Objective
To assess efficacy and appeal for incorporation of 2 lessons about body size initially designed for college students into About Eating, an online intervention.
Target audience
Low-income females.
Theory, Prior Research, Rationale
About Eating, based on the ecSatter model of eating competence, improves food resource management skills—one ecSatter tenet. Addressing body image strengthens model fidelity.
Description
SNAP-Ed participating agencies helped recruit from 3 geographically disparate Pennsylvania community settings. Respondents completed an online survey and a face-to-face cognitive interview while viewing lessons online; presentation order was alternated to reduce interview fatigue. Outcome measures included demographic information, verbalizations about graphics, design, navigation, pertinence, and 7-item lesson evaluation collected via online survey, interviews, and website survey respectively. Audio recordings were analyzed using Atlas.ti; data were analyzed with SPSS 19.0.
Evaluation
Cognitive interviews were conducted with 24 low-income females, mostly white (75%) ranging from 21 to 48 y; 88% SNAP-Ed participants. Mean BMI was 32.8 ±7.5; 91% were either overweight or obese. Both lessons were denoted as “definitely interesting” (87% and 79% for each lesson) and “useful” (70% and 79%). Cognitive testing provided the rationale for lesson consolidation and modification. Suggestions were to add photos of diverse body sizes, and ages; show running/jogging examples; eliminate research terminology and drawing activity. Lesson merger into one, About My Size, was identified as a valid option.
Conclusions and Implications
Cognitive interviews supported incorporation of body image concepts, but with revisions to better reflect unique needs of low-income women. Adding these concepts to About Eating will better address intake regulation concepts and give broader appeal to low-income women.
Funding
USDA.
Article info
Publication history
P10
Identification
Copyright
© 2013 Published by Elsevier Inc.
