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IMPROVING NUTRITION USING A
                PSYCHOSOCIAL INTERVENTION FOR
                   BREAKFAST CONSUMPTION?
                            Rajith Amaratunga, Barbara Mullan, and Emily Kothe
                                School of Psychology, The University of Sydney, Australia

Introduction
                                                                                                                                         Both interventions led to significant increases
                                                                                                                                         in positive attitudes towards breakfast when
Breakfast is associated with a number of
                                                                                                                                         compared to the control group.
physical and psychosocial health outcomes,
including a decrease in risk of cardiovascular                                                                                           0.9
disease (Rampersaud, Pereira, Girard,                                                                                                    0.8
Adams, & Metzl, 2005). However, only 61%                                                                                                 0.7
of Australian young people regularly                                                                                                     0.6
consume a morning meal (Australian Bureau                                                                                                0.5
of Statistics, 1997).                                                                                                                    0.4
                                                                                                                                         0.3
                                                                                                                                         0.2
Research into other health behaviours has                                                                                                0.1
suggested that interventions which frame                                                                                                   0
                                                                               Figure 1. Sample of positive framing message
heath messages in terms of health benefits                                                                                                           Positive                Negative            Control Group
                                                                                                                                                     Framing                 Framing
are more successful than factually equivalent
interventions which emphasise health risks                                                                                                       Figure 5. Change in attitude towards breakfast consumption
(Kahneman & Tversky, 1984). Framing
effects have not previously been investigated
in the context of breakfast consumption.                                                                                                 Individuals in the control group experienced a
                                                                                                                                         decline PBC over the course of the
                                                                                                                                         intervention. This was not observed in either
                                                                                                                                         intervention group.
Aim                                                                                                                                        0.2
                                                                                                                                                     Positive              Negative
                                                                                                                                                                                                Control
                                                                                                                                                     Framing               Framing
The present study investigated the use of
positively and negatively framed breakfast                                                                                                -0.0

messages in increasing breakfast
                                                                          Figure 2. Sample of negative framing message
consumption, and social cognitions related to
 breakfast, over a four week follow-up.                                                                                                   -0.2



The aim of the study was to examine the          Results                                                                                  -0.4
effects of two brief, web-based, psychosocial
interventions. Factually equivalent messages
were designed for the two framing conditions     As expected levels of TPB variables at
based on principles from the Theory of           baseline were found to predict breakfast                                                 -0.6
                                                                                                                                                                 Figure 6. Change in PBC
Planned Behaviour (Azjen, 1991) and utilising    consumption at follow-up.
Implementation Intentions (Gollwitzer &
Brandstatter, 1997). The influence of the                                                                                                No significant changes in behaviour or
intervention on attitude, subjective norm,             Attitudes
                                                                                  -0.024
                                                                                                                                         subjective norm were observed for either
perceived behaviour control, intention and                                                     R2 = .368**                 R2 = .520**   experimental group.
                                                    Subjective Norm           .197               Intention    .704**        Behaviour
behaviour was investigated.
                                                                         .535**
                                                                                                       .187
                                                         PBC

                                                                                                                                         Conclusion
                                                  Figure 3: Model 1 with standardized regression coefficients (β)
                                                                                      (Note * p <.05; ** p<.001)
Method                                                                                                                                   Based on the present findings it is difficult to
                                                 Contrary to expectations, no differences in                                             how best to frame health messages when
Participants (N=109) were randomly
                                                 behaviour or any psychosocial variables were                                            attempting to promote positive beliefs about
assigned to one of three groups.
                                                 found between the positive and negative                                                 breakfast.
                                                 framing conditions at follow-up.
Positive framing: Messages emphasising                                                                                                   While the current interventions led to more
the health benefits of breakfast consumption                                                                                             positive beliefs about breakfast consumption
and the implementation intention task.                  Subjective Norm
                                                                                                                                         these changes were not effectively translated
                                                                                                                              Negative
                                                                                                                                         to change in breakfast eating behaviour.
Negative framing: Messages emphasising                                                                                        Frame
                                                                                                                              Positive
                                                                                                                                         Further research should be conducted to
the health risks of breakfast skipping and the                                                                                Frame

                                                                                                                                         determine how to best translate these
implementation intention task.                                        PBC
                                                                                                                                         changes in cognition to change in breakfast
                                                                                                                                         consumption
Control: Distracter task
                                                                   Attitude
In all groups, breakfast related attitudes,
social norms, and perceived behavioural                                                                                                  Acknowledgements
control were measured at both occasions.
Breakfast eating behaviour was assessed at                     Behaviour                                                                 This study would not have been possible without the
                                                                                                                                         time and effort of those who participated in this
baseline and four week follow-up.
                                                                                                                                         research. As always they have our deepest
                                                                              0            2          4       6        8
                                                                                                                                         gratitude. The authors would also like to thank Cara
                                                          Figure 4. Between group comparison of follow-up scores:                        Wong and Adrian Macarthur-King for their support.
                                                                        TPB variables and behaviour

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Amaratunga - Heart Foundation - IMPROVING NUTRITION USING A PSYCHOSOCIAL INTERVENTION FOR BREAKFAST CONSUMPTION?

  • 1. IMPROVING NUTRITION USING A PSYCHOSOCIAL INTERVENTION FOR BREAKFAST CONSUMPTION? Rajith Amaratunga, Barbara Mullan, and Emily Kothe School of Psychology, The University of Sydney, Australia Introduction Both interventions led to significant increases in positive attitudes towards breakfast when Breakfast is associated with a number of compared to the control group. physical and psychosocial health outcomes, including a decrease in risk of cardiovascular 0.9 disease (Rampersaud, Pereira, Girard, 0.8 Adams, & Metzl, 2005). However, only 61% 0.7 of Australian young people regularly 0.6 consume a morning meal (Australian Bureau 0.5 of Statistics, 1997). 0.4 0.3 0.2 Research into other health behaviours has 0.1 suggested that interventions which frame 0 Figure 1. Sample of positive framing message heath messages in terms of health benefits Positive Negative Control Group Framing Framing are more successful than factually equivalent interventions which emphasise health risks Figure 5. Change in attitude towards breakfast consumption (Kahneman & Tversky, 1984). Framing effects have not previously been investigated in the context of breakfast consumption. Individuals in the control group experienced a decline PBC over the course of the intervention. This was not observed in either intervention group. Aim 0.2 Positive Negative Control Framing Framing The present study investigated the use of positively and negatively framed breakfast -0.0 messages in increasing breakfast Figure 2. Sample of negative framing message consumption, and social cognitions related to breakfast, over a four week follow-up. -0.2 The aim of the study was to examine the Results -0.4 effects of two brief, web-based, psychosocial interventions. Factually equivalent messages were designed for the two framing conditions As expected levels of TPB variables at based on principles from the Theory of baseline were found to predict breakfast -0.6 Figure 6. Change in PBC Planned Behaviour (Azjen, 1991) and utilising consumption at follow-up. Implementation Intentions (Gollwitzer & Brandstatter, 1997). The influence of the No significant changes in behaviour or intervention on attitude, subjective norm, Attitudes -0.024 subjective norm were observed for either perceived behaviour control, intention and R2 = .368** R2 = .520** experimental group. Subjective Norm .197 Intention .704** Behaviour behaviour was investigated. .535** .187 PBC Conclusion Figure 3: Model 1 with standardized regression coefficients (β) (Note * p <.05; ** p<.001) Method Based on the present findings it is difficult to Contrary to expectations, no differences in how best to frame health messages when Participants (N=109) were randomly behaviour or any psychosocial variables were attempting to promote positive beliefs about assigned to one of three groups. found between the positive and negative breakfast. framing conditions at follow-up. Positive framing: Messages emphasising While the current interventions led to more the health benefits of breakfast consumption positive beliefs about breakfast consumption and the implementation intention task. Subjective Norm these changes were not effectively translated Negative to change in breakfast eating behaviour. Negative framing: Messages emphasising Frame Positive Further research should be conducted to the health risks of breakfast skipping and the Frame determine how to best translate these implementation intention task. PBC changes in cognition to change in breakfast consumption Control: Distracter task Attitude In all groups, breakfast related attitudes, social norms, and perceived behavioural Acknowledgements control were measured at both occasions. Breakfast eating behaviour was assessed at Behaviour This study would not have been possible without the time and effort of those who participated in this baseline and four week follow-up. research. As always they have our deepest 0 2 4 6 8 gratitude. The authors would also like to thank Cara Figure 4. Between group comparison of follow-up scores: Wong and Adrian Macarthur-King for their support. TPB variables and behaviour