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PREVENTING CHILDHOOD
OBESITY THROUGH PARENT-
PROVIDER COMMUNICATION:
   A SOCIAL MARKETING
       APPROACH
    Kristina Ticknor
    George Mason University
Agenda
   Introduction to Literature
     Healthy People 2020 Recommendations
     What is social marketing?
     Importance of product and place
   Methods
     Semi-structured interviews
     Grounded theory
   Results
   Discussion
     Limitations
     Ethical Implications
     Future Research
Introduction to Literature
Healthy People 2020
What is social marketing?
Importance of product and place
HHS’s Health People 2020
   Reduce the proportion of children and adolescents who are
    overweight or obese
   Prevent inappropriate weight gain in youth and adults
   Increase the variety and contribution of fruit and vegetables
   Increase the proportion of children and adolescents that meet
    guidelines for television viewing and computer use
   Increase the proportion of adolescents that meet current
    physical activity guidelines
   Increase the proportion of physician offices visits related to
    nutrition or weight
   Increase the proportion of persons who report that their
    health care providers have satisfactory communication
    skills
   Increase the proportion of health communication activities
    that include research and evaluation
The Social Marketing Approach
   Balanced relationship between authority and
    public
   Consumer-focused communication
   Emphasizes barriers and benefits
   Centered around a product or service
   The easy, fun, popular thing to do!
   The 4 “P’s” of the Marketing Mix:
     Product
     Place
     Price
     Promotion
Importance of Product & Place
   Product
       Tangible package of benefits
       Helps effectively visualize the
        change
       Added benefit to encourage
        change

   Place
       Where the product or service
        is made available
       Social, physical and cultural
        environment
       Provide context of opportunity
        free from restraint
       Expand focus beyond
        individual’s motivation
       “People and Places”
        framework
Methods
Research questions
Qualitative approach
Grounded theory
Research Questions
1.   What are the perceived barriers and
     benefits pediatric clinicians face when
     communicating issues of childhood obesity
     with parents of patients how are overweight
     or obese?
2.   What content and messages do physicians
     perceive to be the most effective in explaining
     obesity issues to parents of young children?
3.   What style of visual aid could be created to
     highlight the most relevant issues faced by
     clinicians in explaining obesity to children?
Qualitative Approach
   Method: semi-structured phone interviews
   Participants: 10 health care providers in
    pediatrics or family practice
   Analysis: grounded theory
     Continuously   identifying new categories (open
      coding)
     Theme and topics mutually exclusive and
      exhaustive
     Examine relationships between themes (axial
      coding)
Results
Meta-themes and themes
Implementation of recommendations
Meta-Themes & Themes
                       Communication,         Recommendations
Health and Fitness
                       Sociology &            and Suggestions for
                       Psychology             Tool
   BMI, Fitness and      Motivation,           Positive
                           Readiness and          Feedback
    Growth Charts          Confidence
   Nutrition and         Socio-Ecological      General
    Fitness                Factors                Recommendatio
   Disease and           Frustrations and       ns and Critiques
                           Barriers to            Nutrition and
    Lifetime               Effectiveness
                                              

    Complications                                 Fitness
                          Need for
                           Repetition,            Recommendatio
                           Follow-up, and         ns
                           Gradual               E-Health
                           Changes
Original Visual Aid Guide (Woolford et
al.)
New & Improved Visual Aid Tool
Improvements
   Simplified language
   Added graphics
   Redefined age group
   Removed words
    “obesity” and “diet”
   Examples provided
   Clarify “limited amounts”
   Expand on BMI
   Emphasize family
   Emphasize commitment
   Added open-ended
    measures
   Added take-home page
Discussion
Limitations
Ethical Implications
Future Research
Discussion
   Limitations
     Limitednumber of interviews
     Socio-economic constraints to implementation

   Ethical Implications
     What’s  the “right” thing to do for society?
     Issue is complex and value laden

   Future Research
     Feasibilityand usability testing of new tool
     Incorporation with e-health, EMR and Web portals
Questions?
Kristina Ticknor
Communications Consultant, Booz Allen
Hamilton
Email: klticknor@gmail.com
Twitter: @kticknor

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Preventing Childhood Obesity though Parent-Provider Communication: A Social Marketing Approach

  • 1. PREVENTING CHILDHOOD OBESITY THROUGH PARENT- PROVIDER COMMUNICATION: A SOCIAL MARKETING APPROACH Kristina Ticknor George Mason University
  • 2. Agenda  Introduction to Literature  Healthy People 2020 Recommendations  What is social marketing?  Importance of product and place  Methods  Semi-structured interviews  Grounded theory  Results  Discussion  Limitations  Ethical Implications  Future Research
  • 3. Introduction to Literature Healthy People 2020 What is social marketing? Importance of product and place
  • 4. HHS’s Health People 2020  Reduce the proportion of children and adolescents who are overweight or obese  Prevent inappropriate weight gain in youth and adults  Increase the variety and contribution of fruit and vegetables  Increase the proportion of children and adolescents that meet guidelines for television viewing and computer use  Increase the proportion of adolescents that meet current physical activity guidelines  Increase the proportion of physician offices visits related to nutrition or weight  Increase the proportion of persons who report that their health care providers have satisfactory communication skills  Increase the proportion of health communication activities that include research and evaluation
  • 5. The Social Marketing Approach  Balanced relationship between authority and public  Consumer-focused communication  Emphasizes barriers and benefits  Centered around a product or service  The easy, fun, popular thing to do!  The 4 “P’s” of the Marketing Mix:  Product  Place  Price  Promotion
  • 6. Importance of Product & Place  Product  Tangible package of benefits  Helps effectively visualize the change  Added benefit to encourage change  Place  Where the product or service is made available  Social, physical and cultural environment  Provide context of opportunity free from restraint  Expand focus beyond individual’s motivation  “People and Places” framework
  • 8. Research Questions 1. What are the perceived barriers and benefits pediatric clinicians face when communicating issues of childhood obesity with parents of patients how are overweight or obese? 2. What content and messages do physicians perceive to be the most effective in explaining obesity issues to parents of young children? 3. What style of visual aid could be created to highlight the most relevant issues faced by clinicians in explaining obesity to children?
  • 9. Qualitative Approach  Method: semi-structured phone interviews  Participants: 10 health care providers in pediatrics or family practice  Analysis: grounded theory  Continuously identifying new categories (open coding)  Theme and topics mutually exclusive and exhaustive  Examine relationships between themes (axial coding)
  • 11. Meta-Themes & Themes Communication, Recommendations Health and Fitness Sociology & and Suggestions for Psychology Tool  BMI, Fitness and  Motivation,  Positive Readiness and Feedback Growth Charts Confidence  Nutrition and  Socio-Ecological  General Fitness Factors Recommendatio  Disease and  Frustrations and ns and Critiques Barriers to Nutrition and Lifetime Effectiveness  Complications Fitness  Need for Repetition, Recommendatio Follow-up, and ns Gradual  E-Health Changes
  • 12. Original Visual Aid Guide (Woolford et al.)
  • 13. New & Improved Visual Aid Tool
  • 14. Improvements  Simplified language  Added graphics  Redefined age group  Removed words “obesity” and “diet”  Examples provided  Clarify “limited amounts”  Expand on BMI  Emphasize family  Emphasize commitment  Added open-ended measures  Added take-home page
  • 16. Discussion  Limitations  Limitednumber of interviews  Socio-economic constraints to implementation  Ethical Implications  What’s the “right” thing to do for society?  Issue is complex and value laden  Future Research  Feasibilityand usability testing of new tool  Incorporation with e-health, EMR and Web portals
  • 17. Questions? Kristina Ticknor Communications Consultant, Booz Allen Hamilton Email: klticknor@gmail.com Twitter: @kticknor