Real Health: Innovative Health Media Service to Increase Visual Image Diversity

真正健康：创新健康媒体服务，增加视觉形象多样性

• 批准号: 8320886
• 负责人: Mary K Buller
• 金额: $ 71.26万
• 依托单位: KLEIN BUENDEL, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-04 至 2013-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8320886
• 关键词: Adolescent Nutrition; Adult; Advocate; African American; Age; Age-Years; Arts; Asians; Attention; Behavior; Businesses; Characteristics; Child; Chronic Disease; Client; Collection; Communication; Communication Research; Comprehension; Databases; Demographic Analyses; Development; Diet; Educational Materials; Effectiveness; Elderly; Feeling; Government Agencies; Health; Health Communication; Health Professional; Health behavior; Health behavior change; Health education; Healthcare; Hispanics; Hour; Image; Impairment; Individual; Intention; Internet; Intervention; Knowledge; Libraries; Malignant neoplasm of prostate; Marketing; Mediator of activation protein; Medical; Modeling; Multimedia; Native Americans; Not Hispanic or Latino; Obesity; Outcome; Overweight; Pamphlets; Participant; Persuasive Communication; Phase; Photography; Physical activity; Population Heterogeneity; Printing; Production; Public Health; Qualifying; Race; Randomized; Reading; Recruitment Activity; Research; Research Personnel; Sampling; Self Efficacy; Services; Site; Small Business Innovation Research Grant; Socioeconomic Status; Solutions; Source; Specialist; Subgroup; Target Populations; Teenagers; Testing; Text; Underserved Population; Visual; Weight; Weight maintenance regimen; Work; base; behavior change; combat; cost effective; demographics; design; disability; e-commerce; expectation; experience; health disparity; improved; innovation; male; meetings; men; physical conditioning; population health; posters; satisfaction; theories; usability; web site

DESCRIPTION (provided by applicant): As a health communication, multimedia and graphic design firm, we, like many others, are consumers of high quality royalty-free stock photography for health education materials. Unfortunately, there is a dearth of readily-available images depicting health conditions and behaviors that match characteristics of target audiences defined by race, socio-economic status, age, weight, medical conditions, and physical disabilities. This shortcoming is a theoretic and practical problem for health education, as several common theories guiding successful health interventions predict that communication is more effective when sources and models are attractive and similar to target audiences, producing identification and perceived relevance. In Phase I, our team demonstrated the feasibility of developing a collection of photographs depicting diverse settings, health behaviors, health conditions and demographics, called Real Health, which can be used by health and media professionals to increase effectiveness of health communication by incorporating similar image referents. In this Phase II project, our team proposes to fully-develop the Real Health enterprise, an online image library for use in health communication. First, we will produce Real Health and populate it with photographs taken in Phase I and additional photographs of 240 individuals (African American, Hispanic, Native American, Asian, non-Hispanic white, and GLBT; children/teens, adults, and seniors; overweight and with mobility challenges) taken in Phase II. Potential end users (photographers and public health practitioners) will evaluate the Real Health e-commerce site and business model for efficiency, utility, user participation, and satisfaction. The Real Health website will be subjected to beta and usability testing prior to launch. Next, we will evaluate the ability of photos from Real Health to improve health education message effectiveness in a randomized pretest-posttest 3-group design. Three experimental conditions will be created, i.e., a health education message with 1) all Real Health photos that match the target audience, 2) half Real Health photos, and 3) all mismatched photos (obtained from existing commercial stock photo libraries). The health education message will advocate increased physical activity and improved diet to reduce chronic disease. Photos will be selected based on careful pretesting with target audiences. A sample of individuals who are African Americans, Hispanics, Native Americans, overweight/obese, 65 years of age or older, and with mobility challenges (n=510 per subgroup; n=3060 total) will be recruited from an Internet panel maintained by Knowledge Networks, Inc. Participants will be pretested, assigned to read a health education message in one of the conditions, and post-tested. Analyses will evaluate the effect of Real Health photos on primary (intention) and secondary (positive outcome and self-efficacy expectations) outcomes, test potential effect moderators, and explore theoretical mediators of perceived relevance, appropriateness, similarity and identification in the health education messages. KB is uniquely qualified to create and commercialize the Real Health stock photography enterprise.

描述（由申请人提供）：作为一家健康传播，多媒体和平面设计公司，我们和许多其他公司一样，是健康教育材料的高质量免版税库存摄影的消费者。不幸的是，缺乏描述健康状况和行为的现成图像，这些健康状况和行为与由种族、社会经济地位、年龄、体重、医疗条件和身体残疾定义的目标受众的特征相匹配。这一缺陷是健康教育的一个理论和实践问题，因为指导成功健康干预的几个常见理论预测，当来源和模式具有吸引力且与目标受众相似时，沟通会更有效，从而产生认同和感知相关性。在第一阶段，我们的团队证明了开发一个描述不同环境、健康行为、健康状况和人口统计数据的照片集的可行性，该照片集被称为真实的健康，可供健康和媒体专业人员使用，通过结合类似的图像参考来提高健康传播的有效性。在这个第二阶段的项目中，我们的团队建议全面开发真实的健康企业，一个用于健康传播的在线图像库。首先，我们将制作真实的健康，并在其中填充第一阶段拍摄的照片和第二阶段拍摄的240名个体（非洲裔美国人、西班牙裔美国人、美洲原住民、亚洲人、非西班牙裔白色人和GLBT;儿童/青少年、成人和老年人;超重和行动不便）的其他照片。潜在的最终用户（摄影师和公共卫生从业者）将评估真实的健康电子商务网站和商业模式的效率，效用，用户参与和满意度。真实的健康网站将在发布前进行beta和可用性测试。接下来，我们将在一个随机的前测-后测3组设计中评估来自真实的健康的照片提高健康教育信息有效性的能力。将创建三个实验条件，即，健康教育消息，其具有1）匹配目标受众的所有真实的健康照片，2）一半真实的健康照片，以及3）所有不匹配的照片（从现有商业库存照片库获得）。健康教育信息将倡导增加体育活动和改善饮食，以减少慢性疾病。照片将根据与目标受众的仔细预先测试进行选择。将从Knowledge Networks，Inc.维护的互联网小组中招募非裔美国人、西班牙裔美国人、美洲原住民、超重/肥胖、65岁或以上且有行动障碍的个体样本（每个亚组n=510;总计n=3060）。参与者将接受预测试，被分配在其中一个条件下阅读健康教育信息，并进行后测试。分析将评估真实的健康照片对主要（意图）和次要（积极结果和自我效能期望）结果的影响，测试潜在的影响调节因子，并探索健康教育信息中感知相关性、适当性、相似性和识别性的理论中介。KB是唯一有资格创造和商业化的真实的健康股票摄影企业。