The Peruvian population does not meet the recommended guidelines for daily consumption of fruits and vegetables and, thus, social marketing approaches are needed in order to improve this behavior.
Focus of the Article
The focus of this study was on changing intentions to engage in a recommended health behavior by experimentally testing one component of a social marketing strategy, namely the effect of messages to motivate mothers to increase the fruit consumption of their children.
Research Question
What type of messages, either those communicating the advantages of engaging in the recommended behavior or those communicating the norms about the behavior, are better at increasing mothers’ intentions to give 3 daily fruits to their children?
Importance to the Social Marketing Field
This study identifies methodological steps that can guide future social marketing approaches to test the effect of messages in the area of behavior change.
Methods
A total of 285 mothers completed an online survey with an experiment built in. Mothers were randomly assigned to one of three conditions: a gain-framed messages condition, a normative messages condition and a no message condition (control condition) and then answered questions about the dependent variables.
Results
Results showed that exposure to messages communicating information about the advantages of engaging in the behavior increased mothers’ attitudes and intentions to give 3 daily fruits to their children; however, messages communicating information about descriptive norms did not increase mothers’ perceived norms or intentions.
Recommendations for Research or Practice
Social marketing approaches that address low levels of fruit consumption among children can benefit from message strategies that target mothers and that focus on communicating the advantages of giving more fruits to their children.
Aboul-EneinB.BernsteinJ.KrukJ. (2019). Fruits and vegetables embedded in classic video games: A health-promoting potential?International Journal of Food Sciences & Nutrition, 70(3), 377–385. https://doi.org/10.1080/09637486.2018.1513995
2.
AppletonK.PidgeonH. (2018). 5-a-day fruit and vegetable food product labels: Reduced fruit and vegetable consumption following an exaggerated compared to a modest label. BMC Public Health, 18(1), 624. https://doi.org/10.1186/s12889-018-5528-0
3.
ArcanC.FriendS.FlattumC.StoryM.FulkersonJ. (2019). Fill “half your child's plate with fruits and vegetables”: Correlations with food-related practices and the home food environment. Appetite, 133(1), 77–82. https://doi.org/10.1016/j.appet.2018.10.017
4.
Bakırcı-TaylorA.ReedD.McCoolB.DawsonJ. (2019). mHealth improved fruit and vegetable Accessibility and intake in young children. Journal of Nutrition Education and Behavior, 51(5), 556–566. https://doi.org/10.1016/j.jneb.2018.11.008
5.
BusseP. (2024). Issue involvement moderates the effect of gain- and loss-framed messages on mothers’ intentions to give 5 portions of fruits and vegetables to their children every day. Journal of Health Communication, 29(1), 86–93. https://doi.org/10.1080/10810730.2023.2287649
de BruijnG.BuddingJ. (2016). Temporal consequences, message framing, and Consideration of future consequences: Persuasion effects on Adult fruit intake intention and Resolve. Journal of Health Communication, 21(8), 944–953. https://doi.org/10.1080/10810730.2016.1179366
8.
de BruijnG.VisscherI.MollenS. (2015). Effects of previous fruit intake, descriptive majority norms, and message framing on fruit intake intentions and behaviors in Dutch adults across a 1-week period. Journal of Nutrition Education and Behavior, 47(3), 234–241. https://doi.org/10.1016/j.jneb.2015.02.001
9.
DillardJ.NabiR. (2006). The Persuasive influence of emotion in cancer prevention and detection messages. Journal of Communication, 56(suppl_1), S123–S139. https://doi.org/10.1111/j.1460-2466.2006.00286.x
10.
ElbertS.OtsP. (2018). Reading or Listening to a gain- or loss-framed health message: Effects of message framing and communication Mode in the context of fruit and vegetable intake. Journal of Health Communication, 23(6), 573–580. https://doi.org/10.1080/10810730.2018.1493059
11.
FishbeinM.AjzenI. (2010). Predicting and changing behavior: The reasoned action approach. Psychology Press.
GodinhoC.AlvarezM.LimaM. (2016). Emphasizing the losses or the gains: Comparing situational and individual moderators of framed messages to promote fruit and vegetable intake. Appetite, 96(2), 416–425. https://doi.org/10.1016/j.appet.2015.10.001
14.
GodinhoC.UpdegraffJ.AlvarezM.LimaM. (2017). When is congruency helpful? Interactive effects of frame, motivational orientation, and perceived message quality on fruit and vegetable consumption. Journal of Health Communication, 22(12), 942–950. https://doi.org/10.1080/10810730.2017.1382614
15.
GustafsonA.Jilcott PittsS.McQuerryK.BabtundeO.MullinsJ. (2019). A mentor- led text-messaging intervention increases intake of fruits and vegetables and goal setting for healthier dietary consumption among rural adolescents in Kentucky and North Carolina, 2017. Nutrients, 11(3). E593. https://doi.org/10.3390/nu11030593
16.
HeimendingerJ.O'NeillC.MarcusA.WolfeP.JulesburgK.MorraM.AllenA.DavisS.MowadL.PerocchiaR.WardJ.StrecherV.WarneckeR.NowakM.GrafI.FaircloughD.BryantL.LipkusI. (2005). Multiple tailored messages are effective in increasing fruit and vegetable consumption among callers to the cancer information service. Journal of Health Communication, 10(Suppl 1), 65–82. https://doi.org/10.1080/10810730500263646
JacobyE.KellerI. (2006). La promoción del consumo de frutas y verduras en América Latina: Buena oportunidad de acción intersectorial por una alimentación saludable. Revista Chilena de Nutricion, 33(Supl. 1), 226–231. https://doi.org/10.4067/S0717-75182006000300003
19.
KimM.CappellaJ. (2019a). An efficient message evaluation protocol: Two empirical analyses on Positional effects and Optimal sample size. Journal of Health Communication, 24(10), 761–769. https://doi.org/10.1080/10810730.2019.1668090
20.
KimM.CappellaJ. (2019b). Reliable, valid and efficient evaluation of media messages: Developing a message testing protocol. Journal of Communication Management, 23(3), 179–197. https://doi.org/10.1108/JCOM-12-2018-0132
21.
KotheE.MullanB.ButowP. (2012). Promoting fruit and vegetable consumption Testing an intervention based on the theory of planned behaviour. Appetite, 58(3), 997–1004. https://doi.org/10.1016/j.appet.2012.02.012
LangA. (2006). Using the limited capacity model of motivated mediated message processing to design effective cancer communication messages. Journal of Communication, 56(suppl_1), S57–S80. https://doi.org/10.1111/j.1460-2466.2006.00283.x
LeungM.GreenM.TateD.CaiJ.WykaK.AmmermanA. (2017). Fight for your Right to fruit: Psychosocial outcomes of a Manga comic promoting fruit consumption in Middle-School Youth. Health Communication, 32(5), 533–540. https://doi.org/10.1080/10410236.2016.1211074
26.
O'KeefeD.JensenJ. (2007). The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease prevention behaviors: A meta-analytic review. Journal of Health Communication, 12(7), 623–644. doi:https://doi.org/10.1080/10810730701615198
27.
O’KeefeD.JensenJ. (2009). The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease detection behaviors: A meta-analytic review. Journal of Communication, 59(1), 296–316. https://doi.org/10.1080/10810730701615198
28.
PennyM.MezaK.Creed-KanashiroH.MarinR.DonovanJ. (2017). Fruits and vegetables are incorporated into home cuisine in different ways that are relevant to promoting increased consumption. Maternal and Child Nutrition, 13(3), e12356. https://doi.org/10.1111/mcn.12356
29.
PerskyS.FerrerR.KleinW.GoldringM.CohenR.KistlerW.YaremychH.BouhlalS. (2019). Effects of fruit and vegetable feeding messages on mothers and fathers: Interactions between emotional state and health message framing. Annals of behavioral medicine: A Publication of the Society of Behavioral Medicine, 53(9), 789–800. https://doi.org/10.1093/abm/kay088
30.
PotterR. F. (2014). Psychophysiological measurement and meaning: Cognitive and emotional processing of media (Routledge Communication Series). Taylor and Francis. Edición de Kindle.
31.
RalstonP.WickramaK.CocciaC.LemacksJ.Young-ClarkI.IlichJ. (2020). Health for hearts United Longitudinal Trial: Improving dietary behaviors in older African Americans. American Journal of Preventive Medicine, 58(3), 361–369. https://doi.org/10.1016/j.amepre.2019.09.024
32.
RayC.CampbellK.HeskethK. (2019). Key messages in an early childhood obesity prevention intervention: Are they recalled and do they impact children's behaviour?International Journal of Environmental Research and Public Health, 16(9), E1550. https://doi.org/10.3390/ijerph16091550
33.
RimalR. (2008). Modeling the Relationship between descriptive norms and behaviors: A test and Extension of the theory of normative social behavior (TNSB). Health Communication, 23(2), 103–116. https://doi.org/10.1080/10410230801967791
34.
RimalR. N.LapinskiM. K. (2015). A Re-Explication of social norms, ten Years Later. Communication Theory, 25(4), 393–409. https://doi.org/10.1111/comt.12080
35.
RobertR.Creed-KanashiroH.VillasanteR.NarroM.PennyM. (2017). Strengthening health services to deliver nutrition education to promote complementary feeding and healthy growth of infants and young children: Formative research for a successful intervention in peri-urban Trujillo, Peru. Maternal and Child Nutrition, 13(2), e12264. https://doi.org/10.1111/mcn.12264
36.
RothmanA.BartelsR.WlaschinJ.SaloveyP. (2006). The strategic Use of gain- and loss-framed messages to promote healthy behavior: How theory can Inform Practice. Journal of Communication, 56(suppl_1), S202–S220. https://doi.org/10.1111/j.1460-2466.2006.00290.x
37.
SharpsM.RobinsonE. (2016). Encouraging children to eat more fruit and vegetables: Health vs. descriptive social norm-based messages. Appetite, 100(2), 18–25. https://doi.org/10.1016/j.appet.2016.01.031
38.
WebsterM.SellJ. (2007). Laboratory experiments in the social Sciences. Academic Press.
39.
Williams-PiehotaP.PizarroJ.NavarroSaloveyP. (2006). Need for cognition and message complexity in motivating fruit and vegetable intake among callers to the cancer information service. Health Communication, 19(1), 75–84. https://doi.org/10.1207/s15327027hc1901_8
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