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Framed, Interactive Theory-Driven Texting: Effects of Message Framing on Health Behavior Change for Weight Loss
Anne Cohen1, Alyssa Perozich, Radha Rajan
1Johns Hopkins University, Johns Hopkins Weight Management Center, Baltimore, Maryland (Mss Cohen, Perozich, Fahle, Ezike, Cohen, and Schulte, Messrs Cho, Krishnan, Taylor, and Syed, and Dr Cheskin); Departments of Health, Behavior & Society (Ms Rajan, Drs Bowie, Storey, and Cheskin, and Mr Ahmed) and Mental Health (Dr Parisi), Johns Hopkins Bloomberg School of Public Health Baltimore, Maryland Global Obesity Prevention Center at Johns Hopkins Baltimore, Maryland (Dr Cheskin); and National Institutes of Health, Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, Maryland (Dr Persky).
Tailoring text messages to individual motivational orientations shows promise for weight control interventions. Matched messages increased motivation for healthier eating and exercise behaviors in obese adults.
Area of Science:
- Behavioral Science
- Public Health
- Obesity Research
Background:
- Obesity disproportionately affects racial minorities, necessitating effective weight control strategies.
- Existing interventions often lack tailored approaches, limiting their efficacy in diverse populations.
Purpose of the Study:
- To evaluate the effectiveness of framed text messages in motivating weight loss behaviors.
- To test the application of regulatory fit theory in tailoring messages to motivational orientations.
Main Methods:
- A 28-day, 4-arm experimental trial involving 89 obese adults from urban, predominantly African American churches.
- Participants received text messages framed to match or mismatch their specific motivational orientation.
- Behavioral motivation for eating and exercise changes was assessed.
Main Results:
- Overall results were mixed, but participants receiving matched messages showed increased motivation for behavioral change.
- Tailored messaging demonstrated potential in enhancing engagement with weight loss strategies.
Conclusions:
- Framed text messages, when aligned with individual motivational orientations, can positively influence weight control behaviors.
- Personalized motivational approaches hold promise for future obesity interventions, particularly in minority communities.
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