Brief Summary of Minutes of Annual Meeting

This years annual meeting focused on two main topics: 1) establishing an evaluation plan for testing messages developed by WSU and those planned for development through Ohio State University (W-2003); and 2) formulating the outline for the next 5-year proposal (W-TEMP-3003). One of our main tasks at this annual meeting was to develop the methodological approach for testing messages in this final year of W-2003. The data collection plan will include two phases, utilizing both qualitative (for pre-testing of messages) and quantitative (for final testing of messages). A Message Testing Subgroup was created, which will primarily be responsible for developing the questions for the qualitative pre-testing and quantitative survey, with subsequent submission to the entire W-2003 group for feedback and approval. Mary Cluskey (Oregon State University) gave a presentation on the ten steps of developing a social marketing plan, which was applied to our next 5-year proposal. As a group, we formulated the proposals objectives, outlined the methods for each objective, and determined the outcomes or projected impacts of implementing the proposal components. The Chair and Reporter of W-2003/pending W-3003 for next year (2012-2013) are Rickelle Richards and Carolyn Gunther, respectively. Next years annual meeting will be held at University of Arizona (Tucson, AZ), with the date still to be determined.

Inadequate calcium intake is the single most recognizable health issue identified with osteoporosis. Ten million Americans have been diagnosed with osteoporosis, with almost 34 million individuals having low bone mass. Each year, bone fractures result from osteoporosis and over half of Americans over 50 years of age are expected to experience osteoporotic-related bone fractures in their lifetime. Hip fractures are more likely than heart attacks, stroke or cancer to lead to functional impairment and related morbidities. The economic burden of these fractures exceeds $20 billion annually. Early adolescence (ages 10-13 years) is a critical period in the lifecycle for bone mineralization. Peak bone density can occur as early as 16 years of age for the hip, and mid-20s for other bones. Adequate calcium intake during this time of growth is crucial to ensure bone health in later life. However, studies indicate that early adolescent children consume only 60 to 80% of the 1300 mg Adequate Intake level of calcium recommended by the Institute of Medicine. These data indicate that American children are at risk for osteoporosis later in life, with its associated health risks. Asian, Hispanic and non-Hispanic White populations face a high risk of developing osteoporosis, and thus prevention is key for these groups. The W-2003 project is focused on how to motivate parents to promote intake of calcium-rich foods and beverages in their early adolescents. Specifically, the current project is aimed at developing tailored messages to help parents encourage the intake of calcium rich food and beverages among their children. The nature of the project (i.e., multistate) allows for a sampling across a spectrum of race/ethnic groups, increasing the generalizability of the results. Development of Test Messages and Evaluation Plan. Through guidance provided by a marketing group, we prepared three creative briefs for developing and testing test messages, focusing on calcium-rich foods and beverages (CRF/B) availability, rules and expectations, and role modeling of calcium-rich beverages (CRB) intake. In addition to three existing posters developed by WSU, Ohio State University will develop three sets of emotional and rational-based test message and graphic. The group has identified target audience and channel for data collection in all participating states, and drafted a survey for message-testing. W_TEMP-3003 Proposal (2013-2018). A 5-year proposal for implementing a social marketing campaign to influence parental and early adolescents behaviors was submitted for review. Manuscripts. The group responded to reviewer comments on three manuscripts. New writing groups were formed for two additional manuscripts.

Manuscripts: 1. Gunther C, Bruhn C, Cluskey M, Reicks M, Richards R, Wong SS, Auld G, Ballejos ME, Boushey CJ, Misner S, Novotny R, Olson B. Individual and family level determinants of calcium knowledge among parents of early adolescent children. Journal of Nutrition Education and Behavior. Under review. 2. Roth-Yousey LL, Asche K, Schroeder M, Reicks M. Validation and reliability of a beverage tool measuring psychosocial and environmental factors associated with early adolescent (EA) beverage consumption. Journal of Adolescent Health. Under review. 3. Roth-Yousey, LL. A parent-early adolescent intervention to reduce sweetened beverage consumption through home environment parenting practices. University of Minnesota Dissertation, 2011. http://purl.umn.edu/120010 4. Reicks M, Degeneffe D, Ghosh K, Bruhn C, Goodell LS, Gunther C, Auld G, Ballejos M, Boushey C, Cluskey M, Misner S, Olson B, Wong S, Zaghloul S. Parent calcium-rich-food practices/perceptions are associated with calcium intake among parents and their early adolescent children. Public Health Nutr. 2012;15(2):331-340. Abstracts: 1. Siew Sun Wong, Carolyn Gunther, Marla Reicks, Rickelle Richards, Christine M Bruhn, Mary Cluskey, Scottie Misner, Corilee Watters, Miriam Bellajos. Perceptions of Key Parental Benefits from Practices that Promote Intake of Calcium-Rich Foods and Beverages (CRF/B) in Preadolescent Children. Experimental Biology Annual Meeting. San Diego, CA, April 2012. 2. Reynolds A, Gunther CW. (2012) Perceptions of benefits underlying key parent practices that promote intake of calcium rich foods and beverages in early adolescent children. Poster presentation, Ohio State University, Denman Research Forum and Russell Klein Symposium, Columbus, OH.