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Using a gamified monitoring app to change adolescents' snack intake : the development of the REWARD app and evaluation design

Wendy Van Lippevelde UGent, Nathalie De Cock UGent, Carl Lachat UGent, Lien Goossens UGent, Kathleen Beullens, Steven Eggermont, Leentje Vervoort UGent, Caroline Braet UGent, Lea Maes UGent, Benedicte Deforche UGent, et al. (2016) BMC PUBLIC HEALTH. 16(725). p.2485-2494
abstract
Background: As the snacking pattern of European adolescents is of great concern, effective interventions are necessary. Till now health promotion efforts in children and adolescents have had only limited success in changing adolescents' eating patterns and anthropometrics. Therefore, the present study proposes an innovative approach to influence dietary behaviors in youth based on new insights on effective behavior change strategies and attractive intervention channels to engage adolescents. This article describes the rationale, the development, and evaluation design of the 'Snack Track School' app. The aim of the app is to improve the snacking patterns of Flemish 14- to 16-year olds. Methods: The development of the app was informed by the systematic, stepwise, iterative, and collaborative principles of the Intervention Mapping protocol. A four week mHealth intervention was developed based on the dual-system model with behavioral change strategies targeting both the reflective (i.e., active learning, advance organizers, mere exposure, goal-setting, monitoring, and feedback) and automatic processes (i.e., rewards and positive reinforcement). This intervention will be evaluated via a controlled pre-post design in Flemish schools among 1400 adolescents. Discussion: When this intervention including strategies focused on both the reflective and automatic pathway proves to be effective, it will offer a new scientifically-based vision, guidelines and practical tools for public health and health promotion (i.e., incorporation of learning theories in intervention programs).
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Nutrition, Adolescents, Snacks, Diet, Obesity, Overweight, Learning theories, Conditioning, Dual-system model, App, mHealth, Intervention, FOOD-FREQUENCY QUESTIONNAIRE, BEHAVIOR-CHANGE, BIS/BAS SCALES, ENERGY-PROJECT, VIDEO GAMES, CHILDREN, VALIDITY, HEALTHY, INTERVENTIONS, DETERMINANTS
journal title
BMC PUBLIC HEALTH
BMC Public Health
volume
16
issue
725
pages
2485 - 2494
Web of Science type
Article
Web of Science id
000381006400001
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
2.265 (2016)
JCR rank
63/176 (2016)
JCR quartile
2 (2016)
ISSN
1471-2458
DOI
10.1186/s12889-016-3286-4
project
Reward
language
English
UGent publication?
yes
classification
A1
copyright statement
Creative Commons Attribution 4.0 International Public License (CC-BY 4.0)
id
8130763
handle
http://hdl.handle.net/1854/LU-8130763
date created
2016-10-28 12:30:43
date last changed
2018-03-26 09:18:56
@article{8130763,
  abstract     = {Background: As the snacking pattern of European adolescents is of great concern, effective interventions are necessary. Till now health promotion efforts in children and adolescents have had only limited success in changing adolescents' eating patterns and anthropometrics. Therefore, the present study proposes an innovative approach to influence dietary behaviors in youth based on new insights on effective behavior change strategies and attractive intervention channels to engage adolescents. This article describes the rationale, the development, and evaluation design of the 'Snack Track School' app. The aim of the app is to improve the snacking patterns of Flemish 14- to 16-year olds. 
Methods: The development of the app was informed by the systematic, stepwise, iterative, and collaborative principles of the Intervention Mapping protocol. A four week mHealth intervention was developed based on the dual-system model with behavioral change strategies targeting both the reflective (i.e., active learning, advance organizers, mere exposure, goal-setting, monitoring, and feedback) and automatic processes (i.e., rewards and positive reinforcement). This intervention will be evaluated via a controlled pre-post design in Flemish schools among 1400 adolescents. 
Discussion: When this intervention including strategies focused on both the reflective and automatic pathway proves to be effective, it will offer a new scientifically-based vision, guidelines and practical tools for public health and health promotion (i.e., incorporation of learning theories in intervention programs).},
  author       = {Van Lippevelde, Wendy and De Cock, Nathalie and Lachat, Carl and Goossens, Lien and Beullens, Kathleen and Eggermont, Steven and Vervoort, Leentje and Braet, Caroline and Maes, Lea and Deforche, Benedicte and Van Camp, John},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keyword      = {Nutrition,Adolescents,Snacks,Diet,Obesity,Overweight,Learning theories,Conditioning,Dual-system model,App,mHealth,Intervention,FOOD-FREQUENCY QUESTIONNAIRE,BEHAVIOR-CHANGE,BIS/BAS SCALES,ENERGY-PROJECT,VIDEO GAMES,CHILDREN,VALIDITY,HEALTHY,INTERVENTIONS,DETERMINANTS},
  language     = {eng},
  number       = {725},
  pages        = {2485--2494},
  title        = {Using a gamified monitoring app to change adolescents' snack intake : the development of the REWARD app and evaluation design},
  url          = {http://dx.doi.org/10.1186/s12889-016-3286-4},
  volume       = {16},
  year         = {2016},
}

Chicago
Van Lippevelde, Wendy, Nathalie De Cock, Carl Lachat, Lien Goossens, Kathleen Beullens, Steven Eggermont, Leentje Vervoort, et al. 2016. “Using a Gamified Monitoring App to Change Adolescents’ Snack Intake : the Development of the REWARD App and Evaluation Design.” Bmc Public Health 16 (725): 2485–2494.
APA
Van Lippevelde, W., De Cock, N., Lachat, C., Goossens, L., Beullens, K., Eggermont, S., Vervoort, L., et al. (2016). Using a gamified monitoring app to change adolescents’ snack intake : the development of the REWARD app and evaluation design. BMC PUBLIC HEALTH, 16(725), 2485–2494.
Vancouver
1.
Van Lippevelde W, De Cock N, Lachat C, Goossens L, Beullens K, Eggermont S, et al. Using a gamified monitoring app to change adolescents’ snack intake : the development of the REWARD app and evaluation design. BMC PUBLIC HEALTH. 2016;16(725):2485–94.
MLA
Van Lippevelde, Wendy, Nathalie De Cock, Carl Lachat, et al. “Using a Gamified Monitoring App to Change Adolescents’ Snack Intake : the Development of the REWARD App and Evaluation Design.” BMC PUBLIC HEALTH 16.725 (2016): 2485–2494. Print.