Body dissatisfaction and dietary restraint have been demonstrated in children as young as 5 years. Internalization of a thin-ideal is theorized to occur before the onset of body dissatisfaction and both have the potential to influence self-worth and impact multiple aspects of life. Across childhood, body dissatisfaction tends to increase while there is a parallel decline in positive self-concepts. Social comparisons also become more critical after the age of 7 years. Research suggests that early childhood (aged 3-8 years) may be the ideal time to expose children to content that counters unhealthy, unrealistic media ideals about body shape and size. This Practice Note describes the process of creating an evidence-based online storybook, Tiny or Tall, Mighty or Small-Music for All!, written to promote positive body image in children. Multiple steps were taken to complete this project, which required collaboration among experts across fields of public health, children's literature, and music. The storybook can be downloaded as a PDF file for free, online, and integrates sound clips for each instrument to more fully engage readers. We hope that this electronic platform overcomes potential logistical and financial barriers of accessing a print copy and therefore allows the message of body positivity to reach a wider audience.
Keywords: child/adolescent health; health education; health promotion.