Overcoming Challenges to Build Strong Physical Activity Promotion Messages

Physical inactivity is a serious public health issue. Physical activity promotion messages are part of a comprehensive approach to creating a society in which physical activity is the norm. Although public health messages can be influential, they face tough competition from other sources of physical activity information that offer conflicting advice about being active and thus may undermine public health efforts. It is therefore necessary to consider the multiple sources of messages (eg, commercial, public health) that can cause confusion for consumers. This article reviews research on sources of physical activity information, where such information is sought and by whom, and how messages are processed at both automatic (ie, with little thought) and reasoned (ie, deliberate) levels. Having outlined the challenges, suggestions are made regarding how public health messages can be heard in an environment dominated by commercial advertising. These suggestions include tailoring theory-based messages, ensuring the benefits of being active are highlighted, branding, and forging collaborative partnerships within the physical activity sector. By enacting these strategies, public health messages may be more effective at attracting attention and being subsequently read and recalled by consumers, and thus contribute to an active society.

[1]  J. Potter,et al.  Motivation and the Knowledge Gap , 1993 .

[2]  Effects of Biggest Loser exercise depictions on exercise-related attitudes. , 2013, American journal of health behavior.

[3]  David M Williams,et al.  A comparison of Internet and print-based physical activity interventions. , 2007, Archives of internal medicine.

[4]  D. Hopkins,et al.  Stand-alone mass media campaigns to increase physical activity: a Community Guide updated review. , 2012, American journal of preventive medicine.

[5]  M. Conner,et al.  A Review and Meta-Analysis of Affective Judgments and Physical Activity in Adult Populations , 2009, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[6]  P. J. Tichenor,et al.  MASS MEDIA FLOW AND DIFFERENTIAL GROWTH IN KNOWLEDGE , 1970 .

[7]  S. Walters,et al.  An Analysis of Cardiovascular Health Information in Popular Young Women's Magazines: What Messages are Women Receiving? , 2008, American journal of health promotion : AJHP.

[8]  J. Spence,et al.  ParticipACTION: Awareness of the participACTION campaign among Canadian adults - Examining the knowledge gap hypothesis and a hierarchy-of-effects model , 2009, The international journal of behavioral nutrition and physical activity.

[9]  C. Abraham,et al.  Effective techniques in healthy eating and physical activity interventions: a meta-regression. , 2009, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[10]  A Qualitative Examination of Perceptions of Physical Activity Guidelines and Preferences for Format , 2010, Health promotion practice.

[11]  C. L. Craig,et al.  ParticipACTION a-t-il eu les effets visés? , 2004 .

[12]  Jonathan L. Blitstein,et al.  Systematic Review of Public Health Branding , 2008, Journal of health communication.

[13]  K. Courneya,et al.  Promoting exercise behaviour: an integration of persuasion theories and the theory of planned behaviour. , 2004, British journal of health psychology.

[14]  M. Fishbein,et al.  Understanding tailoring in communicating about health. , 2008, Health education research.

[15]  Aaron C. T. Smith,et al.  Body Perceptions and Health Behaviors in an Online Bodybuilding Community , 2012, Qualitative health research.

[16]  T. Berry,et al.  Source attribution and credibility of health and appearance exercise advertisements: Relationship with implicit and explicit attitudes and intentions , 2014, Journal of health psychology.

[17]  I. Pfeffer Regulatory fit messages and physical activity motivation. , 2013, Journal of sport & exercise psychology.

[18]  C. Sabiston,et al.  Effects of Fitness Advertising on Weight and Body Shape Dissatisfaction, Social Physique Anxiety, and Exercise Motives in a Sample of Healthy‐Weight Females , 2010 .

[19]  P. Kotler,et al.  Marketing management : analysis, planning, and control , 1973 .

[20]  J. Spence,et al.  Exploring news media representations of women’s exercise and subjectivity through critical discourse analysis , 2012 .

[21]  Nick Cavill,et al.  Changing the way people think about health-enhancing physical activity: do mass media campaigns have a role? , 2004, Journal of sports sciences.

[22]  Alexander J. Rothman,et al.  Shaping perceptions to motivate healthy behavior: the role of message framing. , 1997, Psychological bulletin.

[23]  Marian Huhman,et al.  VERB™ — A Social Marketing Campaign to Increase Physical Activity Among Youth , 2004, Preventing chronic disease.

[24]  K. Courneya,et al.  The Effects of Source Credibility and Message Framing on Exercise Intentions, Behaviors, and Attitudes: An Integration of the Elaboration Likelihood Model and Prospect Theory1 , 2003 .

[25]  D. Kahneman Thinking, Fast and Slow , 2011 .

[26]  P. Kotler Marketing Management: Analysis, Planning, Implementation and Control , 1972 .

[27]  R. Plotnikoff,et al.  Relaunching a National Social Marketing Campaign , 2011, Health promotion practice.

[28]  Social Marketing: Why should the Devil have all the Best Tunes , 2013 .

[29]  John A Updegraff,et al.  Health Message Framing Effects on Attitudes, Intentions, and Behavior: A Meta-analytic Review , 2012, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[30]  R. Rhodes,et al.  Getting to Know the Competition: A Content Analysis of Publicly and Corporate Funded Physical Activity Advertisements , 2008, Journal of health communication.

[31]  Lance D. Potter,et al.  The Influence of the VERB campaign on children's physical activity in 2002 to 2006. , 2010, American journal of public health.

[32]  J. Waldron,et al.  Perspectives of Fitness and Health in College Men and Women , 2010 .

[33]  A. Bauman,et al.  ParticipACTION: This Mouse Roared, But Did It Get the Cheese? , 2004, Canadian Journal of Public Health.

[34]  S. Noar,et al.  A Meta-Analysis of Web-Delivered Tailored Health Behavior Change Interventions , 2013, Journal of health communication.

[35]  R. Rhodes,et al.  Affective Judgment and Physical Activity in Youth: Review and Meta-Analyses , 2013, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[36]  R. Rhodes,et al.  A multicomponent model of the theory of planned behaviour. , 2006, British journal of health psychology.

[37]  Edward Maibach,et al.  Critical Issues and Trends : Culture Change ; Health Promoting Community Design The Influence of the Media Environment on Physical Activity : Looking for the Big Picture , 2007 .

[38]  Yoori Hwang,et al.  Revisiting the Knowledge Gap Hypothesis: A Meta-Analysis of Thirty-Five Years of Research , 2009 .

[39]  Kelvin E. Jones,et al.  The relationship between implicit and explicit believability of exercise-related messages and intentions. , 2011, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[40]  K. Viswanath,et al.  Lessons learned from public health mass media campaigns: marketing health in a crowded media world. , 2004, Annual review of public health.

[41]  The VERB campaign: applying a branding strategy in public health. , 2008, American journal of preventive medicine.

[42]  Sonya A. Grier,et al.  Social marketing in public health. , 2005, Annual review of public health.

[43]  Jacquelynne S Eccles,et al.  Rebranding exercise: closing the gap between values and behavior , 2011, The international journal of behavioral nutrition and physical activity.

[44]  Lorraine Davidson,et al.  I spy with my little eye: A comparison of manual versus computer‐aided analysis of data gathered by projective techniques , 2010 .

[45]  Liza S. Rovniak,et al.  Characteristics of participants visiting the Canada on the move website. , 2006, Canadian journal of public health = Revue canadienne de sante publique.

[46]  A. Bauman,et al.  ParticipACTION: A mass media campaign targeting parents of inactive children; knowledge, saliency, and trialing behaviours , 2009, The international journal of behavioral nutrition and physical activity.

[47]  Kevin Lane Keller Branding Perspectives on Social Marketing , 1998 .

[48]  S. Noar,et al.  Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions. , 2007, Psychological bulletin.

[49]  Tara-Leigh F. McHugh,et al.  Effects of Reading Health and Appearance Exercise Magazine Articles on Perceptions of Attractiveness and Reasons for Exercise , 2013, PloS one.

[50]  A. Rothman,et al.  Moving beyond the function of the health behaviour: The effect of message frame on behavioural decision-making , 2010, Psychology & health.

[51]  R. Petty,et al.  18. Attitude structure and change: implications for implicit measures , 2010 .

[52]  Carolyn J. Barg,et al.  An investigation of the theoretical content of physical activity brochures. , 2011, Psychology of sport and exercise.

[53]  D. French,et al.  What is the best way to change self-efficacy to promote lifestyle and recreational physical activity? A systematic review with meta-analysis. , 2010, British journal of health psychology.

[54]  N. Leenders,et al.  Content analysis of prime-time television coverage of physical activity, 1970-2001. , 2004, American journal of preventive medicine.

[55]  J. Spence,et al.  Physical Activity Information Seeking and Advertising Recall , 2011, Health communication.

[56]  Matthew W Kreuter,et al.  Tailored and targeted health communication: strategies for enhancing information relevance. , 2003, American journal of health behavior.

[57]  A. Latimer,et al.  A systematic review of three approaches for constructing physical activity messages: What messages work and what improvements are needed? , 2010, The international journal of behavioral nutrition and physical activity.

[58]  D. French,et al.  What are the most effective intervention techniques for changing physical activity self-efficacy and physical activity behaviour--and are they the same? , 2011, Health education research.

[59]  F. Gibbons,et al.  Using Images to Increase Exercise Behavior: Prototypes Versus Possible Selves , 2005, Personality & social psychology bulletin.

[60]  Mary Duggan,et al.  Evidence-informed recommendations for constructing and disseminating messages supplementing the new Canadian Physical Activity Guidelines , 2013, BMC Public Health.

[61]  Michel Wedel,et al.  Eye Fixations on Advertisements and Memory for Brands: A Model and Findings , 2000 .

[62]  W. Mcguire Public communication as a strategy for inducing health-promoting behavioral change. , 1984, Preventive medicine.