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Table 1 Recommendations for ED prevention

From: Cultural adaptation of an integrated eating disorders prevention and healthy weight management program

Theme

Recommendation

Diverse beauty standards across groups

- Incorporate diverse appearance narratives

- Address physical features influencing attractiveness beyond body shape and size (e.g., hair, skin tone)

- Include information emphasizing appearance issues relevant to women of color (e.g., family influences, curvy ideal)

Lack of acknowledgement of racialized beauty standards and cultural appropriation

- Address racialized aspects of beauty

- Retain some discourse surrounding thinness

- Discuss cultural appropriation

Culturally-specific impacts of standards

- Target consequences of appearance discrepancies for women of color (e.g., microaggressions)

- Reflect harmful consequences of beauty ideals pertinent to women of color

- Address detrimental aspects of appearance ideals beyond thinness

Harm of appearance-related comments

- Include education regarding consequences of weight-related talk and deterrence strategies

Stigmatization of mental health

- Acknowledge stigma

- Expand outreach and engagement within Black and Latina communities

Limitations of available resources

- Address misconceptions (e.g., EDs only affect White women)

- Note prevalence and presentations of EDs in women of color

Facilitators and barriers to inclusive programming

- When possible, offer individuals options for either racially and ethnically homogenous or heterogenous groups

- skilled facilitation

- validation of individual differences

- fostering connection

- defining appearance broadly (emphasize body acceptance over appearance)