Promoting Dairy Consumption Among Families: Development and User Experience Study of a Web-Based Nutrition Intervention.

BACKGROUND

Insufficient adherence to dietary guidelines underscores the need for effective interventions promoting healthy eating, including dairy consumption, among Canadian families. Research suggests that web-based interventions grounded in user research and behavior change theories can effectively support dietary improvements. However, few theory-driven digital interventions specifically target dairy consumption in families.

OBJECTIVE

This study aims to describe the development of a web-based nutrition intervention, Dairyathlon, designed to promote dairy consumption among families using the IDEAS (Ideate, Design, Assess, and Share) framework. In addition, it evaluates user experience (UX) with the web-based platform.

METHODS

Following the IDEAS framework, family perspectives and beliefs regarding dairy consumption were explored through ethnographic research and interviews. Behavior change techniques, based on the theory of planned behavior, were integrated to enhance attitudes and perceived behavioral control toward dairy intake. These techniques underwent iterative design, prototype testing, and refinement. UX was assessed with the AttrakDiff questionnaire, comparing families using Dairyathlon to those using the Canadian Food Guide (CFG). Children and parents completed the questionnaire after the presentation of the platform (PRE) and following 8 weeks of use (POST). AttrakDiff evaluates pragmatic quality (PQ), hedonic stimulation (HSQ), hedonic identity (HIQ), and attractiveness dimension (ATT) on a scale from -3 to +3, with >1 considered optimal, 0-1 acceptable, and < 0 suboptimal.

RESULTS

Between April 2019 and August 2020, Dairyathlon was developed to enhance families' attitudes and perceived control over dairy consumption, adhering to the IDEAS framework. Users' experience assessments were conducted among 29 families and showed significantly higher scores for Dairyathlon compared to the reference platform (CFG) at both pre- and postassessments (P<.001). Although both platforms were initially rated as optimal, UX ratings decreased after use: PRE (1.7, SD 0.6) to POST (1.4, SD 0.8) in the Dairyathlon group (mean difference of 0.4, 95% CI 0.2-0.7; P=.002), and (1.4, SD 0.6) to (0.9, SD 0.6) in the CFG group (mean difference = 0.6, 95% CI 0.5-0.6; P<.001). After using Dairyathlon, children (n=45) rated all UX dimensions as optimal, with scores of PQ (1.4, SD 1.0), HSQ (1.6, SD 1.0), HIQ (1.4, SD 1.1), and ATT (1.7, SD 0.9). Parents (n=50) also rated most dimensions as optimal, with scores of 1.2 (SD 1.0) for PQ, 1.4 (SD 0.8) for HIQ, and 1.6 (SD 0.8) for ATT. However, the HSQ dimension received a slightly lower rating of 0.9 (SD 0.8), indicating a need for improvement in adult stimulation.

CONCLUSIONS

This study highlights the effectiveness of the IDEAS framework in developing a web-based intervention to promote dairy consumption. The Dairyathlon platform's UX was rated as optimal, especially for visual attractiveness, though the stimulation dimension requires improvement for adults. Future research will evaluate its impact on dairy consumption, diet quality, and family health status.