A social marketing approach to promoting healthful eating and physical activity in low-income and ethnically diverse schools
- Authors
- Paek, Hye-Jin; Jung, Yumi; Oh, Hyun Jung; Alaimo, Katherine; Pfeiffer, Karin; Carlson, Joseph J.; Wen, Yalu; Betz, Heather Hayes; Orth, Julie
- Issue Date
- May-2015
- Publisher
- SAGE PUBLICATIONS LTD
- Keywords
- Healthy eating; school interventions; social marketing; underserved populations; USA
- Citation
- HEALTH EDUCATION JOURNAL, v.74, no.3, pp.351 - 363
- Indexed
- SSCI
SCOPUS
- Journal Title
- HEALTH EDUCATION JOURNAL
- Volume
- 74
- Number
- 3
- Start Page
- 351
- End Page
- 363
- URI
- https://scholarworks.bwise.kr/erica/handle/2021.sw.erica/18365
- DOI
- 10.1177/0017896914540294
- ISSN
- 0017-8969
- Abstract
- Objective: To evaluate the short-term outcome of the social marketing approach used in Project FIT, we developed a school- and community-based programme for promoting healthful eating and physical activity in kindergarten to 5th-grade children and their parents. Design: A 2-year quasi-experiment for children and two cross-sectional surveys for parents. Setting: We included low-income, urban and ethnically diverse elementary schools and neighbourhoods in Grand Rapids, Michigan, USA. Method: Students in 3rd, 4th and 5th grades were surveyed in four intervention schools (four time points, N with at least one time point measurement = 664) and two control schools (N = 195). Parents of intervention students were surveyed at baseline (N = 286) and follow-up (N = 215). Key dependent variables included self-reported healthful eating and physical activity. Key independent variables included awareness, knowledge, motivation and attitudes towards Project FIT. Analysis: We analysed generalised linear mixed models and generalised estimation equation (GEE) models for the student surveys and mean difference tests and logistic regressions for the parent surveys. Results: The proportion of students who were aware of Project FIT increased over time. GEE models showed that selected key dependent variables were significantly associated with self-reported healthful eating and physical activity. Parents were more aware of Project FIT at follow-up compared to the baseline survey, and their attitudes were significantly associated with increased healthful eating (vegetables, fruits and whole grains). Conclusion: The social marketing approach utilised in Project FIT contributed to increasing awareness and achieving behavioural goals of healthful eating and physical activity.
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