JUS Media? Programme: A Food-Focused Media Literacy Intervention for Americanized Adolescents and Mothers Globally

NCT04492592 | Completed

• 1 other identifier: 17182
• Study Type: interventional
• Target: 184
• Locations: 0 countries
• Sites: N/A

Brief Summary

The J(amaican and) U(nited) S(tates) Media? Programme is a culturally-tailored food-focused media literacy preventive intervention designed to promote healthier eating habits among remotely acculturating early adolescents and their mothers in Jamaica (i.e., they have internalized American culture) and are exposed to U.S. food advertising. The JUS Media? Programme consists of a 2-session face:face weekend workshop for adolescent-mother pairs supplemented by 8 weeks of SMS/text messages to reinforce workshop themes. Adolescents and their mothers learn critical thinking skills to combat the unhealthy food messages they encounter in food advertising, particularly advertising on U.S. cable TV. The efficacy of the JUS Media? Programme was evaluated with a small experimental study utilizing a randomized controlled trial design among adolescents and mothers in Jamaica.

Conditions

Nutrition Poor

Outcome Measures

Primary Outcomes (2)

• Changes in Dietary Intake Using a 24-Hour Recall Method

  24-Hour Recall. Each participant reported detailed information on all foods and beverages consumed in the previous 24 hours via structured interviews with open-ended responses over the phone, and reported dietary intake was coded into coded for the presence (1) or absence (0) of fruits, raw vegetables, cooked vegetables, fats/oils, and sugary foods/beverages (aligning with the major national food groups of the population studied).

  4 measurement points: baseline, 4 weeks, 6 weeks, 17-20 weeks (study ended at this final timepoint).

• CHANGE IN STAGE OF CHANGE TOWARDS HEALTHY EATING

  A stages of change measure of healthy eating (Wright et al., 2015) was adapted to measure participants' adherence to 5 additional food-based dietary guidelines of the Jamaica Ministry of Health. Participants reported their adherence to each dietary guideline using a 1-6 likert type scale ranging from 1 "precontemplation stage (No, and I do not intend to \[insert wording from guideline\]...in the next 6 months" to 6 "total abstinence (I do not consume...\[insert wording from guideline)." Higher scores on this scale represent being closer to one's healthy eating goal.

  4 measurement points: baseline, 4 weeks, 6 weeks, 17-20 weeks (study ended at this final timepoint).

Secondary Outcomes (1)

• CHANGE IN FOOD-FOCUSED MEDIA LITERACY

  4 measurement points: baseline, 4 weeks, 6 weeks, 17-20 weeks (study ended at this final timepoint).

Study Arms (3)

Workshop Only

EXPERIMENTAL

2 session weekend face:face workshop for adolescent-mother pairs

Behavioral: SMS/Texting

Workshop + SMS/Texting

EXPERIMENTAL

2 session weekend face:face workshop for adolescent-mother pairs followed by 8 weeks of supplementary text messages (NOTE: there was no 'SMS/texting-only' arm of this study)

Behavioral: Workshop; Behavioral: SMS/Texting

Control

NO INTERVENTION

No intervention provided.

Interventions

Workshop BEHAVIORAL

Workshop

Workshop + SMS/Texting

SMS/Texting BEHAVIORAL

SMS/Texting

Workshop + SMS/Texting; Workshop Only

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 7th grader enrolled in the participating schools and present at school on the days of recruitment.

You may not qualify if:

• mother/student was not born in Jamaica
• mother/student is not a Jamaican citizen
• mother/student is a citizen (including dual citizen) of the United States
• mother/student has not lived in Jamaica for the past 15 years (mother) or 8 years (student)
• mother and student do not live together
• mother has been primary guardian for \<5 years
• study screening scores show no U.S. TV usage or no affinity for the U.S. culture, and very low junk food consumption

Sponsors & Collaborators

• University of Illinois at Urbana-Champaign: lead
• The University of The West Indies: collaborator
• University of Minnesota: collaborator

Related Publications (1)

• Ferguson GM, Meeks Gardner JM, Nelson MR, Giray C, Sundaram H, Fiese BH, Koester B, Tran SP, Powell R. Food-Focused Media Literacy for Remotely Acculturating Adolescents and Mothers: A Randomized Controlled Trial of the "JUS Media? Programme". J Adolesc Health. 2021 Dec;69(6):1013-1023. doi: 10.1016/j.jadohealth.2021.06.006. Epub 2021 Jul 17.

  PMID: 34281754 DERIVED

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants were not told what arm of the intervention they were in (i.e., they were not told if they were receiving the intervention or not).
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: August 15, 2019
• First Posted: July 30, 2020
• Study Start: January 10, 2017
• Primary Completion: May 1, 2017
• Study Completion: December 1, 2017
• Last Updated: July 31, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share