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Nutrition PoorNCT04492592

JUS Media? Programme: A Food-Focused Media Literacy Intervention for Americanized Adolescents and Mothers Globally

A study testing Workshop and SMS/Texting in people with Nutrition Poor, run by University of Illinois at Urbana-Champaign.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The J(amaican and) U(nited) S(tates) Media? Programme is a culturally-tailored food-focused media literacy preventive intervention designed to promote healthier eating habits among remotely acculturating early adolescents and their mothers in Jamaica (i.e., they have internalized American culture) and are exposed to… Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Nutrition Poor
What is being tested?
Workshop and SMS/Texting
Could I receive a placebo?
No, everyone receives an active treatment
How many people
184 participants
Where
No sites listed yet
Study dates
10 Jan 2017to Dec 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • 7th grader enrolled in the participating schools and present at school on the days of recruitment.
  • Exclusion criteria for each adolescent or mother seeking to enroll:
  • mother/student was not born in Jamaica
  • mother/student is not a Jamaican citizen
  • mother/student is a citizen (including dual citizen) of the United States
  • mother/student has not lived in Jamaica for the past 15 years (mother) or 8 years (student)
Show all 9Show fewer
  • mother and student do not live together
  • mother has been primary guardian for <5 years
  • study screening scores show no U.S. TV usage or no affinity for the U.S. culture, and very low junk food consumption

Who cannot join

None listed.

About this study

Official title: The J(Amaican and) U(Nited) S(Tates) Media? Programme: A Food-Focused Media Literacy Intervention for Americanized Adolescents and Mothers Globally

The J(amaican and) U(nited) S(tates) Media? Programme is a culturally-tailored food-focused media literacy preventive intervention designed to promote healthier eating habits among remotely acculturating early adolescents and their mothers in Jamaica (i.e., they have internalized American culture) and are exposed to U.S. food advertising. The JUS Media? Programme consists of a 2-session face:face weekend workshop for adolescent-mother pairs supplemented by 8 weeks of SMS/text messages to reinforce workshop themes. Adolescents and their mothers learn critical thinking skills to combat the unhealthy food messages they encounter in food advertising, particularly advertising on U.S. cable TV. The efficacy of the JUS Media? Programme was evaluated with a small experimental study utilizing a randomized controlled trial design among adolescents and mothers in Jamaica.

Read the detailed description

The Western diet is common in the United States and has a lot of salt, sugar, and fat. Modern globalization has shifted eating habits in many countries toward this unhealthy Western diet. For example, U.S. cable TV in other countries promotes this Western diet through advertisements for junk foods and sugary drinks. This is a major concern because experimental research studies show that seeing food advertising while watching TV leads to eating more food afterwards. Research studies also show that people who watch a lot of TV tend to think that junk food is not that harmful.

Researchers now believe that some people living outside the U.S. are drawn to the U.S. culture and lifestyle and can become "Americanized" through a process called remote acculturation. These Americanized people in other countries such as Jamaica are mostly teenagers, but sometimes also adults. Americanized people outside the United States are even more likely to adopt the unhealthy Western diet even though they have never lived in the United States. In research the investigators did before getting this grant, they showed that Americanized youth and mothers in Jamaica watched more hours of U.S. cable daily and also ate more unhealthy food. This led them to develop a new healthy eating education program for Americanized families in Jamaica that highlighted the role of U.S. media - the "J(amaican) U(nited) S(tates) Media? Programme". The JUS Media? Programme teaches young people and mothers to question the health messages in food advertising on U.S. cable TV so that they can be smarter and healthier consumers. For example, the JUS Media? Programme covers the recommended food guidelines in Jamaica and teaches adolescents and their mothers the principles of media literacy, such as to think about "who is the source of this message?" "what do they want you to do?" and "what information is missing?". Finally, the JUS Media? Programme teaches participants to use these media literacy principles to challenge unhealthy food advertisements by creating smart, funny parody versions called subvertisements.

In this project,the investigators evaluated how well the JUS Media? Programme worked for 7th graders and their mothers in Jamaica. About 30 adolescents and their mothers got a 2-session workshop, another 30 families got the workshop and text messages, and another 30 families did not get any part of the program.

Conditions
Nutrition Poor
Being tested
Workshop, SMS/Texting
Medical subject headings
Malnutrition

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • WorkshopBehavioural

    Workshop

  • SMS/TextingBehavioural

    SMS/Texting

Study groups in NCT04492592
Study groupRoleWhat they receive
Workshop OnlyExperimental2 session weekend face:face workshop for adolescent-mother pairs
Receives: Behavioral: SMS/Texting
Workshop + SMS/TextingExperimental2 session weekend face:face workshop for adolescent-mother pairs followed by 8 weeks of supplementary text messages (NOTE: there was no 'SMS/texting-only' arm of this study)
Receives: Behavioral: Workshop; Behavioral: SMS/Texting
ControlNo interventionNo intervention provided.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in Dietary Intake Using a 24-Hour Recall Method

    24-Hour Recall. Each participant reported detailed information on all foods and beverages consumed in the previous 24 hours via structured interviews with open-ended responses over the phone, and reported dietary intake was coded into coded for the presence (1) or absence (0) of fruits, raw vegetables, cooked vegetables, fats/oils, and sugary foods/beverages (aligning with the major national food groups of the population studied).

    Measured: 4 measurement points: baseline, 4 weeks, 6 weeks, 17-20 weeks (study ended at this final timepoint).

  2. CHANGE IN STAGE OF CHANGE TOWARDS HEALTHY EATING

    A stages of change measure of healthy eating (Wright et al., 2015) was adapted to measure participants' adherence to 5 additional food-based dietary guidelines of the Jamaica Ministry of Health. Participants reported their adherence to each dietary guideline using a 1-6 likert type scale ranging from 1 "precontemplation stage (No, and I do not intend to [insert wording from guideline]...in the next 6 months" to 6 "total abstinence (I do not consume...[insert wording from guideline)." Higher scores on this scale represent being closer to one's healthy eating goal.

    Measured: 4 measurement points: baseline, 4 weeks, 6 weeks, 17-20 weeks (study ended at this final timepoint).

Secondary outcomes (1)

  1. CHANGE IN FOOD-FOCUSED MEDIA LITERACY

    Food-focused media literacy was measured with a 14-item scale (Powell \& Gross, 2018). Participants responded on a 4-point likert type scale ranging from 1 (strongly disagree) to 4 (strongly agree). Higher scores on this scale represent higher food-focused media literacy.

    Measured: 4 measurement points: baseline, 4 weeks, 6 weeks, 17-20 weeks (study ended at this final timepoint).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jul 2020
  2. Study start10 Jan 2017
  3. Primary completionMay 2017
  4. Study completionDec 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Single group
Masking
Single blind
Who is masked
Participant
Enrolment
184 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04492592
Sponsor's protocol ID
17182
Status last verified
Jul 2020
First submitted
15 Aug 2019
Last updated
31 Jul 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ferguson GM, Meeks Gardner JM, Nelson MR, Giray C, Sundaram H, Fiese BH, Koester B, Tran SP, Powell R. Food-Focused Media Literacy for Remotely Acculturating Adolescents and Mothers: A Randomized Controlled Trial of the "JUS Media? Programme". J Adolesc Health. 2021 Dec;69(6):1013-1023. doi: 10.1016/j.jadohealth.2021.06.006. Epub 2021 Jul 17.

    PubMed 34281754

Questions about this trial

What is this clinical trial studying?

A study testing Workshop and SMS/Texting in people with Nutrition Poor, run by University of Illinois at Urbana-Champaign.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 31 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in Dietary Intake Using a 24-Hour Recall Method (time frame: 4 measurement points: baseline, 4 weeks, 6 weeks, 17-20 weeks (study ended at this final timepoint).). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04492592, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Jul 2020.

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