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APHA Scientific Session and Event Listing

Recorded presentation

Abdul R. I. Shaikh, PhD, MHS¹, Jana L. Stone, MPH², Lisa A. Martin, MA³, Rachel Davis, MPH³, Guangyu Zhang, MS⁴, Jennifer J. Hawkins, BS³, Josephine Hinchman, BS⁵, Gwen L. Alexander, MPH, PhD⁶, and Ken Resnicow, PhD³. (1) Behavioral Research Program, National Cancer Institute, 6130 Executive Blvd, EPN 4051, MSC 7335, Bethesda, MD 20892-7335, 3015946690, shaikhab@mail.nih.gov, (2) The Food Trust, 1201 Chestnut St., Philadelphia, PA 19107, (3) School of Public Health - Health Behavior & Health Education, University of Michigan, 1420 Washington Heights (SPH2), Ann Arbor, MI 48109-2029, (4) School of Public Health - Biostatistics, University of Michigan, 1420 Washington Heights (SPH2), Ann Arbor, MI 48109-2029, (5) Department of Research, Kaiser Permanente Georgia, 3495 Piedmont Road, Atlanta, GA 30305, (6) Cancer Epidemiology, Prevention and Control, Henry Ford Health System, One Ford Place 5C, Detroit, MI 48202

Motivational Interviewing (MI; Miller & Rollnick, 2002) and Self Determination Theory (SDT; Deci & Ryan, 1985) were used in conjunction with traditional health behavior constructs (e.g., self-efficacy, perceived barriers) to develop a tailored print intervention for increasing fruit and vegetable intake. SDT proposes that individuals pursuing integrated goals (e.g., personal growth) are more likely to satisfy their psychological needs for autonomy, competence, and relatedness than are those who focus on extrinsic goals such as social pressure, shame, or guilt. Therefore, health behavior changes motivated by personal values and psychologically integrated decision making may be more sustainable and generate higher motivation than those based on more extrinsic goals. The principles of MI closely match those factors SDT considers to be important for self-determined functioning, such as avoiding coercion, expressing empathy, and presenting clear and neutral information (Markland et al., 2005). Consequently, the intervention messages and graphics were designed using MI and SDT to help African American members of two managed care organizations link their intrinsic goals to eating more fruit and vegetables. Data from 5 focus groups and a psychometric pilot survey (N=286) will be used to illustrate the development of tailored messages and graphics that integrate conventional tailoring constructs with personal values and aspirations for a randomized intervention study.

Learning Objectives:

• Recognize major tailoring constructs (both conventional and unconventional), validated measures, and their use in survey-based research
• Develop tailored health messages based on motivation, personal values, and aspirations

Keywords: Health Communications, Health Behavior

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation