Skip to main content
Top
Published in: Annals of Behavioral Medicine 1/2017

01-02-2017 | Original Article

Targeted Messages Increase Dairy Consumption in Adults: a Randomized Controlled Trial

Authors: Mary E. Jung, PhD, Amy E. Latimer-Cheung, PhD, Jessica E. Bourne, MSc, Kathleen A. Martin Ginis, PhD

Published in: Annals of Behavioral Medicine | Issue 1/2017

Login to get access

Abstract

Background

Dairy consumption amongst North Americans aged 30–50 has been declining. Targeted messages have been identified as a cost-efficient method through which to increase health-enhancing behavior, such as dairy intake.

Purpose

The aim of this study is to assess the utility of targeted, framed, efficacy-enhancing messages on calcium consumption from dairy in adults aged 30–50 in a randomized controlled trial.

Method

Seven hundred and thirty-two individuals (463 women, 269 men; M age = 40.57 years) were randomly assigned to one of five message conditions: (1) gain-framed (GF), (2) loss-framed (LF), (3) self-regulatory efficacy-enhancing (SRE), (4) GF plus SRE (GF + SRE), or (5) LF plus SRE (LF + SRE). Conditions were separate for men and women. Each condition received an emailed message on four consecutive days. Calcium intake from dairy, self-regulatory efficacy, outcome expectations, and outcome value were measured at baseline, 1 and 4 weeks following the intervention.

Results

Calcium intake from dairy significantly increased from baseline to week 1 post-intervention in all conditions (p < .001). A significant message condition x time interaction (p = .04) revealed that increases seen in the LF + SRE condition were maintained at week 4. All social cognitive constructs increased following the intervention (ps < .01). Self-regulatory efficacy (β = .28, p < .01) and outcome expectations (β = .19, p < .01) were significant predictors of subsequent calcium intake (week 4) from dairy.

Conclusion

Taken together, it appears as though ensuring message content is targeted to the specific population’s beliefs and motives is of importance when developing behavioral change intervention material.
Appendix
Available only for authorised users
Literature
1.
go back to reference Heaney RP, Layman DK. Amount and type of protein influences bone health. Am J Clin Nutr. 2008; 87: 1567S-1570S.PubMed Heaney RP, Layman DK. Amount and type of protein influences bone health. Am J Clin Nutr. 2008; 87: 1567S-1570S.PubMed
2.
go back to reference Wang L, Manson JE, Sesso HD. Calcium intake and risk of cardiovascular disease: A review of prospective studies and randomized clinical trials. Am J Cardiovasc Drugs. 2012; 12: 105-116.CrossRefPubMedPubMedCentral Wang L, Manson JE, Sesso HD. Calcium intake and risk of cardiovascular disease: A review of prospective studies and randomized clinical trials. Am J Cardiovasc Drugs. 2012; 12: 105-116.CrossRefPubMedPubMedCentral
3.
go back to reference Elwood P, Pickering J, Givens DI, Gallacher JE. The consumption of milk and dairy foods and the incidence of vascular disease and diabetes: An overview of the evidence. Lipids. 2010; 45: 925-939.CrossRefPubMedPubMedCentral Elwood P, Pickering J, Givens DI, Gallacher JE. The consumption of milk and dairy foods and the incidence of vascular disease and diabetes: An overview of the evidence. Lipids. 2010; 45: 925-939.CrossRefPubMedPubMedCentral
4.
go back to reference Soedamah-Muthu SS, Verberne LDM, Ding EL, Engberink MF, Geleijnse JM. Dairy consumption and incidence of hypertension: A dose–response meta-analysis of prospective cohort studies. Hypertension. 2012; 60: 1131-1137.CrossRefPubMed Soedamah-Muthu SS, Verberne LDM, Ding EL, Engberink MF, Geleijnse JM. Dairy consumption and incidence of hypertension: A dose–response meta-analysis of prospective cohort studies. Hypertension. 2012; 60: 1131-1137.CrossRefPubMed
5.
go back to reference Pittas AG, Lau J, Hu F, Dawson-Hughes B. The role of vitamin D and calcium in type 2 diabetes. A systematic review and meta-analysis. J Clin Endocrinol Metab. 2007; 92: 2017-1029.CrossRefPubMedPubMedCentral Pittas AG, Lau J, Hu F, Dawson-Hughes B. The role of vitamin D and calcium in type 2 diabetes. A systematic review and meta-analysis. J Clin Endocrinol Metab. 2007; 92: 2017-1029.CrossRefPubMedPubMedCentral
8.
9.
go back to reference Jung ME, Stapleton J, Stork MJ, Bourne JE, Martin Ginis KA. A systematic review of interventions aimed at increasing calcium intake in adults: Where do we go from here? Int J of Food Saf Nutr Publ Health. in press. Jung ME, Stapleton J, Stork MJ, Bourne JE, Martin Ginis KA. A systematic review of interventions aimed at increasing calcium intake in adults: Where do we go from here? Int J of Food Saf Nutr Publ Health. in press.
10.
go back to reference Estok PJ, Sedlak CA, Doheny MO, Hall R. Structural model for osteoporosis preventing behavior in postmenopausal women. Nurs Res. 2007; 56: 148-158.CrossRefPubMed Estok PJ, Sedlak CA, Doheny MO, Hall R. Structural model for osteoporosis preventing behavior in postmenopausal women. Nurs Res. 2007; 56: 148-158.CrossRefPubMed
11.
go back to reference Sedlak CA, Doheny MO, Estok PJ, Zeller RA. Tailored interventions to enhance osteoporosis prevention in women. Orthop Nurs. 2005; 24: 270-276.CrossRefPubMed Sedlak CA, Doheny MO, Estok PJ, Zeller RA. Tailored interventions to enhance osteoporosis prevention in women. Orthop Nurs. 2005; 24: 270-276.CrossRefPubMed
12.
go back to reference Rimer BK, Kreuter MW. Advancing tailored health communication: A persuasion and message effects perspective. J Commun. 2006; 56: S184-S201.CrossRef Rimer BK, Kreuter MW. Advancing tailored health communication: A persuasion and message effects perspective. J Commun. 2006; 56: S184-S201.CrossRef
13.
go back to reference Keller PA, Lehmann DR. Designing effective health communications: A meta-analysis. J Public Policy Mark. 2008; 27: 117-130.CrossRef Keller PA, Lehmann DR. Designing effective health communications: A meta-analysis. J Public Policy Mark. 2008; 27: 117-130.CrossRef
14.
go back to reference Bandura A. Social foundations of thought and action: A social cognitive theory. NJ US: Prentice-Hall, Inc; 1986. Bandura A. Social foundations of thought and action: A social cognitive theory. NJ US: Prentice-Hall, Inc; 1986.
15.
go back to reference Latimer AE, Rench TA, Rivers SE, et al. Promoting participation in physical activity using framed messages: An application of prospect theory. Brit J Health Psych. 2008; 13: 659-681.CrossRef Latimer AE, Rench TA, Rivers SE, et al. Promoting participation in physical activity using framed messages: An application of prospect theory. Brit J Health Psych. 2008; 13: 659-681.CrossRef
16.
go back to reference Marmo J. Applying social cognitive theory to develop targeted messages: College students and physical activity. West J Comm. 2013; 77: 444-465.CrossRef Marmo J. Applying social cognitive theory to develop targeted messages: College students and physical activity. West J Comm. 2013; 77: 444-465.CrossRef
17.
go back to reference Eddy KT, Brochetti D, Duncan SE. Older women’s perceptions of dairy foods. J Nutr Elder. 1999; 18: 37-54.CrossRef Eddy KT, Brochetti D, Duncan SE. Older women’s perceptions of dairy foods. J Nutr Elder. 1999; 18: 37-54.CrossRef
18.
go back to reference Jung ME, Mistry C, Bourne JE, Perrier MJ, Martin Ginis KA, Latimer-Cheung AE. A qualitative investigation of adults’ perceived benefits, barriers and strategies for consuming milk and milk products. Health Educ J. 2015; 74: 364-378.CrossRef Jung ME, Mistry C, Bourne JE, Perrier MJ, Martin Ginis KA, Latimer-Cheung AE. A qualitative investigation of adults’ perceived benefits, barriers and strategies for consuming milk and milk products. Health Educ J. 2015; 74: 364-378.CrossRef
19.
go back to reference Weiglein C, Brochette D, Duncan SE. College-age women’s perceptions of dairy foods. Forum Fam Consum Issues. 2000; 5: 27. Weiglein C, Brochette D, Duncan SE. College-age women’s perceptions of dairy foods. Forum Fam Consum Issues. 2000; 5: 27.
20.
go back to reference Tversky A, Kahneman D. The framing of decisions and the psychology of choice. Science. 1981; 211: 453-458.CrossRefPubMed Tversky A, Kahneman D. The framing of decisions and the psychology of choice. Science. 1981; 211: 453-458.CrossRefPubMed
21.
go back to reference Rothman AJ, Salovey P. Shaping perceptions to motivate healthy behavior: The role of message framing. Psychol Bull. 1997; 121: 3-19.CrossRefPubMed Rothman AJ, Salovey P. Shaping perceptions to motivate healthy behavior: The role of message framing. Psychol Bull. 1997; 121: 3-19.CrossRefPubMed
22.
go back to reference Updegraff JA, Rothman AJ. Health message framing: Moderators, mediators, and mysteries. Soc Personal Psychol Compass. 2013; 7: 668-679.CrossRef Updegraff JA, Rothman AJ. Health message framing: Moderators, mediators, and mysteries. Soc Personal Psychol Compass. 2013; 7: 668-679.CrossRef
23.
go back to reference Gallagher KM, Updegraff JA. (2012). Health message framing effects on attitudes, intentions, and behavior: A meta-analytic review. Ann Behav Med. 2012; 43: 101-116.CrossRefPubMed Gallagher KM, Updegraff JA. (2012). Health message framing effects on attitudes, intentions, and behavior: A meta-analytic review. Ann Behav Med. 2012; 43: 101-116.CrossRefPubMed
24.
go back to reference Gerend MA, Shepherd MA. (2012). Message framing, it does a body good: Effects of message framing and motivational orientation on young women’s calcium consumption. J Health Psychol. 2012; 18: 1296-1306.CrossRefPubMed Gerend MA, Shepherd MA. (2012). Message framing, it does a body good: Effects of message framing and motivational orientation on young women’s calcium consumption. J Health Psychol. 2012; 18: 1296-1306.CrossRefPubMed
25.
go back to reference Gutiérrez-Doña B, Lippke S, Renner B, Kwon S, Schwarzer R. Self-efficacy and planning predict dietary behaviors in Costa Rican and South Korean Women: Two moderated mediation analyses. Appl Psychol: Health Well-Being. 2009; 1: 91-104. Gutiérrez-Doña B, Lippke S, Renner B, Kwon S, Schwarzer R. Self-efficacy and planning predict dietary behaviors in Costa Rican and South Korean Women: Two moderated mediation analyses. Appl Psychol: Health Well-Being. 2009; 1: 91-104.
26.
go back to reference Parschau L, Richert J, Koring M, Ernsting A, Lippke S, Schwarzer R. Changes in social-cognitive variables are associated with stage transitions in physical activity. Health Educ Res. 2012; 27: 129-140.CrossRefPubMed Parschau L, Richert J, Koring M, Ernsting A, Lippke S, Schwarzer R. Changes in social-cognitive variables are associated with stage transitions in physical activity. Health Educ Res. 2012; 27: 129-140.CrossRefPubMed
27.
go back to reference Jung ME, Martin Ginis KA, Phillips SM, Lordon CD. Increasing calcium intake in young women through gain-framed, targeted messages: A randomised controlled trial. Psychol Health. 2011; 26: 531-547.CrossRefPubMed Jung ME, Martin Ginis KA, Phillips SM, Lordon CD. Increasing calcium intake in young women through gain-framed, targeted messages: A randomised controlled trial. Psychol Health. 2011; 26: 531-547.CrossRefPubMed
29.
go back to reference Hung A, Hamidi M, Riazantseva E, et al. Validation of a calcium assessment tool in postmenopausal Canadian women. Maturitas. 2011; 69: 168-172.CrossRefPubMed Hung A, Hamidi M, Riazantseva E, et al. Validation of a calcium assessment tool in postmenopausal Canadian women. Maturitas. 2011; 69: 168-172.CrossRefPubMed
30.
go back to reference Bandura A. Self-efficacy: The exercise of control. New York, N.Y.: Freeman; 1997. Bandura A. Self-efficacy: The exercise of control. New York, N.Y.: Freeman; 1997.
31.
go back to reference McAuley E, Mihalko SL. Measuring exercise-related self-efficacy. In: Duda JL, ed. Advances in sport and exercise psychology measurement. USA: Fitness Information, Inc; 1998: 371-381. McAuley E, Mihalko SL. Measuring exercise-related self-efficacy. In: Duda JL, ed. Advances in sport and exercise psychology measurement. USA: Fitness Information, Inc; 1998: 371-381.
32.
go back to reference Williams DM, Anderson ES, Winett RA. A review of the outcome expectancy construct in physical activity research. Ann Behav Med. 2005; 29: 70-79.CrossRefPubMed Williams DM, Anderson ES, Winett RA. A review of the outcome expectancy construct in physical activity research. Ann Behav Med. 2005; 29: 70-79.CrossRefPubMed
33.
go back to reference Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Boston: Allyn and Bacon; 2006. Tabachnick BG, Fidell LS. Using multivariate statistics. 5th ed. Boston: Allyn and Bacon; 2006.
34.
go back to reference O’Keefe DJ, Jensen JD. The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease detection behaviors: A meta-analytic review. J Commun. 2009; 59: 296-316.CrossRef O’Keefe DJ, Jensen JD. The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease detection behaviors: A meta-analytic review. J Commun. 2009; 59: 296-316.CrossRef
35.
go back to reference Rothman AJ, Updergraff JA. Specifying when and how gain- and loss-framed messages motivate behavior: An integrated approach. In: Keren G, ed. Perspectives on Framing. New York: Psychology Press; 2011: 257-278. Rothman AJ, Updergraff JA. Specifying when and how gain- and loss-framed messages motivate behavior: An integrated approach. In: Keren G, ed. Perspectives on Framing. New York: Psychology Press; 2011: 257-278.
36.
go back to reference O’Keefe DJ, Jensen JD. The relative effectiveness of gain-framed and loss-framed persuasive appeals concerning obesity-related behaviors: Meta-analytic evidence and implications. In: Batra R, Keller PA, Strecher VJ, eds. Leveraging consumer psychology for effective health communications: The obesity challenge. Armonk, NY: M. E. Sharpe; 2011: 171-185. O’Keefe DJ, Jensen JD. The relative effectiveness of gain-framed and loss-framed persuasive appeals concerning obesity-related behaviors: Meta-analytic evidence and implications. In: Batra R, Keller PA, Strecher VJ, eds. Leveraging consumer psychology for effective health communications: The obesity challenge. Armonk, NY: M. E. Sharpe; 2011: 171-185.
37.
go back to reference van Assema P, Marloes M, Robert ACR, Johannes B. Framing of nutrition education messages in persuading consumers of the advantages of a healthy diet. J Hum Nutr Diet. 2001; 14: 435-442.CrossRefPubMed van Assema P, Marloes M, Robert ACR, Johannes B. Framing of nutrition education messages in persuading consumers of the advantages of a healthy diet. J Hum Nutr Diet. 2001; 14: 435-442.CrossRefPubMed
38.
go back to reference Kreuter MW, Wray RJ. Tailored and targeted health communication: Strategies for enhancing information relevance. Am J Health Behav. 2003; 27: 227-232.CrossRef Kreuter MW, Wray RJ. Tailored and targeted health communication: Strategies for enhancing information relevance. Am J Health Behav. 2003; 27: 227-232.CrossRef
Metadata
Title
Targeted Messages Increase Dairy Consumption in Adults: a Randomized Controlled Trial
Authors
Mary E. Jung, PhD
Amy E. Latimer-Cheung, PhD
Jessica E. Bourne, MSc
Kathleen A. Martin Ginis, PhD
Publication date
01-02-2017
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 1/2017
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-016-9828-2

Other articles of this Issue 1/2017

Annals of Behavioral Medicine 1/2017 Go to the issue