Abstract
IntroductionLow- and middle-income, middle-aged adults have high rates of disease and death from chronic disease, yet their participation in self-management programs is low. This may be because advertisements for such programs often target elderly, predominantly white, affluent adults. Our study used data from a parent randomized controlled trial to identify theoretically driven advertisement cues to engage low- and middle-income, middle-aged adults in the Chronic Disease Self-Management Program (CDSMP).MethodsA framework that combined the Elaboration Likelihood Model and Protection Motivation Theory was used to guide χ2 and regression analyses to assess relationships between advertisement cue preferences and 5 stages of cognitive engagement (cue processing, cognitive appraisal of the advertised study, motivation to enroll) and behavioral engagement of study participants (enrollment and program participation).ResultsOne advertisement cue (taking control of one’s future) and 1 cue combination (financial security and taking control of one’s future) were significantly associated with study enrollment, as were motivation to enroll and cue processing.ConclusionThese results can inform CDSMP recruitment efforts to better engage low- and middle-income, middle-aged adults in an effort to mitigate the disproportionate burden of chronic disease in this population.
Highlights
Low- and middle-income, middle-aged adults have high rates of disease and death from chronic disease, yet their participation in self-management programs is low
One advertisement cue and 1 cue combination were significantly associated with study enrollment, as were motivation to enroll and cue processing. These results can inform Chronic Disease Self-Management Program (CDSMP) recruitment efforts to better engage low- and middle-income, middle-aged adults in an effort to mitigate the disproportionate burden of chronic disease in this population
Extensive work in employee wellness initiatives demonstrated the importance of targeted recruitment strategies to engage middle-aged adults in health promotion programs [7,8,9,10]; little has been done to identify recruitment strategies to effectively engage this population in CDSMP, which is typically offered outside the worksite [11]
Summary
Low- and middle-income, middle-aged adults have high rates of disease and death from chronic disease, yet their participation in self-management programs is low. This may be because advertisements for such programs often target elderly, predominantly white, affluent adults. VOLUME 17, E48 JUNE 2020 ence more positive health benefits than participants in other age groups [1,2,3] Engagement of this population may be low because advertisements for CDSMP overwhelmingly reflect the characteristics, needs, and concerns of aging, affluent, predominantly white adults [2,4,5,6]. Extensive work in employee wellness initiatives demonstrated the importance of targeted recruitment strategies to engage middle-aged adults in health promotion programs [7,8,9,10]; little has been done to identify recruitment strategies to effectively engage this population in CDSMP, which is typically offered outside the worksite [11]
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