Insights from user experience and evaluation of a mobile health nutrition intervention for children with autism: A qualitative study
Background Children with autism spectrum disorder (ASD) experience high rates of atypical eating behaviours, such as food neophobia. Mobile health (mHealth) interventions have been found to improve communication, behaviour and social skills for children with ASD. However, there is limited evidence e...
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| Veröffentlicht in: | Journal of human nutrition and dietetics 2024-12, Vol.37 (6), p.1439-1453 |
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| creator | Slater, Courtney N. Schroeder, Krista Fultz, Amanda Kuschner, Emily S. O'Malley, Lauren Johnson, Kelsey Benvenuti, Teresa Chittams, Jesse Quinn, Ryan J. Graham Thomas, J. Pinto‐Martin, Jennifer Levy, Susan E. Kral, Tanja V. E. |
| description | Background
Children with autism spectrum disorder (ASD) experience high rates of atypical eating behaviours, such as food neophobia. Mobile health (mHealth) interventions have been found to improve communication, behaviour and social skills for children with ASD. However, there is limited evidence examining mHealth nutrition interventions among children with ASD.
Methods
The present study comprised a qualitative descriptive study that used qualitative content analysis to explore parent and child experiences with a novel mHealth nutrition intervention. Ten parent–child dyads provided user feedback and evaluation of the intervention. Data collection tools included a semistructured interview guide and a quantitative questionnaire with open‐ended questions. Data analysis of the interview transcripts and open‐ended questionnaire responses was an iterative process that continued until saturation was achieved. Descriptive statistics were used to analyse quantitative questionnaire data.
Results
Analysis of the qualitative semistructured interviews led to emergence of three themes: (1) positive intervention outcomes; (2) parent suggestions for improvement; and (3) barriers to engagement. Each theme included subthemes. Questionnaire data revealed the ability to pick rewards and the virtual character that reinforced dietary goals (“Nutrition Ninja”) were the most liked components of the application. Sending messages within the application and the Nutrition Ninja game were the least liked components of the application.
Conclusions
Collectively, findings indicated that the app served as an interactive tool prompting dietary change and conversations within families. Yet, for some families, the intervention design, resistance to change or child disinterest hindered use and implementation of the intervention.
A qualitative descriptive study explored the experiences of 10 parent–child dyads with a mobile health (mHealth) nutrition intervention. The findings indicated that the app served as an interactive tool prompting dietary conversations and change within families. Yet, for some families, the intervention design, resistance to change or child disinterest hindered implementation.
Highlights
Parent and child engagement with the mHealth nutrition intervention resulted in gaining new skills, tools or knowledge for some of the participating families.
Parents offered several suggestions that ranged from technical modifications to the design or functionality of the mobile app |
| doi_str_mv | 10.1111/jhn.13365 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3102075865</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3125871566</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2435-ab7ce120b19f5ab8f9c9c1c097176f1a2352a932cceb94311d96d4ba8694977a3</originalsourceid><addsrcrecordid>eNp10ctu1DAUBmALgehQWPACyBKbskjrSxzH7KoKaKuq3YDELnKcE-JRYk99mTJ7HhwzU7pAwpsjy59-WedH6C0lp7Scs_XkTinnjXiGVrSMikn5_TlaESVYxVtJj9CrGNeEkIYS8hIdccXqliqyQr-uXLQ_phTxGPyCc4SA4ecGggVnAGs3YNjqOetkvcN-xBovvrcz4An0nCbscgp2_2hdgrAFt7-MPmAz2XkI4PCDLVDnZOPyEZ_j-6xnm0riFnBMedi9Ri9GPUd48ziP0bfPn75eXFY3d1-uLs5vKsNqLirdSwOUkZ6qUei-HZVRhhqiJJXNSDXjgmnFmTHQq5pTOqhmqHvdNqpWUmp-jE4OuZvg7zPE1C02Gphn7cDn2HFKGJGibUSh7_-ha5-DK78riomyU9E0RX04KBN8jAHGbhPsosOuo6T7U01Xqun21RT77jEx9wsMT_JvFwWcHcBDWe_u_0nd9eXtIfI3UfuZ7A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3125871566</pqid></control><display><type>article</type><title>Insights from user experience and evaluation of a mobile health nutrition intervention for children with autism: A qualitative study</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Slater, Courtney N. ; Schroeder, Krista ; Fultz, Amanda ; Kuschner, Emily S. ; O'Malley, Lauren ; Johnson, Kelsey ; Benvenuti, Teresa ; Chittams, Jesse ; Quinn, Ryan J. ; Graham Thomas, J. ; Pinto‐Martin, Jennifer ; Levy, Susan E. ; Kral, Tanja V. E.</creator><creatorcontrib>Slater, Courtney N. ; Schroeder, Krista ; Fultz, Amanda ; Kuschner, Emily S. ; O'Malley, Lauren ; Johnson, Kelsey ; Benvenuti, Teresa ; Chittams, Jesse ; Quinn, Ryan J. ; Graham Thomas, J. ; Pinto‐Martin, Jennifer ; Levy, Susan E. ; Kral, Tanja V. E.</creatorcontrib><description>Background
Children with autism spectrum disorder (ASD) experience high rates of atypical eating behaviours, such as food neophobia. Mobile health (mHealth) interventions have been found to improve communication, behaviour and social skills for children with ASD. However, there is limited evidence examining mHealth nutrition interventions among children with ASD.
Methods
The present study comprised a qualitative descriptive study that used qualitative content analysis to explore parent and child experiences with a novel mHealth nutrition intervention. Ten parent–child dyads provided user feedback and evaluation of the intervention. Data collection tools included a semistructured interview guide and a quantitative questionnaire with open‐ended questions. Data analysis of the interview transcripts and open‐ended questionnaire responses was an iterative process that continued until saturation was achieved. Descriptive statistics were used to analyse quantitative questionnaire data.
Results
Analysis of the qualitative semistructured interviews led to emergence of three themes: (1) positive intervention outcomes; (2) parent suggestions for improvement; and (3) barriers to engagement. Each theme included subthemes. Questionnaire data revealed the ability to pick rewards and the virtual character that reinforced dietary goals (“Nutrition Ninja”) were the most liked components of the application. Sending messages within the application and the Nutrition Ninja game were the least liked components of the application.
Conclusions
Collectively, findings indicated that the app served as an interactive tool prompting dietary change and conversations within families. Yet, for some families, the intervention design, resistance to change or child disinterest hindered use and implementation of the intervention.
A qualitative descriptive study explored the experiences of 10 parent–child dyads with a mobile health (mHealth) nutrition intervention. The findings indicated that the app served as an interactive tool prompting dietary conversations and change within families. Yet, for some families, the intervention design, resistance to change or child disinterest hindered implementation.
Highlights
Parent and child engagement with the mHealth nutrition intervention resulted in gaining new skills, tools or knowledge for some of the participating families.
Parents offered several suggestions that ranged from technical modifications to the design or functionality of the mobile app to overarching changes to the approach of the nutrition intervention itself.
For some families, various components of the mobile app or family circumstances hindered parent or child engagement with the app technology or nutrition intervention.</description><identifier>ISSN: 0952-3871</identifier><identifier>ISSN: 1365-277X</identifier><identifier>EISSN: 1365-277X</identifier><identifier>DOI: 10.1111/jhn.13365</identifier><identifier>PMID: 39248190</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Applications programs ; Autism ; Autism Spectrum Disorder - diet therapy ; Autism Spectrum Disorder - psychology ; Autism Spectrum Disorder - therapy ; Autistic children ; Child ; Child, Preschool ; Children ; Content analysis ; Data analysis ; Data collection ; Eating behavior ; Families & family life ; Feeding Behavior - psychology ; Female ; Food quality ; Humans ; Intervention ; Male ; mHealth ; Mobile computing ; Neophobia ; Nutrition ; Parents ; Parents - psychology ; Qualitative analysis ; Qualitative Research ; Questionnaires ; Skills ; Social behavior ; Statistical analysis ; Surveys and Questionnaires ; Telemedicine ; User experience</subject><ispartof>Journal of human nutrition and dietetics, 2024-12, Vol.37 (6), p.1439-1453</ispartof><rights>2024 The British Dietetic Association Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2435-ab7ce120b19f5ab8f9c9c1c097176f1a2352a932cceb94311d96d4ba8694977a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjhn.13365$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjhn.13365$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39248190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Slater, Courtney N.</creatorcontrib><creatorcontrib>Schroeder, Krista</creatorcontrib><creatorcontrib>Fultz, Amanda</creatorcontrib><creatorcontrib>Kuschner, Emily S.</creatorcontrib><creatorcontrib>O'Malley, Lauren</creatorcontrib><creatorcontrib>Johnson, Kelsey</creatorcontrib><creatorcontrib>Benvenuti, Teresa</creatorcontrib><creatorcontrib>Chittams, Jesse</creatorcontrib><creatorcontrib>Quinn, Ryan J.</creatorcontrib><creatorcontrib>Graham Thomas, J.</creatorcontrib><creatorcontrib>Pinto‐Martin, Jennifer</creatorcontrib><creatorcontrib>Levy, Susan E.</creatorcontrib><creatorcontrib>Kral, Tanja V. E.</creatorcontrib><title>Insights from user experience and evaluation of a mobile health nutrition intervention for children with autism: A qualitative study</title><title>Journal of human nutrition and dietetics</title><addtitle>J Hum Nutr Diet</addtitle><description>Background
Children with autism spectrum disorder (ASD) experience high rates of atypical eating behaviours, such as food neophobia. Mobile health (mHealth) interventions have been found to improve communication, behaviour and social skills for children with ASD. However, there is limited evidence examining mHealth nutrition interventions among children with ASD.
Methods
The present study comprised a qualitative descriptive study that used qualitative content analysis to explore parent and child experiences with a novel mHealth nutrition intervention. Ten parent–child dyads provided user feedback and evaluation of the intervention. Data collection tools included a semistructured interview guide and a quantitative questionnaire with open‐ended questions. Data analysis of the interview transcripts and open‐ended questionnaire responses was an iterative process that continued until saturation was achieved. Descriptive statistics were used to analyse quantitative questionnaire data.
Results
Analysis of the qualitative semistructured interviews led to emergence of three themes: (1) positive intervention outcomes; (2) parent suggestions for improvement; and (3) barriers to engagement. Each theme included subthemes. Questionnaire data revealed the ability to pick rewards and the virtual character that reinforced dietary goals (“Nutrition Ninja”) were the most liked components of the application. Sending messages within the application and the Nutrition Ninja game were the least liked components of the application.
Conclusions
Collectively, findings indicated that the app served as an interactive tool prompting dietary change and conversations within families. Yet, for some families, the intervention design, resistance to change or child disinterest hindered use and implementation of the intervention.
A qualitative descriptive study explored the experiences of 10 parent–child dyads with a mobile health (mHealth) nutrition intervention. The findings indicated that the app served as an interactive tool prompting dietary conversations and change within families. Yet, for some families, the intervention design, resistance to change or child disinterest hindered implementation.
Highlights
Parent and child engagement with the mHealth nutrition intervention resulted in gaining new skills, tools or knowledge for some of the participating families.
Parents offered several suggestions that ranged from technical modifications to the design or functionality of the mobile app to overarching changes to the approach of the nutrition intervention itself.
For some families, various components of the mobile app or family circumstances hindered parent or child engagement with the app technology or nutrition intervention.</description><subject>Adult</subject><subject>Applications programs</subject><subject>Autism</subject><subject>Autism Spectrum Disorder - diet therapy</subject><subject>Autism Spectrum Disorder - psychology</subject><subject>Autism Spectrum Disorder - therapy</subject><subject>Autistic children</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Content analysis</subject><subject>Data analysis</subject><subject>Data collection</subject><subject>Eating behavior</subject><subject>Families & family life</subject><subject>Feeding Behavior - psychology</subject><subject>Female</subject><subject>Food quality</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>mHealth</subject><subject>Mobile computing</subject><subject>Neophobia</subject><subject>Nutrition</subject><subject>Parents</subject><subject>Parents - psychology</subject><subject>Qualitative analysis</subject><subject>Qualitative Research</subject><subject>Questionnaires</subject><subject>Skills</subject><subject>Social behavior</subject><subject>Statistical analysis</subject><subject>Surveys and Questionnaires</subject><subject>Telemedicine</subject><subject>User experience</subject><issn>0952-3871</issn><issn>1365-277X</issn><issn>1365-277X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10ctu1DAUBmALgehQWPACyBKbskjrSxzH7KoKaKuq3YDELnKcE-JRYk99mTJ7HhwzU7pAwpsjy59-WedH6C0lp7Scs_XkTinnjXiGVrSMikn5_TlaESVYxVtJj9CrGNeEkIYS8hIdccXqliqyQr-uXLQ_phTxGPyCc4SA4ecGggVnAGs3YNjqOetkvcN-xBovvrcz4An0nCbscgp2_2hdgrAFt7-MPmAz2XkI4PCDLVDnZOPyEZ_j-6xnm0riFnBMedi9Ri9GPUd48ziP0bfPn75eXFY3d1-uLs5vKsNqLirdSwOUkZ6qUei-HZVRhhqiJJXNSDXjgmnFmTHQq5pTOqhmqHvdNqpWUmp-jE4OuZvg7zPE1C02Gphn7cDn2HFKGJGibUSh7_-ha5-DK78riomyU9E0RX04KBN8jAHGbhPsosOuo6T7U01Xqun21RT77jEx9wsMT_JvFwWcHcBDWe_u_0nd9eXtIfI3UfuZ7A</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Slater, Courtney N.</creator><creator>Schroeder, Krista</creator><creator>Fultz, Amanda</creator><creator>Kuschner, Emily S.</creator><creator>O'Malley, Lauren</creator><creator>Johnson, Kelsey</creator><creator>Benvenuti, Teresa</creator><creator>Chittams, Jesse</creator><creator>Quinn, Ryan J.</creator><creator>Graham Thomas, J.</creator><creator>Pinto‐Martin, Jennifer</creator><creator>Levy, Susan E.</creator><creator>Kral, Tanja V. E.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>202412</creationdate><title>Insights from user experience and evaluation of a mobile health nutrition intervention for children with autism: A qualitative study</title><author>Slater, Courtney N. ; Schroeder, Krista ; Fultz, Amanda ; Kuschner, Emily S. ; O'Malley, Lauren ; Johnson, Kelsey ; Benvenuti, Teresa ; Chittams, Jesse ; Quinn, Ryan J. ; Graham Thomas, J. ; Pinto‐Martin, Jennifer ; Levy, Susan E. ; Kral, Tanja V. E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2435-ab7ce120b19f5ab8f9c9c1c097176f1a2352a932cceb94311d96d4ba8694977a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Applications programs</topic><topic>Autism</topic><topic>Autism Spectrum Disorder - diet therapy</topic><topic>Autism Spectrum Disorder - psychology</topic><topic>Autism Spectrum Disorder - therapy</topic><topic>Autistic children</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Content analysis</topic><topic>Data analysis</topic><topic>Data collection</topic><topic>Eating behavior</topic><topic>Families & family life</topic><topic>Feeding Behavior - psychology</topic><topic>Female</topic><topic>Food quality</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>mHealth</topic><topic>Mobile computing</topic><topic>Neophobia</topic><topic>Nutrition</topic><topic>Parents</topic><topic>Parents - psychology</topic><topic>Qualitative analysis</topic><topic>Qualitative Research</topic><topic>Questionnaires</topic><topic>Skills</topic><topic>Social behavior</topic><topic>Statistical analysis</topic><topic>Surveys and Questionnaires</topic><topic>Telemedicine</topic><topic>User experience</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Slater, Courtney N.</creatorcontrib><creatorcontrib>Schroeder, Krista</creatorcontrib><creatorcontrib>Fultz, Amanda</creatorcontrib><creatorcontrib>Kuschner, Emily S.</creatorcontrib><creatorcontrib>O'Malley, Lauren</creatorcontrib><creatorcontrib>Johnson, Kelsey</creatorcontrib><creatorcontrib>Benvenuti, Teresa</creatorcontrib><creatorcontrib>Chittams, Jesse</creatorcontrib><creatorcontrib>Quinn, Ryan J.</creatorcontrib><creatorcontrib>Graham Thomas, J.</creatorcontrib><creatorcontrib>Pinto‐Martin, Jennifer</creatorcontrib><creatorcontrib>Levy, Susan E.</creatorcontrib><creatorcontrib>Kral, Tanja V. E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of human nutrition and dietetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Slater, Courtney N.</au><au>Schroeder, Krista</au><au>Fultz, Amanda</au><au>Kuschner, Emily S.</au><au>O'Malley, Lauren</au><au>Johnson, Kelsey</au><au>Benvenuti, Teresa</au><au>Chittams, Jesse</au><au>Quinn, Ryan J.</au><au>Graham Thomas, J.</au><au>Pinto‐Martin, Jennifer</au><au>Levy, Susan E.</au><au>Kral, Tanja V. E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Insights from user experience and evaluation of a mobile health nutrition intervention for children with autism: A qualitative study</atitle><jtitle>Journal of human nutrition and dietetics</jtitle><addtitle>J Hum Nutr Diet</addtitle><date>2024-12</date><risdate>2024</risdate><volume>37</volume><issue>6</issue><spage>1439</spage><epage>1453</epage><pages>1439-1453</pages><issn>0952-3871</issn><issn>1365-277X</issn><eissn>1365-277X</eissn><abstract>Background
Children with autism spectrum disorder (ASD) experience high rates of atypical eating behaviours, such as food neophobia. Mobile health (mHealth) interventions have been found to improve communication, behaviour and social skills for children with ASD. However, there is limited evidence examining mHealth nutrition interventions among children with ASD.
Methods
The present study comprised a qualitative descriptive study that used qualitative content analysis to explore parent and child experiences with a novel mHealth nutrition intervention. Ten parent–child dyads provided user feedback and evaluation of the intervention. Data collection tools included a semistructured interview guide and a quantitative questionnaire with open‐ended questions. Data analysis of the interview transcripts and open‐ended questionnaire responses was an iterative process that continued until saturation was achieved. Descriptive statistics were used to analyse quantitative questionnaire data.
Results
Analysis of the qualitative semistructured interviews led to emergence of three themes: (1) positive intervention outcomes; (2) parent suggestions for improvement; and (3) barriers to engagement. Each theme included subthemes. Questionnaire data revealed the ability to pick rewards and the virtual character that reinforced dietary goals (“Nutrition Ninja”) were the most liked components of the application. Sending messages within the application and the Nutrition Ninja game were the least liked components of the application.
Conclusions
Collectively, findings indicated that the app served as an interactive tool prompting dietary change and conversations within families. Yet, for some families, the intervention design, resistance to change or child disinterest hindered use and implementation of the intervention.
A qualitative descriptive study explored the experiences of 10 parent–child dyads with a mobile health (mHealth) nutrition intervention. The findings indicated that the app served as an interactive tool prompting dietary conversations and change within families. Yet, for some families, the intervention design, resistance to change or child disinterest hindered implementation.
Highlights
Parent and child engagement with the mHealth nutrition intervention resulted in gaining new skills, tools or knowledge for some of the participating families.
Parents offered several suggestions that ranged from technical modifications to the design or functionality of the mobile app to overarching changes to the approach of the nutrition intervention itself.
For some families, various components of the mobile app or family circumstances hindered parent or child engagement with the app technology or nutrition intervention.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>39248190</pmid><doi>10.1111/jhn.13365</doi><tpages>15</tpages></addata></record> |
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| ispartof | Journal of human nutrition and dietetics, 2024-12, Vol.37 (6), p.1439-1453 |
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| language | eng |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult Applications programs Autism Autism Spectrum Disorder - diet therapy Autism Spectrum Disorder - psychology Autism Spectrum Disorder - therapy Autistic children Child Child, Preschool Children Content analysis Data analysis Data collection Eating behavior Families & family life Feeding Behavior - psychology Female Food quality Humans Intervention Male mHealth Mobile computing Neophobia Nutrition Parents Parents - psychology Qualitative analysis Qualitative Research Questionnaires Skills Social behavior Statistical analysis Surveys and Questionnaires Telemedicine User experience |
| title | Insights from user experience and evaluation of a mobile health nutrition intervention for children with autism: A qualitative study |
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