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SmartAPPetite for youth: development and evaluation of a smartphone app for improving adolescent food literacy and healthy eating

Published online by Cambridge University Press:  05 October 2022

J.A. Gilliland
Affiliation:
Human Environments Analysis Laboratory, Department of Geography & Environment, Western University, London, Ontario, Canada
L.W. McEachern
Affiliation:
Human Environments Analysis Laboratory, Department of Geography & Environment, Western University, London, Ontario, Canada
S. Cappuccitti
Affiliation:
Human Environments Analysis Laboratory, Department of Geography & Environment, Western University, London, Ontario, Canada
S. Doherty
Affiliation:
Department of Geography and Environmental Studies, Wilfrid Laurier University, Waterloo, Ontario, Canada
C. O'Connor
Affiliation:
School of Food and Nutritional Sciences, Brescia University College, London, Ontario, Canada
J. Seabrook
Affiliation:
School of Food and Nutritional Sciences, Brescia University College, London, Ontario, Canada
J. Haines
Affiliation:
Department of Family Relations & Applied Nutrition, University of Guelph, Guelph, Ontario, Canada
S. Stranges
Affiliation:
Department of Epidemiology & Biostatistics, Western University, London, Ontario, Canada
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Abstract

Type
Abstract
Copyright
Copyright © The Authors 2022

Diet quality is a modifiable risk factor for several critical health conditions, such as heart disease and type II diabetes (1). Interventions to promote healthy dietary behaviours during adolescence are important because lifelong eating habits begin in childhood, and diet quality tends to sharply decrease around age 14 and remain low into adulthood (Reference Kelishadi and Poursafa2). Creative, research-driven solutions are required to address adolescent knowledge deficits regarding healthy diets to better support youth in navigating their daily food environments, and to mitigate diet-related disease burden. Smartphones are an attractive medium to deliver interventions due to their ubiquity among teens (3). SmartAPPetite was initially developed as a local food messaging app to provide users with knowledge about foods available locally and in season, and credible nutrition information approved by a registered dietitian (Reference Gilliland, Sadler and Clark4). The app sends users personalised food tips, related recipes, and vendor information to inform and nudge users, from their personally defined food goals to healthier dietary behaviours. We will report on the background development of “SmartAPPetite”, the findings of a pilot study of an intervention for adolescents, and current research using this app. A pilot study was run with 60 adolescent participants, aged 13–18, in a high school located in the mid-sized city of London, Ontario, Canada.

Participants used the app for 8 weeks and completed surveys before and after the intervention. The self-report surveys included questions on nutrition knowledge, eating habits, and food preferences; participants also completed 24-hour food diaries (ASA24-Canada) before and after using the app. Regression analysis was used to analyse participants' intake of FV with various predictor variables, including food knowledge, sociodemographic characteristics, and the food environment. A parent survey was used to validate the sociodemographic variables reported by students. Focus groups were conducted with the participants (n = 40) to help assess the effectiveness of recruitment and retention strategies, performance of study tools and app features, and feasibility. Of the 60 participants, 80% stated that engagement with the app benefitted them in some way, and 98% would recommend the app to others. Focus groups analyses revealed helpful information about where participants habitually source nutrition information and showed that adolescent participants were most interested in messages tailored for them. Statistical analysis showed trends towards increased fruit (3.4±1.4 vs. 3.5±1.2) and vegetable (2.9±1.3 vs. 3.1±1.2) intake (times p/day baseline vs. endline), and decreased sport drink (0.6±0.9 vs. 0.4±0.8), and chocolate/candy (1.8±1.5 vs. 1.0±1.3) consumption. Findings suggest that a full-scale intervention is feasible, and prolonged use with the app could elicit positive impacts in diet quality. Smartphone apps provide an effective medium to provide adolescents with credible information on healthy living and healthy eating. The app has the potential to be adapted for other populations, and to promote local food consumption.

Acknowledgments

The authors gratefully thank the students, families, and school staff involved in this study. This research was supported by grants from the Children's Health Research Institute Canada, the Children's Health Foundation Canada, and the Healthy Kids Community Challenge Middlesex County Ontario, Canada.

References

World Health Organization (2003) Diet, Nutrition and the prevention of chronic disease [Available at http://apps.who.int/iris/bitstream/handle/10665/42665/WHO_TRS_916.pdf?sequence=1].Google Scholar
Kelishadi, R & Poursafa, P (2014) Curr Probl Pediatr Adolesc Health Care 44(3), 5472.CrossRefGoogle Scholar
Statistics Canada (2016) The internet and digital technology [Available at https://www150.statcan.gc.ca/n1/pub/11-627-m/11-627-m2017032-eng.htm].Google Scholar
Gilliland, JA, Sadler, R, Clark, A, et al. . (2015) Biomed Res Int.Google Scholar