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Co-design of a personalised digital intervention to improve vegetable intake in adults living in Australian rural communities

Version 3 2024-06-15, 20:39
Version 2 2024-06-03, 02:37
Version 1 2024-01-16, 03:12
journal contribution
posted on 2024-06-15, 20:39 authored by Katherine LivingstoneKatherine Livingstone, Jonathan RawstornJonathan Rawstorn, Laura AlstonLaura Alston, SR Partridge, A Bastian, K Dullaghan, Sarah McNaughtonSarah McNaughton, GA Hendrie, LC Blekkenhorst, Ralph MaddisonRalph Maddison, Yuxin ZhangYuxin Zhang, Scott BarnettScott Barnett, JC Mathers, SL Godrich
Abstract Background Diets low in vegetables are a main contributor to the health burden experienced by Australians living in rural communities. Given the ubiquity of smartphones and access to the Internet, digital interventions may offer an accessible delivery model for a dietary intervention in rural communities. However, no digital interventions to address low vegetable intake have been co-designed with adults living in rural areas. This paper describes the co-design of a digital intervention to improve vegetable intake with rural community members and research partners. Methods Active participants in the co-design process were adults ≥ 18 years living in three rural Australian communities (total n = 57) and research partners (n = 4) representing three local rural governments and one peak non-government health organisation. An iterative co-design process was undertaken to understand the needs (pre-design phase) and ideas (generative phase) of the target population. Eight online workshops and a community survey were conducted between July and December 2021. The MoSCoW prioritisation method was used to help participants identify the ‘Must-have, Should-have, Could-have, and Won’t-have or will not have right now’ features and functions of the digital intervention. Workshops were transcribed and inductively analysed using NVivo. Convergent and divergent themes were identified between the workshops and community survey to identify how to implement the digital intervention in the community. Results Consensus was reached on a concept for a digital intervention that addressed individual and food environment barriers to vegetable intake, specific to rural communities. Implementation recommendations centred on (i) food literacy approaches to improve skills via access to vegetable-rich recipes and healthy eating resources, (ii) access to personalisation options and behaviour change support, and (iii) improving the community food environment by providing information on and access to local food initiatives. Conclusions Rural-dwelling adults expressed preferences for personalised intervention features that can enhance food literacy and engagement with community food environments. This research will inform the development of the prototyping (evaluation phase) and feasibility testing (post-design phase) of this intervention.

History

Journal

BMC Public Health

Volume

24

Article number

146

Pagination

146-

Location

England

ISSN

1471-2458

eISSN

1471-2458

Language

en

Publication classification

C1 Refereed article in a scholarly journal

Issue

1

Publisher

Springer Science and Business Media LLC