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Physical Activity During the Early Days of the COVID-19 Pandemic

Physical Activity During the Early Days of the COVID-19 Pandemic

Dr. Kayla Nuss, KB Scientist, was part of a multi-institutional research team that published the results of a daily diary physical activity study in the Journal of Physical Activity and Health in July. The study, led by Ms. Kristen Moore from Colorado State University, reported on motivational profile as a predictor of physical activity among U.S. adults during the early months of the COVID-19 pandemic.

A total of 468 adults participated in a 28-day smartphone-based daily diary study assessing physical activity. Nearly 80% of the participants were female and the average age of participants was 34.8 years. Daily diaries were used to examine associations between day-level physical activity behavior, physical activity-specific motivational profile, and days since the COVID-19 national emergency declaration during the early months of the pandemic, specifically April-June 2020.

According to the publication in the Journal of Physical Activity and Health, a baseline survey assessed physical activity and motivation for physical activity using the Behavioral Regulation in Exercise Questionnaire. Multilevel linear regression models examined the main effects and interactions of motivational profile and time on daily physical activity minutes. Latent profile analysis identified four distinct motivational profiles for physical activity among this sample:

Profiles

  1. High amotivation (21% of participants)
  2. Low controlled motivation (12% of participants)
  3. High external regulation (10% of participants)
  4. Moderate autonomous motivation (57% of participants)

After controlling for baseline physical activity, there were significant interactions between profile and time on daily physical activity. Profile 2 showed greater decreases in daily physical activity minutes over time than profile 1. Profiles 3 and 4 did not indicate significant decreases in physical activity compared with profile 1. Details on the methods and results of this research can be found in the publication.

The authors summarize that Individuals with lower controlled or moderate autonomous motivation demonstrated the largest decreases in physical activity over time, whereas individuals with higher amotivation or external regulation demonstrated smaller decreases over time. In conclusion, the authors suggest that external motivation may have provided short-term protection against declines in physical activity observed during early months of the COVID-19 pandemic.

This research was supported by the Assessment and Promotion of Physical Activity and Health Lab at Colorado State University and the Real-Time Eating Activity and Children’s Health Lab at University of Southern California. Authors in addition to Ms. Moore and Dr. Nuss include Dr. Shirlene Wang and Dr. Genevieve Dunton from the University of Southern California; Dr. Kaigang Li and Dr. Dan Graham from Colorado State University; Dr. Jimikaye Courtney from the University of North Carolina, and Dr. Bridgette Do from FitMinded, Inc.

Promoting Social Distancing and COVID-19 Vaccine Intentions

Promoting Social Distancing and COVID-19 Vaccine Intentions

Dr. David Buller, Klein Buendel’s Director of Research, presented findings from a supplemental campaign to the Health Chat social media intervention for mothers and their teenage daughters at the 72nd Annual Conference of the International Communication Association in Paris, France, May 26-30, 2022.

Dr. David Buller Presenting at ICA

The COVID-19 pandemic is the most severe public health crisis in the past 100 years. To control the pandemic, the Centers for Disease Control and Prevention (CDC) advised Americans to practice non-pharmaceutical interventions (social distancing) and federal and state governments mounted an unprecedented biomedical endeavor to develop and distribute vaccines and boosters.

Social media is playing a large role in disseminating information on the COVID-19 pandemic, but it is also being used to spread misinformation that affects prevention measures such as social distancing and vaccine acceptance.

A sample of 303 mothers of teen daughters were enrolled in a 3 (information source) x 4 (assessment period) randomized factorial trial from January to March 2021 to evaluate effects of information sources in a social media campaign addressing non-pharmaceutical interventions (social distancing), COVID-19 vaccinations, media literacy, and mother-daughter communication about COVID-19. Mothers received the 9-week campaign in one of three Facebook private groups in which posts contained information and links to government agencies, near-peer parents, or news media.

Mothers reported social distancing behavior and COVID-19 vaccine intentions for self and daughter in baseline and 3-, 6-, and 9-weeks post-randomization assessments.

In intent-to-treat analyses, social distancing behavior by mothers and daughters decreased over time but vaccine intentions increased. The decrease in social distancing by daughters was greater in the near-peer source group and lesser in the government source group. Higher perceived credibility of assigned information source increased social distancing and vaccine intentions. Decreasing case counts, relaxation of government restrictions, and vaccine distribution during the study may explain the decreased social distancing and increased vaccine intentions.

Campaign planners may be more effective when selecting information sources that audiences consider credible when promoting COVID-19 prevention as no source was more credible in general.

This research was funded by a grant and supplement from the National Cancer Institute (CA192652; Dr. David Buller and Dr. Sherry Pagoto, Multiple Principal Investigators). Authors on this presentation include Dr. Sherry Pagoto, Joseph Divito, Christie Idiong, and Haley Troy from the University of Connecticut; Dr. Kim Henry from Colorado State University; Dr. Katie Baker and Dr. Joel Hillhouse from East Tennessee State University; and Dr. David Buller, Dr. Barbara Walkosz, Dr. Gill Woodall, Julia Berteletti, and Alishia Kinsey from Klein Buendel.

Responding to COVID-19 Misinformation in a Social Media Feed

Responding to COVID-19 Misinformation in a Social Media Feed

Social media play a large role in disseminating news on COVID-19 but they also have spread misinformation. Strategies have been suggested for correcting misinformation from fact-checking to digital and media literacy. Dr. David Buller, Director of Research at Klein Buendel, is studying an approach to responding to misinformation in a social media feed on COVID-19 and the reactions of participants to responses. He gave a presentation on the research at the University of Connecticut’s virtual mHealth Conference, May 13-14, 2021.

A total of 303 mothers with adolescent daughters who had previously participated in a social media campaign on indoor tanning were recruited in January 2021 and enrolled in a single-factor design comparing information sources in a 9-week Facebook feed (government agencies v. near-peer parents v. news media) with four assessments (baseline, 3 weeks, 6 weeks, and 9 weeks). The social media feed addressed non-pharmaceutical interventions such as social distancing, COVID-19 vaccination, digital and media literacy skills, and family communication about COVID-19. A community manager scheduled posts (5 per week), monitored reactions and comments, and responded to mothers’ comments that conveyed misinformation within 24 hours following a pre-established protocol. Misinformed comments were defined as being in opposition to recommendations of scientific authorities.

Of the 135 posts total (45 per group), 13% received comments containing misinformation (54 comments) and the community manager responded to 48 of the misinformed comments. Mothers posted the most misinformation in the near-peer parent group (27 comments); those in government agency group (17 comments) and news media groups (10 comments) posted less misinformation. Most comments with misinformation were in response to vaccination posts. The community manager’s responses to misinformation acknowledged mothers’ comments and then stated facts (such as efficacy and safety of vaccines) and cited evidence-based sources (such as the CDC) to refute the misinformation. The community manager also validated mothers’ concerns and confusion, if expressed in these posts, and occasionally stated personal experience or asked a follow-up question to promote dialogue. After responses were posted, ten original posters commented again and three reacted to the reply with “like/love”. Also, at times, other moms commented, reacted, or sent a private direct message related to response to misinformation.

Feeds on COVID-19 vaccines and non-pharmaceutical interventions can attract misinformation from individuals following them. Response strategies did not appear to generate a debate with mothers who posted misinformation, possibly because it conveyed an understanding of their positions or acknowledged their uncertainty or confusion rather than confronted them. Responses seemed to garner some supportive reactions from other mothers for the community manager, perhaps because the response made them feel supported to express their disagreement with the misinformation. These reactions could serve to reinforce the correction of misinformation for other followers of the social media feed.

This research is funded by a grant and supplement from the National Cancer Institute (CA192652; Dr. David Buller and Dr. Sherry Pagoto, Multiple Principal Investigators). Collaborating authors include Dr. Sherry Pagoto and Joseph Divito from the University of Connecticut; and Dr. Barbara Walkosz, Dr. Gill Woodall, Julia Berteletti, and Alishia Kinsey from Klein Buendel.

Testing The Impact Of Social Media Messaging On COVID-19 Mitigation

Testing The Impact Of Social Media Messaging On COVID-19 Mitigation

Klein Buendel researchers and collaborators are launching a supplemental study to test the impact of social media messaging on COVID-19 mitigation, such as social distancing behaviors and vaccination, in a sample of mothers with daughters aged 14-17 years. The study, which is funded by the National Cancer Institute, will examine the impact of different sources frequently providing COVID-19 and vaccination information via Facebook.

The Internet, including social media, is a preferred channel for health information for many Americans (1,2). At their best, social media provide flexible, responsive, and accessible platforms for distributing information to the public from trusted voices such as Centers for Disease Control and Prevention (CDC) and National Institutes of Health to promote needed health behaviors (3,4). Social media can improve information dissemination and personal relevance (8-12), create social support and collective action (13,14), and detect and respond to emerging issues and trends such as the COVID-19 response (5,6). At their worst, social media circulate inaccurate, misleading, unsupported, and harmful information (5,7), which may be especially detrimental in this age of filter bubbles separating Americans into like-minded groups (5).

Following a pretest survey, mothers will be randomly assigned to one of three Facebook private groups varying in types of source in the COVID-19 social media posts – government health agencies, near-peer parents and family members, or news media. Social media platforms are directing users to health organizations (6) but other sources may be credible with users, as well. The private groups prevent experimental contamination while delivering the social media feed. Mothers will complete a posttest at 3-, 6-, and 9-weeks post-randomization. The primary outcomes, assessed at pretest and all posttests, will be social distancing behaviors by self and daughter and intention to vaccinate self and daughter for COVID-19 (if a vaccine becomes available). Secondary outcomes are mother-daughter communication about COVID-19 mitigation behaviors and vaccination, theoretic antecedents of mitigation behaviors and vaccination, media literacy, and COVID-19 misinformation. Individual differences among mothers and other covariates will be measured at baseline or obtained from the parent trial. Engagement with the social media feed will be recorded.

This research is funded by an administrative supplement to a grant from the National Cancer Institute (CA192652; Dr. David Buller, Klein Buendel, and Dr. Sherry Pagoto, University of Connecticut, Multiple Principal Investigators). Collaborators include Dr. Katie Baker, Dr. Joel Hillhouse, and Jessica Bibeau from East Tennessee State University; Dr. Kim Henry from Colorado State University; and Dr. Barbara Walkosz and Julia Berteletti from Klein Buendel.

References

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2. Majority of Adults Look Online for Health Informaiton. FactTank: News in the Numbers. February 1, 2013. http://www.pewresearch.org/fact-tank/2013/02/01/majority-of-adults-look-online-for-health-information/. Accessed May 22, 2020.

3. Veil SR, Buehner T, Palenchar MJ. A work-in-process literature review: incorporating social media in risk and crisis communication. J Contingencies Crisis Manage. 2011;19(2):110-122.

4. Breland JY, Quintiliani LM, Schneider KL, May CN, Pagoto S. Social media as a tool to increase the impact of public health research. Am J Public Health. 2017;107(12):1890-1891.

5. Sutton J. Health communication trolls and bots versus public health agencies’ trusted voices. Am J Public Health. 2018;108(10):1281-1282.

6. Merchant RM, Lurie N. Social media and emergency preparedness in response to novel coronavirus [published online ahead of print March 24, 2020]. JAMA. 2020 doi: 10.1001/jama.2020.4469

7. Broniatowski DA, Jamison AM, Qi S, et al. Weaponized health communication: Twitter bots and Russian trolls amplify the vaccine debate. Am J Public Health. 2018;108(10):1378-1384.

8. Valle CG, Tate DF, Mayer DK, Allicock M, Cai J. A randomized trial of a Facebook-based physical activity intervention for young adult cancer survivors. J Cancer Surviv. 2013;7(3):355-368.

9. Young SD, Cumberland WG, Lee SJ, Jaganath D, Szekeres G, Coates T. Social networking technologies as an emerging tool for HIV prevention: a cluster randomized trial. Ann Intern Med. 2013;159(5):318-324.

10. Pagoto S, Baker K, Griffith J, et al. Engaging moms on teen indoor tanning through social media: protocol of a randomized controlled trial. JMIR Research Protocols. 2016;5:e228. doi: 10.2196/resprot.6624. PMCID: PMC5147712

11. Witte K. Putting the fear back in fear appeals: the extended parallel process model. Communication Monographs. 1992;59:329-349.

12. Rogers RW. A Protection Motivation Theory of fear appeals and attitude change1. J Psychol. 1975;91(1):93-114. doi: 10.1080/00223980.1975.9915803

13. Rogers RW. Cognitive and physiological processes in fear appeals and attitude change: a revised theory of protection motivation. In: Cacioppo, J, Petty, R, eds. Social Psychophysiology. New York, NY: Guilford Press; 1983:153-176.

14. Woodall GW, Starling R, Buller DB, Kong A, Wheeler C. Beta-test and randomized trial results for GoHealthyGirls: a website for HPV vaccine adoption. 29th Meeting of the International Papillomavirus Conference; August 20-25; Seattle, Washington.