The promotion of healthy breakfast and snacks based on the social marketing model: a mixed-methods study.
Breakfast
Mixed-methods study
Snack
Social Marketing Model
Student
Journal
Journal of health, population, and nutrition
ISSN: 2072-1315
Titre abrégé: J Health Popul Nutr
Pays: Bangladesh
ID NLM: 100959228
Informations de publication
Date de publication:
07 05 2021
07 05 2021
Historique:
received:
25
08
2019
accepted:
22
04
2021
entrez:
8
5
2021
pubmed:
9
5
2021
medline:
29
10
2021
Statut:
epublish
Résumé
Skipping breakfast and replacing it with non-nutritious snacks are progressively increasing among adolescents. This study aimed to develop an educational intervention based on the Social Marketing Model and evaluate its effects on healthy breakfast and snack consumption among female adolescent students. This mixed-methods study was conducted in 2016-2019 in two phases. In the first phase, a qualitative study was conducted through directed content analysis in guidance schools in Khorramabad, Isfahan, and Tehran, Iran, to explore factors affecting breakfast consumption. The results of this phase were set in the benchmarks of the Social Marketing Model. In the second phase, a randomized controlled trial was conducted based on the benchmarks of the Social Marketing Model on 94 students randomly recruited from guidance schools in Khorramabad, Iran. The findings of the qualitative phase were categorized into the benchmarks of the Social Marketing Model, namely the social marketing mix, the intended behavior, internal and external competing factors for behavior modification, theoretical concepts related to the behavior, and the role of supporters. In the quantitative phase, the univariate analysis showed significant between-group differences concerning the product, price, promotion, and behavior (p < 0.05). Healthy breakfast and snack consumption can be promoted through making acceptable the tastes, costs, preparations, and consumption places of breakfast and snack. The trial was registered in the Iranian Registry of Clinical Trials (code: IRCT20170201032347N1 ). The trial was registered in 11/07/2018 and is accessible on the Iranian Clinical Trial Registration website.
Sections du résumé
BACKGROUND
Skipping breakfast and replacing it with non-nutritious snacks are progressively increasing among adolescents. This study aimed to develop an educational intervention based on the Social Marketing Model and evaluate its effects on healthy breakfast and snack consumption among female adolescent students.
METHODS
This mixed-methods study was conducted in 2016-2019 in two phases. In the first phase, a qualitative study was conducted through directed content analysis in guidance schools in Khorramabad, Isfahan, and Tehran, Iran, to explore factors affecting breakfast consumption. The results of this phase were set in the benchmarks of the Social Marketing Model. In the second phase, a randomized controlled trial was conducted based on the benchmarks of the Social Marketing Model on 94 students randomly recruited from guidance schools in Khorramabad, Iran.
RESULTS
The findings of the qualitative phase were categorized into the benchmarks of the Social Marketing Model, namely the social marketing mix, the intended behavior, internal and external competing factors for behavior modification, theoretical concepts related to the behavior, and the role of supporters. In the quantitative phase, the univariate analysis showed significant between-group differences concerning the product, price, promotion, and behavior (p < 0.05).
CONCLUSION
Healthy breakfast and snack consumption can be promoted through making acceptable the tastes, costs, preparations, and consumption places of breakfast and snack.
TRIAL REGISTRATION
The trial was registered in the Iranian Registry of Clinical Trials (code: IRCT20170201032347N1 ). The trial was registered in 11/07/2018 and is accessible on the Iranian Clinical Trial Registration website.
Identifiants
pubmed: 33962686
doi: 10.1186/s41043-021-00245-y
pii: 10.1186/s41043-021-00245-y
pmc: PMC8106147
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
22Références
J Adv Nurs. 2008 Apr;62(1):107-15
pubmed: 18352969
Health Commun. 2016;31(1):1-11
pubmed: 25365726
Eat Weight Disord. 2017 Jun;22(2):321-328
pubmed: 28349369
Br J Health Psychol. 2017 Nov;22(4):763-785
pubmed: 28646537
Appetite. 2017 Oct 1;117:67-73
pubmed: 28627401
Public Health Nutr. 2010 Feb;13(2):196-200
pubmed: 19545473
J Nutr Educ Behav. 2017 Feb;49(2):166-174.e1
pubmed: 27956000
Public Health. 2006 Dec;120(12):1133-9
pubmed: 17095026
J Adv Nurs. 2000 Oct;32(4):807-16
pubmed: 11095218
BMC Public Health. 2019 Oct 22;19(1):1342
pubmed: 31640640
J Nutr Educ Behav. 2004 Sep-Oct;36(5):250-7
pubmed: 15707548
Am J Health Behav. 2007 Jan-Feb;31(1):44-55
pubmed: 17181461
J Am Coll Cardiol. 2017 Oct 10;70(15):1833-1842
pubmed: 28982495
Physiol Behav. 2014 Sep;136:111-20
pubmed: 24726388
J Am Coll Health. 2006 Jul-Aug;55(1):33-9
pubmed: 16889313
Br J Health Psychol. 2006 May;11(Pt 2):249-62
pubmed: 16643697
Proc Nutr Soc. 1998 Nov;57(4):617-24
pubmed: 10096125
Contemp Clin Trials Commun. 2016 Aug 15;3:12-22
pubmed: 27141531
J Environ Manage. 2013 Dec 15;131:196-205
pubmed: 24178312
BMC Pediatr. 2017 Feb 23;17(1):61
pubmed: 28228124
Nutr Rev. 2016 May;74(5):337-51
pubmed: 27018054
Br J Nutr. 2017 Aug;118(4):280-290
pubmed: 28814349
Am Psychol. 1979 Jan;34(1):80-5
pubmed: 396833
J Biosoc Sci. 2020 Jan;52(1):57-77
pubmed: 31112112
J Pediatr Endocrinol Metab. 2017 Aug 28;30(9):923-929
pubmed: 28809752
Soc Work Public Health. 2018;33(5):317-328
pubmed: 29757116
Eur Psychiatry. 2017 Feb;40:116-122
pubmed: 27997875
Adv Nutr. 2016 May 16;7(3):466-75
pubmed: 27184274
Appetite. 2016 Sep 1;104:60-9
pubmed: 26456411
Adv Nutr. 2011 May;2(3):293-4
pubmed: 22332062
Int J Cardiol. 2009 Aug 14;136(2):235-8
pubmed: 18639942
J Phys Act Health. 2016 Nov;13(11):1263-1274
pubmed: 27633626
Int J Adolesc Med Health. 2019 Oct 15;33(2):
pubmed: 31613793
Health Policy Plan. 2017 Feb;32(1):110-124
pubmed: 27476502
J Allied Health. 2003 Summer;32(2):106-9
pubmed: 12801022
Int J Adolesc Med Health. 2020 Nov 2;:
pubmed: 33128526
Acad Med. 2014 Apr;89(4):550-4
pubmed: 24556777
Med Teach. 2013 Nov;35(11):e1584-93
pubmed: 23758180
Obes Rev. 2017 Dec;18(12):1425-1438
pubmed: 28960764
Public Health Nutr. 2015 Nov;18(16):3013-9
pubmed: 25686619
Curr Obes Rep. 2017 Jun;6(2):101-107
pubmed: 28421471
Prev Med Rep. 2015 Apr 18;2:287-91
pubmed: 26844084
Int J Vitam Nutr Res. 2016 Jun;86(3-4):242-248
pubmed: 28806888
J Nutr Educ Behav. 2011 Jan-Feb;43(1):55-62
pubmed: 21216367