Virtual Avatar Coaching With Community Context for Adult-Child Dyads with Low Income.

OBJECTIVE

Examine the acceptability of an evidence-based, contextually tailored, virtual avatar coaching approach for nutrition education among adult-child dyads with low income.

DESIGN

Structured observations and semistructured interviews.

SETTING

Low-income communities in 2 midsized urban areas.

PARTICIPANTS

Fifteen African American adult and child (aged 5-10 years old) dyads recruited from community agencies.

PHENOMENON OF INTEREST

Structured observation during the use of the virtual avatar coaching program and qualitative feedback on program experience after using the program.

ANALYSIS

Transcripts were independently coded by 2 trained coders. Content analysis was conducted to determine trends and patterns in responses, and salient quotes were extracted from the manuscripts.

RESULTS

The program generated dialogue between the children and adults around preferences and dietary habits. Adults and children described the program as being helpful, informative, motivational, and fun. Adults and children liked that the avatar acknowledged them at a personal level, provided accountability, and was tailored to them and their environment. Children wanted the ability to customize the avatar, more gamification, and avatar demonstration of healthy behaviors. Children felt the program would improve their health behaviors and were interested in using it again.

CONCLUSIONS AND IMPLICATIONS

This study highlights information that can be used to improve avatar-based programs for nutrition education with children and their adult caregivers who have low income. Future work should assess the impact of user customization experience, program impact on dietary behaviors, and resources required to scale and maintain the program with community agencies.