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Accepted for/Published in: JMIR Public Health and Surveillance

Date Submitted: Apr 15, 2021
Date Accepted: Sep 23, 2021

The final, peer-reviewed published version of this preprint can be found here:

Participant Engagement and Reactance to a Short, Animated Video About Added Sugars: Web-based Randomized Controlled Trial

Favaretti C, Vandormael A, Hachaturyan V, Greuel M, Gates J, Bärnighausen T, Adam M

Participant Engagement and Reactance to a Short, Animated Video About Added Sugars: Web-based Randomized Controlled Trial

JMIR Public Health Surveill 2022;8(1):e29669

DOI: 10.2196/29669

PMID: 35072639

PMCID: 8822418

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Participant engagement with an animated Entertainment-Education (E-E) video on sugar consumption: an online randomized controlled trial of 4,013 participants

  • Caterina Favaretti; 
  • Alain Vandormael; 
  • Violetta Hachaturyan; 
  • Merlin Greuel; 
  • Jennifer Gates; 
  • Till Bärnighausen; 
  • Maya Adam

ABSTRACT

Background:

Public engagement with preventive health messages is a well-documented challenge. Entertainment-education (E-E) uses the popular appeal of entertainment media to engage audiences through narratives embedded in radio dramas and television series, but little research has documented the potential of short, animated E-E that is spreadable via social media.

Objective:

In this study, we investigate participants’ willingness to voluntarily engage with a short, animated E-E video on sugar consumption. The video served as the intervention within a trial investigating psychological reactance to health messaging.

Methods:

Our study was embedded within a parallel group, randomized controlled trial in which 4,013 participants from the United Kingdom were randomly assigned to three different intervention arms (Arms 1-3), a content-placebo arm (Arm 4), and a placebo arm (Arm 5). Each of the three intervention arms viewed the same video, narrated by a voice that reflected different levels of social authority. At the end of the study, participants in the non-intervention groups were offered the chance to voluntarily watch the E-E video. We used the decision to view the E-E video and the duration of time spent watching it to quantify participant engagement.

Results:

Overall, 66.14% of the participants voluntarily opted to watch the E-E video. Among these participants, the mean duration of viewing was 116.35 out of a total of 222 seconds.

Conclusions:

Participants’ engagement with the E-E video was promising. Short, animated E-E videos could be an effective, accessible, and low-cost method of delivering health messages to a wide audience on social media channels. Clinical Trial: The study and its outcomes were registered with the German Clinical Trials Register (2021) on July 24th, 2020: # DRKS00022340.


 Citation

Please cite as:

Favaretti C, Vandormael A, Hachaturyan V, Greuel M, Gates J, Bärnighausen T, Adam M

Participant Engagement and Reactance to a Short, Animated Video About Added Sugars: Web-based Randomized Controlled Trial

JMIR Public Health Surveill 2022;8(1):e29669

DOI: 10.2196/29669

PMID: 35072639

PMCID: 8822418

Per the author's request the PDF is not available.