Outcomes of a Caregiver-Focused Short Message Service (SMS) Intervention to Reduce Intake of Sugar-Sweetened Beverages in Rural Caregivers and Adolescents.

Outcomes of a Caregiver-Focused Short Message Service (SMS) Intervention to Reduce Intake of Sugar-Sweetened Beverages in Rural Caregivers and Adolescents.
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DOI:
10.3390/nu15081957
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发表时间:
2023-04-19
期刊:
影响因子:
5.9
通讯作者:
Zoellner JM
Zoellner JM
中科院分区:
医学2区
文献类型:
--
作者:
Brock DP;Yuhas M;Porter KJ;Chow PI;Ritterband LM;Tate DF;Zoellner JM

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这项研究调查了以学校为基础的更大的含糖饮料(SSB)减少干预措施中的照顾者短信服务(SMS)部分的登记、保留、参与度和行为变化。在22周的时间里,阿巴拉契亚地区10所中学七年级学生的照顾者接受了双向短信基线评估和四次月度跟踪评估,以报告他们和他们孩子的SSB摄入量,并选择个性化的策略主题。在评估期间,照顾者每周收到两条单向消息:一条信息或信息图消息和一条战略消息。在1873名照顾者中,542人(29%)通过完成短信基线评估而登记。四分之三的人完成了评估2-5,其中84%保留在评估5。用于鼓励遵守的提醒将完成率提高了19%-40%,前两次提醒后完成的比例为18%-33%。大多数照顾者(72%-93%)选择了个性化的策略,平均28%的人查看了信息图表消息。在基线和评估5之间,照顾者(−0.32(0.03),效应大小(ES)=0.51)和儿童(−0.26(0.01),ES=0.53)的每日SSB摄入频率显著下降(p<0.01)。当仅限于每周食用SSB两次或更多的参与者(照顾者ES=0.65,儿童ES=0.67)时,效果大小增加。研究结果表明,短信传递的干预在吸引农村中学生照顾者和改善SSB行为方面是有希望的。
This study examined enrollment, retention, engagement, and behavior changes from a caregiver short message service (SMS) component of a larger school-based sugar-sweetened beverage (SSB) reduction intervention. Over 22 weeks, caregivers of seventh graders in 10 Appalachian middle schools received a two-way SMS Baseline Assessment and four monthly follow-up assessments to report their and their child’s SSB intake and select a personalized strategy topic. Between assessments, caregivers received two weekly one-way messages: one information or infographic message and one strategy message. Of 1873 caregivers, 542 (29%) enrolled by completing the SMS Baseline Assessment. Three-quarters completed Assessments 2–5, with 84% retained at Assessment 5. Reminders, used to encourage adherence, improved completion by 19–40%, with 18–33% completing after the first two reminders. Most caregivers (72–93%) selected a personalized strategy and an average of 28% viewed infographic messages. Between Baseline and Assessment 5, daily SSB intake frequency significantly (p < 0.01) declined for caregivers (−0.32 (0.03), effect size (ES) = 0.51) and children (−0.26 (0.01), ES = 0.53). Effect sizes increased when limited to participants who consumed SSB twice or more per week (caregivers ES = 0.65, children ES = 0.67). Findings indicate that an SMS-delivered intervention is promising for engaging rural caregivers of middle school students and improving SSB behaviors.
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