Efficacy of technology-based personalised feedback on diet quality in young Australian adults: results for the advice, ideas and motivation for my eating (Aim4Me) randomised controlled trial

Rebecca L. Haslam; Jennifer N. Baldwin; Kristine Pezdirc; Helen Truby; John Attia; Melinda J. Hutchesson; Tracy Burrows; Robin Callister; Leanne Hides; Billie Bonevski; Deborah A. Kerr; Sharon I. Kirkpatrick; Megan E. Rollo; Tracy A. McCaffrey; Clare E. Collins

doi:10.1017/S1368980023000253

Efficacy of technology-based personalised feedback on diet quality in young Australian adults: results for the advice, ideas and motivation for my eating (Aim4Me) randomised controlled trial

Rebecca L. Haslam, Jennifer N. Baldwin, Kristine Pezdirc, Helen Truby, John Attia, Melinda J. Hutchesson, Tracy Burrows, Robin Callister, Leanne Hides, Billie Bonevski, Deborah A. Kerr, Sharon I. Kirkpatrick, Megan E. Rollo, Tracy A. McCaffrey, Clare E. Collins

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

31 Downloads (Pure)

Abstract

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.

Original language	English
Pages (from-to)	1293-1305
Number of pages	13
Journal	Public Health Nutrition
Volume	26
Issue number	6
Early online date	9 Feb 2023
DOIs	https://doi.org/10.1017/S1368980023000253
Publication status	Published - Jun 2023
Externally published	Yes

Keywords

diet
eHealth
nutrition therapy
randomized controlled trial
young adults

Access to Document

10.1017/S1368980023000253Licence: CC BY

Final published versionFinal published version, 588 KBLicence: CC BY

Cite this

Haslam, R. L., Baldwin, J. N., Pezdirc, K., Truby, H., Attia, J., Hutchesson, M. J., Burrows, T., Callister, R., Hides, L., Bonevski, B., Kerr, D. A., Kirkpatrick, S. I., Rollo, M. E., McCaffrey, T. A., & Collins, C. E. (2023). Efficacy of technology-based personalised feedback on diet quality in young Australian adults: results for the advice, ideas and motivation for my eating (Aim4Me) randomised controlled trial. Public Health Nutrition, 26(6), 1293-1305. https://doi.org/10.1017/S1368980023000253

@article{5353a43ffcb343989fc1eba580cbd94e,

title = "Efficacy of technology-based personalised feedback on diet quality in young Australian adults: results for the advice, ideas and motivation for my eating (Aim4Me) randomised controlled trial",

abstract = "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.",

keywords = "diet, eHealth, nutrition therapy, randomized controlled trial, young adults",

author = "Haslam, {Rebecca L.} and Baldwin, {Jennifer N.} and Kristine Pezdirc and Helen Truby and John Attia and Hutchesson, {Melinda J.} and Tracy Burrows and Robin Callister and Leanne Hides and Billie Bonevski and Kerr, {Deborah A.} and Kirkpatrick, {Sharon I.} and Rollo, {Megan E.} and McCaffrey, {Tracy A.} and Collins, {Clare E.}",

year = "2023",

month = jun,

doi = "10.1017/S1368980023000253",

language = "English",

volume = "26",

pages = "1293--1305",

journal = "Public Health Nutrition",

issn = "1368-9800",

publisher = "Cambridge University Press",

number = "6",

}

Haslam, RL, Baldwin, JN, Pezdirc, K, Truby, H, Attia, J, Hutchesson, MJ, Burrows, T, Callister, R, Hides, L, Bonevski, B, Kerr, DA, Kirkpatrick, SI, Rollo, ME, McCaffrey, TA & Collins, CE 2023, 'Efficacy of technology-based personalised feedback on diet quality in young Australian adults: results for the advice, ideas and motivation for my eating (Aim4Me) randomised controlled trial', Public Health Nutrition, vol. 26, no. 6, pp. 1293-1305. https://doi.org/10.1017/S1368980023000253

Efficacy of technology-based personalised feedback on diet quality in young Australian adults: results for the advice, ideas and motivation for my eating (Aim4Me) randomised controlled trial. / Haslam, Rebecca L.; Baldwin, Jennifer N.; Pezdirc, Kristine et al.
In: Public Health Nutrition, Vol. 26, No. 6, 06.2023, p. 1293-1305.

Research output: Contribution to journal › Article › peer-review

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 -

Efficacy of technology-based personalised feedback on diet quality in young Australian adults: results for the advice, ideas and motivation for my eating (Aim4Me) randomised controlled trial

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this