1Department of Foods and Nutrition,University of Georgia,280 Dawson Hall,Athens,GA30602,USA.
2Department of Lifelong Education,Administration, and Policy,University of Georgia,Athens,GA,USA.
Public Health Nutr. 2018 Dec;21(17):3271-3280. doi: 10.1017/S1368980018001933. Epub 2018 Aug 13.
To understand low-income adults' expectations and experiences using an innovative smartphone and theory-based eLearning nutrition education programme, entitled Food eTalk.
Longitudinal mixed-methods single case study including a series of focus group and individual interviews, demographic and Internet habits surveys, and user-tracking data. Interviews were transcribed verbatim, analysed using the constant comparative method and digitalized using Atlas.ti. Descriptive statistics were analysed for demographics and user-tracking data.
Community-based locations including libraries, public housing complexes, schools, safety-net clinics and food pantries.
Low-income Georgian adults aged ≥18 years (n 64), USA.
Participants found Food eTalk easy to navigate and better designed than expected. Primary themes were twofold: (i) motivation to engage in eLearning may be a formidable barrier to Food eTalk's success but improved programme content, format and external incentives could mitigate this barrier; and (ii) applying knowledge to change nutrition-related behaviour is challenging. To encourage engagement in eLearning nutrition education, programme format should highlight interactive games, videos, be short in length, and feature content that is relevant and important from the perspective of the priority audience. Examples of these topics include quick and easy recipes, chronic disease-specific diet information and tips to feed 'picky' children. Additionally, external incentives may help mitigate barriers to healthful eating behaviour and increase engagement in the programme.
The findings suggest eLearning nutrition education programmes are best designed to match low-income adults' typical smartphone habits, include content considered particularly relevant by the intended audience and highlight solutions to barriers to healthful eating.
了解低收入成年人对创新智能手机和基于理论的电子学习营养教育计划“Food eTalk”的期望和使用体验。
包括一系列焦点小组和个人访谈、人口统计和互联网习惯调查以及用户跟踪数据的纵向混合方法单案例研究。访谈逐字记录，使用常数比较法进行分析，并使用 Atlas.ti 进行数字化。对人口统计和用户跟踪数据进行描述性统计分析。
包括图书馆、公共住房综合体、学校、安全网诊所和食品储藏室在内的社区场所。
年龄≥18 岁的美国格鲁吉亚低收入成年人（n=64）。
参与者发现 Food eTalk 易于导航，设计优于预期。主要主题有两个方面：（i）参与电子学习的动机可能是 Food eTalk 成功的一个巨大障碍，但改进的计划内容、格式和外部激励措施可以减轻这一障碍；（ii）将知识应用于改变与营养相关的行为具有挑战性。为了鼓励参与电子学习营养教育，计划格式应突出互动游戏、视频，长度要短，并以优先受众的角度提供相关且重要的内容。这些主题的示例包括快速简便的食谱、特定慢性病的饮食信息和喂养“挑食”孩子的技巧。此外，外部激励措施可能有助于减轻健康饮食行为的障碍，并增加对该计划的参与度。
研究结果表明，电子学习营养教育计划最好根据低收入成年人的典型智能手机习惯进行设计，包括目标受众认为特别相关的内容，并突出健康饮食障碍的解决方案。
