame, H., Yashima, Y., & Sawamiya, Y. (2022) · The Japanese Journal of Educational Psychology · doi:10.5926/jjep.70.205 · Cited by 6
Torres, S., Pereira, M. S. D. L., Barbosa, R., Martins, T., Miller, K. M., & Marques, G. F. D. S. (2022) · Body Image · doi:10.1016/j.bodyim.2022.07.018 · Cited by 6
Riechers, R., & Warschburger, P. (2025) · Body Image · doi:10.1016/j.bodyim.2025.101853 · Cited by 5
Disordered Eating in Emerging Adults: A Narrative Review and Recommendations for Prevention
El-Jor, C., Hallez, Q., Filippone, L., Flaudias, V., & Shankland, R. (2025) · Emerging Adulthood · doi:10.1177/21676968251318056 · Cited by 8
“Interventions that target body dissatisfaction are effective in preventing the development of eating disorders, reducing internalization of cultural ideals of appearance, and increasing body satisfaction (Guest et al., 2019).”
InfluentialLadwig, G., Schönhals, K., Quittkat, H. L., Dietel, F. A., & Vocks, S. (2025) · International Journal of Eating Disorders · doi:10.1002/eat.24584 · Cited by 6
Longhurst, P., Tylka, T. L., & Alleva, J. M. (2025) · Body Image · doi:10.1016/j.bodyim.2025.101996 · Cited by 5
Fidelis, T., Vieira, F. M., Miller, K. M., & Torres, S. (2025) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.70097 · Cited by 6
“Recently, there has been a shift in interventions from focusing solely on reducing negative BI to actively promoting positive BI (Guest et al., 2019).”
Metadata
- Authors
- Guest, E., Costa, B., Williamson, H., Meyrick, J., Halliwell, E., & Harcourt, D.
- Affiliations
- University of the West of England (GB)
- Corresponding author
- Guest, Ella
- Venue
- Body Image
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 30
- Pages
- 10-25
- ISSN
- 1740-1445 (ISSN-L)
- OpenAlex
- W2944371810
- Cited by
- 184
- References
- 88
- Citations by year
- 2026: 31 · 2025: 35 · 2024: 35 · 2023: 20 · 2022: 24 · 2021: 18 · 2020: 17 · 2019: 4
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- green
- eprints.uwe.ac.uk
- Licence
- Locations
- Body Image (publishedVersion)
- PubMed (publishedVersion)
- UWE Research Repository (UWE Bristol) (acceptedVersion, cc-by-nc-nd)
- UWE Research Repository (UWE Bristol) (submittedVersion, cc-by-nc-nd)
- Funders
- University of the West of England
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- positive body image, body image interventions, body appreciation, body esteem, intuitive eating, cognitive behavioral therapy, self-compassion, exercise intervention, men's body image, female body image, intervention effectiveness
- MeSH terms
- Adult, Body Image, Empathy, Female, Humans, Male, Self Concept, Exercise
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