scholarly journals Mass media to communicate public health messages in six health topic areas: a systematic review and other reviews of the evidence

2019 ◽  
Vol 7 (8) ◽  
pp. 1-206 ◽  
Author(s):  
Martine Stead ◽  
Kathryn Angus ◽  
Tessa Langley ◽  
Srinivasa Vittal Katikireddi ◽  
Kate Hinds ◽  
...  

BackgroundMass media campaigns can be used to communicate public health messages at the population level. Although previous research has shown that they can influence health behaviours in some contexts, there have been few attempts to synthesise evidence across multiple health behaviours.ObjectivesTo (1) review evidence on the effective use of mass media in six health topic areas (alcohol, diet, illicit drugs, physical activity, sexual and reproductive health and tobacco), (2) examine whether or not effectiveness varies with different target populations, (3) identify characteristics of mass media campaigns associated with effectiveness and (4) identify key research gaps.DesignThe study comprised (1) a systematic review of reviews, (2) a review of primary studies examining alcohol mass media campaigns, (3) a review of cost-effectiveness evidence and (4) a review of recent primary studies of mass media campaigns conducted in the UK. A logic model was developed to inform the reviews. Public engagement activities were conducted with policy, practitioner and academic stakeholders and with young people.ResultsThe amount and strength of evidence varies across the six topics, and there was little evidence regarding diet campaigns. There was moderate evidence that mass media campaigns can reduce sedentary behaviour and influence sexual health-related behaviours and treatment-seeking behaviours (e.g. use of smoking quitlines and sexual health services). The impact on tobacco use and physical activity was mixed, there was limited evidence of impact on alcohol use and there was no impact on illicit drug behaviours. Mass media campaigns were found to increase knowledge and awareness across several topics, and to influence intentions regarding physical activity and smoking. Tobacco and illicit drug campaigns appeared to be more effective for young people and children but there was no or inconsistent evidence regarding effectiveness by sex, ethnicity or socioeconomic status. There was moderate evidence that tobacco mass media campaigns are cost-effective, but there was weak or limited evidence in other topic areas. Although there was limited evidence on characteristics associated with effectiveness, longer or greater intensity campaigns were found to be more effective, and messages were important, with positive and negative messages and social norms messages affecting smoking behaviour. The evidence suggested that targeting messages to target audiences can be effective. There was little evidence regarding the role that theory or media channels may play in campaign effectiveness, and also limited evidence on new media.LimitationsStatistical synthesis was not possible owing to considerable heterogeneity across reviews and studies. The focus on review-level evidence limited our ability to examine intervention characteristics in detail.ConclusionsOverall, the evidence is mixed but suggests that (1) campaigns can reduce sedentary behaviour, improve sexual health and contribute to smoking cessation, (2) tobacco control campaigns can be cost-effective, (3) longer and more intensive campaigns are likely to be more effective and (4) message design and targeting campaigns to particular population groups can be effective.Future workFuture work could fill evidence gaps regarding diet mass media campaigns and new-media campaigns, examine cost-effectiveness in areas other than tobacco and explore the specific contribution of mass media campaigns to multicomponent interventions and how local, regional and national campaigns can work together.Study registrationThis study is registered as PROSPERO CRD42015029205 and PROSPERO CRD42017054999.FundingThe National Institute for Health Research Public Health Research programme.

2009 ◽  
Vol 6 (s2) ◽  
pp. S196-S210 ◽  
Author(s):  
Adrian Bauman ◽  
Josephine Chau

Background:This paper reviewed a) mass media campaigns and b) ‘new media’ interventions to promote physical activity. They are different kinds of interventions, with campaigns being mass-reach communications efforts to increase population awareness of physical activity. ‘New media’ interventions assess the impact of web-based, internet, other ’new media’ and e-mail-delivered interventions to increase physical activity.Methods:Previous reviews of mass media campaigns and ‘new media’ interventions were assessed, and more recent peer-reviewed publications identified using routine electronic databases. For each area, a framework for interventions was described, and evidence for the effectiveness of these interventions, the main outcomes of interest, and methodological strengths and weaknesses were identified.Key recommendations:For mass media campaigns, key recommendations were to use consistent and well-branded messages, and for campaigns to be integrated across local, State and national levels, with sufficient resources to purchase sufficient media. Mass media campaigns should be subject to rigorous formative, process and impact evaluation. For ‘new media’ interventions, there is clear evidence of effectiveness, but efforts should be made to increase the reach and generalizability of these interventions. They should be provided as a low cost component of integrated communitywide physical activity programs.


2017 ◽  
Vol 14 (7) ◽  
pp. 552-570 ◽  
Author(s):  
Lira Yun ◽  
Elaine M. Ori ◽  
Younghan Lee ◽  
Allison Sivak ◽  
Tanya R. Berry

Background:Mass media campaign is an integral tool to influence physical activity participant behaviors. The purpose of the systematic review was to identify the effectiveness of mass media campaigns in promoting physical activity.Methods:Literature update from January 2010 to September 2016 was conducted in 13 databases. Full text articles of 128 were screened, and 23 articles (18 campaigns) were selected from the initial 1692 articles.Results:All campaigns involved mass media advertisements to promote physical activity to general individuals (n = 2), adults (8), children (4), older adults (2), and parents of children (n = 2). The campaign evaluation designs included clustered RCT (2), cohort (3), quasi-experimental (9), and cross-sectional (9). Eight articles demonstrated significant campaign impact on proximal, 6 on intermediate, 5 on distal outcomes, and 6 on distal change based on either proximal or intermediate outcome.Conclusion:The current review assessed the outcome evaluation of mass media physical activity campaigns that varied in their respective scope, target population and outcomes measured to identify individual changes at proximal, intermediate, and distal level. Results from formative and process evaluation as well as dose-response and cost-effective analysis are suggested to provide valuable evidence for campaign stakeholders and planners.


1995 ◽  
Vol 85 (2) ◽  
pp. 244-248 ◽  
Author(s):  
N Owen ◽  
A Bauman ◽  
M Booth ◽  
B Oldenburg ◽  
P Magnus

Author(s):  
Liam Kelly ◽  
Michael Harrison ◽  
Noel Richardson ◽  
Paula Carroll ◽  
Tom Egan ◽  
...  

Abstract Background Physical activity (PA) interventions capable of producing health benefits cost effectively are a public health priority across the Western world. ‘Men on the Move’ (MOM), a community-based PA intervention for men, demonstrated significant health benefits up to 52-weeks (W) post-baseline. This article details the economic evaluation of MOM with a view to determining its cost-effectiveness as a public health intervention to be rolled out nationally in Ireland. Methods Cost-effectiveness was determined by comparing the costs (direct and indirect) of the programme to its benefits, which were captured as the impact on quality-adjusted life-years (QALYs). For the benefits, cost–utility analysis was conducted by retrospectively adapting various health-related measures of participants to generate health states using Brazier et al.’s (2002) short form-6D algorithm. This in turn allowed for ‘utility measures’ to be generated, from which QALYs were derived. Results Findings show MOM to be cost-effective in supporting an ‘at risk’ cohort of men achieves significant improvements in aerobic fitness, weight loss and waist reduction. The total cost per participant (€125.82 for each of the 501 intervention participants), the QALYs gained (11.98 post-12-W intervention, or 5.3% health improvement per participant) and estimated QALYs ratio costs of €3723 represents a cost-effective improvement when compared to known QALY guidelines. Conclusions The analysis shows that the cost per QALY achieved by MOM is significantly less than the existing benchmarks of £20 000 and €45 000 in the UK and Ireland respectively, demonstrating MOM to be cost-effective.


2006 ◽  
Vol 29 (3) ◽  
pp. 312-322 ◽  
Author(s):  
Adrian Bauman ◽  
Ben J. Smith ◽  
Edward W. Maibach ◽  
Bill Reger-Nash

Author(s):  
Luc Berlivet

The purpose of this chapter is to analyse how, from the 1970s onwards, the organization in charge of planning and implementing health education in France was led to reflect on the true effect on the public of the films, radio messages, posters, etc. it produced. After detailing how a tiny group of ‘modernizers’ aimed to harness the apparently pervasive power of advertising for the benefit of public health, I explore the difficulties they encountered in their attempt to evaluate their mass media campaigns. Interestingly, the conception of human behaviour and risk taking that underlay the evaluative method which they devised for that purpose strongly echoes some of Michel Foucault’s most famous analyses on what he termed ‘problematization’ and ‘subjectification’ processes.


Author(s):  
Colin Palfrey

This chapter focuses on various strategies for health promotion in the UK. It begins with a discussion of two opposing routes to better health, known as health promotion doctrines: Approach A is a health education approach that seeks to influence individual lifestyle, while Approach B argues that health inequalities can be reduced and public health can be improved only through social change and political action. The chapter then considers the different causes of ill health, with particular emphasis on the link between health and poverty. It also examines poverty in the UK, taking into account various definitions of poverty in the twentieth and twenty-first centuries, and health surveys that provide an annual update on current health behaviours and conditions in England, Scotland, Wales and Northern Ireland. Finally, it reviews health promotion strategies pursued in the four countries, such as tackling obesity, increasing physical activity and improving diet.


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