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

• 批准号: 9808349
• 负责人: Brenda Heaton
• 金额: $ 26.77万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-01 至 2021-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9808349
• 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

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.

龋齿在服务不足的人群中非常普遍，并添加了糖 消费是该疾病最突出，最一致的危险因素之一。修改干预措施 行为并最大程度地减少受牙齿影响最大的糖的摄入量是挑战，迄今为止 尝试开发有效干预措施的尝试在很大程度上没有成功。这可能部分是由于缺乏 基于人口特定的障碍和促进者量身定制的基于神圣的消息传递。 我们建议使用理论上的创新策略来开发针对该消息量身定制的信息 我们服务不足的研究人群的障碍和促进者 - 公共住房的居民。我们将利用 社会认知理论强调了个人，其行为和环境之间的相互作用， 为了确保我们开发的消息理论上是基础的。摄影使用照片 参与者捕获通常无法为研究人员提供的设置中的社会和环境条件 （例如，房屋）。它允许对行为障碍和促进者进行深入研究。邮件设计 使用光能尤其适合记录各个社区的多种影响， 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量身定制消息，它将增加关注 给出消息，改善处理消息的努力，导致更少的反驳并增加 消息的可信度。我们的目标是开发准备干预的消息和交付 用于新干预科学领域的协议，例如社交网络。我们的具体目的是： （1）使用光箱和焦点小组方法，以识别环境级别和个体级别 减少成人食用糖的卧室和食物的障碍和促进者 波士顿公共住房的居民（n = 40）； （2）使用AIM 1中获得的信息，开发基于照片增强理论的健康促进 靶向减少饮食糖的消息（n = 60）； （3）评估已发达的消息和三个消息传递偏好的可接受性 不同的成人公众人口中不同的交付渠道 - SMS/基于应用程序的文本，社交媒体，印刷媒体 住房居民（n = 100）。 公共住房居民代表着针对健康的干预措施的高影响力，高回报 由于贫困和贫困的高密度空间聚类，差异尤其处于不利地位 健康和相关的污名比许多其他灾难性的社区都多。 有效的针对城市穷人的干预措施需要创新技术来实现目标 行为改变，降低风险和改善口腔健康结果。