A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study

Background: Changing current dietary patterns into sustainable healthy diets (ie, healthy diets with low environmental impact and socioeconomic fairness) is urgent. So far, few eating behavior change interventions have addressed all the dimensions of sustainable healthy diets at once and used cuttin...

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Autores: Fresán, Ujué, Bernard, Paquito, Fàbregues Feijóo, Sergi, Boronat Rigol, Anna, 1990-, Araújo Soares, Vera, König, Laura M., Chevance, Guillaume
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/60234
Acceso en línea:http://hdl.handle.net/10230/60234
http://dx.doi.org/10.2196/41443
Access Level:acceso abierto
Palabra clave:Dietary sustainability
eHealth
Eating behavior change
Eating behavior change protocol
mHealth
Mobile health
Mobile phone
n-of-1
Nutritional education
Sustainable diet
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network_name_str España
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dc.title.none.fl_str_mv A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study
title A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study
spellingShingle A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study
Fresán, Ujué
Dietary sustainability
eHealth
Eating behavior change
Eating behavior change protocol
mHealth
Mobile health
Mobile phone
n-of-1
Nutritional education
Sustainable diet
title_short A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study
title_full A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study
title_fullStr A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study
title_full_unstemmed A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study
title_sort A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot study
dc.creator.none.fl_str_mv Fresán, Ujué
Bernard, Paquito
Fàbregues Feijóo, Sergi
Boronat Rigol, Anna, 1990-
Araújo Soares, Vera
König, Laura M.
Chevance, Guillaume
author Fresán, Ujué
author_facet Fresán, Ujué
Bernard, Paquito
Fàbregues Feijóo, Sergi
Boronat Rigol, Anna, 1990-
Araújo Soares, Vera
König, Laura M.
Chevance, Guillaume
author_role author
author2 Bernard, Paquito
Fàbregues Feijóo, Sergi
Boronat Rigol, Anna, 1990-
Araújo Soares, Vera
König, Laura M.
Chevance, Guillaume
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Dietary sustainability
eHealth
Eating behavior change
Eating behavior change protocol
mHealth
Mobile health
Mobile phone
n-of-1
Nutritional education
Sustainable diet
topic Dietary sustainability
eHealth
Eating behavior change
Eating behavior change protocol
mHealth
Mobile health
Mobile phone
n-of-1
Nutritional education
Sustainable diet
description Background: Changing current dietary patterns into sustainable healthy diets (ie, healthy diets with low environmental impact and socioeconomic fairness) is urgent. So far, few eating behavior change interventions have addressed all the dimensions of sustainable healthy diets at once and used cutting-edge methods from the field of digital health behavior change. Objective: The primary objectives of this pilot study were to assess the feasibility and effectiveness of an individual behavior change intervention toward the adoption of a more environmentally sustainable healthy diet as a whole and changes in specific relevant food groups, food waste, and obtaining food from fair sources. The secondary objectives included the identification of mechanisms of action that potentially mediate the effect of the intervention on behaviors, identification of potential spillover effects and covariations among different food outcomes, and identification of the role of socioeconomic status in behavior changes. Methods: We will run a series of ABA n-of-1 trials over a year, with the first A phase corresponding to a 2-week baseline evaluation, the B phase to a 22-week intervention, and the second A phase to a 24-week postintervention follow-up. We plan to enroll 21 participants from low, middle, and high socioeconomic statuses, with 7 from each socioeconomic group. The intervention will involve sending text messages and providing brief individualized web-based feedback sessions based on regular app-based assessments of eating behavior. The text messages will contain brief educational messages on human health and the environmental and socioeconomic effects of dietary choices; motivational messages to encourage the adoption of sustainable healthy diets by participants, providing tips to achieve their own behavioral goals; or links to recipes. Both quantitative and qualitative data will be collected. Quantitative data (eg, on eating behaviors and motivation) will be collected through self-reported questionnaires on several weekly bursts spread through the study. Qualitative data will be collected through 3 individual semistructured interviews before the intervention period, at the end of the intervention period, and at the end of the study. Analyses will be performed at both the individual and group levels depending on the outcome and objective. Results: The first participants were recruited in October 2022. The final results are expected by October 2023. Conclusions: The results of this pilot study will be useful for designing future larger interventions on individual behavior change for sustainable healthy diets. International registered report identifier (irrid): PRR1-10.2196/41443.
publishDate 2023
dc.date.none.fl_str_mv 2023
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/60234
http://dx.doi.org/10.2196/41443
url http://hdl.handle.net/10230/60234
http://dx.doi.org/10.2196/41443
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv JMIR Res Protoc. 2023 Mar 2;12:e41443
info:eu-repo/grantAgreement/ES/2PE/CEX2018-000806-S
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv JMIR Publications
publisher.none.fl_str_mv JMIR Publications
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling A smartphone intervention to promote a sustainable healthy diet: Protocol for a pilot studyFresán, UjuéBernard, PaquitoFàbregues Feijóo, SergiBoronat Rigol, Anna, 1990-Araújo Soares, VeraKönig, Laura M.Chevance, GuillaumeDietary sustainabilityeHealthEating behavior changeEating behavior change protocolmHealthMobile healthMobile phonen-of-1Nutritional educationSustainable dietBackground: Changing current dietary patterns into sustainable healthy diets (ie, healthy diets with low environmental impact and socioeconomic fairness) is urgent. So far, few eating behavior change interventions have addressed all the dimensions of sustainable healthy diets at once and used cutting-edge methods from the field of digital health behavior change. Objective: The primary objectives of this pilot study were to assess the feasibility and effectiveness of an individual behavior change intervention toward the adoption of a more environmentally sustainable healthy diet as a whole and changes in specific relevant food groups, food waste, and obtaining food from fair sources. The secondary objectives included the identification of mechanisms of action that potentially mediate the effect of the intervention on behaviors, identification of potential spillover effects and covariations among different food outcomes, and identification of the role of socioeconomic status in behavior changes. Methods: We will run a series of ABA n-of-1 trials over a year, with the first A phase corresponding to a 2-week baseline evaluation, the B phase to a 22-week intervention, and the second A phase to a 24-week postintervention follow-up. We plan to enroll 21 participants from low, middle, and high socioeconomic statuses, with 7 from each socioeconomic group. The intervention will involve sending text messages and providing brief individualized web-based feedback sessions based on regular app-based assessments of eating behavior. The text messages will contain brief educational messages on human health and the environmental and socioeconomic effects of dietary choices; motivational messages to encourage the adoption of sustainable healthy diets by participants, providing tips to achieve their own behavioral goals; or links to recipes. Both quantitative and qualitative data will be collected. Quantitative data (eg, on eating behaviors and motivation) will be collected through self-reported questionnaires on several weekly bursts spread through the study. Qualitative data will be collected through 3 individual semistructured interviews before the intervention period, at the end of the intervention period, and at the end of the study. Analyses will be performed at both the individual and group levels depending on the outcome and objective. Results: The first participants were recruited in October 2022. The final results are expected by October 2023. Conclusions: The results of this pilot study will be useful for designing future larger interventions on individual behavior change for sustainable healthy diets. International registered report identifier (irrid): PRR1-10.2196/41443.UF and GC acknowledge support from the Spanish Ministry of Science and Innovation and State Research Agency through the “Centro de Excelencia Severo Ochoa 2019–2023” program (CEX2018-000806-S) and support from the Generalitat de Catalunya through the Centres de Recerca de Catalunya program. GC has also been awarded with the grant RYC2021-033537-I, supported by MCIN/AEI/10.13039/501100011033 and by the European Union NextGenerationEU/PRTR.JMIR Publications202420242023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/60234http://dx.doi.org/10.2196/41443reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésJMIR Res Protoc. 2023 Mar 2;12:e41443info:eu-repo/grantAgreement/ES/2PE/CEX2018-000806-S© Ujué Fresán, Paquito Bernard, Sergi Fabregues, Anna Boronat, Vera Araújo-Soares, Laura M König, Guillaume Chevance. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 02.03.2023. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/602342026-06-12T07:21:37Z
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