Note: Unlike women, age isn’t a risk factor in developing heart disease. Relevant and Recent Example—Frankie Muniz - http://www.huffingtonpost.com/2012/12/04/mini-stroke-frankie-muniz-transient-ischemic-attack_n_2240031.html
Tone of texts: Competitive, Witty, Masculine Note the Incorporation of leaderboard and advantage of urban area
Our message library scored an 88 percent. SAM assessment shows strong, culturally relevant messaging for this target audience. However, the target health outcome was non-existent and there was very little reference to relevant health indicators such as BMI. “ Road signs” were clearly and effectively executed in messaging with texts that asked participants for new goals. Good use of chunking each new challenge day and ideas for increasing mileage. Some missed opportunities to include additional messaging on perceived susceptibility, benefits and health threats for additional context. Could have removed some of the motivational language (“It’s ok” or “Keep working hard”) with more tangible action steps and tips.
5/5 participants filled out the pre-test and 3/5 filled out the post-test 22 and 28 years of age They ranged in height and weight, from 5’4” to 6’3’’ and from 125 lbs to 280 lbs On average reported about 2 hours of exercise of week; due to the convenience sampling method, the pilot study participants were more active than the population for which the intervention was designed. Two of the five participants said that walking was their primary form of activity, two named sports/strength training and the final participant said he got no regular exercise. All participants estimated that they took under 10,000 steps a day, which could reflect that non-cardio activity made up a significant portion of their exercise or that they were not able to accurately estimate their steps. Three out of the 5 participants reported being told that they were at risk for heart disease. Two had also been warned about high blood pressure and two about high cholesterol. The participants voiced generally low concern about heart health; one or no participants answered that they were worried about high cholesterol, genetic prevalence, or future limitations. Two of the men said they had none of these concerns.
Stepitup final assignment 1 presentation 12-11-12
STEPITUP Text4Steps TERRA GORE LAURA FRANK BRITTNEY LEE NICOLE LONG AUDREY PERNIK
HEALTH ISSUE: HEART DISEASECDC Fact Sheet:•Heart disease is the leading cause of death for men in the US, killing 307,225 men in 2009—that’s 1 in every 4 male deaths.•Heart disease is the leading cause of death for men of most racial/ethnic groups in the USRisk Factors include:• Diabetes• Overweight and obesity• Poor diet• Physical inactivity• Excessive alcohol use #STEPITUP
TARGET AUDIENCE22-32 year- old maleswho live or work in theWashington, DC metroarea who exercise lessthan 150 minutes aweek. #STEPITUP
INTERVENTION OBJECTIVESHealth objective:Improve the cardiovascular health of 22 - 32 year old males in Washington, DC.Behavioral objective:Increase the number of minutes of moderate to vigorous walking completed each week by 50% over 6 months among 22-32 year old males in Washington, DC who do not currently meet IOM’s recommended physical activity guidelines. #STEPITUP
HEALTH BELIEF MODEL Theory Components Related to Target• Perceived Susceptibility to a Audience Might I be at risk for developing heart disease? disease or problem• Perceived Severity of the disease or Do I believe heart disease is a serious problem? problem If I add more physical activity to my day, would I• Perceived Benefits of taking action reduce my risk or even prevent heart disease?• Perceived Barriers to taking action Does my lifestyle make it difficult for me to engage in physical activity?• Exposure to cues to action Are there messages and reminders available ? Am I confident that I can add steps (figuratively• Perceived self-efficacy and literally) to my day to reduce my risk for heart disease? #STEPITUP
COMMUNICATION OBJECTIVES• Within one month, increase target audience’s awareness of the risk factors of heart disease, including lack of physical activity, by 65%.• Within two weeks, increase the target audiences beliefs in the value of incorporating more physical activity (steps) into their daily routine as a way to reduce risk of cardiovascular disease.• Within two weeks, the target audience’s will increase their knowledge of the ways to incorporate more walking/steps into their daily lifestyle by 50% via text messaging intervention. #STEPITUP
TEXT MESSAGE LIBRARY:Number of texts we sent each day: 4-6 texts/dayExamples With each flight climbed you are decreasing your chances of developing: heart disease, prostate cancer, diabetes, sleep apnea, depression, back pain, impotence, gallstones, joint problems, high blood pressure, low sperm counts, and an impressive collection of prescription-drug bottles. #StepitUp StepitUp: Congratulations! You made it to Week 2 of the #StepitUp Challenge. Ready to see your name on top of that leaderboard? Todays challenge is reaching 10,000 steps for a 2nd day in a row. Ready. Set. GO! StepitUp: Ready for your next challenge? Text A for Distance, B for Stairs Climbed, C for Calories Burned, D for Distance and Stairs Climbed, or E for Turbo Stairs Climbed #STEPITUP
TEXT MESSAGE LIBRARY: SAM SCORE Readability grade: 3 Number of sentences Syllabus First 100 words 9.4 136 Second 100 words 14.2 119 Third 100 words 13.1 117 Total/3 36.7/3=12.2 372/3=124 *Referenced Fry graph for final score of 3 • Our message library scored an 88 %.#STEPITUP
TRIAL RESULTSQuantitative data from pre-post surveys Increased Decreased Remained Same Perceived susceptibility Knowledge Self-efficacy Perceived severity Perceived benefits Perceived barriers Cues to actionLimitations• Small sample size• Convenience sample was slightly more active than target• Unable to accurately assess number of steps because participants did not sync FitBits #STEPITUP
RECOMMENDATIONS Tailor challenges, goals, and timing of messages more specifically to each individual. Add reminders to sync the FitBit device. Keep the challenge aspect, both through individual personal challenges and the group leaderboard Give more information about the link between lack of physical activity and cardiovascular problems to increase perceived susceptibility. Focus more on increasing knowledge through occasional messages that mention recommendations about weekly minutes of exercise. Because the program seemed to increase perceived barriers, include more specific tips on how to overcome time/access barriers and motivate oneself during a period of discouragement or fatigue. A “peer voice” could be incorporated into the text messaging campaign in the future. #STEPITUP