Conclusions
Toluna, PCD
HAND PRESENTATION, EMERGENCY
This trial supports the use of chatbot technology to deliver mental health microinterventions within digital environments frequented by young people (eg, social media platforms and messaging apps). Microinterventions are proving to be an effective method for providing adolescents with immediate and short-term symptom relief and reducing imbalances in the ratio of harmful and helpful body image content on social media platforms. Although microinterventions are a promising intervention model, more research is needed to conceptualize how this model can be integrated into and enhance a stepped-care model for digital approaches targeting body and eating concerns.The authors would like to thank our project partners at the Dove Self-Esteem Project, United Nations International Children’s Emergency Fund (UNICEF) Brazil, UNICEF UK, Talk2U, and Toluna for their expertise and collaborative partnership. The views and opinions expressed in this manuscript are those of all the authors and do not necessarily represent these partners. This study was funded by a research grant from the Dove Self-Esteem Project (Unilever). The funders had no role in data analysis, decision to publish, or manuscript preparation. The funders were permitted to review the manuscript, but the authors exclusively retained the final decision on content. Upon review, the funders did not suggest changes. The views expressed are those of the authors and not necessarily those of the funder.Authors' Contributions: ELM, HGS, ACSA, JFFM, MCA, JL, MFT, and PCD were responsible for the formulation or evolution of overarching research goals and aims. ELM and PCD were responsible for the development and design of methodology. ELM and HGS were responsible for the provision of study materials. HGS, JL, and MFT accessed and verified underlying data. ELM was responsible for the preparation, creation, and presentation of the published work, specifically writing the initial draft, visualization, and data presentation. HGS, ACSA, JFFM, MCA, JL, MFT, and PCD were responsible for preparation, creation, and presentation of the published work by those from the original research group, specifically critical review, commentary, or revision including the pre- or postpublication stage. ELM and HGS were responsible for management and coordination responsibility for the research activity planning and execution. JL and MFT were responsible for application of statistical, mathematical, computational, or other formal techniques to analyze or synthesize study data. ELM and PCD were responsible for oversight and leadership responsibility for the research activity planning and execution, including mentorship external to the core team, and the acquisition of the financial support for the project leading to this publication.Conflicts of Interest: JL was supported by the National Health and Medical Research Council Investigator Grant (APP1196948). PCD is an independent consultant to the mental health policy and programing team on Instagram (owned by Meta, the parent company of Facebook Messenger) and Dove (Unilever). All other authors declare no other conflicts of interest.Supplementary tables pertaining to results of hypotheses 3 and 4.CONSORT E-HEALTH Checklist (V 1.6.1).