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Photo-enhanced messaging to address dietary sugars as a common risk factor for chronic disease

光增强信息传递解决膳食糖作为慢性病的常见危险因素

基本信息

批准号：
9978023
负责人：
Brenda Heaton
金额：
$ 21.02万
依托单位：
BOSTON UNIVERSITY MEDICAL CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-01 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9978023
关键词：
Address Adult Affect Area Attention Behavior Behavioral Beverages Boston Calories Characteristics Chronic Disease Communities Consumer Organizations Consumption Data Dental caries Development Diet Dietary Sugars Disadvantaged Disease Education Ensure Environment Focus Groups Food Future Goals Health Health Promotion Health Status Home environment Individual Intake Intervention Intervention Studies Lead Learning Link Low income Methodology Methods Neighborhoods Oral health Outcome Participant Persons Play Population Population Group Population Intervention Poverty Prevention strategy Printed Media Process Protocols documentation Psychological reinforcement Public Housing Research Research Personnel Resources Risk Risk Factors Risk Reduction Science Self Efficacy Social Environment Social Marketing Social Network Source Target Populations Techniques Testing Text Theoretical model Tooth Diseases Underserved Population Youth base behavior change density design effective intervention ethnic minority population expectation food quality health care availability health disparity high reward high risk improved innovation intervention effect low socioeconomic status nutrition preference psychosocial racial and ethnic social social cognitive theory social media social stigma study population sugar sweetened beverage tailored messaging theories therapy development treatment effect

项目摘要

Dental caries is highly prevalent among people from underserved population groups and added sugar consumption is one of the most prominent and consistent risk factors for this disease. Interventions to modify behavior and minimize sugar intake among those most affected by dental caries are challenging and, to date, attempts to develop effective interventions have been largely unsuccessful. This may be due in part to the lack of theoretically-based messaging that is tailored to population-specific barriers and facilitators. We propose to use theoretically-based innovative strategies to develop messages that are tailored to the barriers and facilitators of our underserved study population – residents of public housing. We will draw upon Social Cognitive Theory which highlights interplay among individuals, their behavior, and their environment, in order to ensure that messages we develop are theoretically grounded. PhotoVoice uses photographs taken by participants to capture the social and environmental conditions in settings not typically available to researchers (e.g., homes). It allows for an in-depth examination of behavioral barriers and facilitators. Messages designed using PhotoVoice are particularly well adapted to documenting multiple influences across community, consumer, and organizational nutrition environments (e.g., store shelves, neighborhood parties, etc.). Our scientific premise is that by tailoring messages to population-specific barriers, it will increase attention given to the message, improve efforts to process the message, result in fewer counterarguments and increase the perceived credibility of the message. Our goal is to develop intervention-ready messages and delivery protocols for use in new areas of intervention science, such as social networks. Our Specific Aims are: (1) Using PhotoVoice and focus group methodology, to identify the environmental-level and individual-level barriers and facilitators to reducing consumption of sugar-sweetened beverages and foods among adult residents of Boston public housing (n=40); (2) Using the information gained in Aim 1, to develop photo-enhanced theory-based health promotion messages that target reduction of dietary sugar in a public housing population (n=60); (3) Assess the acceptability of the developed messages and message delivery preferences across three different delivery channels – SMS/App-based text, social media, print media – in a population of adult public housing residents (n=100). Public housing residents represent a high impact, high-reward population for interventions addressing health disparities as they are particularly disadvantaged by the high-density spatial clustering of poverty and poor health and by the associated stigma that burdens them more than many other disadvantaged communities. Effective tailoring of interventions that target the urban poor require innovative techniques to achieve the goals of behavior change, risk reduction and improved oral health outcomes.

龋齿在缺乏服务的人群和添加糖的人群中非常普遍消费是这种疾病最突出和最稳定的风险因素之一。要修改的干预措施那些受龋齿影响最大的人的行为和尽量减少糖的摄入量是具有挑战性的，到目前为止，制定有效干预措施的尝试大多未获成功。这可能部分是由于缺乏基于理论的消息传递是为特定人群的障碍和促进者量身定做的。我们建议使用基于理论的创新策略来开发针对阻碍和促进我们服务不足的研究人群--公共住房的居民。我们将利用社会认知理论，强调个人、他们的行为和他们的环境之间的相互作用以确保我们开发的信息在理论上是有根据的。PhotoVoice使用由参与者在研究人员通常无法获得的环境中捕捉社会和环境条件 (例如，房屋)。它允许深入检查行为障碍和促进者。设计的消息使用PhotoVoice特别适合记录社区中的多种影响，消费者和组织营养环境(例如，商店货架、邻里聚会等)。我们的科学前提是，通过针对特定人群的障碍定制信息，它将增加人们的关注给予信息，改进处理信息的努力，导致更少的反驳和增加感知到的信息的可信度。我们的目标是开发可供干预使用的消息和传递在干预科学的新领域使用的协议，例如社交网络。我们的具体目标是： (1)使用PhotoVoice和焦点小组方法，识别环境层面和个人层面成人减少含糖饮料和食品消费的障碍和促进者波士顿公共住房居民(n=40)； (2)利用在目标1中获得的信息，开发基于光增强理论的健康促进旨在减少公共住房人口饮食糖分的信息(n=60)； (3)评估所开发的报文的可接受性和报文的传递偏好不同的传递渠道-基于短信/应用程序的文本、社交媒体、印刷媒体-在成年公众群体中住房居民(n=100)。公共住房居民代表着对健康问题进行干预的高影响力、高回报的人群贫富差距，因为贫困和贫困的高密度空间集聚使他们特别处于不利地位健康和相关的耻辱使他们比许多其他弱势群体承受更大的负担。针对城市穷人的有效干预措施需要创新的技术来实现这些目标行为改变、降低风险和改善口腔健康结果。