Department of Health Policy & Health Services Research, Boston University Henry M. Goldman School of Dental Medicine, 560 Harrison Ave, 3rd Floor, Rm 336, Boston, MA 02118, USA.
Department of Epidemiology, Boston University School of Public Health, Boston, MA 02118, USA.
Nutrients. 2023 Jun 1;15(11):2601. doi: 10.3390/nu15112601.
Interventions intended to reduce the consumption of dietary sugars among those population groups demonstrating disproportionately greater and more frequent consumption of sugar-sweetened beverages and foods (SSBF) would benefit from intervention strategies that are tailored to population-specific barriers and facilitators. The objective of this study was to develop and evaluate the acceptability of photo-enhanced and theory-based health promotion messages that target the reduction in SSBF among adult residents of public housing developments, a population known for their high rates of chronic disease. Using the message development tool as a framework, we developed a series of 15 SSBF reduction messages, using an iterative process with community member input. We then evaluated the acceptability of the messages and compared three delivery mechanisms: print, text, and social media. We recruited participants who were residents of urban public housing developments, and who spoke either English or Spanish. A majority of participants identified as being of Hispanic ethnicity (73%). The message acceptability scoring did not appear to differ according to the assigned delivery mechanism, despite some imbalances in participants' characteristics across delivery mechanisms. The messages that targeted motivation were least likely to be accepted. In conclusion, our findings suggest that engaging members of the community at all phases of the development process was a feasible method to develop SSBF reduction messages with a high perceived acceptability.
旨在减少那些过度和频繁消费含糖饮料和食品（SSBF）的人群中糖摄入量的干预措施，将受益于针对特定人群障碍和促进因素的干预策略。本研究的目的是开发和评估针对公共住房开发项目中成年居民减少 SSBF 的照片增强和基于理论的健康促进信息的可接受性，这些人群以慢性病发病率高而闻名。使用消息开发工具作为框架，我们使用社区成员的投入进行迭代过程，开发了一系列 15 个 SSBF 减少消息。然后，我们评估了这些消息的可接受性，并比较了三种传递机制：打印、文本和社交媒体。我们招募了居住在城市公共住房开发项目中的参与者，他们会说英语或西班牙语。大多数参与者被确定为西班牙裔（73%）。尽管参与者的特征在传递机制之间存在一些不平衡，但消息的可接受性评分似乎并没有根据分配的传递机制而有所不同。针对动机的消息最不可能被接受。总之，我们的研究结果表明，在开发过程的所有阶段让社区成员参与是一种可行的方法，可以开发出具有高度可接受性的 SSBF 减少信息。
