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利用超市会员卡数据为高胆固醇血症患者提供个性化建议以减少饱和脂肪摄入:参与者体验的定性研究。

Using Supermarket Loyalty Card Data to Provide Personalised Advice to Help Reduce Saturated Fat Intake among Patients with Hypercholesterolemia: A Qualitative Study of Participants' Experiences.

机构信息

Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK.

Oxford Biomedical Research Centre, National Institute for Health Research, Oxford OX2 6GG, UK.

出版信息

Nutrients. 2021 Mar 31;13(4):1146. doi: 10.3390/nu13041146.

DOI:10.3390/nu13041146
PMID:33807150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8066863/
Abstract

BACKGROUND

The 'Primary Care SHOPping Intervention for Cardiovascular Disease Prevention' (PCSHOP) trial tested the effectiveness and feasibility of a behavioural intervention to reduce saturated fat in food purchases. The intervention offered feedback from data collected through a supermarket loyalty card to supplement brief advice from a nurse. This qualitative study aimed to describe participants' experiences of receiving this intervention.

METHODS

We conducted semi-structured, one-to-one, telephone interviews with participants from the PCSHOP trial. Interviews were audio-recorded and transcribed verbatim. We employed the one sheet of paper technique and a thematic analysis to develop high-level themes in NVivo software.

RESULTS

Twenty-four participants were interviewed (mean age: 63 years (SD 12)). They reported that the brief advice did not provide any new information but they welcomed the sense of accountability the nurse provided. The personalised shopping feedback and healthier swap suggestions provided novel information that challenged previously held beliefs about the saturated fat content of food purchases and encouraged some positive dietary changes. However, the taste preferences of the participant or other household members were a barrier to changing food shopping behaviours.

CONCLUSION

Harnessing loyalty card data is a novel and acceptable method to offering personalised dietary feedback. Yet, issues on the suitability of the healthier swap suggestions limited the extent of dietary change.

TRIAL REGISTRATION

ISRCTN14279335. Registered 1 September 2017.

摘要

背景

“初级保健 SHOPping 干预心血管疾病预防”(PCSHOP)试验测试了一种行为干预措施减少食物购买中饱和脂肪的有效性和可行性。该干预措施提供了通过超市会员卡收集的数据反馈,以补充护士的简短建议。本定性研究旨在描述参与者接受这种干预的经验。

方法

我们对 PCSHOP 试验的参与者进行了半结构化的一对一电话访谈。访谈进行了录音,并逐字记录。我们在 NVivo 软件中使用一页纸技术和主题分析来开发高层次主题。

结果

对 24 名参与者进行了访谈(平均年龄:63 岁(SD 12 岁))。他们报告说,简短的建议没有提供任何新信息,但他们欢迎护士提供的责任感。个性化的购物反馈和更健康的交换建议提供了新的信息,挑战了他们以前对食物购买中饱和脂肪含量的看法,并鼓励了一些积极的饮食改变。然而,参与者或其他家庭成员的口味偏好是改变购物行为的障碍。

结论

利用会员卡数据是提供个性化饮食反馈的一种新颖且可接受的方法。然而,更健康的交换建议的适用性问题限制了饮食改变的程度。

试验注册

ISRCTN8345562。于 2017 年 9 月 1 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa93/8066863/b9da70b979bb/nutrients-13-01146-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa93/8066863/b9da70b979bb/nutrients-13-01146-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa93/8066863/b9da70b979bb/nutrients-13-01146-g001.jpg

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本文引用的文献

1
Confection Confusion: Interplay Between Diet, Taste, and Nutrition.甜食困惑:饮食、口味与营养的相互作用。
Trends Endocrinol Metab. 2021 Feb;32(2):95-105. doi: 10.1016/j.tem.2020.11.011. Epub 2020 Dec 28.
2
Evaluation of an intervention to provide brief support and personalized feedback on food shopping to reduce saturated fat intake (PC-SHOP): A randomized controlled trial.评价一项提供关于食品购物的简短支持和个性化反馈以减少饱和脂肪摄入的干预措施(PC-SHOP):一项随机对照试验。
PLoS Med. 2020 Nov 5;17(11):e1003385. doi: 10.1371/journal.pmed.1003385. eCollection 2020 Nov.
3
Comparing supermarket loyalty card data with traditional diet survey data for understanding how protein is purchased and consumed in older adults for the UK, 2014-16.
比较超市会员卡数据与传统饮食调查数据,了解英国老年人在购买和消费蛋白质方面的情况,2014-2016 年。
Nutr J. 2020 Aug 13;19(1):83. doi: 10.1186/s12937-020-00602-3.
4
Reduction in saturated fat intake for cardiovascular disease.减少饱和脂肪摄入量以预防心血管疾病。
Cochrane Database Syst Rev. 2020 May 19;5(5):CD011737. doi: 10.1002/14651858.CD011737.pub2.
5
Prominent positioning and food swaps are effective interventions to reduce the saturated fat content of the shopping basket in an experimental online supermarket: a randomized controlled trial.突出定位和食品交换是减少实验性在线超市购物篮中饱和脂肪含量的有效干预措施:一项随机对照试验。
Int J Behav Nutr Phys Act. 2019 Jun 7;16(1):50. doi: 10.1186/s12966-019-0810-9.
6
Primary Care SHOPping intervention for cardiovascular disease prevention (PC-SHOP): protocol for a randomised controlled trial to reduce saturated fat intake.初级保健 SHOPping 干预心血管疾病预防(PC-SHOP):一项随机对照试验的方案,旨在减少饱和脂肪摄入量。
BMJ Open. 2019 Apr 15;9(4):e027035. doi: 10.1136/bmjopen-2018-027035.
7
A Pilot Randomized Controlled Trial of a Digital Intervention Aimed at Improving Food Purchasing Behavior: The Front-of-Pack Food Labels Impact on Consumer Choice Study.一项旨在改善食品购买行为的数字干预试验性随机对照试验:包装正面食品标签对消费者选择的影响研究。
JMIR Form Res. 2019 Apr 8;3(2):e9910. doi: 10.2196/formative.9910.
8
Large-scale loyalty card data in health research.健康研究中的大规模忠诚卡数据。
Digit Health. 2018 Nov 29;4:2055207618816898. doi: 10.1177/2055207618816898. eCollection 2018 Jan-Dec.
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PLoS One. 2018 Nov 19;13(11):e0207523. doi: 10.1371/journal.pone.0207523. eCollection 2018.
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Am J Clin Nutr. 2018 Jun 1;107(6):1004-1016. doi: 10.1093/ajcn/nqy045.