The Imminent Failure of the USDA’s “Team Nutrition” Campaign and Specific Suggestions for Improvement-Shannon Miller
Introduction
Team Nutrition is public health
campaign sponsored by the United States Department of Agriculture (USDA) that
aims to change eating and physical activity behaviors in children in order to
promote healthy habits throughout life. The program uses the school setting to
foster change through food service training, nutrition education, and community
support, and its intervention strategies on recommendations from the USDA’s
Dietary Guidelines for Americans, a complex database of facts and statistics
determined by current academic studies on the relationship between caloric
intake, physical activity, and weight status. However, Team Nutrition is
structured using traditional models of public health campaign design, which
rely on false assumptions of human behavior. First, Team Nutrition attempts to
influence children to eat healthily and exercise regularly through educational
curriculums, assuming behavior is a rational decision. It also directs school
employees, parents, and community leaders to relay campaign messages, which
fails to relate to the main target audience of students and introduces the risk
for psychological reactance. Finally, Team Nutrition includes health as its
main core value of the campaign, which is a weak and potentially ineffective
tactic in order to create group-level change. Because of these significant
flaws in design, the campaign is likely to be ineffective in influencing
students to adopt healthy behaviors.
An intervention that could serve to
eliminate several flaws in Team Nutrition’s current design is the integration
of a student-led program called “Champions” into the existing campaign. In this
program, a small group of enthusiastic student volunteers – either from within
the school or an outside visiting cohort – would start an inclusive movement to
recruit fellow “champions” to participate in a lifestyle dedicated to healthy
behaviors. The program would place limited emphasis on educating students on
the facts of healthy eating and exercise, and rather influence students to
become a part of a branded movement, initiated by fellow peers. Implementing
these strategies would reach further into the culture of students to stem
change from within student groups themselves, rather than dictating change from
explicit messages given by authority figures in schools. By introducing basic
concepts of Communications Theory, applying modern theories in marketing, and
framing the campaign around the core value of freedom, the Champions campaign
will more efficiently influence students to live healthier lives. Although its efforts
to affect behaviors in children are well intended, if Team Nutrition does not
adopt a effective design, it will likely fail at producing radical, long-term
behavior change among younger generations.
Critique
Argument 1
Team Nutrition’s main approach to
affecting eating and exercising behaviors in children is through educational
efforts in schools. The campaign’s policy statement explains its most prominent
intention: to provide educational resources and implement programs to teach children
healthy habits that will influence future behavior. (USDA) The campaign advises
schools to teach nutrition education to children in a classroom setting in order
to “build skills and motivation for children to make healthy food and physical
activity choices.” It also aims to “allow students to use the knowledge they
have gained in the classroom to practice healthy behaviors in the dining room” (USDA)
The website associated with Team Nutrition also houses several brochures,
modules, educational activities, and other teaching resources for the use of
schools and communities. This type of intervention strategy implements aspects
of the Health Belief Model, which assumes behavior is a rational decision and
will be directly acted on once perceive costs and benefits of a behavior are
assessed. The Health Belief Model also suggests that intention directly leads
to action, which is a false assumption in predicting human behavior. Assessments
of past failed interventions prove the Health Belief Model inefficient in
creating group-level change. For example, the original design of DARE used the
Health Belief Model to implement change by educating students on the harmful
effects of drug use. While intentions were clear within this campaign, a report
by the GAO suggests that, “DARE had no statistically significant long-term
effect on preventing youth illicit drug use.” (DARE Long-Term Evaluations, 2003) A subsequent study indicated
that school districts in Texas experienced “a shocking 29% increase in drug
usage and a 34% increase in tobacco usage among students participating in DARE.”
(Hanson, 2002-2007) The DARE program also suggests that behavior associated
with the refusal to do drugs will result after intentions to stay drug free are
manifested in children. Given the evidence of failure of the DARE campaign to
successfully influence behavior change in students, identical assumptions
should not be incorporated with campaigns aimed at changing health behaviors in
similar populations. Because Team Nutrition directly adheres to a similar
campaign design, it will not serve to promote long-term substantial behavioral
change in children.
Critique
Argument 2
Team Nutrition’s design is also flawed
due to fundamental errors in the communication of the program’s specific
messages and the likelihood of producing behaviors in opposition of the
campaign’s intent. These flaws are attributed to the lack of similarity and
likeability of those communicating to students, as well as the potential onset
of psychological reactance among students due to the campaign’s use of explicit
messages. Team Nutrition relies on parents, teachers, and school administrators
to influence change, rather than implementing communication strategies within
student groups. However, students are fundamentally different than parents and
teachers in terms of wants, needs, and cultural identities. Disparities between
the campaign’s main communicators and student audiences will most likely result
in a failure to influence persuasion towards adopting health behaviors in
children. Furthermore, explicit messages relayed by educators and parents will
most likely invoke psychological reactance among students, a concept that
suggests individuals will innately act in opposition of explicit instruction due
to a perceived loss of freedom. Grandpre and colleagues suggest that in the
face of explicit messages, adolescents could be driven to exhibit the same
behaviors an intervention may be targeting, and “given that reactance is a
function of perceived persuasive intent, messages perceived as explicitly
persuasive will result in greater reactance than more implicit messages.”
(Grandpre, et al., 2003) As a consequence, reactance will influence individuals
to reject explicit directions, suggesting that campaigns designed to overtly
persuade behavior are ultimately ineffective. (Rains, 2007) Therefore, while
efforts to improve the health of children in schools are well intended, Team
Nutrition’s campaign design will fail to produce behavior change and will be at
risk for direct opposition among student populations.
Critique
Argument 3
The most significant flaw within
Team Nutrition’s campaign design lies in its underlying core value of health.
Throughout the entirety of Team Nutrition’s website, resources are specifically
devoted to persuading children and families to eat better and exercise more on
the basis that it will improve their health. Campaigns designed by competing
corporations are in direct conflict with the message portrayed by Team
Nutrition because they contain stronger core values that have been proven more
influential in affecting behavior change. Powerful companies that target
children to consume their products with advertising campaigns associated with
core values of freedom or control are remarkably more successful in influencing
behavior. However, public health campaigns that only use core values of health
have failed in the past, the most noteworthy being the “5-a-Day” campaign, a
movement supported by numerous countries around the world. The campaign hoped
to “encourage people to eat a combination of at least 5 portions
of fruit and vegetables every day” and “came about after scientific research
proved that eating fruit and vegetables reduced the risk of certain cancers
(especially bowel), stroke, heart disease, diabetes and obesity.” (National
Health Services) The 50-a-Day campaign relies heavily on a core value of
health in its attempt to influence adults and children to increase fruit and
vegetable consumption. Although the program has received substantial visibility
among health advocacy groups, assessment research has suggested that “despite
the initiation of a national fruit and vegetables campaign in 1991…fruit and vegetable
consumption did not increase provide consumers stronger subconscious incentives
to adopt similar behaviors.” (Casagrande, et al., 2007) The failure of this
program to promote a significant increase in healthy behaviors indicates that a
core value of health is ineffective in influencing group-level behavior change.
Team Nutrition is associated with a similar core value, which can be seen
through one of its main goals: “providing multifaceted, integrated nutrition
education for children and their parents” suggesting that “this education will
build skills and motivation for children to make healthy food and physical
activity choices as part of a healthy lifestyle.” (USDA) Due to Team
Nutrition’s similar infrastructure and core value of health to that of the
5-A-Day campaign, it will likely produce an identical outcome and fail to
enhance healthy behaviors among students.
Proposal
for a New Intervention: The Champions Movement
In order for significant change in
health behaviors among student populations to occur, a new intervention should
be integrated within the USDA’s campaign efforts. A new program called the
“Champions” will address these specific inadequacies related to the USDA’s
current campaign aimed at changing health behaviors among student populations.
The Champions will be a branded movement implemented in public and private
elementary, middle, and high schools that will allow students to engage in
healthy behaviors initiated by a core Champion peer group. Champions will
recruit student members into the movement to engage each other in healthy
behaviors. Instead of relying on educational materials within a structured
curriculum, the program will provide an identity for students to adhere to as a
part of a social group devoted to living a healthy lifestyle. This campaign
will depart from Team Nutrition’s original core value of health, and rather
adopt a new core value of freedom to instill in members of the movement. These
significant changes will promote an even more substantial change in health
behaviors among student populations due to the integration of modern theories
of behavior change.
Defense
of Intervention 1
In order to influence attitude change among children in the
Team Nutrition campaign, a new tactic must be used that initiates behavior
change without relying on instilling a prior knowledge base to develop behavior
intentions among student populations. This would eliminate aspects of the Health
Belief Model by adopting strategies from modern theories of human behavior. Recent
studies imply that successful behavior change is a function of repeated
behaviors within a familiar environment, rather than the intention to adopt
behavior through education. Wood and colleagues (2002) suggest that behaviors
repeated consistently within a familiar environment will be initiated without
conscious intent. Although counterintuitive, this notion infers that strong
intentions to carry out a behavior do not correlate with actual behavior
change. Furthermore, according to a meta-analysis of experimental evidence
performed by Webb & Sheeran (2006), “a medium-to-large sized change in
intention engenders only a small-to-medium change in behavior.” To incorporate
these modern views of human behavior, the Champions campaign would eliminate the
enforcement of a structured curriculum to instill behavior intention, and
rather begin with manipulating behaviors themselves. To achieve this, each day an
enthusiastic group of student leaders within each participating school will
initiate an active game or share healthy snack with others. By allowing
students to first engage in healthy behaviors without forcing an educational
curriculum, behavior change will no longer depend on intention alone.
Eliminating aspects of the Health Belief Model and implementing strategies that
pertain to recently developed insight into human behavior, student populations
will be more likely to adopt substantial behavior change in alignment with the
campaign’s original objectives.
Defense
of Intervention 2
The Champions program will work to
overcome flaws in the communication process within the Team Nutrition campaign
by adhering to principles of Communication Theory and limiting psychological
reactance among students. Aspects of Communications Theory suggest that persuasion
is most effective when a message is communicated from a source both likeable
and similar to the target audience. According to noted behavioral scientist,
Robert Cialdini, “people prefer to say yes to individuals they know and like.”
(Cialdini, 2001) Furthermore, including a communicator similar to the target
audience promotes source credibility and increase the likelihood of compliance
(Silvia, 2005) To incorporate these aspects into Team Nutrition, the Champions
campaign would feature students similar in age and cultural background as the
main messengers of the healthy behaviors movement. Once students find they can
relate to those who are encouraging their involvement in the Champions
campaign, they will be further persuaded to adopt similar behaviors. Explicit
instructions within interventions are also at risk for psychological reactance
among target audiences. Fortunately, research suggests “similarity could be
particularly effective at creating compliance in the face of threats to
freedom.” (Silvia, 2005) The Champions campaign will promote similarity between
communicators and target audiences, remove explicit instructions, and
communicate implicit messages through a peer-led organization. As a result,
these combined effects will influence students to engage in healthy behaviors
at school and instill similar lifetime habits.
Defense
of Intervention 3
The field of public health has
traditionally included health as a main core value in its campaigns, but has
continually failed to produce substantial behavior change. Specific
applications of Marketing Theory will be included within the Champions movement
in order to further influence widespread change by implementing a core value of
freedom and creating a strong brand for the campaign. Marketing Theory is used
as a means of influencing behavior by targeting audience aspirations, framing
issues around a strong core value, and branding a product or issue that
audiences can identify with. Aspects of Marketing Theory have been demonstrated
through a prominent anti-smoking campaign in Massachusetts called “The84”
created to end tobacco use in youth populations. (The84.org) The84 creates an
identity for children and adolescents to adopt, which labels them as smoke-free
and independent. This newly found independence associates the campaign with a
core value of freedom instead of health. The84 also creates a strong brand that
children can identify with and has been successful in recruiting hundreds of
students into the program. Because the campaign’s intentions do not rely on a
core value of health and creates an identity among target audiences, it is
significantly more effective in influencing behavior change than past public
health efforts to end smoking through education. The Champions movement will
emulate this type of program with regard to eating behaviors among students in
school settings, where social inclusion and identity formation is heavily
prioritized. The campaign will accomplish this by defining those who identify
as a “champion” as free to not only live without health complications due to
obesity, but also to be whoever they want to be in life. In other words, being
a “champion” will mean that a child is a champion of their future, and in
control of their own lives. The Champions campaign will also give followers an
identity that links them to the cause by using a single image or icon placed on
program materials and merchandise to promote visibility of the movement.
Students will wear and collect products with the icon to symbolize their status
as a “champion” and identify them as a member of the movement. More
importantly, their affiliation with the campaign will influence peers to take
part in the movement, creating widespread participation and more significant
group-level change.
Conclusion
Changing health behaviors in
school-aged children has proven to be a significant challenge within the field
of public health. Several programs have been designed to instill healthy eating
and exercise habits among students but have failed to significantly decrease
childhood obesity rates in the US. Although the USDA’s campaign to influence
healthy behaviors among students has sincere intentions to improve adolescent
health and prevent childhood obesity, it relies too heavily on traditional
models of public health intervention design. If implemented, the proposal above
would eliminate Team Nutrition’s fundamental flaws by introducing modern
theories proven to influence group-level change. The Champions program would
limit the existing campaign’s dependence on education-based interventions,
improve communication strategies, limit opposition due to psychological
reactance, create a campaign brand, and associate a stronger core value with
the movement. It is imperative that Team Nutrition restructures its design to
align with the suggestions above in order to truly affect the eating and
exercise behaviors of students nationwide.
References
Casagrade,
Sarah S., MHS, Youfa Wang, MD, PHD, Cheryl Anderson, PhD, MPH, and Tiffany L.
Gary, PhD. "Have Americans Increased Their Fruit and Vegetable
Intake?" American Journal of Preventive Medicine 32.4 (2007)
Cialdini,
Robert B. Influence: Science and Practice. Boston, MA: Allyn and Bacon,
2001. Print.
“DARE Long-Term Evaluations and Federal Efforts to Identify Effective
Programs.” Rep. no.
GAO-03-172R. Washington, DC: United States General Accounting Office, 2003.
"Getting
Your 5 A Day." NHS: Choices. National Health Services. Web. 13 Dec.
2012.
Hanson, D.J. “Drug Abuse Resistance Education: The Effectiveness of
DARE.” Alcohol Abuse Prevention: Some Serious Problems. D. J. Hanson,
2002-2007.Web. 3 Dec. 2012.
Joseph,
Grandpre, Eusebio M. Alvaro, Michael Burgoon, Claude H. Miller, and John R.
Hall. “Adolescent Reactance and Anti-Smoking Campaigns: A Theoretical
Approach." National Center for Biotechnology Information. U.S.
National Library of Medicine, 2003. Web. 10 Dec. 2012.
Rains, Stephen
A., and Monique M. Turner. "Psychological Reactance and Persuasive Health
Communication: A Test and Extension of the Intertwined Model." Health
Communication Research. International Communication Association, 2007.
Silvia, Paul
J. “Deflecting Reactance: The Role of Similarity in Increasing Compliance and
Reducing Resistance.” Basic and Applied
Social Psychology. 27:3, 277-284. 2005
"Team
Nutrition Homepage." USDA Department of Agriculture: Food and Nutrition
Services. Web. 03 Dec. 2012. <http://www.fns.usda.gov/tn/>.
"The
8ighty 4our.” Home :: The 84. Web. 09 Dec. 2012. <http://the84.org>
USDA. “Team
Nutrition Policy Statement” The United
States Department of Agriculture: Food and Nutrition Services.
Webb, Thomas
L., and Paschal Sheeran. "Does Changing Behavioral Intentions Engender
Behavior Change? A Meta-Analysis of the Experimental Evidence." Psychological
Bulletin 132.2 (2006): 249-68.
Wood, W.,
Quinn, J. M., & Kashy, D. “Habits in everyday life: The thought and feel of
action.” Journal of Personality and
Social Psychology 83 (2002): 1281–1297.
Labels: Adolescent Health, Drug Abuse, Green
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