HSP: Healthy Sport Project; Preventing Eating Disorders in Sport

Sponsor

Ostfold University College (Other)

Overall Status

Enrolling by invitation

CT.gov ID

NCT05583162

Collaborator

Norwegian School of Sport Sciences (Other), Oslo University Hospital (Other)

Enrollment

Location

Arm

5.7

Anticipated Duration (Months)

15.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The "Healthy Sport Project" is an adapted program from the Body Project by prof Eric Stice, aiming to reduce body dissatisfaction and symptoms of disordered eating and eating disorders in adolescent elite athletes. This trial aim to evaluate the effect of the program using a one-arm pilot study design in 14 years age old athletes at a Norwegian Elite Sport Junior High School.

Condition or Disease	Intervention/Treatment	Phase
Eating Disorders Body Dissatisfaction Disordered Eating Adolescent - Emotional Problem Athletic Injuries	Behavioral: Healthy Sport Project	N/A

Detailed Description

Eating disorders (EDs) are serious illnesses with highest incidence in adolescents. Moreover, athletes have a higher frequency of symptoms of disordered eating (DE) and EDs than non-athletes. There are many reasons to this health issue, but body appearance pressure, competing in body mass sensitive sports, and comments on body appearance are important explanations. Few programs have proved effective in preventing DE and EDs in the general population, or in athletes specifically, and none is permanent operative in sports in Norway. Body Project by prof Eric Stice have proved effective in preventing body dissatisfaction, figure idealization and new onset of EDs in female adolescents above 15 years of age, and with body dissatisfaction, from the general population. A few attempts to adapt this program to female athletes, argue for a comparative positive effect. Three important elements to further address, are: 1) programs need also to be tested in males; 2) programs need to be tested in adolescents of younger age before the typical onset of an ED; and 3) programs need to be possible to administer by non-professionals.

In this study the research group aim to adapt and test the effect of the Body Project, by the pilot study the "Healthy Sport Project", in elite junior athletes attending specialized junior sport high schools (age 14). The final goal for this project group is to create an effective preventive program for body dissatisfaction and DE/EDs in young athletes of both sexes and in mixed sports, and which may be administered by the schoolteachers.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

90 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Intervention Model Description:

A cohort of athletes receive intervention in this pilot study, and changes from pre to post intervention are evaluatedA cohort of athletes receive intervention in this pilot study, and changes from pre to post intervention are evaluated

Masking:

None (Open Label)

Masking Description:

Masking is not performed in a one-arm study

Primary Purpose:

Prevention

Official Title:

Healthy Sport Project: "Recovery, Body Acceptance and Health in Young Athletes"

Actual Study Start Date :

Aug 10, 2022

Anticipated Primary Completion Date :

Dec 31, 2022

Anticipated Study Completion Date :

Jan 31, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Intervention All pupils attending a Elite Sport Jr High School receive intervention	Behavioral: Healthy Sport Project 2 interactive information lectures (given per class of 30 pupils), and 4 interactive workshops (given to sex-homogenous groups of 10 pupils). One per week, a total of 6 weeks with intervention. Other Names: Sports Body Project

Arm

Intervention/Treatment

Experimental: Intervention

All pupils attending a Elite Sport Jr High School receive intervention

Behavioral: Healthy Sport Project

2 interactive information lectures (given per class of 30 pupils), and 4 interactive workshops (given to sex-homogenous groups of 10 pupils). One per week, a total of 6 weeks with intervention.

Other Names:

Sports Body Project

Outcome Measures

Primary Outcome Measures

Change in symptoms of Eating Disorder, Eating Disorder Questionnaire Short-form [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
9 Questions on eating restriction, on worries for body weight and appearance. Rated by number of days the different content has been relevant. By Fairburn and Beglin, 2008
Change in Body Acceptance, Body Acceptance Scale, version 2 [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
10 Questions on body acceptance, rated by a 5 point Likert Scale (never - always). By Halliwell et al 2017.
Change in symptoms of internalization of body figure ideals, SATAQ-4 [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
10 Questions from subscales of SATAQ-4 (thinness idealisation and muscularity idealization), rated by 5 point Likert Scale. By Schaefer et al 2015
Experiences from participating in the project [After intervention (post, +6 weeks)]
Focus group interview following a semistructured manual; asking for experiences with participation in the "Healthy Sport Project"

Secondary Outcome Measures

Change in experiences of Body Appearance Pressure (BAP), questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Question on experience of BAP (if it is experienced yes/no)
Change in experiences of Body Appearance Pressure (BAP), questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Question on arenas for experience of BAP (in which contexts; choose between listed arenas)
Change in dietary habits, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Questions on meal frequency (numbers); frequency of intake of fruit and vegetables (number of portions); frequency of intake of dairy products (number of portions); frequency of intake of fish (number of portions)
Change in dietary habits, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Use of supplements (yes/no)
Change in dietary habits, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Use of supplements ( what type of supplements, chose from listed alternatives)
Change in nutrition knowledge, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
3 questions asking for examples of foods providing carbohydrates; proteins; fats, respectively.

Other Outcome Measures

Question on injuries, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
1 Questions asking for any incident of injury (yes/no)
Question on injuries, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Where the injury was located (chose from list of anatomical locations)
Demographics, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Age (years)
Demographics, questions by research group [Before intervention]
Sex (male/female)
Demographics, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Sport (any given)
Demographics, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Body weight (kg)
Demographics, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Height (m)
Demographics, questions by research group [Before intervention, After intervention (post, +6 weeks), 6 months after end of intervention]
Number of hours in physical activity per week (hours).