scholarly journals Digital Food Records in Community-Based Interventions: Mixed-Methods Pilot Study (Preprint)

2017 ◽  
Author(s):  
Lauren A. Fowler ◽  
Leah R Yingling ◽  
Alyssa T Brooks ◽  
Gwenyth R Wallen ◽  
Marlene Peters-Lawrence ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Mobile Device ◽  
Dietary Assessment ◽  
Assessment Tools ◽  
Washington Dc ◽  
Food Record ◽  
Community Based Interventions ◽  
Community Based ◽  
Food Records

BACKGROUND A pressing need exists to understand and optimize the use of dietary assessment tools that can be used in community-based participatory research (CBPR) interventions. A digital food record, which uses a mobile device to capture the dietary intake through text and photography inputs, is a particularly promising mobile assessment method. However, little is understood about the acceptability and feasibility of digital food records in CBPR and how to best tailor dietary assessment tools to the needs of a community. OBJECTIVE The objective of our study was to evaluate the acceptability and feasibility of digital food records among church-based populations in resource-limited wards of Washington, DC, USA, using a mixed-methods approach. METHODS This community-based pilot study was conducted as part of the Washington, DC Cardiovascular Health and Needs Assessment. Participants (n=17) received a mobile device (iPod Touch) to photodocument their dietary intake for a 3-day digital food record using a mobile app, FitNinja (Vibrent Health). The acceptability of the digital food record was explored through the thematic analysis of verbatim transcripts from a moderated focus group (n=8). In addition, the feasibility was evaluated by the percentage of participants complying with instructions (ie, capturing both before and after meal photos for at least 2 meals/day for 3 days). RESULTS Qualitative themes identified were related to (1) the feasibility and acceptability of the mobile device and app, including issues in recording the dietary information and difficulty with photodocumentation; (2) suggestions for additional support and training experiences; and (3) comparisons with other mobile apps. Overall, the participants accepted the digital food record by demonstrating satisfaction with the tool and intent to continue the use (eg, participants recorded an average of 5.2, SD 7, consecutive days). Furthermore, of the 17 participants, 15 photodocumented at least 1 meal during the study period and 3 fully complied with the digital food record instructions. CONCLUSIONS This study demonstrated digital food records as an acceptable tool in CBPR and identified contributors and barriers to the feasibility of digital food records for future research. Engaging community members in the implementation of novel assessment methods allows for the tailoring of technology to the needs of the community and optimizing community-based interventions. CLINICALTRIAL ClinicalTrials.gov NCT01927783; https://www.clinicaltrials.gov/ct2/show/NCT01927783 (Archived by WebCite at http://www.webcitation.org/70WzaFWb6)

scholarly journals Digital Food Records in Community-Based Interventions: Mixed-Methods Pilot Study

2018 ◽  
Vol 6 (7) ◽  
pp. e160 ◽  
Author(s):  
Lauren A Fowler ◽  
Leah R Yingling ◽  
Alyssa T Brooks ◽  
Gwenyth R Wallen ◽  
Marlene Peters-Lawrence ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Community Based Interventions ◽  
Community Based ◽  
Food Records

scholarly journals Comparison of a web-based food record tool and a food-frequency questionnaire and objective validation using the doubly labelled water technique in a Swedish middle-aged population

2016 ◽  
Vol 5 ◽  
Author(s):  
Sanna Nybacka ◽  
Heléne Bertéus Forslund ◽  
Elisabet Wirfält ◽  
Ingrid Larsson ◽  
Ulrika Ericson ◽  
...  
Keyword(s):  
Energy Intake ◽  
Large Scale ◽  
Dietary Assessment ◽  
Assessment Tools ◽  
Future Research ◽  
Food Record ◽  
Frequency Method ◽  
Doubly Labelled Water ◽  
Web Based ◽  
Food Frequency

AbstractTwo web-based dietary assessment tools have been developed for use in large-scale studies: the Riksmaten method (4-d food record) and MiniMeal-Q (food-frequency method). The aim of the present study was to examine the ability of these methods to capture energy intake against objectively measured total energy expenditure (TEE) with the doubly labelled water technique (TEEDLW), and to compare reported energy and macronutrient intake. This study was conducted within the pilot study of the Swedish CArdioPulmonary bioImage Study (SCAPIS), which included 1111 randomly selected men and women aged 50–64 years from the Gothenburg general population. Of these, 200 were enrolled in the SCAPIS diet substudy. TEEDLW was measured in a subsample (n 40). Compared with TEEDLW, both methods underestimated energy intake: −2·5 (sd  2·9) MJ with the Riksmaten method; −2·3 (sd 3·6) MJ with MiniMeal-Q. Mean reporting accuracy was 80 and 82 %, respectively. The correlation between reported energy intake and TEEDLW was r 0·4 for the Riksmaten method (P < 0·05) and r 0·28 (non-significant) for MiniMeal-Q. Women reported similar average intake of energy and macronutrients in both methods whereas men reported higher intakes with the Riksmaten method. Energy-adjusted correlations ranged from 0·14 (polyunsaturated fat) to 0·77 (alcohol). Bland–Altman plots showed acceptable agreement for energy and energy-adjusted protein and carbohydrate intake, whereas the agreement for fat intake was poorer. According to energy intake data, both methods displayed similar precision on energy intake reporting. However, MiniMeal-Q was less successful in ranking individuals than the Riksmaten method. The development of methods to achieve limited under-reporting is a major challenge for future research.

scholarly journals Relative Validity of an Online Herb and Spice Consumption Questionnaire

2020 ◽  
Vol 17 (8) ◽  
pp. 2757 ◽  
Author(s):  
Cynthia Blanton
Keyword(s):  
Dietary Assessment ◽  
Black Pepper ◽  
Healthy Eating Index ◽  
Assessment Tools ◽  
Relative Validity ◽  
Food Records ◽  
Diet History Questionnaire ◽  
Diet History ◽  
Culinary Herbs ◽  
Validation Testing

Culinary herbs and spices contribute bioactives to the diet, which act to reduce systemic inflammation and associated disease. Investigating the health effects of herb/spice consumption is hampered, however, by a scarcity of dietary assessment tools designed to collect herb/spice data. The objective of this study was to determine the relative validity of an online 28-item herb/spices intake questionnaire (HSQ). In randomized order, 62 volunteers residing in Idaho, USA, completed the online Diet History Questionnaire III + the HSQ followed one week later by one of two comparative methods: 7-day food records or three telephone-administered 24-h dietary recalls. Relative validity of the HSQ was tested two ways: (1) by comparing herb/spice intakes between the HSQ and comparator, and (2) by determining the correlation between herb/spice data and Healthy Eating Index 2015 score. The HSQ and both comparators identified black pepper, cinnamon and garlic powder as the three most commonly used herbs/spices. The HSQ captured significantly higher measures of the number and amount of herbs/spices consumed than the comparators. The number of herbs/spices consumed was significantly directly correlated with diet quality for the HSQ. These results support the ability of the HSQ to record general herb/spice use, yet suggest that further validation testing is needed.

A Palliative Care Program for Volunteers in a Community Setting: A Mixed-Methods Pilot Study

2019 ◽  
Vol 37 (6) ◽  
pp. 455-464 ◽  
Author(s):  
Jiwon Lee ◽  
Jong-Eun Lee
Keyword(s):  
Palliative Care ◽  
Mixed Methods ◽  
Pilot Study ◽  
Meaning In Life ◽  
Palliative Care Service ◽  
Care Program ◽  
Palliative Care Program ◽  
Community Based ◽  
Volunteer Program ◽  
Coping With Death

Background: The objective of community-based palliative care is to improve the quality of life of patients and their families and to share the responsibility of caregiving. However, the evidence of the efficacy of volunteer services in community-based palliative care is insufficient. Purpose: This pilot study sought to uncover the feasibility and efficacy of a volunteer program in palliative care. Methods: The study used a sequential mixed-methods design. A total of 19 volunteers participated in the training program, and 6 trained volunteers provided services for a period of 10 weeks to 5 families. Quantitative data were collected on death anxiety, coping with death, and meaning in life for volunteers before and after the training and after completing their services. Qualitative data were collected about volunteering experiences. Results: Significant increases in coping with death and meaning in life after training and in meaning in life after providing services were observed among volunteers. Three categories (“Volunteer’s growing influence at home,” “Discovering meaning-in-life through volunteering,” and “Death as the final journey in life”) emerged from the qualitative findings. The caregivers’ satisfaction score was high. Conclusions: A palliative care program was found to be useful for volunteers in finding meaning in life, motivating continued volunteering. Moreover, caregivers were satisfied with the palliative care service of volunteers.

scholarly journals Community-based rehabilitation intervention for people with schizophrenia in Ethiopia (RISE): a 12 month mixed methods pilot study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Laura Asher ◽  
Charlotte Hanlon ◽  
Rahel Birhane ◽  
Alehegn Habtamu ◽  
Julian Eaton ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Community Based ◽  
Rehabilitation Intervention ◽  
Community Based Rehabilitation

A participatory mixed-methods evaluation of a falls awareness programme

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Megan Elliott ◽  
Hannah Watson ◽  
Amy Lewis ◽  
Carolyn Wallace
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
General Health ◽  
Sheltered Housing ◽  
Methodological Issues ◽  
Community Based Interventions ◽  
Community Based ◽  
Content Type ◽  
Behaviour Changes ◽  
Awareness Programme

Purpose Falls are common in older adults and are associated with injuries and serious ongoing problems. This paper aims to present a participatory evaluation of a Falls Awareness Programme implemented in South Wales for older adults living in sheltered housing schemes or in the community. It identifies methodological issues and provides recommendations for evaluation design and methods for community-based interventions in the future. Design/methodology/approach A mixed-methods study combining a non-experimental pretest–posttest design with face-to-face focus groups. Findings Concerns about falling and self-reported general health at baseline were worse for participants living in sheltered housing schemes, compared to participants in the community. There was no statistically significant change between baseline and follow-up in general health or concerns about falling; however, the data suggesting the programme may be more effective for people in sheltered housing schemes. Participants reported making small, but sustainable behaviour changes following the programme and described unexpected outcomes from the programme, e.g. socialising and meeting new people. Originality/value This paper demonstrates the benefit of engaging older adults in research using a participatory approach, highlights key components of community-based interventions for older people and identifies some methodological issues when conducting evaluations in the community. Specifically, it highlights the importance of selecting appropriate measurement tools for data collection and the utility of continuous monitoring where programme participation is flexible and fluid.

scholarly journals Experiences, mental well‐being and community‐based care needs of fathers of late preterm infants: A mixed‐methods pilot study

Nursing Open ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 127-136
Author(s):  
Shahirose Sadrudin Premji ◽  
Sandra Reilly ◽  
Genevieve Currie ◽  
Aliyah Dosani ◽  
Lynnette May Oliver ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Pilot Study ◽  
Preterm Infants ◽  
Well Being ◽  
Late Preterm ◽  
Care Needs ◽  
Community Based ◽  
Late Preterm Infants ◽  
Mental Well Being

scholarly journals Barriers and Facilitators for the Implementation and Evaluation of Community-Based Interventions to Promote Physical Activity and Healthy Diet: A Mixed Methods Study in Argentina

2019 ◽  
Vol 16 (2) ◽  
pp. 213 ◽  
Author(s):  
Maria Belizan ◽  
R. Chaparro ◽  
Marilina Santero ◽  
Natalia Elorriaga ◽  
Nadja Kartschmit ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Local Community ◽  
Project Evaluation ◽  
Political Support ◽  
Healthy Diet ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Community Based Interventions ◽  
Community Based

Background: Obesogenic environments promote sedentary behavior and high dietary energy intake. The objective of the study was to identify barriers and facilitators to the implementation and impact evaluation of projects oriented to promote physical activity and healthy diet at community level. We analyzed experiences of the projects implemented within the Healthy Municipalities and Communities Program (HMCP) in Argentina. Methods: A mixed methods approach included (1) in-depth semi-structured interviews, with 44 stakeholders; and (2) electronic survey completed by 206 individuals from 96 municipalities across the country. Results: The most important barriers included the lack of: adequate funding (43%); skilled personnel (42%); equipment and material resources (31%); technical support for data management and analysis (20%); training on project designs (12%); political support from local authorities (17%) and acceptance of the proposed intervention by the local community (9%). Facilitators included motivated local leaders, inter-sectorial participation and seizing local resources. Project evaluation was mostly based on process rather than outcome indicators. Conclusions: This study contributes to a better understanding of the difficulties in the implementation of community-based intervention projects. Findings may guide stakeholders on how to facilitate local initiatives. There is a need to improve project evaluation strategies by incorporating process, outcome and context specific indicators.

scholarly journals Comparison of 24-Hour Recall and 3-Day Food Records during the Complementary Feeding Period in Thai Infants and Evaluation of Plasma Amino Acids as Markers of Protein Intake

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 653
Author(s):  
Kulnipa Kittisakmontri ◽  
Julie Lanigan ◽  
Areeporn Sangcakul ◽  
Thipwimol Tim-Aroon ◽  
Pornchai Meemaew ◽  
...  
Keyword(s):  
Amino Acids ◽  
Vitamin A ◽  
Protein Intake ◽  
Infant Nutrition ◽  
Dietary Assessment ◽  
Plasma Concentrations ◽  
Assessment Tools ◽  
Plasma Amino Acids ◽  
Food Record ◽  
Milk Feeding

Background: An accurate and reliable measurement of nutrient intake is the first and foremost step in order to optimise infant nutrition and evaluate its impact on health outcomes. However, research on the validity of dietary assessment tools used during the weaning period is limited, especially in lower-middle income countries. The primary aim of this study was to evaluate relative validity of a 24-h recall method (24-HR) using a 3-day food record (3-DFR). A secondary aim was to investigate association between protein intake from 3-DFR and plasma amino acids as a potential protein biomarker. Methods A multicentre, prospective cohort study was conducted in Chiang Mai, Thailand from June 2018 to May 2019. Food consumption data were collected in healthy infants using 24-HR and 3-DFR at 9 and 12 months of age. Blood samples were obtained at 12 months (M). Plasma amino acids were analysed using high performance liquid chromatography. Results Of 145 infants, 49% were female. At group level, paired t-tests/Wilcoxon signed rank tests did not show significant differences between average nutrient intakes from the 2 dietary assessment methods, except for vitamin A and vitamin C. Weighted kappa (Kw) was acceptable for all nutrients, except for vitamin A intake at 9 M (Kw = 0.15). The Bland–Altman analyses were unbiased for most nutrients with variable limits of agreement. At individual level, correlation coefficients (r) ranged from acceptable to excellent (r = 0.37–0.87) while cross-classifications showed acceptable outcomes, except for vitamin A. Multivariate analyses showed significant associations between protein intake at 12 M from the 3-DFR and plasma concentrations of branched-chain amino acids (BCAA) and essential amino acids (EAA), even after adjusting for gender, milk feeding type and energy intake. Conclusions For infants aged 9–12 M, a 24-HR can be used as a more practical alternative to a 3-DFR for most nutrients although caution is required for some micronutrients, especially vitamin A. A repeated interview might further improve the accuracy. Furthermore, protein intake, particularly animal-based protein, significantly predicted plasma BCAA and EAA concentrations regardless of gender, type of milk feeding and energy consumption.

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