Nutr Res Pract.  2016 Aug;10(4):456-463. 10.4162/nrp.2016.10.4.456.

Evaluation of emotion-based messages designed to motivate Hispanic and Asian parents of early adolescents to engage in calcium-rich food and beverage parenting practices

Affiliations
  • 1Department of Human Nutrition, Food and Animal Sciences, 1955 East West Road, Agricultural Sciences 216, University of Hawaii at Manoa, Honolulu, HI 96822, USA. jcbanna@hawaii.edu
  • 2Food Science and Nutrition, University of Minnesota, Minneapolis, MN 55455, USA.
  • 3Department of Human Nutrition, The Ohio State University, Columbus, OH 43210, USA.
  • 4Department of Nutrition, Dietetics and Food Science, Brigham Young University, Provo, UT 84602, USA.
  • 5Center for Consumer Research, Food Science and Technology, University of California-Davis, Davis, CA 95616, USA.
  • 6Nutrition, School of Biological and Population Health Sciences, Oregon State University, Corvallis, OR 97331, USA.
  • 7Department of Nutritional Sciences, University of Arizona, Tucson, AZ 85721, USA.
  • 8Department of Nutrition, Dietetics and Food Science, Brigham Young University, Provo, UT 84602, USA.

Abstract

BACKGROUND/OBJECTIVES
Setting healthful beverage expectations, making calcium-rich foods and beverages (CRF/B) available, and role modeling are parenting practices promoting calcium intake among early adolescents. This study aimed to evaluate emotion-based messages designed to motivate parents of early adolescents to perform these practices.
SUBJECTS/METHODS
Emotion-based messages were developed for each parenting practice and tested in 35 parents from 5 states. Findings were used to modify messages and develop a survey administered via Amazon MechanicalTurk to a convenience sample of Asian (n = 166) and Hispanic (n = 184) parents of children 10-13 years. Main outcome measures were message comprehension, motivation, relevance, acceptability, and novelty. Engagement in the parenting practices was also assessed.
RESULTS
Message comprehension was acceptable for the majority of parents. Most also agreed that messages were motivational (setting healthful beverage expectations (69.0%), making CRF/B available (67.4%), and role modeling (80.0%)), relevant and acceptable. About 30-50% indicated they had not seen the information before. Many parents indicated they were already engaging in the practices (> 70%). No racial/ethnic differences were observed for responses to messages or engaging in parenting practices.
CONCLUSIONS
Results indicate that emotion-based messages designed to motivate parents to engage in parenting practices that promote calcium intake among early adolescents were motivating, relevant, and acceptable.

Keyword

Emotion-based message; Hispanic; Asian; early adolescent; calcium

MeSH Terms

Adolescent*
Asian Continental Ancestry Group*
Beverages*
Calcium
Child
Comprehension
Hispanic Americans*
Humans
Motivation
Outcome Assessment (Health Care)
Parenting*
Parents*
Calcium

Figure

  • Fig. 1 Flow chart outlining message development and testing process

  • Fig. 2 Messages for Hispanic parents


Reference

1. Office of the Surgeon General (US). Bone Health and Osteoporosis: a Report of the Surgeon General. Rockville (MD): Office of the Surgeon General;2004.
2. Grossman JM. Osteoporosis prevention. Curr Opin Rheumatol. 2011; 23:203–210.
Article
3. Golden NH, Abrams SA. Committee on Nutrition. Optimizing bone health in children and adolescents. Pediatrics. 2014; 134:e1229–e1243.
Article
4. Wallace TC, Reider C, Fulgoni VL 3rd. Calcium and vitamin D disparities are related to gender, age, race, household income level, and weight classification but not vegetarian status in the United States: analysis of the NHANES 2001-2008 data set. J Am Coll Nutr. 2013; 32:321–330.
Article
5. Nicklas TA, Qu H, Hughes SO, Wagner SE, Foushee R, Shewchuk RM. Prevalence of self-reported lactose intolerance in a multi-ethnic sample of adults. Nutr Today. 2009; 44:222–227.
Article
6. Larsson SC, Orsini N, Wolk A. Dietary calcium intake and risk of stroke: a dose-response meta-analysis. Am J Clin Nutr. 2013; 97:951–957.
Article
7. Reicks M, Degeneffe D, Ghosh K, Bruhn C, Goodell LS, Gunther C, Auld G, Ballejos M, Boushey C, Cluskey M, Misner S, Olson B, Wong S, Zaghloul S. Parent calcium-rich-food practices/perceptions are associated with calcium intake among parents and their early adolescent children. Public Health Nutr. 2012; 15:331–340.
Article
8. Larson NI, Story M, Wall M, Neumark-Sztainer D. Calcium and dairy intakes of adolescents are associated with their home environment, taste preferences, personal health beliefs, and meal patterns. J Am Diet Assoc. 2006; 106:1816–1824.
Article
9. Lee S, Reicks M. Environmental and behavioral factors are associated with the calcium intake of low-income adolescent girls. J Am Diet Assoc. 2003; 103:1526–1529.
Article
10. Vue H, Reicks M. Individual and environmental influences on intake of calcium-rich food and beverages by young Hmong adolescent girls. J Nutr Educ Behav. 2007; 39:264–272.
Article
11. Cluskey M, Auld G, Edlefsen M, Zaghloul S, Bock MA, Boushey CJ, Bruhn C, Goldberg D, Misner S, Olson B, Reicks M. Calcium knowledge, concern, and expectations for intake among parents of Asian, Hispanic, and non-Hispanic white early adolescents [Internet]. Raleigh (NC): Department of 4-H Youth Development and Family & Consumer Sciences;2008. cited 2015 October 1. Available from: http://ncsu.edu/ffci/publications/2008/v13-n3-2008-winter/cluskey-auld-adlefsen-zaghloul-bock-bouskey-bruhn-goldbergnisner-olson-reicks.php.
12. Barr SI. Associations of social and demographic variables with calcium intakes of high school students. J Am Diet Assoc. 1994; 94:260–266. 269
Article
13. Winzenberg T, Hansen E, Jones G. How do women change osteoporosis-preventive behaviours in their children? Eur J Clin Nutr. 2008; 62:379–385.
Article
14. Bagozzi RP, Gopinath M, Nyer PU. The role of emotions in marketing. J Acad Mark Sci. 1999; 27:184–206.
Article
15. Biener L, Ji M, Gilpin EA, Albers AB. The impact of emotional tone, message, and broadcast parameters in youth anti-smoking advertisements. J Health Commun. 2004; 9:259–274.
Article
16. Bates SB, Riedy CA. Changing knowledge and beliefs through an oral health pregnancy message. J Public Health Dent. 2012; 72:104–111.
Article
17. Poggi I. The goals of persuasion. Pragmat Cogn. 2005; 13:297–336.
Article
18. Miceli M, de Rosis F, Poggi I. Emotional and non-emotional persuasion. Appl Artif Intell. 2006; 20:849–879.
Article
19. Kotler P. Marketing Management: Millennium Edition. 10th ed. Upper Saddle River (NJ): Prentice-Hall;1999.
20. Petty RE, Cacioppo JT. The elaboration likelihood model of persuasion. In : Berkowitz L, editor. Advances in Experimental Social Psychology: Vol 19. New York (NY): Academic Press;1986. p. 123–205.
21. Ray ML, Batra R. Emotion and persuasion in advertising: what we do and don't know about affect. In : Tybout AM, Bagozzi RP, editors. Advances in Consumer Research: Vol 10. Ann Arbor (MI): Association for Consumer Research;1983. p. 543–548.
22. Pivonka E, Seymour J, McKenna J, Baxter SD, Williams S. Development of the behaviorally focused fruits & Veggies--More Matters public health initiative. J Am Diet Assoc. 2011; 111:1570–1577.
Article
23. Colchamiro R, Ghiringhelli K, Hause J. Touching hearts, touching minds: using emotion-based messaging to promote healthful behavior in the Massachusetts WIC program. J Nutr Educ Behav. 2010; 42:S59–S65.
Article
24. Tyagi CL, Kumar A. Advertising Management. New Delhi: Atlantic Publishers & Dist;2004.
25. Kreuter MW, Wray RJ. Tailored and targeted health communication: strategies for enhancing information relevance. Am J Health Behav. 2003; 27:Suppl 3. S227–S232.
Article
26. Wirtz JG, Kulpavaropas S. The effects of narrative and message framing on engagement and eating intention among a sample of adult Hispanics. J Nutr Educ Behav. 2014; 46:396–400.
Article
27. Institute of Medicine Committee on Communication for Behavior Change in the 21st Century Improving the Health of Diverse Populations (US). Speaking of Health: Assessing Health Communication Strategies for Diverse Populations. Washington (D.C.): National Academies Press;2002.
28. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000; 55:68–78.
Article
29. Richards R, Reicks M, Wong SS, Gunther C, Cluskey M, Ballejos MS, Bruhn C, Johnston NP, Misner S, Watters C. Perceptions of how parents of early adolescents will personally benefit from calciumrich food and beverage parenting practices. J Nutr Educ Behav. 2014; 46:595–601.
Article
30. Blakeman R. Integrated Marketing Communication: Creative Strategy from Idea to Implementation. Blue Ridge Summit (PA): Rowman & Littlefield;2014.
31. Vyduna JL, Boushey CJ, Bruhn CM, Reicks M, Auld GW, Cluskey M, Edlefsen M, Misner S, Olson B, Schram J, Zaghloul S. Field-testing a questionnaire assessing parental psychosocial factors related to consumption of calcium-rich foods by Hispanic, Asian, and non-Hispanic white young adolescent children. Ecol Food Nutr. 2016; 55:1–15.
Article
32. Reicks M, Ballejos ME, Goodell LS, Gunther C, Richards R, Wong SS, Auld G, Boushey CJ, Bruhn C, Cluskey M, Misner S, Olson B, Zaghloul S. Individual and family correlates of calcium-rich food intake among parents of early adolescent children. J Am Diet Assoc. 2011; 111:376–384.
Article
33. Yang YJ, Martin BR, Boushey CJ. Development and evaluation of a brief calcium assessment tool for adolescents. J Am Diet Assoc. 2010; 110:111–115.
Article
34. Siris ES, Miller PD, Barrett-Connor E, Faulkner KG, Wehren LE, Abbott TA, Berger ML, Santora AC, Sherwood LM. Identification and fracture outcomes of undiagnosed low bone mineral density in postmenopausal women: results from the National Osteoporosis Risk Assessment. JAMA. 2001; 286:2815–2822.
Article
35. Edlefsen M, Reicks M, Goldberg D, Auld G, Bock MA, Boushey CJ, Bruhn C, Cluskey M, Misner S, Olson B, Wang C, Zaghloul S. Strategies of Asian, Hispanic, and non-Hispanic white parents to influence young adolescents' intake of calcium-rich foods, 2004 and 2005. Prev Chronic Dis. 2008; 5:A119.
36. Borugian MJ, Sheps SB, Whittemore AS, Wu AH, Potter JD, Gallagher RP. Carbohydrates and colorectal cancer risk among Chinese in North America. Cancer Epidemiol Biomarkers Prev. 2002; 11:187–193.
37. Ma J, Johns RA, Stafford RS. Americans are not meeting current calcium recommendations. Am J Clin Nutr. 2007; 85:1361–1366.
Article
38. Zarnowiecki DM, Dollman J, Parletta N. Associations between predictors of children's dietary intake and socioeconomic position: a systematic review of the literature. Obes Rev. 2014; 15:375–391.
Article
39. Wansink B, Pope L. When do gain-framed health messages work better than fear appeals? Nutr Rev. 2015; 73:4–11.
Article
40. Kreuter MW, Oswald DL, Bull FC, Clark EM. Are tailored health education materials always more effective than non-tailored materials? Health Educ Res. 2000; 15:305–315.
Article
41. Quintiliani LM, Carbone ET. Impact of diet-related cancer prevention messages written with cognitive and affective arguments on message characteristics, stage of change, and self-efficacy. J Nutr Educ Behav. 2005; 37:12–19.
Article
42. Wilson BJ. Designing media messages about health and nutrition: what strategies are most effective? J Nutr Educ Behav. 2007; 39:S13–S19.
Article
43. Petty RE, Cacioppo JT. Communication and Persuasion: Central and Peripheral Routes to Attitude Change. New York (NY): Springer-Verlag;1986.
44. Hobbs R, Broder S, Pope H, Rowe J. How adolescent girls interpret weight-loss advertising. Health Educ Res. 2006; 21:719–730.
Article
45. Bandura A. Social Foundations of Thought and Action: a Social Cognitive Theory. Englewood Cliffs (NJ): Prentice Hall;1986.
46. Lustria ML, Noar SM, Cortese J, Van Stee SK, Glueckauf RL, Lee J. A meta-analysis of web-delivered tailored health behavior change interventions. J Health Commun. 2013; 18:1039–1069.
Article
47. Shoemaker PJ, Chang T, Brendlinger N. Deviance as a predictor of newsworthiness: coverage of international events in the US media. In : McLaughlin ML, editor. Communication Yearbook: Vol. 10. London: SAGE Publications;1987. p. 348–365.
48. Kim HS, Lee S, Cappella JN, Vera L, Emery S. Content characteristics driving the diffusion of antismoking messages: implications for cancer prevention in the emerging public communication environment. J Natl Cancer Inst Monogr. 2013; 2013:182–187.
Article
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