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Text4 tots F&V intake lalaine and saara

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A mobile texting pilot proj

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Text4 tots F&V intake lalaine and saara

  1. 1. TEXT4TOTSA program to increase fruit and vegetable intake in children ages 2 - 5 Lalaine Ricardo and Saara Taylor
  2. 2. HEALTH GOAL• To increase fruit and vegetable intake, and reduce overweight and obesity among toddlers ages 2 -5• PRIMARY TARGET AUDIENCE• Parents of children age 2 – 5 in the Northern Virginia area• SECONDARY TARGET AUDIENCE• The toddler age children who attend day care, kindergarten or stay at home
  3. 3. OBJECTIVES• Behavioral Objective (Social Cognitive theory) • To increase the fruit & vegetable intake in toddler age children of our target audience by 50% by the end of the 3-month intervention• Communication Objectives • By the end of the 3-month intervention, more than 50% of parents of toddler-age children will report having increased their knowledge of the importance of F & V intake [Expectations] • At the end of our campaign, parents will be able to name at least two ways to add F & V to their child’s meals and snacks from a list of 5 [Behavioral capability] • At the end of our campaign, 50% of our target will report having increased confidence that their kids are eating the recommended daily amount of F & V [Self-efficacy]
  4. 4. PARTICIPANTS• n = 11 parents • 9 female • 4 work outside of home • 1 works at home • 4 stay at home • 2 male • 1 works outside of home • 1 stay-at-home dad
  5. 5. SAMPLE MESSAGES• Increase knowledge • “A medium apple counts as 1 cup of fruit, hitting your childs fruit goal for the day. Apples are a good source of immune-boosting vitamin C.”• Behavioral capacity • “Try this recipe for a fruit smoothie - use nonfat vanilla yogurt, 100% orange juice & banana as a base, then add other fresh or frozen fruit.“• Self-efficacy • “Kids learn from watching you. Eat fruits & veggies and they will too. Text us — what is your favorite fruit or veggie?”
  6. 6. SAM SCOREReadability: Between 6th and7th grade
  7. 7. EVALUATION• Baseline survey • 6 out of 11 participants responded• What is most difficult about ensuring your child has enough F & V each day? • “Making it more appealing to them” • “Time at night — we both work full time so preparing meals is tough” • “Keeping track” • “Child eats lots of fruits but only selected veggies” • “Being compared to other parents who let their kids eat junk” • “Keeping it from going bad”
  8. 8. EVALUATION• Final survey • 7 out of 11 responded • 57% increased their purchase & preparation of F & V in the past week • 57% think the messages were effective in reminding them about their child’s F & V intake • 57% were satisfied that texts messages helped them improved their family’s health; 28.6% were very satisfied ; 14% was dissatisfied • 72% read all text messages; 14% read 4-6 messages; 14% read 0-3 • 71% said their knowledge of F & V importance stayed the same • 43% said their confidence in giving their child the recommended amount of F & V increased
  9. 9. INTERACTION• Asked participants two questions • How many servings did your child have yesterday? • 3 responses • Reinforcement message: Great job! • What are your favorite fruits and vegetables? • 3 responses
  10. 10. PROPOSED FINAL PRODUCT• More tailored messages, based on response in baseline survey • Participants in general already were hitting the recommended targets for F & V for their children • Would specifically tailor messages for parents depending on age of child • Better schedule time and frequency of messages according to participant’s preferences • Would target separately working parents and stay-at-home parents
  11. 11. REFERENCESHaapala, et al. (2009). Weight loss by mobile phone: a 1-year effectiveness study. Public Health Nutrition, 12(12): 2382-2391.Kahlor, et al. (2011). Ensuring Children Eat a Healthy Diet: A Theory-Driven Focus Group Study to Inform Communication Aimed at Parents. Journal of Pediatric Nursing 26: 13–24.Norman, et al. (2007). A Review of eHealth Interventions for Physical Activity and Dietary Behavior Change. American Journal of Preventative Medicine. 33:336-345.Patrick, et al. (2009). A text message-based intervention for weight loss: randomized controlled trial. Journal of Medical Internet Research 11(1):e1.Peng, W. (2009). Design and evaluation of a computer game to promote a healthy diet for young adults. Health

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