OBJECTIVES: While healthy eating patterns are of high importance in adolescence, most adolescents portray quite unhealthy eating behaviour. One reason for this may be that social norms among peers tend to be unsupportive of healthy eating. The current study investigates whether communicating health-promoting descriptive and injunctive norms influences adolescents' intended and actual fruit consumption. DESIGN: The study employed an experimental prospective design. METHODS: A norm message manipulation (descriptive vs. injunctive vs. no-norm control) was administered to high school students, after which fruit intake intention (N = 96) was assessed. At follow-up, actual fruit intake over 2 days (N = 80) was recorded. RESULTS:Adolescents receiving the descriptive norm did not report higher fruit intake intentions than the control group, but did consume (borderline, p = .057) significantly more fruit in the following 2 days (2.3 portions per day) than the control condition (1.7 portion per day). Adolescents receiving the injunctive norm reported lower fruit intake intentions than the other two groups, but actual fruit consumption (1.5 portions per day) was similar to that of the control group. CONCLUSIONS: Health-promoting injunctive norms not only had no positive effects on fruit intake but actually caused a decrease in fruit intake intentions, indicating that injunctive norms may be vulnerable to reactance. A health-promoting descriptive norm was found to positively affect fruit intake in adolescents. No effect on fruit intake intention was found. Results show that simple single-sentence norm messages hold the potential to substantially influence health behaviour.
RCT Entities:
OBJECTIVES: While healthy eating patterns are of high importance in adolescence, most adolescents portray quite unhealthy eating behaviour. One reason for this may be that social norms among peers tend to be unsupportive of healthy eating. The current study investigates whether communicating health-promoting descriptive and injunctive norms influences adolescents' intended and actual fruit consumption. DESIGN: The study employed an experimental prospective design. METHODS: A norm message manipulation (descriptive vs. injunctive vs. no-norm control) was administered to high school students, after which fruit intake intention (N = 96) was assessed. At follow-up, actual fruit intake over 2 days (N = 80) was recorded. RESULTS: Adolescents receiving the descriptive norm did not report higher fruit intake intentions than the control group, but did consume (borderline, p = .057) significantly more fruit in the following 2 days (2.3 portions per day) than the control condition (1.7 portion per day). Adolescents receiving the injunctive norm reported lower fruit intake intentions than the other two groups, but actual fruit consumption (1.5 portions per day) was similar to that of the control group. CONCLUSIONS: Health-promoting injunctive norms not only had no positive effects on fruit intake but actually caused a decrease in fruit intake intentions, indicating that injunctive norms may be vulnerable to reactance. A health-promoting descriptive norm was found to positively affect fruit intake in adolescents. No effect on fruit intake intention was found. Results show that simple single-sentence norm messages hold the potential to substantially influence health behaviour.
Authors: Lauren A Fowler; Mark D Litt; Sophia A Rotman; Rachel P Kolko Conlon; Jessica Jakubiak; Richard I Stein; Katherine N Balantekin; R Robinson Welch; Michael G Perri; Leonard H Epstein; Denise E Wilfley Journal: Eat Weight Disord Date: 2021-09-21 Impact factor: 3.008