'Harder to reach' versus reaching harder: Exploring preferred dissemination pathways to a digital binge-eating intervention for adults with or at risk of food insecurity.

objectiveIndividuals from minoritized and under-resourced subpopulations, such as individuals with food insecurity, are sometimes considered "harder to reach." Instead, tailored dissemination pathways may be required to reach them. We sought to learn how best to reach individuals with food insecurity seeking digital intervention for binge eating.

methodAs part of continued design work in two ongoing trials testing a digital intervention for binge eating, we conducted a secondary exploratory analysis of individuals' preferred dissemination channels, modes, and materials. We assessed individuals' preferences at baseline via a pre-intervention questionnaire. Adults (n = 90) with binge eating and food insecurity or at risk of food insecurity completed the questionnaire. We also compared their preferences to adults (n = 106) with binge eating and without food insecurity, and highlighted differences of p < 0.10.

resultsIndividuals with or at risk of food insecurity preferred dissemination via community organizations and events, healthcare centers, fitness centers, and online sources, more than trusted sources (e.g., clinicians). They preferred websites over other dissemination modes (e.g., videos). They were most interested in useful promotional materials (e.g., grocery bags). Compared to those without food insecurity, individuals with or at risk of food insecurity were more interested in dissemination via community organizations and events, and less interested in dissemination through doctors. DISCUSSION: Findings indicate tailored dissemination strategies could improve reach to individuals with or at risk of food insecurity. This study is a first step toward better engaging this subpopulation. Future work should disseminate through the preferred channels, assess their reach, and iterate as needed.