Engaging Adolescents Through Participatory and Qualitative Research Methods to Develop a Digital Communication Intervention to Reduce Adolescent Obesity

Livingood, William C.; Monticalvo, David; Bernhardt, Jay Michael; Wells, Kelli T; Harris, Todd A.; Kee, Kadra; Hayes, J.L.; George, Donald E.; Woodhouse, Lynn D.

doi:10.1177/1090198116677216

Cited by 40 publications

(53 citation statements)

References 26 publications

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“…36 Digital media have also been evaluated for efficacy in enabling health promoting capacity through processes such as information seeking 37 and holistic self-participatory care. 38 Further, these media also have been used in specific disease contexts, such as obesity 39 and breast cancer. 40 This systematic review focused on the role of new digital media on sexual health knowledge, attitudes and behaviours of 13-24 year olds.…”

Section: Discussionmentioning

confidence: 99%

New digital media interventions for sexual health promotion among young people: a systematic review

et al. 2019

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New digital media platforms (e.g. social networking sites, web pages and text messaging) have dramatically changed interpersonal communication and present novel opportunities for health interventions. Due to the high uptake and use of digital media among young people, advances in digital media provide potential new opportunities in delivering health interventions to this audience to reduce sexually transmissible infection (STI) risk. The aim of this study was to assess the effectiveness of sexual health interventions delivered via new digital media to young people (aged 13-24 years). A systematic search was conducted of seven databases for peer-reviewed literature published between January 2010 and April 2017 that evaluated a sexual health intervention delivered to young people (aged 13-24 years). Of 2017 papers reviewed, 25 met the inclusion criteria and were assessed. Sixteen studies used web-based platforms to deliver their intervention. A large proportion of studies (11/25) specifically focused on HIV prevention. Seven studies found a statistically significant effect of the intervention on knowledge levels regarding the prevention HIV and other STI, as well as general sexual health knowledge, but only one-fifth of interventions evaluating intentions to use condoms reported significant effects due to the intervention. Nine studies focused on individuals from an African American background. Although new media has the capacity to expand efficiencies and coverage, the technology itself does not guarantee success. It is essential that interventions using new digital media have high-quality, evidence-based content that engages with individual participants.

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Section: Discussionmentioning

confidence: 99%

New digital media interventions for sexual health promotion among young people: a systematic review

et al. 2019

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“…35,36 Although researchers investigating the effectiveness of youth creating videos to increase the effectiveness of class-based learning experiences was largely lacking, it was anticipated that children creating their own UGC videos might have created more excitement and engagement in program activities in part because youth have an affinity for technology and online activities. 37 When youth create UGC videos based on information they are exposed to during an in-person class, it would require that they reflect on content, synthesize information, and reinforce learning through repetition. The exercise of reflection provides youth with a clear connection between the new material and previous knowledge.…”

Section: Resultsmentioning

confidence: 99%

Incorporating Technology Into the iCook 4-H Program, a Cooking Intervention for Adults and Children: Randomized Controlled Trial (Preprint)

Colby¹,

Moret²,

Olfert³

et al. 2018

Preprint

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1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 Objective: Describe challenges and facilitators to incorporating technology into the iCook-4-H intervention program. Design: Randomized control trial.Setting: Community-based participatory childhood obesity prevention program.Participants: 288 dyads; youth (9.4±0.7 years old) and adult primary meal preparers (39.0±8 years). Intervention(s):Six in-person sessions to increase families cooking, eating and playing together with online between-session technology components of curriculum.Main Outcome Measure(s): Baseline, 4, 12, and 24-month assessments included measured anthropometrics for youth and online surveys about camera and website skill and use for dyads. Session leaders and participants completed open-ended process evaluations after each session about technology components.Analysis: Chi Square analysis computed for gender differences in technology variables. Relationships between video posting frequency and outcomes of interest (cooking frequency, self-efficacy and skills; dietary intake; and body mass index [BMI]) were tested with Spearman correlations.Process evaluations and open-ended survey responses were thematically analyzed for beneficial and inhibiting factors including technology components in the curriculum.Results: Only 78.6% of youth and 68.3% of adults reported always being comfortable accessing the internet post-intervention. Male youth reported being more comfortable with technology tasks than females (p< 0.05). Youth who posted more videos had higher cooking skills at 4-months post-intervention (r=0.189, p=0.05). Barriers to website usage reported most frequently by youth included lack of accessibility, remembering, interactivity, motivation, time, and lack of parental encouragement. Conclusions and Implications:Incorporating technology supports, like cameras and websites, into youth programs may help produce improved outcomes. Identifying barriers to and patterns of technology usage need to be considered when developing future youth health-promotion interventions.

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“…The object is a digital game that was developed specifically for this study. As the literature suggests, mHealth interventions result in high levels of acceptance and improvement of health behaviors [25,29,33]. The study proposal innovates by introducing the concept of an adequate and healthy diet described in the Dietary Guidelines for the Brazilian Population [19].…”

Section: Discussionmentioning

confidence: 99%

“…To increase the intervention group's motivation, an environment of challenge and social interaction will be created among the students of each school, based on a competition of time spent to finish the game. These aspects are considered important by adolescents who play games [33,62,64]. The students will be able to play Rango Cards at school and also at the time and place which are more convenient for them.…”

Section: Intervention Groupmentioning

confidence: 99%

“…According to Sparapani [31], social cognitive theory [32] can be applied in health promotion to link interactive technologies and behavior changes. However, studies assessing the effectiveness of such interventions are still scarce [29,33], requiring further research [34,35]. Recently, Melo et al [30] systematically reviewed 11 studies on the use of technologies in nutritional interventions for adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Rango Cards, a digital game designed to promote a healthy diet: a randomized study protocol

Chagas

Silva

Reffatti³

et al. 2018

BMC Public Health

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BackgroundSeveral food and nutrition education actions have been described in the literature, with emphasis on the recommended use of innovative methods when addressing a young audience. Digital games are an attractive, dynamic, and motivating resource for teaching and learning practices, and adolescents form the group that readily accepts and adopts new technologies. Adapting dietary and nutritional guidelines to change dietary behavior is a challenge, and game-based learning has several benefits that can be used in this sense. Thus, this study aims to outline a nutritional intervention for school-aged adolescents from the Federal District, Brazil, whose object is a digital card game aimed at promoting healthy dietary practices.MethodsIn this randomized study with intervention and control groups, we propose a nutritional intervention for adolescents studying in Federal District private schools. The intervention group will be introduced to Rango Cards, a digital game specifically developed for this study. The purpose of the game is to present the concept of an adequate and healthy diet using simple information in a playful context. This game features cards for foods/meals, characters, and healthy habits. The players’ choices may lead them to winning or losing. Theme selection and phase order were designed to provide a learning experience. The control group will not receive any material during the study. Both groups will complete questionnaires before and after the intervention. The game is expected to improve food knowledge and self-efficacy in the adoption of healthy practices, thus contributing to appropriate dietary consumption.DiscussionThe game was designed as a food and nutrition education tool based on Brazilian dietary guidelines. We believe that Rango Cards will provide a comprehensive experience on the topic, improving the students’ autonomy, motivation, and pleasure of learning.Trial registrationRBR-72zvxv June 29, 2018; Retrospectively registered.

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Engaging Adolescents Through Participatory and Qualitative Research Methods to Develop a Digital Communication Intervention to Reduce Adolescent Obesity

Cited by 40 publications

References 26 publications

New digital media interventions for sexual health promotion among young people: a systematic review

New digital media interventions for sexual health promotion among young people: a systematic review

Incorporating Technology Into the iCook 4-H Program, a Cooking Intervention for Adults and Children: Randomized Controlled Trial (Preprint)

Rango Cards, a digital game designed to promote a healthy diet: a randomized study protocol

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