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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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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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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