Using computer-based assessments to evaluate interactive multimedia nutrition education among low-income predominantly Hispanic participants
Abstract
Objective This research was conducted to measure the effectiveness of interactive multimedia (IMM) with low-income Hispanic persons.Design The effectiveness of the program was examined using a quasi-experimental pretest/post-test control group design.Setting Subjects were recruited from nutrition, health, and English as a Second Language (ESL) programs in Colorado.Participants Thirty-six intervention and 34 control participants formed a convenience sample of low-income and predominantly Hispanic persons.Intervention Intervention participants received a 15-minute module about breakfast. Control participants received a non- nutrition-related IMM module.Main outcome measures Primary variables included knowledge, attitude, and stage of change scores.Analysis Paired and independent sample t tests, chi-square analysis, and repeated-measures analysis of covariance (ANCOVA) were used.Results Intervention participants significantly increased knowledge, attitude, and total scores (P <.001) between pretest and post-test and had significantly greater increases than the control group (P <.001).Conclusions The results support using IMM to disseminate nutrition education to the target population and the feasibility of using computer-based questionnaires to evaluate the effectiveness of IMM nutrition education programs.Implications This research provides the basis for the continued development of computer-based assessment tools.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
One study's outcome exceeded the outlier threshold and was removed from analyses.
“For one study (Jantz et al. 2002) the effect size of one outcome exceeded the outlier threshold; this outcome was hence removed from the analyses.”
From A meta-analysis of serious digital games for healthy lifestyle promotion (2014) · cites this paper as Jantz et al. 2002
Cites
Stages and processes of self-change of smoking: Toward an integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.3.390 · Cited by 9,098 · see citing works
In search of how people change: Applications to addictive behaviors.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992) · American Psychologist · doi:10.1037/0003-066x.47.9.1102 · Cited by 8,596 · see citing works
An Introduction to Statistical Methods and Data Analysis
(1994) · Technometrics · doi:10.1080/00401706.1994.10485832 · Cited by 5,344 · see citing works
Stages of change and decisional balance for 12 problem behaviors.
Prochaska, J., Velicer, W., Rossi, J., Goldstein, M., Marcus, B., Rakowski, W., Fiore, C., Harlow, L., Redding, C. A., & Rosenbloom, D. (1994) · Health Psychology · doi:10.1037/0278-6133.13.1.39 · Cited by 2,579 · see citing works
Yea-Saying, Nay-Saying, and Going to Extremes: Black-White Differences in Response Styles
Bachman, J. G., & O’Malley, P. M. (1984) · Public Opinion Quarterly · doi:10.1086/268845 · Cited by 371 · see citing works
Brug, J., Campbell, M. K., & van Assema, P. (1999) · Patient Education and Counseling · doi:10.1016/s0738-3991(98)00131-1 · Cited by 352 · see citing works
The Impact of Computer-Tailored Feedback and Iterative Feedback on Fat, Fruit, and Vegetable Intake
Brug, J., Glanz, K., van Assema, P., Kok, G., & van Breukelen, G. (1998) · Health Education & Behavior · doi:10.1177/109019819802500409 · Cited by 268 · see citing works
An application of the stage model of behavior change to dietary fat reduction
Curry, S. J., Kristal, A. R., & Bowen, D. J. (1992) · Health Education Research · doi:10.1093/her/7.1.97 · Cited by 199 · see citing works
Psychosocial factors influencing low fruit and vegetable consumption
Laforge, R. G., Greene, G. W., & Prochaska, J. O. (1994) · Journal of Behavioral Medicine · doi:10.1007/bf01858008 · Cited by 162 · see citing works
Campbell, M. K. (1999) · Health Education Research · doi:10.1093/her/14.2.257 · Cited by 124 · see citing works
Computer-tailored nutrition education: differences between two interventions
Brug, J. (1999) · Health Education Research · doi:10.1093/her/14.2.249 · Cited by 84 · see citing works
Stages of Change for Physical Activity, Diet, and Smoking among HMO Members with Chronic Conditions
Boyle, R. G., O’Connor, P. J., Pronk, N. P., & Tan, A. (1998) · American Journal of Health Promotion · doi:10.4278/0890-1171-12.3.170 · Cited by 78 · see citing works
Taylor, T., Serrano, E. L., Anderson, J. E., & Kendall, P. A. (2000) · Journal of Community Health · doi:10.1023/a:1005160216289 · Cited by 76 · see citing works
Self-citationChapter 4 Nutrition education for school-aged children
(1995) · Journal of Nutrition Education · doi:10.1016/s0022-3182(12)80090-2 · Cited by 75 · see citing works
Application of the transtheoretical model of behavior change for obesity in mexican american women
Surís, A., Trapp, M. D. C., DiClemente, C. C., & Cousins, J. (1998) · Addictive Behaviors · doi:10.1016/s0306-4603(98)00012-4 · Cited by 41 · see citing works
Dutch research into the development and impact of computer-tailored nutrition education
Brug, J. (1999) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600808 · Cited by 41 · see citing works
Computer-based Multimedia: New Directions in Teaching and Learning
Beerman, K. A. (1996) · Journal of Nutrition Education · doi:10.1016/s0022-3182(96)70010-9 · Cited by 40 · see citing works
New Developments in Nutrition Education Using Computer Technology
Kolasa, K. M., & Miller, M. G. (1996) · Journal of Nutrition Education · doi:10.1016/s0022-3182(96)70009-2 · Cited by 38 · see citing works
Theory-driven research as a means to improve nutrition education
Achterberg, C., Novak, J. D., & Gillespie, A. H. (1985) · Journal of Nutrition Education · doi:10.1016/s0022-3182(85)80115-1 · Cited by 33 · see citing works
Gould, S. M., & Anderson, J. E. (2000) · Journal of Nutrition Education · doi:10.1016/s0022-3182(00)70558-9 · Cited by 30 · see citing works
Self-citationDutch research into the development and impact of computer-tailored nutrition education.
Brug, & Truswell (1999) · Cited by 29 · see citing works
Using Interactive Multimedia to Deliver Nutrition Education to Maine's WIC Clients
Carroll, J. M., Stein, C., Byron, M., & Dutram, K. (1996) · Journal of Nutrition Education · doi:10.1016/s0022-3182(96)70011-0 · Cited by 27 · see citing works
Acceptability of Computer Assessments among Ethnically Diverse, Low-Income Smokers
Bock, B. C., NIAURA, R. S., Fontes, A., & Bock, F. R. (1999) · American Journal of Health Promotion · doi:10.4278/0890-1171-13.5.299 · Cited by 26 · see citing works
McDonell, G. E., Roberts, D., & Lee, C. (1998) · Journal of Nutrition Education · doi:10.1016/s0022-3182(98)70273-0 · Cited by 25 · see citing works
CARLTON, D. J., Kicklighter, J. R., Jonnalagadda, S. S., & Shoffner, M. B. (2000) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(00)00171-1 · Cited by 21 · see citing works
Computerized nutrition program: Effect on nutrient intake of senior citizens
Dennison, K. F., Dennison, D., & Ward, J. Y. (1991) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(21)42336-9 · Cited by 13 · see citing works
Matheson, D., & Achterberg, C. (1999) · Journal of Nutrition Education · doi:10.1016/s0022-3182(99)70403-6 · Cited by 11 · see citing works
Development and testing of a microcomputer nutrition lesson for preschoolers
Turner, R., & Evers, W. D. (1987) · Journal of Nutrition Education · doi:10.1016/s0022-3182(87)80125-5 · Cited by 9 · see citing works
Interactive computer programs for applied nutrition education.
Wise, A. C. (1985) · PubMed · Cited by 7 · see citing works
Dietary change in participants of the Better Eating for Better Health course
Cohen, N. L., Laus, M. J., Stutzman, N. C., & Swicker, R. C. (1991) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(21)01122-6 · Cited by 6 · see citing works
Should Nutrition Be Launched Into Hyperspace?
Achterberg, C., & MILLER, C. (1995) · Nutrition Today · doi:10.1097/00017285-199509000-00003 · Cited by 5 · see citing works
Effect of Delivery Method on Impact of Learn-at-home Lessons at Worksites
Brown, J. (1996) · Journal of Nutrition Education · doi:10.1016/s0022-3182(96)70049-3 · Cited by 5 · see citing works
Bitter, G. G., & Pryor, B. W. (1996) · American Educational Research Association Annual Meeting · Cited by 1 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Computer Gaming and Interactive Simulations for Learning: A Meta-Analysis
Vogel, J. J., Vogel, D. S., Cannon‐Bowers, J. A., Bowers, C. A., Muse, K., & Wright, M. (2006) · Journal of Educational Computing Research · doi:10.2190/flhv-k4wa-wpvq-h0ym · Cited by 941 · see citing works
A meta-analysis of computer-tailored interventions for health behavior change
Krebs, P., Prochaska, J. O., & Rossi, J. S. (2010) · Preventive Medicine · doi:10.1016/j.ypmed.2010.06.004 · Cited by 854 · see citing works
A meta-analysis of serious digital games for healthy lifestyle promotion
DeSmet, A., Van Ryckeghem, D., Compernolle, S., Baranowski, T., Thompson, D., Crombez, G., Poels, K., Van Lippevelde, W., Bastiaensens, S., Van Cleemput, K., et al. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.08.026 · Cited by 414 · see citing works
Health and Wellness Technology Use by Historically Underserved Health Consumers: Systematic Review
Montague, E. N. H., & Perchonok, J. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2095 · Cited by 99 · see citing works
Campbell, M. K., Carbone, E. T., Honess-Morreale, L., Heisler-MacKinnon, J., Demissie, S., & Farrell, D. W. (2004) · Journal of Nutrition Education and Behavior · doi:10.1016/s1499-4046(06)60134-6 · Cited by 80 · see citing works
Park, A., Nitzke, S. A., Kritsch, K. R., Kattelmann, K. K., White, A. A., Boeckner, L. S., Lohse, B., Hoerr, S. L., Greene, G. W., & Zhang, Z. (2008) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2008.02.001 · Cited by 70 · see citing works
Villarruel, A. M., Loveland‐Cherry, C. J., & Ronis, D. L. (2010) · Family Relations · doi:10.1111/j.1741-3729.2010.00621.x · Cited by 54 · see citing works
Design and Outcomes of a Mothers In Motion Behavioral Intervention Pilot Study
Chang, M., Nitzke, S. A., & Brown, R. (2010) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2010.01.010 · Cited by 54 · see citing works
The Acceptance and Use of Computer Based Assessment in Higher Education
Maqableh, M., Masa’deh, R. M. T., & Mohammed, A. B. (2015) · Journal of Software Engineering and Applications · doi:10.4236/jsea.2015.810053 · Cited by 52 · see citing works
Mosdøl, A., Lidal, I. B., Straumann, G. S. H., & Vist, G. E. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011683.pub2 · Cited by 52 · see citing works
Comparative Validation of a Bilingual Interactive Multimedia Dietary Assessment Tool
Zoellner, J., Anderson, J. E., & Gould, S. M. (2005) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2005.05.011 · Cited by 44 · see citing works
Self-citationMaitland, J., Chalmers, M., & Siek, K. A. (2009) · Proceedings of the 3d International ICST Conference on Pervasive Computing Technologies for Healthcare · doi:10.4108/icst.pervasivehealth2009.5928 · Cited by 39 · see citing works
Cousineau, T. M., Houle, B. C., Bromberg, J., Fernandez, K. C., & Kling, W. C. (2008) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2007.04.376 · Cited by 37 · see citing works
Trepka, M. J., Newman, F. L., Davila, E. P., Matthew, K., Dixon, Z., & Huffman, F. G. (2008) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2008.03.011 · Cited by 33 · see citing works
Design of an interactive digital nutritional education package for elderly people
Ali, N. M., Shahar, S., Kee, Y. L., Norizan, A. R., & Noah, S. A. M. (2012) · Informatics for Health and Social Care · doi:10.3109/17538157.2012.654843 · Cited by 32 · see citing works
Chang, M., Nitzke, S. A., Brown, R., & Resnicow, K. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-280 · Cited by 29 · see citing works
Mauriello, L. M., Dyment, S. J., Prochaska, J., Gagliardi, A., & Weingrad‐Smith, J. (2011) · Journal of Midwifery & Women s Health · doi:10.1111/j.1542-2011.2010.00007.x · Cited by 23 · see citing works
Riebl, S. K., Paone, A. C., Hedrick, V. E., Zoellner, J., Estabrooks, P. A., & Davy, B. M. (2013) · JMIR Research Protocols · doi:10.2196/resprot.2830 · Cited by 21 · see citing works
Hooper, L., Myers, E. A., Zoellner, J., Davy, B. M., & Hedrick, V. E. (2016) · Nutrients · doi:10.3390/nu9010005 · Cited by 20 · see citing works
Evaluating a Food BankRecipe-Tasting Program
Keller-Olaman, S. J., Edwards, V. C., & Elliott, S. J. (2005) · Canadian Journal of Dietetic Practice and Research · doi:10.3148/66.3.2005.183 · Cited by 18 · see citing works
Nutrition and Physical Activity InterventionsFor Low-Income Populations
Chaudhary, N., & Kreiger, N. (2007) · Canadian Journal of Dietetic Practice and Research · doi:10.3148/68.4.2007.201 · Cited by 18 · see citing works
Designing Mobile Snack Application for Low Socioeconomic Status Families
Khan, D. U., Ananthanarayan, S., Le, A., Schaefbauer, C., & Siek, K. A. (2012) · International Conference on Pervasive Computing Technologies for Healthcare · doi:10.4108/icst.pervasivehealth.2012.248692 · Cited by 17 · see citing works
Trepka, M. J., Newman, F. L., Huffman, F. G., & Dixon, Z. (2010) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2008.10.001 · Cited by 17 · see citing works
Assessment of beverage intake and hydration status.
Nissensohn, M., López-Ufano, M., Castro‐Quezada, I., & Serra‐Majem, L. (2015) · PubMed · doi:10.3305/nh.2015.31.sup3.8753 · Cited by 15 · see citing works
Thompson, D. A., Joshi, A., Hernandez, R. G., Bair‐Merritt, M. H., Arora, M., Luna, R. E., & Ellen, J. M. (2012) · Academic Pediatrics · doi:10.1016/j.acap.2012.03.020 · Cited by 14 · see citing works
Rural Consumers’ Attitudes: Towards Nutrition Labelling
Lindhorst, K., Corby, L., Roberts, S., & Zeiler, S. (2007) · Canadian Journal of Dietetic Practice and Research · doi:10.3148/68.3.2007.146 · Cited by 13 · see citing works
Toobert, D. J., Strycker, L. A., Hampson, S. E., Westling, E. H., Christiansen, S. M., Hurley, T. G., & Hébert, J. R. (2011) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2011.07.004 · Cited by 12 · see citing works
Smith, C. E., & Ryan, A. M. (2006) · PubMed · Cited by 11 · see citing works
Roll‐Pettersson, L., Ala’i-Rosales, S., Keenan, M., & Dillenburger, K. (2010) · European Journal of Behavior Analysis · doi:10.1080/15021149.2010.11434349 · Cited by 11 · see citing works
Berthold, S. M., Kong, S., Kuoch, T., Schilling, E. A., An, R., Blatz, M., Sorn, R., Ung, S., Yan, Y., Scully, M. F., et al. (2017) · Progress in community health partnerships · doi:10.1353/cpr.2017.0015 · Cited by 6 · see citing works
Darmawan, U., Redjeki, S., & Widhorini, W. (2020) · JPBI (Jurnal Pendidikan Biologi Indonesia) · doi:10.22219/jpbi.v6i2.11370 · Cited by 5 · see citing works
Flynn, M. A., DeLaney, S. C., & Willeford, C. (2017) · NEW SOLUTIONS A Journal of Environmental and Occupational Health Policy · doi:10.1177/1048291117734381 · Cited by 1 · see citing works
The Impact of Mediterranean Diet on Adult Obesity: A Quality Improvement
Baptiste, D. D. (2019) · MOspace Institutional Repository (University of Missouri) · Cited by 1 · see citing works
Interventions to modify dietary behaviors for cancer prevention and control.
Campbell, M. K., Gierisch, J. M., & Sutherland, L. A. (2009) · American Psychological Association eBooks · doi:10.1037/14499-011 · Cited by 1 · see citing works
Comparative analysis of computer-based nutrition education in primary schools of Lahore and Vienna
Siddique, A. (2010) · University of Vienna · doi:10.25365/thesis.14187
Los diferentes modos de aprender y el papel del nutricionista en su rol de educador
Aliste, M. E. R., & Yepes, T. A. (2018) · Perspectivas en Nutrición Humana · doi:10.17533/udea.penh.336420
Using an Electronically Delivered and Culturally Based Nutrition Module to Educate Latino Parents
Yoon, L. H. (2015) · ePublications at Regis University (Regis University)
Reversing Harmful Developmental Origins of Health and Disease Effects
Chang, M., Nitzke, S. A., Brown, R., Egan, M. J. B., Eghtedary, K., & Rosenfeld, C. S. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-801383-0.00025-6
- Authors
- Jantz, C., Anderson, J., & Gould, S. M.
- Affiliations
- Colorado State University (US)
- Corresponding author
- Anderson, Jennifer
- ORCID
- Gould, Susan Martin
- Venue
- Journal of Nutrition Education and Behavior
- Publisher
- Elsevier BV
- Published
- 2002-09
- Volume
- 34
- Issue
- 5
- Pages
- 252-260
- ISSN
- 1499-4046 (ISSN-L)
- OpenAlex
- W2084657679
- Cited by
- 40
- References
- 33
- Citations by year
- 2020: 1 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 1 · 2015: 5 · 2014: 2 · 2013: 2 · 2012: 4
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Nutrition Education and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Agriculture
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Education › Health Education and Validation
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Keywords
- interactive multimedia, nutrition education, computer-based testing, health knowledge and attitudes, stages of change, program evaluation, ESL learners
- MeSH terms
- Adult, Analysis of Variance, Computers, Female, Hispanic or Latino, Humans, Male, Poverty, Surveys and Questionnaires, Program Evaluation, Multimedia, Nutritional Sciences
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review