Naked and Afraid and Alaskan Bush People. The shows Survivor and Get Out Alive with Bear Grylls combine outdoor survival with a competition format, although in Survivor the competition also involves social dynamics. Self-improvement or makeover Some reality television shows cover a person or group of people improving their lives. Sometimes the same group of people are covered over an entire season (as in The Swan and Celebrity Fit Club), but usually there is a new target for improvement in each episode. Despite differences in the content, the format is usually the same: first the show introduces the subjects in their current, less-than-ideal environment. Then the subjects meet with a group of experts, who give the subjects instructions on how to improve things; they offer aid and encouragement along the way. Finally, the subjects are placed back in their environment and they, along with their friends and family and the experts, appraise the changes that have occurred. Other self-improvement or makeover shows include The Biggest Loser, Extreme Weight Loss and Fat March (which cover weight loss), Extreme Makeover (entire physical appearance), Queer Eye, What Not to Wear, How Do I Look?, Trinny & Susannah Undress... and Snog Marry Avoid? (style and grooming), Supernanny (child-rearing), Made (life transformation), Tool Academy (relationship building) and Charm School and From G's to Gents (self-improvement and manners). The concept of self-improvement was taken to its extreme with the British show Life Laundry, in which people who had become hoarders, even living in squalor, were given professional assistance. The American television series Hoarders and Hoarding: Buried Alive follow similar premises, presenting interventions in the lives of people who suffer from compulsive hoarding. In one study, participants who admitted to watching more reality television were more likely to proceed with a desired plastic surgery than those who watched less. Renovation Some shows makeover part or all of a person's living space, workspace, or vehicle. The American series This Old House, which debuted in 1979, features the start-to-finish renovation of different houses through a season; media critic Jeff Jarvis has speculated that it is "the original reality TV show." The British show Changing Rooms, beginning in 1996 (later remade in the U.S. as Trading Spaces) was the first such renovation show that added a game show feel with different weekly contestants. House renovation shows are a mainstay on the American and Canadian cable channel HGTV, whose renovation shows