Lau Adeline, Young Adrienne M, Han Chad, Miller Elizabeth M, Heim Mia El, Miller Michelle D
Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, SA, Australia; Australian Frailty Network, the University of Queensland, Brisbane, QLD, Australia.
Australian Frailty Network, the University of Queensland, Brisbane, QLD, Australia; Centre for Health Services Research, the University of Queensland, Brisbane, QLD, Australia; Nutrition Research Collaborative, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Adv Nutr. 2025 Apr;16(4):100401. doi: 10.1016/j.advnut.2025.100401. Epub 2025 Mar 6.
Consumer engagement is important to design high-quality educational nutrition information that holistically addresses consumers' needs. This can occur through consultation and feedback mechanisms like surveys or focus groups, consumer expert panels or advisory boards to provide the consumers' perspective, or through participatory research methods. The extent of consumer engagement also varies with differing levels of influence over the decision-making process. This systematic scoping review aimed to explore and synthesize the extent to which consumers are engaged in designing various types of educational nutrition interventions, the methods and levels of consumer engagement, and its impact on the resulting educational nutrition information presented. We comprehensively searched Medline via OVID, Scopus, Web of Science, CINAHL, and PsycINFO. Each article was independently screened by 2 authors by title and abstract. Two reviewers independently assessed the full text of the remaining articles for eligibility. Two authors independently extracted data from the 36 final articles (15 original and 21 substudies), including consumer engagement assessment per the International Association of Public Participation (IAP2) spectrum. Fourteen of the 15 studies obtained input from consumers to inform the design of the educational nutrition information in terms of content, design, wording, and platform. However, consumer engagement across the studies mostly sat within the "Consult" and "Involve" level of the IAP2 spectrum, with only 1 study achieving a "Collaborate" engagement level. This suggests a low level of genuine consumer partnership in the studies to date. Consumer engagement across the studies differed on how and the extent to which consumers were engaged in designing educational nutrition information. Greater emphasis on shared decision-making and collaborating with consumers right from the start is key to ensuring that educational nutrition information designed for them best addresses their needs and preferences, which potentially translates to better health outcomes.
消费者参与对于设计全面满足消费者需求的高质量营养教育信息至关重要。这可以通过调查或焦点小组等咨询和反馈机制、消费者专家小组或咨询委员会来提供消费者视角，或者通过参与式研究方法来实现。消费者参与的程度也因对决策过程的影响程度不同而有所差异。本系统综述旨在探讨和综合消费者在设计各类营养教育干预措施中的参与程度、消费者参与的方法和水平，以及其对所呈现的营养教育信息的影响。我们通过OVID、Scopus、Web of Science、CINAHL和PsycINFO全面检索了Medline。每篇文章由两名作者独立根据标题和摘要进行筛选。两名评审员独立评估其余文章的全文是否符合入选标准。两名作者独立从36篇最终文章（15篇原创文章和21篇子研究）中提取数据，包括根据国际公众参与协会（IAP2）光谱进行的消费者参与评估。15项研究中的14项从消费者那里获得了意见，以在内容、设计、措辞和平台方面为营养教育信息的设计提供参考。然而，这些研究中的消费者参与大多处于IAP2光谱的“咨询”和“参与”水平，只有1项研究达到了“合作”参与水平。这表明迄今为止这些研究中真正的消费者伙伴关系水平较低。各项研究中的消费者参与在消费者如何以及在多大程度上参与营养教育信息设计方面存在差异。从一开始就更加强调共同决策以及与消费者合作，是确保为他们设计的营养教育信息能够最好地满足他们的需求和偏好的关键，这可能会带来更好的健康结果。
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