Berry Emma, Aucott Lorna, Poobalan Amudha
University of Aberdeen, Foresterhill, Aberdeen, AB25 2ZD UK.
Z Gesundh Wiss. 2018;26(6):687-696. doi: 10.1007/s10389-018-0905-9. Epub 2018 Feb 19.
This study aims to determine if current health promotion messages relating to diet and physical activity are sufficiently targeted towards young adults. In addition, we examine what elements of these messages might be improved to ensure they encourage improved diet and exercise behaviours within this underserved group.
Using qualitative methods, five focus group discussions (FGDs) and two semi-structured in-depth interviews were conducted among 19 young adults in Aberdeen City. An appropriate topic guide was developed for this purpose. After obtaining consent, all FGDs and interviews were audio-recorded and transcribed verbatim. A thematic analysis was conducted that allowed for emerging themes to be identified from the data. Links between themes were established and key quotes identified.
Five major themes emerged: (1) exposure to health messages over time; (2) chains of healthy or unhealthy behaviours; (3) perceptions and attitudes towards health messages; (4) facilitators and barriers; (5) improving the usability of health messages.
The results demonstrate that young adults did not find current health promotion messages engaging. These messages did not support them in overcoming their perceived barriers, nor were they suitably formatted or located for them. There were suggestions from young adults on how to improve these messages including using social media, presenting messages in more usable forms, and working with larger corporations to make these messages more effective. Tailoring these messages specifically for young adults could improve their diet and exercise behaviours, thereby helping to reduce future obesity levels and co-morbidities within Scotland.
本研究旨在确定当前与饮食和身体活动相关的健康促进信息是否充分针对年轻人。此外,我们还研究了这些信息的哪些要素可以改进,以确保它们能鼓励这个服务不足群体改善饮食和运动行为。
采用定性方法,在阿伯丁市对19名年轻人进行了五次焦点小组讨论(FGD)和两次半结构化深度访谈。为此制定了合适的主题指南。获得同意后,所有焦点小组讨论和访谈都进行了录音,并逐字转录。进行了主题分析,以便从数据中识别出新兴主题。建立了主题之间的联系,并确定了关键引语。
出现了五个主要主题:(1)随着时间推移接触健康信息;(2)健康或不健康行为链;(3)对健康信息的认知和态度;(4)促进因素和障碍;(5)提高健康信息的可用性。
结果表明,年轻人认为当前的健康促进信息缺乏吸引力。这些信息无法帮助他们克服所感知到的障碍,其格式和呈现位置也不适合他们。年轻人就如何改进这些信息提出了建议,包括使用社交媒体、以更实用的形式呈现信息,以及与大型企业合作以使这些信息更有效。专门为年轻人量身定制这些信息可以改善他们的饮食和运动行为,从而有助于降低苏格兰未来的肥胖水平和合并症发生率。