Evidence map›Paper›PMID 32041640›Full record

SynthesisThe international journal of behavioral nutrition and physical activity2020

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children's nutrition.

Dorota Zarnowiecki, Chelsea E Mauch, Georgia Middleton, Louisa Matwiejczyk, Wendy L Watson, Jane Dibbs, Anita Dessaix, Rebecca K Golley

Open access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The international journal of behavioral nutrition and physical activity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 7 pooled it
22.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 7 syntheses or guidelines pooled it, 134 citations in OpenAlex.

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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Dorota ZarnowieckiFlinders University, Nutrition and Dietetics, College of Nursing and Health Sciences, Sturt Road, Bedford Park, SA, 5042, Australia. dorota.zarnowiecki@flinders.edu.au.ORCID 0000-0003-0874-7830
Chelsea E MauchFlinders University, Nutrition and Dietetics, College of Nursing and Health Sciences, Sturt Road, Bedford Park, SA, 5042, Australia.
Georgia MiddletonFlinders University, Nutrition and Dietetics, College of Nursing and Health Sciences, Sturt Road, Bedford Park, SA, 5042, Australia.
Louisa MatwiejczykFlinders University, Nutrition and Dietetics, College of Nursing and Health Sciences, Sturt Road, Bedford Park, SA, 5042, Australia.
Wendy L WatsonCancer Council New South Wales, 153 Dowling Street, Woolloomooloo, NSW, 2011, Australia.
Jane DibbsCancer Council New South Wales, 153 Dowling Street, Woolloomooloo, NSW, 2011, Australia.
Anita DessaixCancer Council New South Wales, 153 Dowling Street, Woolloomooloo, NSW, 2011, Australia.
Rebecca K GolleyFlinders University, Nutrition and Dietetics, College of Nursing and Health Sciences, Sturt Road, Bedford Park, SA, 5042, Australia.
Flinders University · AUCancer Council NSW · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally children's diet quality is poor. Parents are primary gatekeepers to children's food intake; however, reaching and engaging parents in nutrition promotion can be challenging. With growth in internet and smartphone use, digital platforms provide potential to disseminate information rapidly to many people. The objectives of this review were to conduct a comprehensive and systematic evaluation of nutrition promotion via websites and apps supporting parents to influence children's nutrition, from three different perspectives: 1) current evidence base, 2) end user (parent) experience and 3) current commercial offerings.

methodsThree systematic reviews were undertaken of (1) studies evaluating the effectiveness for digital platforms for improving nutrition in children and parents, (2) studies conducting user-testing of digital tools with parents, (3) websites and apps providing lunch-provision information to parents. Searches were conducted in five databases for reviews one and two, and systematic search of Google and App Store for review three. Randomised controlled trials, cohort and cross-sectional and qualitative studies (study two only) were included if published in English, from 2013, with the intervention targeted at parents and at least 50% of intervention content focused on nutrition. Search results were double screened, with data extracted into standardised spreadsheets and quality appraisal of included search results.

resultsStudies evaluating digital nutrition interventions targeting parents (n = 11) demonstrated effectiveness for improving nutrition outcomes, self-efficacy and knowledge. Six of the included randomised controlled trials reported digital interventions to be equal to, or better than comparison groups. User-testing studies (n = 9) identified that digital platforms should include both informative content and interactive features. Parents wanted evidence-based information from credible sources, practical tools, engaging content and connection with other users and health professionals. Websites targeting lunch provision (n = 15) were developed primarily by credible sources and included information-based content consistent with dietary guidelines and limited interactive features. Lunchbox apps (n = 6), developed mostly by commercial organisations, were more interactive but provided less credible information.

conclusionsDigital nutrition promotion interventions targeting parents can be effective for improving nutrition-related outcomes in children and parents. As demonstrated from the lunchbox context and user-testing with parents, they need to go beyond just providing information about positive dietary changes, to include the user-desired features supporting interactivity and personalisation.

Indexed as

InternetMobile ApplicationsParent-Child RelationsParentsAdultChildChild Nutritional Physiological PhenomenaDietHealth PromotionHumansSmartphoneChild food intakeDigitaleHealthLunchboxmHealthMobile applicationsNutritionParentsWebsite

Identifiers

PMID32041640
PMCPMC7011240
OpenAlexW3012704934

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.