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FOODLIT-试验:一项随机对照数字干预方案,旨在使用健康行动过程方法和行为改变技术分类学,在 COVID-19 大流行期间,促进成年人的食品素养和可持续性行为。

FOODLIT-Trial: Protocol of a Randomised Controlled Digital Intervention to Promote Food Literacy and Sustainability Behaviours in Adults Using the Health Action Process Approach and the Behaviour Change Techniques Taxonomy during the COVID-19 Pandemic.

机构信息

WJCR-William James Center for Research, ISPA-Instituto Universitário, 1149-041 Lisboa, Portugal.

Department of Psychology, Freie Universität Berlin, 14195 Berlin, Germany.

出版信息

Int J Environ Res Public Health. 2022 Mar 16;19(6):3529. doi: 10.3390/ijerph19063529.


DOI:10.3390/ijerph19063529
PMID:35329211
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8950592/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d29/8950592/83dde86bb63c/ijerph-19-03529-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d29/8950592/83dde86bb63c/ijerph-19-03529-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d29/8950592/83dde86bb63c/ijerph-19-03529-g001.jpg

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引用本文的文献

[1]
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[2]
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本文引用的文献

[1]
Effectiveness of Foodbank Western Australia's for Adults Food Literacy Program in Regional Australia.

Int J Environ Res Public Health. 2021-8-25

[2]
FOODLIT-tool: Development and validation of the adaptable food literacy tool towards global sustainability within food systems.

Appetite. 2022-1-1

[3]
Food Literacy Interventions in Elementary Schools: A Systematic Scoping Review.

J Sch Health. 2021-8

[4]
Assessing the feasibility of an m-Health intervention for changing diet quality and mood in individuals with depression: the My Food & Mood program.

Int Rev Psychiatry. 2021-5

[5]
COVID-19 risks to global food security.

Science. 2020-7-31

[6]
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Nutrients. 2020-7-23

[7]
Identifying Who Improves or Maintains Their Food Literacy Behaviours after Completing an Adult Program.

Int J Environ Res Public Health. 2020-6-21

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Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey.

Nutrients. 2020-5-28

[9]
Effects of the game intervention on food consumption, nutritional knowledge and self-efficacy in the adoption of healthy eating practices of high school students: a cluster randomised controlled trial.

Public Health Nutr. 2020-9

[10]
FOODLIT-PRO: conceptual and empirical development of the food literacy wheel.

Int J Food Sci Nutr. 2021-2

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