Image-Based Dietary Assessment and Tailored Feedback Using Mobile Technology: Mediating Behavior Change in Young Adults
by
Charlene L. Shoneye 1
, Satvinder S. Dhaliwal 1, Christina M. Pollard 1,2, Carol J. Boushey 3,4, Edward J. Delp 5, Amelia J. Harray 1, Peter A. Howat 1, Melinda J. Hutchesson 6, Megan E. Rollo 6, Fengqing Zhu 5, Janine L. Wright 1, Iain S. Pratt 7,8, Jonine Jancey 1, Rhiannon E. Halse 1, Jane A. Scott 1, Barbara Mullan 9, Clare E. Collins 6 and Deborah A. Kerr 1,*
, Satvinder S. Dhaliwal 1, Christina M. Pollard 1,2, Carol J. Boushey 3,4, Edward J. Delp 5, Amelia J. Harray 1, Peter A. Howat 1, Melinda J. Hutchesson 6, Megan E. Rollo 6, Fengqing Zhu 5, Janine L. Wright 1, Iain S. Pratt 7,8, Jonine Jancey 1, Rhiannon E. Halse 1, Jane A. Scott 1, Barbara Mullan 9, Clare E. Collins 6 and Deborah A. Kerr 1,*
1
School of Public Health, Curtin University, Perth, WA 6845, Australia
2
East Metropolitan Health Service, Perth, WA 6845, Australia
3
Epidemiology Program, University of Hawaii Cancer Centre, Honolulu, HI 96813, USA
4
Department of Nutrition, Purdue University, West Lafayette, IN 47907, USA
5
School of Electrical and Computer Engineering, Purdue University, West Lafayette, IN 47907, USA
6
School of Health Sciences and Priority Research Centre in Physical Activity and Nutrition, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW 2308, Australia
7
Cancer Council Western Australia, Subiaco, WA 6008, Australia
8
Western Australian Cancer Prevention Research Unit (WACPRU), School of Psychology, Curtin University, Perth, WA 6845, Australia
9
Health Psychology & Behavioural Medicine Research Group, School of Psychology, Curtin University, Perth, WA 6845, Australia
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(2), 435; https://doi.org/10.3390/nu11020435
Received: 21 December 2018 / Revised: 5 February 2019 / Accepted: 13 February 2019 / Published: 19 February 2019
(This article belongs to the Special Issue Dietary Behaviours during Young Adulthood)
Assessing the implementation of nutrition interventions is important to identify characteristics and dietary patterns of individuals who benefit most. The aim was to report on young adults’ experiences of receiving dietary feedback text messaging intervention. Diet was captured using an image-based 4-day mobile food recordTM application (mFRTM) and assessed to formulate two tailored feedback text messages on fruit and vegetables and energy-dense nutrient-poor (EDNP) foods and beverages. At 6-months 143 participants completed a second mFRTM and a questionnaire evaluating the dietary feedback. Participants who agreed the text messages made them think about how much vegetables they ate were more likely to increase their intake by at least half a serve than those who disagreed [odds ratio (OR) = 4.28, 95% Confidence Interval (CI): 1.76 to 10.39]. Those who agreed the text messages made them think about how much EDNP foods they ate, were twice as likely to decrease their intake by over half a serve (OR = 2.39, 95%CI: 1.12 to 5.25) than those who disagreed. Undertaking detailed dietary assessment ensured the tailored feedback was constructive and relevant. Personal contemplation about vegetable and EDNP food intake appears to be a mediator of dietary change in young adults.
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Keywords:
tailored feedback; image-based dietary assessment; technology intervention; text messaging; young adult; tailoring; vegetables; junk food; sugar-sweetened beverages; alcohol; mobile food record
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
MDPI and ACS Style
Shoneye, C.L.; Dhaliwal, S.S.; Pollard, C.M.; Boushey, C.J.; Delp, E.J.; Harray, A.J.; Howat, P.A.; Hutchesson, M.J.; Rollo, M.E.; Zhu, F.; Wright, J.L.; Pratt, I.S.; Jancey, J.; Halse, R.E.; Scott, J.A.; Mullan, B.; Collins, C.E.; Kerr, D.A. Image-Based Dietary Assessment and Tailored Feedback Using Mobile Technology: Mediating Behavior Change in Young Adults. Nutrients 2019, 11, 435.
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