Objective This study uses a novel mixed methods design to examine the relationship between incidents of teasing in popular television shows and body satisfaction of adolescent viewers. Methods Survey data were used to identify 25 favorite television shows in a large population-based sample of Minnesota adolescents (N=2793, age=14.4 years). Data from content analysis of teasing incidents in popular shows were linked to adolescent survey data. Linear regression models examined associations between exposure to on-screen teasing in adolescents’ own favorite shows and their body satisfaction. Effect modification by adolescent weight status was tested using interaction terms. Results Teasing on TV was common, with 3.3 incidents per episode; over one-quarter of teasing was weight/shape-related. Exposure to weight/shape-related teasing (β = −.43, p=.008) and teasing with overweight targets (β = −.03, p=.02) was inversely associated with girls’ body satisfaction; no associations were found for boys. Findings were similar regardless of the adolescent viewer’s weight status. Conclusions Families, health care providers, media literacy programs and the entertainment industry are encouraged to consider the negative effects exposure to weight stigmatization can have on adolescent girls.

According to Centers of Disease Control and Prevention (CDC), 70% of Americans are without advance directives (Centers for Disease Control and Prevention [CDC], 2017). An evidencebased practice project was conducted to assess the effectiveness of a multimodal intervention to increase advance care planning discussions (ACP) and advance directive (AD) completion rates in an urban senior health center. A total of 122 patient records were reviewed to assess for advance directive completion. A total of 64 patients ages 65 and older were included in the intervention. At three-month completion, 23% of patients completed AD's prior to ACP meetings with mailer intervention only, and 13% AD completion with mailers plus ACP discussion and telephone follow up. A total of 17 ACP meetings were conducted, out of which 35% of patients completed AD's without follow up, and 12% completed an AD after receiving a one week follow up telephone call. Findings suggest the need to be proactive and purposely discuss advance care planning with the elderly population.