Using Focus Groups to
      Develop a Text Message-
          Based Nutrition
        Education Program
               Katherine E. Speirs (kspeirs@umd.edu)
            Stephanie K. Grutzmacher (grutz@umd.edu)
               Ashley Munger (mungerale@gmail.com)
University of Maryland School of Public Health &University of Maryland Extension

           2012 Priester National Extension Health Conference
                                April 10-12
                             Washington D.C.
Focus Groups
• Purpose: to explore opinions, thoughts and feelings about an
  issue, program, product, or idea.
• Group interview
• Interactions between participants
• Can be used at multiple stages of program planning
  • Needs assessment
  • Program development and refinement
  • Evaluation
Logistics
• Recruitment
 • Purposive sampling
 • 6 – 10 participants
 • Incentives
 • Multiple groups


• Interview Guide
 • Degree of structure depends on purpose
 • Open-ended questions
   • What makes this poster interesting? Vs. Is this poster interesting?
Logistics
• Moderating
  • Keep discussion on topic while encouraging participants to
    interact freely
  • Make participants feel comfortable


• Space
   • Convenient and familiar for participants
   • Set-up for participant interaction (e.g., participants can see
     each other)
   • Set-up to allow for audio or video recording
Benefits
• Flexible
• Efficient
• Emphasizes group interaction
• May capture the complexity of everyday life
Challenges
• Social conformity
• Dull group
• Individuals’ personalities
 • Dominating
 • Timid
 • Verbose
 • Irrelevant
• Generalizability
Text2BHealthy
• Text message-based nutrition education and
  physical activity promotion program
• Parents are sent 2-3 messages a week


• Evaluation
 • Pre and post-test paper surveys
 • Questions sent via text message
Participants
• 3 focus groups (between 5 and 10
  participants in each group)
• Low-income mothers
• Recruited through existing FSNE classes
Questions
Program Design
• Feasibility of using text messages with low-income
  parents
• Frequency of messages
• Language for text messages
• Marketing materials


Evaluation
• Survey length, layout, and content
Which texting style do you like
better?
1. Strawberries sale @ Giant 2moro
2. Strawberries are on sale at Giant
  tomorrow

Follow up questions: Why do you prefer the one
that you selected?
Is there anything that is hard to understand
about either message?
What did we learn?

How did we use what
   we learned?
Text4Health
      or
Text2BHealthy
       ?
Program Design

• Text-isms (LOL, ttyl)
• Multiple cell phones
• Familiarity with text message programs
Evaluation
• Reduce or eliminate skip patterns
• Restart numbering at the beginning of
  each section
• Shorten the survey
• Use color printing
  for photographs
Acknowledgements
This project was funded by USDA's Supplemental
Nutrition Assistance Program in cooperation with the
Maryland Department of Human Resources and the
University of Maryland.

We would also like to thank the parents who
participated in our focus groups, the FSNE educators
who helped us recruit our participants, and Jessica
DiBari for her comments on this presentation.

Priester focus groups presentation-2

  • 1.
    Using Focus Groupsto Develop a Text Message- Based Nutrition Education Program Katherine E. Speirs (kspeirs@umd.edu) Stephanie K. Grutzmacher (grutz@umd.edu) Ashley Munger (mungerale@gmail.com) University of Maryland School of Public Health &University of Maryland Extension 2012 Priester National Extension Health Conference April 10-12 Washington D.C.
  • 2.
    Focus Groups • Purpose:to explore opinions, thoughts and feelings about an issue, program, product, or idea. • Group interview • Interactions between participants • Can be used at multiple stages of program planning • Needs assessment • Program development and refinement • Evaluation
  • 3.
    Logistics • Recruitment •Purposive sampling • 6 – 10 participants • Incentives • Multiple groups • Interview Guide • Degree of structure depends on purpose • Open-ended questions • What makes this poster interesting? Vs. Is this poster interesting?
  • 4.
    Logistics • Moderating • Keep discussion on topic while encouraging participants to interact freely • Make participants feel comfortable • Space • Convenient and familiar for participants • Set-up for participant interaction (e.g., participants can see each other) • Set-up to allow for audio or video recording
  • 5.
    Benefits • Flexible • Efficient •Emphasizes group interaction • May capture the complexity of everyday life
  • 6.
    Challenges • Social conformity •Dull group • Individuals’ personalities • Dominating • Timid • Verbose • Irrelevant • Generalizability
  • 7.
    Text2BHealthy • Text message-basednutrition education and physical activity promotion program • Parents are sent 2-3 messages a week • Evaluation • Pre and post-test paper surveys • Questions sent via text message
  • 8.
    Participants • 3 focusgroups (between 5 and 10 participants in each group) • Low-income mothers • Recruited through existing FSNE classes
  • 9.
    Questions Program Design • Feasibilityof using text messages with low-income parents • Frequency of messages • Language for text messages • Marketing materials Evaluation • Survey length, layout, and content
  • 11.
    Which texting styledo you like better? 1. Strawberries sale @ Giant 2moro 2. Strawberries are on sale at Giant tomorrow Follow up questions: Why do you prefer the one that you selected? Is there anything that is hard to understand about either message?
  • 12.
    What did welearn? How did we use what we learned?
  • 13.
    Text4Health or Text2BHealthy ?
  • 14.
    Program Design • Text-isms(LOL, ttyl) • Multiple cell phones • Familiarity with text message programs
  • 15.
    Evaluation • Reduce oreliminate skip patterns • Restart numbering at the beginning of each section • Shorten the survey • Use color printing for photographs
  • 16.
    Acknowledgements This project wasfunded by USDA's Supplemental Nutrition Assistance Program in cooperation with the Maryland Department of Human Resources and the University of Maryland. We would also like to thank the parents who participated in our focus groups, the FSNE educators who helped us recruit our participants, and Jessica DiBari for her comments on this presentation.