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Strong Minds: A Digital Intervention Targeting Body Image and Psychological Well-being Among Adolescent Male Fitness Club Members (Strong Minds)

2026년 8월 25일 업데이트: Christina Gjestvang, Norwegian School of Sport Sciences

Strong Minds: A Digital Intervention Targeting Body Image and Psychological Well-Being Among Adolescent Male Fitness Club Members

The purpose of this study is to evaluate whether a digital intervention can improve body image and psychological well-being among adolescent boys who attend fitness clubs. Fitness club environments and social media often promote appearance ideals related to muscularity and leanness, which may contribute to body appearance pressure, body dissatisfaction, and psychological distress among boys.

In this cluster-randomized controlled trial, approximately 260 boys aged 15 to 18 years will be recruited from fitness clubs in Oslo, Norway. Participants from fitness clubs assigned to the intervention group will receive access to a 12-week website-based program consisting of four interactive modules focusing on body image, psychological well-being, critical social media literacy, and attitudes toward food and sports supplements. Participants in the control group will continue their usual activities.

The study will examine whether the intervention reduces internalization of appearance ideals and body appearance pressure and improves body appreciation, health-related quality of life, psychological well-being, social media-related behaviors, and attitudes toward food and sports supplements. Outcomes will be assessed at baseline, immediately after the intervention, and at a 6-month follow-up.

연구 개요

상세 설명

The prevalence of body image concerns among adolescent boys has increased in recent years, accompanied by growing internalization of appearance ideals emphasizing muscularity, leanness, and physical performance. Fitness clubs represent an important social and exercise arena for adolescent boys and may contribute both positively and negatively to psychological well-being. While regular physical activity is associated with health benefits, fitness club environments often expose young males to appearance-focused norms, body comparisons, and social influences reinforced through social media and commercial fitness culture. These factors may increase body appearance pressure, body dissatisfaction, unhealthy attitudes toward food and supplements, and vulnerability to psychological distress. Despite the increasing participation of adolescent boys in fitness clubs, few evidence-based interventions have been developed for this population.

The Strong Minds study aims to evaluate the effectiveness of a digital intervention designed to promote positive body image and psychological well-being among adolescent male fitness club members. The intervention targets body image-related constructs, social media literacy, psychological well-being, and attitudes related to food and sports supplements. The study further seeks to examine mechanisms through which the intervention may influence outcomes, including body appreciation and social media-related processes.

The study will be conducted as a cluster-randomized controlled trial involving fitness clubs in Oslo, Norway. Fitness clubs will serve as the unit of randomization and will be allocated to either an intervention condition or a usual-routine control condition. Approximately 260 participants will be recruited. Data collection will occur at baseline, immediately following the intervention period, and six months after completion of the intervention.

Participants assigned to the intervention group will receive access to a website-based program delivered over 12 weeks. The intervention consists of four modules released at three-week intervals. To maximize engagement and feasibility, the intervention has been designed as a brief and interactive digital experience requiring approximately 75 minutes of total participation. Participants in the control group will continue their usual activities and will receive access to the intervention after study completion.

The intervention content has been developed using evidence-based approaches from body image prevention research, social media literacy interventions, positive psychology, embodiment theory, and sociocultural models of body image development. The website uses an interactive narrative format centered on realistic situations encountered by adolescent boys in fitness club settings. Through short episodes, quizzes, reflection exercises, and individualized feedback, participants are encouraged to critically evaluate appearance ideals, social media messages, body-related pressures, and health information encountered in everyday life. The intervention addresses four core themes: body image, psychological well-being, critical social media literacy, and attitudes toward food and sports supplements.

To enhance relevance, usability, and participant engagement, the intervention will be co-created with a Collaborative Competence Group consisting of young males with lived experience of body image concerns and/or disordered eating related to gym participation. User involvement will contribute to the development of content, design, language, functionality, and overall user experience.

Data will be collected through online questionnaires assessing body image-related constructs, body appreciation, health-related quality of life, psychological distress, social media use and appearance comparison, food-related attitudes, attitudes toward sports supplements, exercise habits, and demographic characteristics. Intervention adherence will be monitored through website analytics, including module completion and login frequency.

The study is funded by the Dam Foundation through ROS (Counselling and Support for Eating Disorders). Ethical approval procedures have been completed in accordance with Norwegian regulations, and all participants will provide informed consent before participation. The findings from the Strong Minds study will contribute to knowledge regarding scalable and accessible strategies for promoting positive body image and psychological well-being among adolescent boys in fitness club environments.

연구 유형

중재적

등록 (추정된)

260

단계

  • 해당 없음

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 어린이
  • 성인

건강한 자원 봉사자를 받아들입니다

예

설명

Inclusion Criteria:

  • Cisgender boy
  • Aged 15 to 18 years
  • Current member of a fitness club
  • Attends the fitness club at least once per week
  • Able to read and understand Norwegian
  • Provides informed consent (parental/guardian consent required for participants younger than 16 years)

Exclusion Criteria:

  • Does not meet one or more of the inclusion criteria
  • Not able to provide informed consent
  • Previously enrolled in the study

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 방지
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Digital intervention
Participants assigned to the intervention arm will receive access to a website, a 12-week digital intervention designed to promote positive body image and psychological well-being among adolescent male fitness club members. The intervention consists of four interactive modules released every three weeks and addresses body image, psychological well-being, critical social media literacy, and attitudes toward food and sports supplements. Modules include brief narrative-based content, quizzes, personalized feedback, and reflection exercises. Total engagement time is approximately 75 minutes across the 12-week intervention period.
Participants assigned to the intervention arm will receive access to the Strong Minds website, a 12-week digital intervention designed to promote positive body image and psychological well-being among adolescent male fitness club members. The intervention consists of four interactive modules released every three weeks and addresses body image, psychological well-being, critical social media literacy, and attitudes toward food and sports supplements. Modules include brief narrative-based content, quizzes, personalized feedback, and reflection exercises. Total engagement time is approximately 75 minutes across the 12-week intervention period.
간섭 없음: Control group
Participants assigned to the control condition will continue their regular exercise and daily activities without receiving the Strong Minds intervention during the 12-week trial period. Outcome assessments will be conducted at the same time points as in the intervention group (baseline, post-intervention, and 6-month follow-up). Access to the digital intervention will be provided after completion of the randomized controlled trial.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Internalization
기간: Baseline, post-intervention (12 weeks), and 6-month follow-up.
Internalization of appearance ideals (Sociocultural Attitudes Towards Appearance Questionnaire-4 [SATAQ-4]). This outcome assesses the extent to which participants adopt societal appearance ideals related to muscularity, leanness, and low body fat as personal standards for evaluating their own appearance. Internalization is measured using the relevant SATAQ-4 subscales. Items are rated on a 5-point Likert scale ranging from 1 (definitely disagree) to 5 (definitely agree), with higher scores indicating greater internalization of societal appearance ideals. The outcome will be assessed at baseline, post-intervention (12 weeks), and 6-month follow-up.
Baseline, post-intervention (12 weeks), and 6-month follow-up.
Body appearance pressure
기간: Baseline, post-intervention (12 weeks), and 6-month follow-up.
Body appearance pressure measured using the Sociocultural Attitudes Towards Appearance Questionnaire-4 Revised (SATAQ-4R). Scores range from 1 to 5, with higher scores indicating greater perceived appearance-related pressure from media and sociocultural influences.
Baseline, post-intervention (12 weeks), and 6-month follow-up.

2차 결과 측정

결과 측정
측정값 설명
기간
Body appreciation
기간: Baseline, post-intervention (12 weeks), and 6-month follow-up.
The extent to which participants respect, accept, and value their bodies and maintain a positive body image despite societal appearance pressures.
Baseline, post-intervention (12 weeks), and 6-month follow-up.
Social Media use
기간: Baseline, post-intervention (12 weeks), and 6-month follow-up.
Self-reported social media use, including platform(s) used, frequency of use per day, time spent on social media (hours/day), exposure to appearance-related content, appearance comparison, selfie posting, and motivations for use.
Baseline, post-intervention (12 weeks), and 6-month follow-up.
General health-related quality of life.
기간: Baseline, post-intervention (12 weeks), and 6-month follow-up.
Self-reported health-related quality of life measured using the KIDSCREEN-10 questionnaire. Higher scores indicate better quality of life and well-being.
Baseline, post-intervention (12 weeks), and 6-month follow-up.
Psychological distress
기간: Baseline, post-intervention (12 weeks), and 6-month follow-up.
Psychological distress assessed using the Hopkins Symptom Checklist-10 (HSCL-10). The HSCL-10 is a self-report measure of symptoms of anxiety and depression. The total score is calculated as the mean of the 10 items, with response options ranging from 1 (not at all) to 4 (extremely). Scores range from 1 to 4, with higher scores indicating greater psychological distress and a worse outcome.
Baseline, post-intervention (12 weeks), and 6-month follow-up.
Food-related attitudes.
기간: Baseline, post-intervention (12 weeks), and 6-month follow-up.
Food-related attitudes and behaviors assessed using the Eating Attitudes Test-26 (EAT-26). The EAT-26 is a self-report measure of attitudes, beliefs, and behaviors associated with eating-related concerns and disordered eating. The total score ranges from 0 to 78, with higher scores indicating more problematic eating attitudes and behaviors and a worse outcome. Assessments will be conducted at baseline, post-intervention (12 weeks), and 6-month follow-up.
Baseline, post-intervention (12 weeks), and 6-month follow-up.
Attitudes towards sports supplements
기간: Baseline, post-intervention (12 weeks), and 6-month follow-up.
Questions regarding anabolic steroids, testosterone preparations, growth hormone, ephedrine, and Selective Androgen Receptor Modulators (SARMS)) [GU33.1]based on Ungdata, an annual Norwegian data collection scheme.
Baseline, post-intervention (12 weeks), and 6-month follow-up.

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (추정된)

2028년 1월 1일

기본 완료 (추정된)

2028년 9월 1일

연구 완료 (추정된)

2028년 9월 1일

연구 등록 날짜

최초 제출

2026년 8월 18일

QC 기준을 충족하는 최초 제출

2026년 8월 25일

처음 게시됨 (실제)

2026년 8월 27일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 8월 27일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 8월 25일

마지막으로 확인됨

2026년 8월 1일

추가 정보

이 연구와 관련된 용어

추가 관련 MeSH 약관

기타 연구 ID 번호

  • Strong Minds
  • #SDAM_FOR999270 (기타 보조금/기금 번호: The Dam Foundation)

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

예

IPD 계획 설명

Individual participant data that have been de-identified, including demographic characteristics, outcome measures, and questionnaire data underlying the published results, will be made available to qualified researchers upon reasonable request following publication of the main study findings. Data sharing will be conducted in accordance with applicable ethical approvals, data protection regulations, and FAIR data principles.

IPD 공유 기간

Beginning 6 months after publication of the primary study results with no predefined end date.

IPD 공유 액세스 기준

Access to de-identified individual participant data will be provided to qualified researchers upon reasonable request. Researchers must submit a methodologically sound research proposal and may be required to sign a data access agreement. Requests will be reviewed by the study investigators to ensure compliance with ethical approvals, applicable data protection regulations, and institutional policies. Data will be shared only for research purposes consistent with the objectives of the original study.

IPD 공유 지원 정보 유형

  • 연구_프로토콜
  • 수액

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

아니

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

구독하다