Integration of the PortionSize Ed App into SNAP-Ed for Improving Diet Quality Among Adolescents in Hawaii: A Randomized Pilot Study.
Background/Objectives: Coupling mobile health (mHealth) technology with community-based nutrition programs may enhance diet quality in adolescents. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of integrating PortionSize Ed (PSEd), an image-assisted dietary asse...
| Publicado en: | Nutrients Vol. 17; no. 19; pp. 3145 - 3164 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
MDPI
Oct2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188682714&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188682714 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20726643 B0TT jtl: Nutrients issn: 20726643 maglogo: N pubinfo: dt: Oct2025 vid: 17 iid: 19 pid: 97109 pub: MDPI artinfo: ui: 188682714 188682714 188682714 10.3390/nu17193145 188682714 ppf: 3145 ppct: 19 formats: tig: atl: Integration of the PortionSize Ed App into SNAP-Ed for Improving Diet Quality Among Adolescents in Hawaii: A Randomized Pilot Study. aug: au: Proctor, Emerald S. Aveiro, Kiari H. L. Pagano, Ian Wilkens, Lynne R. Park, Leihua Spencer, Leilani Butel, Jeannie Martin, Corby K. Apolzan, John W. Novotny, Rachel Kearney, John Lozano, Chloe P. affil: School of Biological, Health and Sports Sciences, Technological University Dublin, D07 H6K8 Dublin, Ireland sug: subj: Student Satisfaction Evaluation Nutritional Assessment Mobile Applications Curriculum Food Assistance Education Food Quality In Adolescence Outcomes of Education Research Subjects Students, Middle School In Adolescence Hawaii Human Random Assignment Diet Records Fluid Intake Sweetened Beverages Food Labeling Evaluation Schools, Middle Culture Randomized Controlled Trials Benchmarking Linear Regression Descriptive Statistics Videorecording Photography Food Intake Models, Statistical Learning Environment After Care Adolescence Child Female Male Augmented Reality Data Analysis Software T-Tests Questionnaires Funding Source Adolescent: 13-18 years Child: 6-12 years Female Male ab: Background/Objectives: Coupling mobile health (mHealth) technology with community-based nutrition programs may enhance diet quality in adolescents. This pilot study evaluated the feasibility, acceptability, and preliminary efficacy of integrating PortionSize Ed (PSEd), an image-assisted dietary assessment and education app, into the six-week Hawaii Food and Lifeskills for Youth (HI-FLY) curriculum delivered via Supplemental Nutrition Assistance Program Education (SNAP-Ed). Methods: Adolescents (grades 6–8) from two classrooms were cluster-randomized into HI-FLY or HI-FLY + PSEd. Both groups received HI-FLY and completed Youth Questionnaires (YQ) and food records (written or app-based) at Weeks 0 and 7. Feasibility and acceptability were assessed via enrollment, attrition, and User Satisfaction Surveys (USS). Diet quality was measured using Healthy Eating Index-2020 (HEI-2020) scores and analyzed via mixed-effects models. Results: Of 50 students, 42 (84%) enrolled and attrition was minimal (2.4%). The sample was 49% female and 85% at least part Native Hawaiian or Pacific Islander (NHPI). PSEd was acceptable, with average USS scores above the scale midpoint. No significant HEI-2020 changes were observed, though YQ responses indicated improvements in sugary drink intake (p = 0.03) and use of nutrition labels in HI-FLY + PSEd (p = 0.0007). Conclusions: Integrating PSEd into SNAP-Ed was feasible, acceptable, and demonstrated potential healthy behavior change among predominantly NHPI youth in Hawaii. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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