The effectiveness of a social media intervention for reducing portion sizes in young adults and adolescents

• Main Authors: Maxine A Sharps, Marion M Hetherington, Pam Blundell-Birtill, Barbara J Rolls, Charlotte EL Evans
• Format: Article
• Language: English
• Published: SAGE Publishing 2019-09-01
• Series: Digital Health
• Online Access: https://doi.org/10.1177/2055207619878076

Objective Adolescents and young adults select larger portions of energy-dense food than recommended. The majority of young people have a social media profile, and peer influence on social media may moderate the size of portions selected. Methods Two pilot interventions examined whether exposure to images of peers’ portions of high-energy-dense (HED) snacks and sugar-sweetened beverages (SSBs) on social media (Instagram) would influence reported desired portions selected on a survey. Confederate peers posted ‘their’ portions of HED snacks and SSBs on Instagram. At baseline and intervention end participants completed surveys that assessed desired portion sizes. Results In intervention 1, undergraduate students ( n  = 20, mean age=19.0 years, SD=0.65) participated in a two-week intervention in a within-subjects design. Participants reported smaller desired portions of HED snacks and SSBs following the intervention, and smaller desired portions of HED snacks for their peers. In intervention 2, adolescents ( n  = 44, mean age = 14.4 years, SD = 1.06) participated in a four-week intervention ( n  = 23) or control condition ( n  = 21) in a between-subjects design. Intervention 2 did not influence adolescents to reduce their reported desired portion sizes of HED snacks or SSBs relative to control. Conclusions These preliminary studies demonstrated that social media is a feasible way to communicate with young people. However, while the intervention influenced young adults’ reported desired portions and social norms regarding their peers’ portions, no significant impact on desired reported portion sizes was found for HED snacks and SSBs in adolescents. Desired portion sizes of some foods and beverages may be resistant to change via a social media intervention in this age group.