Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring
Abstract Background Unhealthy dietary and physical activity (PA) patterns are highly prevalent in most Western countries, especially among lower-educated and ethnic minority groups. Therefore, interventions to promote healthy eating and physical activity that can reach large numbers of lower-educate...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2016-09-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-016-3596-6 |
| _version_ | 1818990700863160320 |
|---|---|
| author | Kristina Romeike Lilian Lechner Hein de Vries Anke Oenema |
| author_facet | Kristina Romeike Lilian Lechner Hein de Vries Anke Oenema |
| author_sort | Kristina Romeike |
| collection | DOAJ |
| description | Abstract Background Unhealthy dietary and physical activity (PA) patterns are highly prevalent in most Western countries, especially among lower-educated and ethnic minority groups. Therefore, interventions to promote healthy eating and physical activity that can reach large numbers of lower-educated people are needed. When developing interventions, the ethnic diversity of the lower-educated population may be taken into account to make intervention material more appealing to the target group. This article describes the development and evaluation of two computer-tailored nutrition and physical activity interventions for lower-educated Dutch, Turkish and Moroccan women. One version is tailored to sociocognitive variables (traditional tailoring), while the other is additionally tailored to ethnic identity (EI-tailoring). Method Using intervention mapping, two evidence- and theory-based interventions were developed. In the traditional tailoring intervention, messages are tailored to health behavior, awareness of own behavior, attitude and self-efficacy. The behavior change techniques used to address these factors are: descriptive and evaluative feedback, arguments, modeling, goal setting, planning, barrier identification and advice on how to deal with barriers, stimulating resistance to social pressure, mobilization of social support (nontailored), active learning (nontailored) and iterative feedback. In the EI-tailoring intervention, the material is additionally tailored to ethnic identity (EI). This means that recipients who feel strongly attached to their ethnic background receive different intervention material than recipients with a weak attachment to their background. This includes, for instance, the use of more traditional colors, role models that match with their origin and advice messages that refer to their ethnicity of origin. Discussion Developing an intervention that matches the needs of this specific target population was challenging due to the little evidence regarding the determinants of their health behavior, as well as the behavioral change techniques that have not been tested among Turkish and Moroccan women in the Netherlands before. Based on previous research among this and other target populations we hypothesize, however, that the determinants and strategies we use will be suitable. A randomized controlled trial will show whether the interventions are effective among our specific target group and whether EI-tailoring is beneficial. Trial registration Dutch Trial Registry NTR4506 , registration date: 1st may 2014 |
| first_indexed | 2024-12-20T19:58:33Z |
| format | Article |
| id | doaj.art-3c1467c05b484bf3a8d7ab0a35084bcc |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-20T19:58:33Z |
| publishDate | 2016-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-3c1467c05b484bf3a8d7ab0a35084bcc2022-12-21T19:28:07ZengBMCBMC Public Health1471-24582016-09-0116111610.1186/s12889-016-3596-6Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoringKristina Romeike0Lilian Lechner1Hein de Vries2Anke Oenema3School for Public Health and Primary Care (Caphri), Maastricht UniversityFaculty of Psychology and Educational Science, Open University of the NetherlandsSchool for Public Health and Primary Care (Caphri), Maastricht UniversitySchool for Public Health and Primary Care (Caphri), Maastricht UniversityAbstract Background Unhealthy dietary and physical activity (PA) patterns are highly prevalent in most Western countries, especially among lower-educated and ethnic minority groups. Therefore, interventions to promote healthy eating and physical activity that can reach large numbers of lower-educated people are needed. When developing interventions, the ethnic diversity of the lower-educated population may be taken into account to make intervention material more appealing to the target group. This article describes the development and evaluation of two computer-tailored nutrition and physical activity interventions for lower-educated Dutch, Turkish and Moroccan women. One version is tailored to sociocognitive variables (traditional tailoring), while the other is additionally tailored to ethnic identity (EI-tailoring). Method Using intervention mapping, two evidence- and theory-based interventions were developed. In the traditional tailoring intervention, messages are tailored to health behavior, awareness of own behavior, attitude and self-efficacy. The behavior change techniques used to address these factors are: descriptive and evaluative feedback, arguments, modeling, goal setting, planning, barrier identification and advice on how to deal with barriers, stimulating resistance to social pressure, mobilization of social support (nontailored), active learning (nontailored) and iterative feedback. In the EI-tailoring intervention, the material is additionally tailored to ethnic identity (EI). This means that recipients who feel strongly attached to their ethnic background receive different intervention material than recipients with a weak attachment to their background. This includes, for instance, the use of more traditional colors, role models that match with their origin and advice messages that refer to their ethnicity of origin. Discussion Developing an intervention that matches the needs of this specific target population was challenging due to the little evidence regarding the determinants of their health behavior, as well as the behavioral change techniques that have not been tested among Turkish and Moroccan women in the Netherlands before. Based on previous research among this and other target populations we hypothesize, however, that the determinants and strategies we use will be suitable. A randomized controlled trial will show whether the interventions are effective among our specific target group and whether EI-tailoring is beneficial. Trial registration Dutch Trial Registry NTR4506 , registration date: 1st may 2014http://link.springer.com/article/10.1186/s12889-016-3596-6NutritionPhysical activityComputer tailoringPrint-delivered interventionEthnic identity tailoringTurkish |
| spellingShingle | Kristina Romeike Lilian Lechner Hein de Vries Anke Oenema Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring BMC Public Health Nutrition Physical activity Computer tailoring Print-delivered intervention Ethnic identity tailoring Turkish |
| title | Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring |
| title_full | Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring |
| title_fullStr | Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring |
| title_full_unstemmed | Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring |
| title_short | Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring |
| title_sort | development of a computer tailored nutrition and physical activity intervention for lower educated women of dutch turkish and moroccan origin using content matching and ethnic identity tailoring |
| topic | Nutrition Physical activity Computer tailoring Print-delivered intervention Ethnic identity tailoring Turkish |
| url | http://link.springer.com/article/10.1186/s12889-016-3596-6 |
| work_keys_str_mv | AT kristinaromeike developmentofacomputertailorednutritionandphysicalactivityinterventionforlowereducatedwomenofdutchturkishandmoroccanoriginusingcontentmatchingandethnicidentitytailoring AT lilianlechner developmentofacomputertailorednutritionandphysicalactivityinterventionforlowereducatedwomenofdutchturkishandmoroccanoriginusingcontentmatchingandethnicidentitytailoring AT heindevries developmentofacomputertailorednutritionandphysicalactivityinterventionforlowereducatedwomenofdutchturkishandmoroccanoriginusingcontentmatchingandethnicidentitytailoring AT ankeoenema developmentofacomputertailorednutritionandphysicalactivityinterventionforlowereducatedwomenofdutchturkishandmoroccanoriginusingcontentmatchingandethnicidentitytailoring |