Longitudinal Associations Between Adolescents’ mHealth App Use, Body Dissatisfaction, and Physical Self-Worth : Random Intercept Cross-Lagged Panel Study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216224%3A14230%2F25%3A00141149" target="_blank" >RIV/00216224:14230/25:00141149 - isvavai.cz</a>

Result on the web

<a href="https://mental.jmir.org/2025/1/e60844" target="_blank" >https://mental.jmir.org/2025/1/e60844</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.2196/60844" target="_blank" >10.2196/60844</a>

Result language

angličtina

Original language name

Longitudinal Associations Between Adolescents’ mHealth App Use, Body Dissatisfaction, and Physical Self-Worth : Random Intercept Cross-Lagged Panel Study

Original language description

Background: Longitudinal investigation of the association between mobile health (mHealth) app use and attitudes toward one’s body during adolescence is scarce. mHealth apps might shape adolescents’ body image perceptions by influencing their attitudes toward their bodies. Adolescents might also use mHealth apps based on how they feel and think about their bodies. Objective: This prospective study examined the longitudinal within-person associations between mHealth app use, body dissatisfaction, and physical self-worth during adolescence. Methods: The data were gathered from a nationally representative sample of Czech adolescents aged between 11 and 16 years (N=2500; n=1250, 50% girls; mean age 13.43, SD 1.69 years) in 3 waves with 6-month intervals. Participants completed online questionnaires assessing their mHealth app use, physical self-worth, and body dissatisfaction at each wave. The mHealth app use was determined by the frequency of using sports, weight management, and nutritional intake apps. Physical self-worth was assessed using the physical self-worth subscale of the Physical Self Inventory-Short Form. Body dissatisfaction was measured with the items from the body dissatisfaction subscale of the Eating Disorder Inventory-3. The random intercept cross-lagged panel model examined longitudinal within-person associations between the variables. A multigroup design was used to compare genders. Due to the missing values, the final analyses used data from 2232 adolescents (n=1089, 48.8% girls; mean age 13.43, SD 1.69 years). Results: The results revealed a positive within-person effect of mHealth app use on the physical self-worth of girls: increased mHealth app use predicted higher physical self-worth 6 months later (β=.199, P=.04). However, this effect was not consistent from the 6th to the 12th month: a within-person increase in using apps in the 6th month did not predict changes in girls’ physical self-worth in the 12th month (β=.161, P=.07). Regardless of gender, the within-person changes in the frequency of using apps did not influence adolescents’ body dissatisfaction. In addition, neither body dissatisfaction nor physical self-worth predicted app use frequency at the within-person level. Conclusions: This study highlighted that within-person changes in using mHealth apps were differentially associated with adolescents’ body-related attitudes. While increased use of mHealth apps did not influence body dissatisfaction across genders, it significantly predicted higher physical self-worth in adolescent girls 6 months later. A similar association was not observed among boys after 6 months. These findings indicate that using mHealth apps is unlikely to have a detrimental impact on adolescents’ body dissatisfaction and physical self-worth; instead, they may have a positive influence, particularly in boosting the physical self-worth of adolescent girls.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

50802 - Media and socio-cultural communication

Project

<a href="/en/project/EH22_008%2F0004583" target="_blank" >EH22_008/0004583: Research of Excellence on Digital Technologies and Wellbeing</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

JMIR Mental Health

ISSN

2368-7959

e-ISSN

2368-7959

Volume of the periodical

12

Issue of the periodical within the volume

March

Country of publishing house

CA - CANADA

Number of pages

16

Pages from-to

1-16

UT code for WoS article

001447330600001

EID of the result in the Scopus database

2-s2.0-105000407018