Elizabeth A Rogers1,2, Sarah C Fine3, Margaret A Handley4, Hodari B Davis5, James Kass5, Dean Schillinger3. 1. 1 Departments of Internal Medicine and Pediatrics, and the Department of Medicine's Applied Clinical Research Program, University of Minnesota, Minneapolis, Minnesota. 2. 2 Departments of Internal Medicine and Pediatrics, University of California, San Francisco, California. 3. 3 Division of General Internal Medicine and Center for Vulnerable Populations at San Francisco General Hospital, University of California, San Francisco, California. 4. 4 Department of Epidemiology and Biostatistics and Center for Vulnerable Populations at San Francisco General Hospital, University of California, San Francisco, San Francisco General Hospital and Trauma Center, San Francisco, California. 5. 5 Youth Speaks, San Francisco, California.
Abstract
PURPOSE: To examine the reach, efficacy, and adoption of The Bigger Picture, a type 2 diabetes (T2DM) social marketing campaign that uses spoken-word public service announcements (PSAs) to teach youth about socioenvironmental conditions influencing T2DM risk. DESIGN: A nonexperimental pilot dissemination evaluation through high school assemblies and a Web-based platform were used. SETTING: The study took place in San Francisco Bay Area high schools during 2013. SUBJECTS: In the study, 885 students were sampled from 13 high schools. INTERVENTION: A 1-hour assembly provided data, poet performances, video PSAs, and Web-based platform information. A Web-based platform featured the campaign Web site and social media. MEASURES: Student surveys preassembly and postassembly (knowledge, attitudes), assembly observations, school demographics, counts of Web-based utilization, and adoption were measured. ANALYSIS: Descriptive statistics, McNemar's χ2 test, and mixed modeling accounting for clustering were used to analyze data. RESULTS: The campaign included 23 youth poet-created PSAs. It reached >2400 students (93% self-identified non-white) through school assemblies and has garnered >1,000,000 views of Web-based video PSAs. School participants demonstrated increased short-term knowledge of T2DM as preventable, with risk driven by socioenvironmental factors (34% preassembly identified environmental causes as influencing T2DM risk compared to 83% postassembly), and perceived greater personal salience of T2DM risk reduction (p < .001 for all). The campaign has been adopted by regional public health departments. CONCLUSION: The Bigger Picture campaign showed its potential for reaching and engaging diverse youth. Campaign messaging is being adopted by stakeholders.
PURPOSE: To examine the reach, efficacy, and adoption of The Bigger Picture, a type 2 diabetes (T2DM) social marketing campaign that uses spoken-word public service announcements (PSAs) to teach youth about socioenvironmental conditions influencing T2DM risk. DESIGN: A nonexperimental pilot dissemination evaluation through high school assemblies and a Web-based platform were used. SETTING: The study took place in San Francisco Bay Area high schools during 2013. SUBJECTS: In the study, 885 students were sampled from 13 high schools. INTERVENTION: A 1-hour assembly provided data, poet performances, video PSAs, and Web-based platform information. A Web-based platform featured the campaign Web site and social media. MEASURES: Student surveys preassembly and postassembly (knowledge, attitudes), assembly observations, school demographics, counts of Web-based utilization, and adoption were measured. ANALYSIS: Descriptive statistics, McNemar's χ2 test, and mixed modeling accounting for clustering were used to analyze data. RESULTS: The campaign included 23 youth poet-created PSAs. It reached >2400 students (93% self-identified non-white) through school assemblies and has garnered >1,000,000 views of Web-based video PSAs. School participants demonstrated increased short-term knowledge of T2DM as preventable, with risk driven by socioenvironmental factors (34% preassembly identified environmental causes as influencing T2DM risk compared to 83% postassembly), and perceived greater personal salience of T2DM risk reduction (p < .001 for all). The campaign has been adopted by regional public health departments. CONCLUSION: The Bigger Picture campaign showed its potential for reaching and engaging diverse youth. Campaign messaging is being adopted by stakeholders.
Entities:
Keywords:
Health focus: prevention and health literacy; Outcome measure: cognitive, descriptive; Research purpose: program evaluation; Setting: Web-based platform, school; Strategy: education; Study design: nonexperimental; Target population age: youth; Target population circumstances: income level, geographic location, race/ethnicity; Type 2 Diabetes Mellitus, Prevention, Adolescent, Social Marketing, Health Campaigns, Health Literacy, Prevention Research. Manuscript format: research
Authors: Judith K Ockene; Elizabeth A Edgerton; Steven M Teutsch; Lucy N Marion; Therese Miller; Janice L Genevro; Carol J Loveland-Cherry; Jonathan E Fielding; Peter A Briss Journal: Am J Prev Med Date: 2007-03 Impact factor: 5.043
Authors: Darcy A Freedman; Kimberly D Bess; Holly A Tucker; David L Boyd; Arleen M Tuchman; Kenneth A Wallston Journal: Am J Prev Med Date: 2009-05 Impact factor: 5.043
Authors: Monika Siegrist; Henner Hanssen; Christoph Lammel; Bernhard Haller; Martin Halle Journal: BMC Public Health Date: 2011-04-22 Impact factor: 3.295
Authors: Geesje H Hofsteenge; Marijke J M Chinapaw; Peter J M Weijs; Maurits W van Tulder; Henriette A Delemarre-van de Waal Journal: BMC Public Health Date: 2008-12-16 Impact factor: 3.295
Authors: Elizabeth J Mayer-Davis; Ronny A Bell; Dana Dabelea; Ralph D'Agostino; Giuseppina Imperatore; Jean M Lawrence; Lenna Liu; Santica Marcovina Journal: Diabetes Care Date: 2009-03 Impact factor: 19.112
Authors: Stephen W Pan; Gabriella Stein; Barry Bayus; Weiming Tang; Allison Mathews; Cheng Wang; Chongyi Wei; Joseph D Tucker Journal: BMJ Innov Date: 2017-10-27
Authors: Joseph D Tucker; Kathrine Meyers; John Best; Karyn Kaplan; Razia Pendse; Kevin A Fenton; Isabelle Andrieux-Meyer; Carmen Figueroa; Pedro Goicochea; Charles Gore; Azumi Ishizaki; Giten Khwairakpam; Veronica Miller; Antons Mozalevskis; Michael Ninburg; Ponsiano Ocama; Rosanna Peeling; Nick Walsh; Massimo G Colombo; Philippa Easterbrook Journal: BMC Infect Dis Date: 2017-11-01 Impact factor: 3.090
Authors: Dawn M Holman; Mary C White; Meredith L Shoemaker; Greta M Massetti; Mary C Puckett; Claire D Brindis Journal: Am J Prev Med Date: 2017-09 Impact factor: 5.043
Authors: Simón Barquera; Dean Schillinger; Carlos A Aguilar-Salinas; Marc Schenker; Luis A Rodríguez; Cesar Hernández-Alcaraz; Jaime Sepúlveda-Amor Journal: Global Health Date: 2018-08-22 Impact factor: 4.185