Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese children

Abstract Body image dissatisfaction is common among children and can lead to adverse health outcomes, however, the intervention programs on children’s body image dissatisfaction have rarely been reported in China. This study focused on risk factors of body image dissatisfaction, such as appearance c...

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Main Authors: Zixuan Wei, Keke Liu, Weilong Yang, Yun Zhang, Han Fu, Lianguo Fu
Format: Article
Language:English
Published: Springer Nature 2025-07-01
Series:Humanities & Social Sciences Communications
Online Access:https://doi.org/10.1057/s41599-025-05396-5
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author Zixuan Wei
Keke Liu
Weilong Yang
Yun Zhang
Han Fu
Lianguo Fu
author_facet Zixuan Wei
Keke Liu
Weilong Yang
Yun Zhang
Han Fu
Lianguo Fu
author_sort Zixuan Wei
collection DOAJ
description Abstract Body image dissatisfaction is common among children and can lead to adverse health outcomes, however, the intervention programs on children’s body image dissatisfaction have rarely been reported in China. This study focused on risk factors of body image dissatisfaction, such as appearance comparison, appearance comments, and social media, in order to develop intervention program for children. Based on the pathogenesis theory of diseases, effective control of risk factors of body image dissatisfaction can inhibit occurrence of body image dissatisfaction. Therefore, this study developed the intervention program targeting the risk factors of body image dissatisfaction in children, including four dimensions of positively understanding body image dissatisfaction, positively facing appearance comparison, positively responding to appearance comments, and positively responding to social media, and each dimension with a three-grade indicators. A total of 12 experts conducted two rounds of evaluation on this intervention program. The coefficient of reliability (Cr) of the experts was 0.84. Kendall’s coefficient of concordance (Kendall’s W) for importance and feasibility was 0.12 and 0.15, respectively (P < 0.05), and the coefficient of variation (CV) for importance and feasibility was 0.00–0.14 and 0.00-0.24, respectively. The importance scores of “Positively understanding body image dissatisfaction”, “Positively facing appearance comparison”, “Positively responding to appearance comments”, and “Positively responding to social media” were 5,00, 5.00, 4.73, 4.82, and their feasibility scores were 5.00, 4.82, 4.55, 4.55, respectively. The current body image dissatisfaction intervention program can identify and mitigate the negative effects of body image dissatisfaction in children aged 8 to 12, assist children develop a positive body image, and prevent the further development of mental health issues such as eating disorders and depression.
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spelling doaj-art-d94e30d4d309499a9b91cae067d330cd2025-08-20T03:46:00ZengSpringer NatureHumanities & Social Sciences Communications2662-99922025-07-0112111410.1057/s41599-025-05396-5Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese childrenZixuan Wei0Keke Liu1Weilong Yang2Yun Zhang3Han Fu4Lianguo Fu5Department of Child and Adolescent Health, School of Public Health, Bengbu Medical UniversityDepartment of Child and Adolescent Health, School of Public Health, Bengbu Medical UniversityDepartment of Child and Adolescent Health, School of Public Health, Bengbu Medical UniversityDepartment of Child and Adolescent Health, School of Public Health, Bengbu Medical UniversityDepartment of Child and Adolescent Health, School of Public Health, Bengbu Medical UniversityDepartment of Child and Adolescent Health, School of Public Health, Bengbu Medical UniversityAbstract Body image dissatisfaction is common among children and can lead to adverse health outcomes, however, the intervention programs on children’s body image dissatisfaction have rarely been reported in China. This study focused on risk factors of body image dissatisfaction, such as appearance comparison, appearance comments, and social media, in order to develop intervention program for children. Based on the pathogenesis theory of diseases, effective control of risk factors of body image dissatisfaction can inhibit occurrence of body image dissatisfaction. Therefore, this study developed the intervention program targeting the risk factors of body image dissatisfaction in children, including four dimensions of positively understanding body image dissatisfaction, positively facing appearance comparison, positively responding to appearance comments, and positively responding to social media, and each dimension with a three-grade indicators. A total of 12 experts conducted two rounds of evaluation on this intervention program. The coefficient of reliability (Cr) of the experts was 0.84. Kendall’s coefficient of concordance (Kendall’s W) for importance and feasibility was 0.12 and 0.15, respectively (P < 0.05), and the coefficient of variation (CV) for importance and feasibility was 0.00–0.14 and 0.00-0.24, respectively. The importance scores of “Positively understanding body image dissatisfaction”, “Positively facing appearance comparison”, “Positively responding to appearance comments”, and “Positively responding to social media” were 5,00, 5.00, 4.73, 4.82, and their feasibility scores were 5.00, 4.82, 4.55, 4.55, respectively. The current body image dissatisfaction intervention program can identify and mitigate the negative effects of body image dissatisfaction in children aged 8 to 12, assist children develop a positive body image, and prevent the further development of mental health issues such as eating disorders and depression.https://doi.org/10.1057/s41599-025-05396-5
spellingShingle Zixuan Wei
Keke Liu
Weilong Yang
Yun Zhang
Han Fu
Lianguo Fu
Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese children
Humanities & Social Sciences Communications
title Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese children
title_full Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese children
title_fullStr Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese children
title_full_unstemmed Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese children
title_short Body image dissatisfaction intervention program based on a three-factor model of appearance comparison, appearance comments, and social media among Chinese children
title_sort body image dissatisfaction intervention program based on a three factor model of appearance comparison appearance comments and social media among chinese children
url https://doi.org/10.1057/s41599-025-05396-5
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