PERFORM Publications

Title:	Perceptions of self-monitoring dietary intake according to a plate-based approach: A qualitative study
Authors:	Kheirmandparizi M , Gouin JP , Bouchaud CC , Kebbe M , Bergeron C , Madani Civi R , Rhodes RE , Farnesi BC , Bouguila N , Conklin AI , Lear SA , Cohen TR ,
Link:	https://pubmed.ncbi.nlm.nih.gov/38015899/
DOI:	10.1371/journal.pone.0294652
Category:
PMID:	38015899
Dept Affiliation:	PERFORM 1 Faculty of Land and Food Systems, Food, Nutrition and Health, the University of British Columbia, Vancouver, British Columbia, Canada. 2 PERFORM Centre, Concordia University, Montreal, Quebec, Canada. 3 Department of Psychology, Concordia University, Montreal, Quebec, Canada. 4 Faculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada. 5 School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, British Columbia, Canada. 6 Division of Adolescent Medicine, Montreal Children's Hospital, Westmount, Quebec, Canada. 7 Concordia Institute for Information Systems Engineering, Engineering, Computer Science and Visual Arts Integrated Complex, Concordia University, Montreal, Quebec, Canada. 8 Faculty of Pharmaceutical Sciences, the University of British Columbia, Vancouver, British Columbia, Cana

Description:

Dietary self-monitoring is a behaviour change technique used to help elicit and sustain dietary changes over time. Current dietary self-monitoring tools focus primarily on itemizing foods and counting calories, which can be complex, time-intensive, and dependent on health literacy. Further, there are no dietary self-monitoring tools that conform to the plate-based approach of the 2019 Canada Food Guide (CFG), wherein the recommended proportions of three food groups are visually represented on a plate without specifying daily servings or portion sizes. This paper explored the perceptions of end-users (i.e., general public) and Registered Dietitians of iCANPlateTM-a dietary self-monitoring mobile application resembling the CFG. Qualitative data were collected through virtual focus groups. Focus group questions were based on the Capability, Opportunity, Motivation-Behaviour (COM-B) theoretical framework to explore perceptions of using the CFG and currently available dietary self-monitoring tools. The prototype iCANPlateTM (version 0.1) was presented to gain feedback on perceived barriers and facilitators of its use. Focus group discussions were audio recorded and verbatim transcribed. Trained researchers used thematic analysis to code and analyze the transcripts independently. Seven focus groups were conducted with Registered Dietitians (n = 44) and nine focus groups with members from the general public (n = 52). During the focus groups, participants mainly discussed the capabilities and opportunities required to use the current iteration of iCANPlateTM. Participants liked the simplicity of the application and its capacity to foster self-awareness of dietary behaviours rather than weight control or calorie counting. However, concerns were raised regarding iCANPlateTM's potential to improve adherence to dietary self-monitoring due to specific characteristics (i.e., insufficient classifications, difficulty in conceptualizing proportions, and lack of inclusivity). Overall, participants liked the simplicity of iCANPlateTM and its ability to promote self-awareness of dietary intakes, primarily through visual representation of foods on a plate as opposed to reliance on numerical values or serving sizes, were benefits of using the app. Findings from this study will be used to further develop the app with the goal of increasing adherence to plate-based dietary approaches.

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