The impact of age on goal-framing for health messages: The mediating effect of interest in health and emotion regulation

Association between food parenting practices and adulthood portion size selection to avoid overeating among Japanese: The mediating role of health and food waste concern

BACKGROUND

Food parenting practices (FPPs) play a crucial role in shaping children's adulthood-portion size selection to avoid overeating (PSO), which are integral in the prevention of obesity, reducing overproduction, and reducing food waste. Aim: This study aimed to describe the relationship between several FPPs and implementation of PSO in adulthood and the mediating role of interest in health (IH) in adulthood and attitude toward food waste (AFW) in the above-mentioned association among Japanese adults. Methods: A total of 1707 Japanese adults who responded to an anonymous web-based questionnaire survey in February 2023 were included in the analysis (women: n = 865, 50.7%). Data on FPPs (nine items), PSO (eight items), IH (five items), AFW (three items), and demographic and anthropometric data were collected. Nine mediation models for each FPP were created, and mediation analysis with percentile-corrected bootstrap confidence intervals adjusted for demographic and anthropometric data was performed to examine the direct and mediation effects. Results: Significant direct effects were observed for all nine models (B = 0.33-0.74, p < 0.001). In addition, partial mediation was established in all the models without AFW for one FPP. Adulthood IH (indirect effect-adjusted model: B = 0.06-0.13) and AFW (B = -0.03-0.06, except for one FPP model) mediated the association between FPPs and adult PSO. The indirect effects accounted for 11.4-22.3% (IH) and 3.6-5.6% (AFW) of the total effects, respectively. Conclusion: The results provide new insights for the establishment of appropriate FPPs to promote PSO. This study suggests the potential impact of FPPs on PSO in adulthood.

Effect of content framing in smoking prevention campaigns on recognition and attitudes: a virtual reality study

Objectives

Anti-tobacco campaigns often suffer from a lack of systematic evaluation and may not always have the intended impact on the target population. Our research adopted immersive virtual reality (iVR) to systematically evaluate preventive anti-tobacco messages in a controlled setting while mimicking a naturalistic and ecological environment. We investigated the effect of content framing of Anti-tobacco posters on attitudes and cravings toward tobacco, and poster recognition.

Methods

Participants were undergraduate students (n = 121), mostly female (76%). They were immersed in a virtual environment incidentally exposing them to either negatively, positively, or neutrally framed preventive posters based on their experimental condition. Their gaze was eye-tracked during the entire procedure.

Results

Results indicate that incidental exposure to preventive anti-tobacco posters while directly looking at negatively framed posters was associated with lower positive attitudes toward tobacco. Incidental exposure to posters did not impact their explicit recognition, except when exposed to negatively framed posters. No significant effect was found on craving.

Conclusions

We advise health campaign designers to consistently use negatively framed preventive messages and recommend the use of iVR to evaluate campaigns before launching them.

Stroke signs knowledge and factors associated with a delayed hospital arrival of patients with acute stroke in Kinshasa

Background

Rapid recognition and early medical intervention are essential to reduce stroke-related mortality and long-term disability. This study aimed to evaluate awareness of stroke symptoms/signs and determine factors delaying the hospital arrival of patients with acute stroke in Kinshasa.

Methods

Patients with stroke and/or accompanying family members were interviewed using a standard questionnaire, and their medical records were reviewed. Factors independently associated with a late arrival (≥4.5 h) to the hospital were identified using the logistic regression test in forward multivariate analysis.

Results

Overall, 202 patients with an average age of 57.9 ± 13.1 years were included. Only 27 (13.4%) patients immediately associated the initial symptoms with a stroke episode. Delayed hospital arrival was observed in 180 (89.1%) patients. Unmarried status (adjusted odds ratio [aOR], 2.29; 95% confidence interval [CI], 1.17-4.88; p = 0.007), low education level (aOR, 2.29; 95% CI, (1.12-5.10; p = 0,014), absence of impaired consciousness (aOR, 3.12; 95% CI, 1.52-4.43; p = 0.005), absence of a history of hypertention (aOR, 1.85; 95% CI, 1.18-3.78; p = 0.041), absence of a history of diabetes (aOR, 1.93; 95% CI, 1.15-4.58; p = 0.013), heavy alcohol consumption (aOR, 1.83; 95% CI, 1.12-2.83; p = 0.045), absence of a severe to very severe stroke (aOR, 4.93; 95% CI, 0.82-1.01; p = 0.002), and presence of ischemic stroke (aOR, 2.93; 95% CI, 1.54-4.59; p = 0.001) were identified as independent determinants of delayed hospital arrival.

Conclusions

This study depicted a low stroke awareness rate and a much longer prehospital delay than evidence-based guidelines recommend and identified eight factors that public health actions could target to promote the earliest management of stroke.

Health appeal appraisal and memory in older adults: the effects of goal and valence framing

Relative to younger adults, older adults have a preference and memory advantage for appeals framed to focus on emotion goals (e.g., loving or caring) or positive outcomes (e.g., benefits of health behaviors). Here we examined whether combining goal (emotion vs. future) and valence framing (positive vs. negative) could optimize older adults' appraisal and memory for health appeals. Sixty younger (ages 18-29) and 60 older (ages 64-87) adults viewed, rated and recalled one of the four versions of a health pamphlet, each with a unique combination of goal and valence framing. The results showed a memory advantage for pamphlets focusing on emotion over future goals in both age groups. Older adults also showed a more favorable appraisal and a weak memory advantage for the positively- and emotion-framed pamphlet, relative to younger adults. Thus combining goal and valence framing could optimize the effectiveness of older adults' health appeal communication..

Age differences in option choice: Is the option framing effect observed among older adults?

Previous studies reported that consumers choose a higher number of options in subtractive framing (-OF), which delete the unnecessary options from the full model with all options chosen than in additive framing (+OF), which adds options to a simple base model. The purposes of this study are to examine the effect of age on option framing and the differences of product type on the option framing effect using two product scenarios (travel package and medical examination). Participants were 40 younger and 40 older adults. We measured the number of options chosen, total price, choice difficulty, and choice satisfaction. In addition, cognitive functions (coding, symbol search, digit span, arithmetic, and information) were assessed. Results revealed that older and younger adults chose more options in the -OF condition for both the scenarios. For the medical examination, older adults chose more options than did the younger adults in both -OF and +OF conditions. Developmental shift in goals and motivation related to life-span may explain the differences between the age differences.

Reanalysis of a Randomized Controlled Trial on Promoting Influenza Vaccination in General Practice Waiting Rooms: A Zelen Design

In 2014–2015, we conducted a randomized controlled trial (RCT) assessing the effect of an advertising campaign for influenza vaccination using posters and pamphlets in general practitioner (GP) waiting rooms. No effect of the intervention could be demonstrated, but the immunization uptake increased in both arms of the study. In 2019, we deepened the investigations explaining the increased uptake conducting a registry-based 4/2/1 cluster RCT designed by Zelen with two extra years of follow-up of the study cohort. The study population included 23,024 patients eligible to be vaccinated who were registered with 175 GPs. The main outcome remained the number of vaccination units delivered per study group. Data were extracted from the SNIIRAM warehouse claim database for the Lille-Douai district (northern France). No difference in vaccination uptake was found in the Zelen versus the control group of the initial RCT. Overall, the proportion of vaccinated patients increased in the cohort from 51.4% to 70.4% over the three years. Being vaccinated the previous year was a strong predictor of being vaccinated in a subsequent year. The increase in vaccination uptake, especially among people older than 65, can be explained by a cohort effect. Health promotion and the promotion of primary health care may play an important role in this increase.

Dysphagia-Related Health Information Improved Consumer Acceptability of Thickened Beverages

Most people tend to think that healthy foods do not taste good. This view could have a negative impact on the taste of the food that people eat for health. However, if health-related information is provided to avoid negative aspects, acceptability may improve. Thus, this study investigated changes in consumers’ sensory perception of thickened beverages before and after the provision of dysphagia-related health information. Sixty young (19–39 years old) and middle-aged (40–64 years old) consumers participated in two experiment sessions conducted one week apart. The first session proceeded without any information and the second provided information about dysphagia and the need for dietary modification before evaluation. Three beverages (orange juice, red bean water, and sports drink) were used in nectar-like (51–350 cP) and honey-like (351–1750 cP) forms; original beverage samples (0%) were used as the control. Consumers were asked about acceptability, liking the flavor, intensity, and general health interest (GHI). An analysis of variance was performed to show the change in flavor rating and acceptability between the two sessions. Although there were age-related differences in response to the samples, thickened beverages were rated as more acceptable, in terms of their characteristics (swallowing, viscosity, and mouthfeel) after the information was provided. There were no significant differences for the 0% samples. The mean GHI values were 3.97 ± 0.85 and 4.81 ± 0.68 for the young and middle-aged groups, respectively. High and low GHI groups were analyzed. The high GHI group showed significant differences in acceptability in the informed evaluation, whereas the low GHI group was not influenced by the information.