Likes Pins and Views: Engaging Moms on Teen Indoor Tanning Thru Social Media

 描述（由申请人提供）：社交媒体极大地改变了互联网的格局。用户收集信息并积极传播信息，影响信息的传播和可信度。因此，许多美国人比电视等旧媒体主导媒体领域时更多地参与社交媒体上的公共话语。我们的团队建议评估在针对青春期女儿的母亲的公共卫生宣传活动中使用社交媒体的有效性，其目标是减少青春期女孩的室内晒黑（IT）。这项研究意义重大，因为许多卫生机构和组织依赖于社交媒体，但对它们在健康传播活动中的潜在影响力的研究却很少。这一研究空白导致人们呼吁进行调查，以确定社交媒体在此类活动中的最佳实践，包括NIH，我们提出的研究将填补这一空白。对未成年人预防IT的关注也很重要，因为IT与患黑色素瘤的风险增加有关。许多州都颁布了禁止未成年人接触IT的禁令，但许多法律都规定了父母许可的例外情况。目前的父母许可法在减少少女IT方面不如年龄限制有效。社交媒体活动旨在减少母亲对IT的放纵，以最大限度地发挥父母许可法的效力。具体目标是：1）为母亲制定和实施一项关于青春期女儿健康和福利的社会媒体运动，包括基于理论的信息宣传，倡导青春期女孩避免使用信息技术，2）评估信息技术信息在以下方面的有效性：a）减少母亲对女儿在室内晒黑的纵容，以及女儿对母亲纵容的看法，B）减少母亲和女儿使用信息技术的流行率，以及c）增加支持加强禁止未成年人使用信息技术的母亲人数。在田纳西州协调学校健康计划的帮助下，从田纳西州东部中学招募的母亲/女儿将参加一个随机分组的对照设计;田纳西州要求父母允许未成年人在室内晒黑。信息技术信息将在两个学年（18个月）内通过使用Facebook、Twitter、YouTube、Pinterest和Instagram的综合社交媒体活动传递给母亲。学校将由县分配接受健康和健康的社会媒体活动（干预）或没有（控制）IT信息。母亲和女儿将在运动结束后的基线和6个月和12个月进行评估，并采用经验证的自我报告措施，衡量母亲对女儿在室内晒黑的宽容程度以及母亲和女儿对IT的流行程度。母亲对未成年人完全禁止IT的支持将通过要求她们采取行动向州立法者倡导禁令来客观评估（即，签署请愿书、发送信函/会议请求、自愿参加听证会）。次要目的是分析潜在的主持人（例如，母亲/女儿的特征;母亲的政治意识形态）和理论概念和竞选参与对竞选有效性的中介作用。

 DESCRIPTION (provided by applicant): Social media has dramatically changed the Internet landscape. Users gather information and actively disseminate it, influencing information spread and credibility. Consequently, many Americans are much more engaged in public discourse on social media than when older media such as television dominated the media terrain. Our team proposes to evaluate the effectiveness of employing social media in a public health communication campaign directed to mothers of adolescent daughters with the goal of decreasing indoor tanning (IT) by adolescent girls. This research is significant because many health agencies and organizations rely on social media yet there is a paucity of research on their potential influence in health communication campaigns. This research gap has led to calls for investigations that identify best practices for social media in such campaigns, including by NIH, and our proposed research will fill this gap. The focus on preventing IT by minors is also significant because IT has been linked to elevated risk for developing melanoma. Many states have enacted bans on access to IT by minors, but many laws include exceptions for parental permission. Current parental-permission laws are less effective at reducing IT by teen girls than age restrictions. The social media campaign seeks to reduce mothers' IT permissiveness to maximize the effectiveness of parental- permission laws. The specific aims are to: 1) develop and implement a social media campaign for mothers on health and wellness of adolescent daughters that includes theory-based messaging advocating adolescent girls avoid IT and 2) evaluate the effectiveness of the IT messages at a) decreasing mothers' permissiveness for daughters to indoor tan and daughters' perceptions of their permissiveness, b) reducing the prevalence of IT by mothers and daughters, and c) increasing the number of mothers who support strengthening bans on IT by minors. Mother/daughter pairs from secondary schools in Eastern Tennessee, recruited with the help of the state's Coordinated School Health program, will be enrolled in a group-randomized controlled design; Tennessee requires parental permission for minors to indoor tan. The IT messages will be delivered to mothers through an integrated social media campaign using Facebook, Twitter, YouTube, Pinterest, and Instagram over two school years (18 months). Schools will be assigned by county to receive a health and wellness social media campaign with (intervention) or without (control) IT messages. Mothers and daughters will be assessed at baseline and 6- and 12-months after the campaign concludes, with validated self-report measures of mothers' permissiveness for daughter to indoor tan and mothers' and daughters' prevalence of IT. Mothers' support for a complete ban on IT by minors will be objectively assessed by asking them to take actions to advocate for a ban to their state legislators (i.e., sign a petition, send a letter/meeting request, volunteer to attend a hearing). Secondary aims are to analyze potential moderators (e.g., mother/daughter characteristics; mothers' political ideology) and mediation of campaign effectiveness by theoretical concepts and campaign engagement.