WJCR-William James Center for Research, ISPA-Instituto Universitário, 1149-041 Lisboa, Portugal.
Department of Psychology, Freie Universität Berlin, 14195 Berlin, Germany.
Int J Environ Res Public Health. 2022 Mar 16;19(6):3529. doi: 10.3390/ijerph19063529.
Dietary quality and sustainability are central matters to the international community, emphasised by the burden of the COVID-19 pandemic. To promote healthier and more sustainable food-related practices, the protocol of a web-based intervention to enhance adults' food literacy is presented. The FOODLIT-Trial is a two-arm, parallel, experimental, and single-blinded randomised controlled trial delivered over 11 weeks. Based on the Food Literacy Wheel framework and supported by the Health Action Process Approach (HAPA) and the Behaviour Change Techniques Taxonomy, weekly content with customised behaviour change techniques (experimental group) is hypothesised to be more effective to promote food behaviour change when compared to a single-time and non-customised delivery of food-related international guidelines, with no theoretically informed approaches (comparison group). Primary outcome is food literacy, including food-related knowledge, skills, and behaviours, assessed with the FOODLIT-Tool; a secondary outcome includes psychological mechanisms that efficaciously predict change in participants' food literacy, measured with HAPA-driven items. Enlisted through online sources, participants will be assessed across five time points (baseline, post-intervention, and 3-, 6-, and 9-month follow-ups, i.e., T0-T4). A randomisation check will be conducted, analyses will follow an intention-to-treat approach, and linear two-level models within- (T0-T4) and between-level (nested in participants) will be computed, together with a longitudinal mediation analysis. If effective, the FOODLIT-Trial will provide for a multidimensional and cost-effective intervention to enable healthier and more sustainable food practices over the long term.
饮食质量和可持续性是国际社会关注的核心问题,COVID-19 大流行加剧了这一问题。为了促进更健康和更可持续的与食物相关的实践,提出了一个基于网络的干预措施,以提高成年人的食品素养。FOODLIT-Trial 是一项为期 11 周的两臂、平行、实验性和单盲随机对照试验。该试验基于食品素养轮框架,并得到健康行动过程方法(HAPA)和行为改变技术分类学的支持,每周提供的内容包含定制的行为改变技术(实验组),与一次性和非定制的国际食品相关准则相比,假设更能有效促进食品行为的改变,而后者没有理论上的指导方法(对照组)。主要结局是食品素养,包括与食物相关的知识、技能和行为,用 FOODLIT 工具进行评估;次要结局包括有效地预测参与者食品素养变化的心理机制,用 HAPA 驱动的项目进行测量。通过在线资源招募参与者,将在五个时间点(基线、干预后以及 3、6 和 9 个月的随访,即 T0-T4)进行评估。将进行随机分组检查,分析将遵循意向治疗方法,计算 within-(T0-T4)和 between-level(嵌套在参与者中)的线性两水平模型,以及纵向中介分析。如果有效,FOODLIT-Trial 将提供一种多维且具有成本效益的干预措施,以促进长期更健康和更可持续的食物实践。
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