Persisting Effects of a Social Media Campaign to Prevent Indoor Tanning: A Randomized Trial.

Persisting Effects of a Social Media Campaign to Prevent Indoor Tanning: A Randomized Trial.
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DOI:
10.1158/1055-9965.epi-21-0059
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发表时间:
2022-04-01
期刊:
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子:
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通讯作者:
Kinsey A
Kinsey A
中科院分区:
其他
文献类型:
--
作者:
Buller DB;Pagoto S;Henry KL;Baker K;Walkosz BJ;Hillhouse J;Berteletti J;Bibeau J;Kinsey A

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一项针对母亲的社交媒体运动旨在减少青春期女儿进行室内晒黑(IT),但在事后测试中,母亲们对室内晒黑(IT)的容忍度降低了。活动结束六个月后效果是否持续仍有待确定。 34 个未禁止未成年人使用 IT 的州的 14-17 岁女儿的母亲 (N=869) 参加了一项随机试验。所有母亲都接受了为期 12 个月以上的青少年健康宣传活动,其中发布了有关预防 IT(干预)或处方药滥用(控制)的帖子。母亲们在随机分组后 18 个月完成了一项随访,衡量 IT 的宽容度、态度、意图、沟通和行为,以及对国家禁令的支持。女儿(n=469;54.0%)刚刚完成基线和后续调查。结构方程模型显示,干预组母亲对女儿的IT要求不太宽容(非标准化系数=−0.17,95%置信区间[CI],−0.31,−0.03),拒绝女儿IT请求的自我效能感较高(0.17,95%CI,0.06,0.29),并且本身的IT意图较低(−0.18,95%CI, -0.35,-0.01),并且比对照组母亲更支持禁止未成年人使用 IT(0.23,95% CI,0.02,0.43)。干预组女儿的 IT 态度低于对照组(−.16,95% CI,0.31,−0.01)。社交媒体活动可能产生了持久的影响,说服母亲们在活动结束后六个月内不允许女儿在室内晒黑。母亲们也持续减少了对未成年人使用 IT 的意愿,并增加了对禁止未成年人使用 IT 的支持。社交媒体可能会增加母亲们的支持,以对未成年人的 IT 施加更多限制。
A social media campaign for mothers aimed at reducing indoor tanning (IT) by of adolescent daughters reduced mothers’ permissiveness toward IT in an immediate posttest. Whether the effects persisted at six months after the campaign remains to be determined. Mothers (N=869) of daughters aged 14–17 in 34 states without bans on IT by minors were enrolled in a randomized trial. All mothers received an adolescent health campaign over 12 months with posts on preventing IT (intervention) or prescription drug misuse (control). Mothers completed a follow-up at 18-months post-randomization measuring IT permissiveness, attitudes, intentions, communication, and behavior, and support for state bans. Daughters (n=469; 54.0%) just completed baseline and follow-up surveys. Structural equation modeling showed that intervention-group mothers were less permissive of IT by daughters (unstandardized coefficient=−0.17, 95% confidence interval [CI], −0.31, −0.03), had greater self-efficacy to refuse daughter’s IT requests (0.17, 95% CI, 0.06, 0.29) and lower IT intentions themselves (−0.18, 95% CI, −0.35, −0.01), and were more supportive of bans on IT by minors (0.23, 95% CI, 0.02, 0.43) than control-group mothers. Intervention-group daughters expressed less positive IT attitudes than controls (−.16, 95% CI, 0.31, −0.01). The social media campaign may have had a persisting effect of convincing mothers to withhold permission for daughters to indoor tan for six months after its conclusion. Reduced IT intentions and increased support for bans on IT by minors also persisted among mothers. Social media may increase support among mothers to place more restrictions on IT by minors.