TY - JOUR
T1 - Efficacy of technology-based personalised feedback on diet quality in young Australian adults
T2 - results for the advice, ideas and motivation for my eating (Aim4Me) randomised controlled trial
AU - Haslam, Rebecca L.
AU - Baldwin, Jennifer N.
AU - Pezdirc, Kristine
AU - Truby, Helen
AU - Attia, John
AU - Hutchesson, Melinda J.
AU - Burrows, Tracy
AU - Callister, Robin
AU - Hides, Leanne
AU - Bonevski, Billie
AU - Kerr, Deborah A.
AU - Kirkpatrick, Sharon I.
AU - Rollo, Megan E.
AU - McCaffrey, Tracy A.
AU - Collins, Clare E.
PY - 2023/6
Y1 - 2023/6
N2 - Objective: Web-based dietary interventions could support healthy eating. The Advice, Ideas and Motivation for My Eating (Aim4Me) trial investigated the impact of three levels of personalised web-based dietary feedback on diet quality in young adults. Secondary aims were to investigate participant retention, engagement, and satisfaction. Design: Randomised controlled trial. Setting: Web-based intervention for young adults living in Australia. Participants: 18-24-year-olds recruited across Australia were randomised to: Group 1 (control: brief diet quality feedback), Group 2 (comprehensive feedback on nutritional adequacy + website nutrition resources), or Group 3 (30-minute dietitian consultation + Group 2 elements). Australian Recommended Food Score (ARFS) was the primary outcome. The ARFS subscales and percentage energy from nutrient-rich foods (secondary outcomes) were analysed at 3, 6 and 12 months using generalised linear mixed models. Engagement was measured with usage statistics, and satisfaction with a process evaluation questionnaire. Results: Participants (n=1005, 85% female, mean age 21.7±2.0 years) were randomised to Group 1 (n=343); Group 2 (n=325), Group 3 (n=337). Overall, 32 (3%), 88 (9%) and 141 (14%) participants were retained at 3, 6, and 12-months, respectively. Only 52 participants (15% of Group 3) completed the dietitian consultation. No significant group-by-time interactions were observed (p>0.05). The proportion of participants who visited the 13 website pages ranged from 0.6% to 75%. Half (Group 2=53%, Group 3=52%) of participants who completed the process evaluation (Group 2, n=111; Group 3, n=90) were satisfied with the program. Conclusion: Recruiting and retaining young adults in web-based dietary interventions is challenging. Future research should consider ways to optimise these interventions, including co-design methods.
AB - Objective: Web-based dietary interventions could support healthy eating. The Advice, Ideas and Motivation for My Eating (Aim4Me) trial investigated the impact of three levels of personalised web-based dietary feedback on diet quality in young adults. Secondary aims were to investigate participant retention, engagement, and satisfaction. Design: Randomised controlled trial. Setting: Web-based intervention for young adults living in Australia. Participants: 18-24-year-olds recruited across Australia were randomised to: Group 1 (control: brief diet quality feedback), Group 2 (comprehensive feedback on nutritional adequacy + website nutrition resources), or Group 3 (30-minute dietitian consultation + Group 2 elements). Australian Recommended Food Score (ARFS) was the primary outcome. The ARFS subscales and percentage energy from nutrient-rich foods (secondary outcomes) were analysed at 3, 6 and 12 months using generalised linear mixed models. Engagement was measured with usage statistics, and satisfaction with a process evaluation questionnaire. Results: Participants (n=1005, 85% female, mean age 21.7±2.0 years) were randomised to Group 1 (n=343); Group 2 (n=325), Group 3 (n=337). Overall, 32 (3%), 88 (9%) and 141 (14%) participants were retained at 3, 6, and 12-months, respectively. Only 52 participants (15% of Group 3) completed the dietitian consultation. No significant group-by-time interactions were observed (p>0.05). The proportion of participants who visited the 13 website pages ranged from 0.6% to 75%. Half (Group 2=53%, Group 3=52%) of participants who completed the process evaluation (Group 2, n=111; Group 3, n=90) were satisfied with the program. Conclusion: Recruiting and retaining young adults in web-based dietary interventions is challenging. Future research should consider ways to optimise these interventions, including co-design methods.
KW - diet
KW - eHealth
KW - nutrition therapy
KW - randomized controlled trial
KW - young adults
UR - http://www.scopus.com/inward/record.url?scp=85148598607&partnerID=8YFLogxK
UR - http://purl.org/au-research/grants/NHMRC/1115519
UR - http://purl.org/au-research/grants/NHMRC/1063206
U2 - 10.1017/S1368980023000253
DO - 10.1017/S1368980023000253
M3 - Article
AN - SCOPUS:85148598607
SN - 1368-9800
VL - 26
SP - 1293
EP - 1305
JO - Public Health Nutrition
JF - Public Health Nutrition
IS - 6
ER -
