Journal of Nutrition Education and Behavior最新文献

{"title":"Nutrition Perspectives and Attitudes Among Ghanaian Pregnant Adolescents and Adolescent Mothers","authors":"Christiana Naa Astreh Nsiah-Asamoah PhD ,&nbsp;Safianu Osman Aleboko BSc ,&nbsp;Esther Darkwa Entwi BSc ,&nbsp;Moses Kwashie Klevor PhD ,&nbsp;Emmanuel Ayifah PhD ,&nbsp;Harriet Okronipa PhD","doi":"10.1016/j.jneb.2024.12.012","DOIUrl":"10.1016/j.jneb.2024.12.012","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the attitudes and perspectives of pregnant adolescents and adolescent mothers on nutrition during pregnancy and infancy.</div></div><div><h3>Design</h3><div>A qualitative community-based cross-sectional study using focus group discussions.</div></div><div><h3>Setting</h3><div>Nine communities across 3 municipalities and 2 districts in the Central Region of Ghana.</div></div><div><h3>Participants</h3><div>Thirty-five participants, comprising 13 pregnant adolescents and 22 adolescent mothers aged 12–19 years, were selected through door-to-door and snowball sampling methods from households and health centers.</div></div><div><h3>Phenomenon of Interest</h3><div>Themes on attitudes and perspectives on nutrition during pregnancy and infancy.</div></div><div><h3>Analysis</h3><div>Data was analyzed using Braun and Clarke's reflexive thematic analysis framework in MAXQDA Analytics Pro 2020.</div></div><div><h3>Results</h3><div>Five central themes emerged: health and well-being, infant nutrition, dietary habits, nutrition information sources, and social support. Participants reported that exclusive breastfeeding for 6 months was impractical, leading to the use of complementary foods. Economic constraints often led them to rely on less nutritious street foods.</div></div><div><h3>Conclusions and Implications</h3><div>Adolescent mothers tend to diverge from recommended practices for infant and young child feeding. Future studies may explore coping strategies pregnant adolescents and adolescent mothers use to ensure food security for their children and themselves in this study region.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 4","pages":"Pages 296-303"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multisystem Interconnected Lifestyle Framework: A Holistic Approach to Examining the Lifestyle Determinants of Obesity in Early Childhood","authors":"Lenna L. Ontai PhD,&nbsp;Leah C. Hibel PhD","doi":"10.1016/j.jneb.2024.12.009","DOIUrl":"10.1016/j.jneb.2024.12.009","url":null,"abstract":"<div><div>This report proposes the multisystem interconnected lifestyle (MIL) framework to describe how lifestyle behaviors (i.e., sleep, stress, activity, diet) work together to create profiles of young children's obesogenic risk. This report argues that considering lifestyle behaviors collectively within and across days more accurately captures the complexity of obesity risk. The MIL framework builds on social ecological models to situate lifestyle behavior profiles within the social connections and ecological contexts of children's lives. The MIL framework potentiates the next generation of obesity research, reflecting a holistic understanding of lifestyle behavior engagement that could inform more effective and targeted education and intervention approaches.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 4","pages":"Pages 355-362"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Knowledge-Action Gap in Patients With Metabolic Dysfunction-Associated Fatty Liver Disease: A Qualitative Study","authors":"Qing Guan MS ,&nbsp;Rui Dong BS ,&nbsp;Mengting Zhang MS ,&nbsp;Dongchun Chang BS ,&nbsp;Ru Zhang PhD ,&nbsp;Yunqi Wang ,&nbsp;Wei Zhang MS ,&nbsp;Jie Wang PhD","doi":"10.1016/j.jneb.2024.12.010","DOIUrl":"10.1016/j.jneb.2024.12.010","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the knowledge-action gap regarding health behaviors and their influencing factors among patients with metabolic dysfunction-associated fatty liver disease (MAFLD), using the Health Belief Model as a theoretical framework.</div></div><div><h3>Design</h3><div>A qualitative approach was adopted, involving semistructured interviews with individuals with MAFLD.</div></div><div><h3>Setting</h3><div>Participants were recruited from a community hospital and a tertiary hospital in Nanjing, China, between July and October 2022.</div></div><div><h3>Participants</h3><div>A purposive sample of 21 adults with MAFLD, who were primarily overweight or obese (86%), males (52%), and aged ≥ 60 years (52%).</div></div><div><h3>Phenomenon of Interest</h3><div>This study focused on the knowledge-action gap in health behaviors among MAFLD patients.</div></div><div><h3>Analysis</h3><div>Data were analyzed using content analysis, with the Health Belief Model guiding the identification of themes and categorization of specific domains.</div></div><div><h3>Results</h3><div>This study found that perceptions of disease susceptibility and severity, perceived barriers to healthy lifestyles, and various modifying factors impeded the adoption of healthy behaviors. In contrast, perceived benefits, cues to action, and self-efficacy facilitated the implementation of these behaviors.</div></div><div><h3>Conclusions and Implications</h3><div>This research highlights the factors contributing to the knowledge-action gap in health behaviors among MAFLD patients. The findings suggest potential targets for interventions aimed at enhancing the alignment between patients’ knowledge and their actions, ultimately promoting better health outcomes.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 4","pages":"Pages 274-284"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Outlets in Montevideo: Implications for Retail Food Environment Research in the Majority World","authors":"Gastón Ares PhD ,&nbsp;Florencia Alcaire BSc ,&nbsp;Gerónimo Brunet BSc ,&nbsp;María Costa MSc ,&nbsp;Sofía Verdier BSc ,&nbsp;María Rosa Curutchet MSc ,&nbsp;Luciana Bonilla BSc ,&nbsp;Sergio Turra BSc ,&nbsp;Fernanda Risso MSc ,&nbsp;Leandro Machín BSc ,&nbsp;Leticia Vidal PhD","doi":"10.1016/j.jneb.2024.12.011","DOIUrl":"10.1016/j.jneb.2024.12.011","url":null,"abstract":"<div><h3>Objective</h3><div>To identify food outlets in Montevideo, Uruguay and to compare the types of outlets selling different food groups across areas of the city with different socioeconomic status (SES).</div></div><div><h3>Design</h3><div>Cross-sectional field survey of outlets selling foods and beverages conducted between September, 2023 and February, 2024.</div></div><div><h3>Setting</h3><div>A sample of 106 census tracts was obtained using probability proportional to size sampling.</div></div><div><h3>Participants</h3><div>All outlets selling foods and beverages within the census tracts.</div></div><div><h3>Main Outcome Measure</h3><div>Number, density, and distribution of food outlets selling different food groups.</div></div><div><h3>Analysis</h3><div>Kruskal-Wallis, Fisher exact test, and chi-square test of independence were used to compare outcome measures in census tracts with different SES.</div></div><div><h3>Results</h3><div>A total of 1,217 food outlets were identified. Small stores corresponded to a relevant share of the outlets selling unprocessed foods, whereas ultraprocessed products were ubiquitous. The proportion and density of food outlets selling fruits and vegetables and fresh meat were significantly higher (<em>P</em> &lt; 0.05) in low SES tracts. The distribution of outlets selling different food groups significantly (<em>P</em> &lt; 0.01) differed across tracts.</div></div><div><h3>Conclusions and Implications</h3><div>Results highlight the importance of capturing the local food sources that shape the availability of healthy and unhealthy foods in the majority world.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 4","pages":"Pages 285-295"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Formative Qualitative Research Informs Tailoring SNAP-Ed Curriculum for Transitional Housing Residents","authors":"Kristi Strongo MPH, CHES ,&nbsp;Casey Coombs MS, RDN ,&nbsp;James D. LeCheminant PhD ,&nbsp;Cathy Merrill MS ,&nbsp;Cindy Jenkins MPA ,&nbsp;Heidi LeBlanc MS ,&nbsp;Michael W. Smith MS ,&nbsp;Megan Bell BS ,&nbsp;Brynne Karlinsey Skidmore BS ,&nbsp;Rickelle Richards PhD, MPH, RDN","doi":"10.1016/j.jneb.2025.01.004","DOIUrl":"10.1016/j.jneb.2025.01.004","url":null,"abstract":"<div><h3>Objective</h3><div>To modify the <em>Supplemental Nutrition Assistance Program-Education</em> curriculum based on formative research conducted at a homeless resource center.</div></div><div><h3>Methods</h3><div>Researchers interviewed 4 administrators/staff and 5 transitional housing residents. We used a content analysis approach to independently code transcripts, reconcile differences, and identify themes. We adapted the <em>Create Better Health</em> curriculum using these data.</div></div><div><h3>Results</h3><div>Curriculum adaptations included incorporating microwave-friendly recipes because of limited cooking facilities, providing strategies for making healthy food choices at facility-provided meals and convenience/dollar stores frequented by residents, and encouraging residents to exercise at their comfort levels because of common physical limitations. Classes located outside transitional housing units were planned for 60 minutes before and after mealtimes.</div></div><div><h3>Conclusions and Implications</h3><div>Adapting the <em>Supplemental Nutrition Assistance Program-Education</em> curriculum to meet the unique needs of transitional housing residents may enable healthy behavioral changes. Further research is required to evaluate the feasibility and efficacy of this revised curriculum.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 4","pages":"Pages 338-344"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mean Differences for 3 Delivery Modalities of the Healthy Eating, Staying Active As We Age Curriculum for Older Adults","authors":"Rachel A. Liebe PhD, MPH ,&nbsp;Camille McGuire MS ,&nbsp;Elena L. Serrano PhD ,&nbsp;Sarah A. Misyak PhD, MPH","doi":"10.1016/j.jneb.2024.11.007","DOIUrl":"10.1016/j.jneb.2024.11.007","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the mean differences in outcomes of 3 delivery modalities of a nutrition education program targeting older adults.</div></div><div><h3>Methods</h3><div>A natural experiment was conducted from March 2020 to September 2021, with presurveys and postsurveys used to assess dietary and physical activity behaviors. Results were analyzed using descriptive statistics, t tests, and ANOVA, with a Bonferroni-corrected significance threshold at <em>P</em> &lt; 0.001.</div></div><div><h3>Results</h3><div>There were 3 groups: in-person (n = 212), Zoom (n = 61), and phone (n = 104). Respondents aged &gt; 70 years and in rural areas were more likely to be enrolled in person (<em>P</em> &lt; 0.001). Across all modalities, there were significant improvements from before to after for most outcomes. The phone group reported significantly larger mean differences than the in-person group for fruit, vegetable, and whole grain consumption (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions and Implications</h3><div><em>Healthy Eating, Staying Active as We Age</em> can be delivered across all modalities. Future practitioners can use the findings to consider alternative modalities that may better meet the needs of their audience.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 4","pages":"Pages 316-325"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Testing of a Culinary Medicine Intervention for Racially/Ethnically Diverse Adults With Type 2 Diabetes","authors":"Natalia I. Heredia PhD, MPH ,&nbsp;Lorena Macias-Navarro MSc ,&nbsp;Diana C. Guevara MPH, RD, LD ,&nbsp;Shreela V. Sharma PhD, RD, LD ,&nbsp;Joanne Chow MPH, RD ,&nbsp;Sarah S. Bentley MPH ,&nbsp;Oroma Chukuigwe IMG MD, BSc, FSPH ,&nbsp;Afreen Pappa MD ,&nbsp;John Wesley McWhorter DrPH, MS, RD, LD, CSCS","doi":"10.1016/j.jneb.2024.11.006","DOIUrl":"10.1016/j.jneb.2024.11.006","url":null,"abstract":"<div><h3>Objective</h3><div>Assess if a virtual culinary medicine program improves healthy eating, glycosylated hemoglobin (HbA1c), and associated variables among adults with type 2 diabetes.</div></div><div><h3>Design</h3><div>Mixed-methods, intervention-only pilot study.</div></div><div><h3>Setting</h3><div>Classes via video conferencing from the teaching kitchen, with participants cooking from their homes.</div></div><div><h3>Participants</h3><div>One hundred and four patients from a Texas primary care system.</div></div><div><h3>Interventions</h3><div>Five-session program (Spanish and English) led by a dietitian.</div></div><div><h3>Main Outcome Measures</h3><div>HbA1c. Secondary outcomes included MyPlate knowledge, self-efficacy, healthy eating and cooking behaviors, diabetes self-management, perceived health, and blood pressure.</div></div><div><h3>Analysis</h3><div>Multilevel mixed-effects regression to analyze changes at pretreatment, posttreatment, and 6-month follow-up. Framework analysis to analyze postintervention interviews.</div></div><div><h3>Results</h3><div>Participants with complete posttest data (n = 61) demonstrated statistically significant (<em>P</em> &lt;0.05) improvements in MyPlate knowledge, cooking self-efficacy, servings of fruits and vegetables, frequency of healthy food intake, shopping, cooking and eating behaviors, diabetes self-management, and perceived health, compared with pretest. HbA1c levels showed statistically significant reductions from pretest to posttest (<em>P</em> = 0.02) and at 6-month follow-up (<em>P</em> &lt;0.001). Participants reported high satisfaction and sustained new habits.</div></div><div><h3>Conclusions and Implications</h3><div>We saw improvements in healthy eating and cooking behaviors and HbA1c. While further rigorous testing is needed, this program could be incorporated into clinical practices as a brief intervention for patients with type 2 diabetes.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 4","pages":"Pages 263-273"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Exploration of the Motives Underlying the Selection of the Food Outlets in Which People Purchase Fresh Foods in Montevideo, Uruguay.","authors":"Gastón Ares, Gerónimo Brunet, Ana Giménez, Leticia Vidal","doi":"10.1016/j.jneb.2025.02.014","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.014","url":null,"abstract":"<p><strong>Objective: </strong>To explore the motives underlying the selection of the food outlets in which people purchase 2 categories of fresh foods.</p><p><strong>Design: </strong>Cross-sectional telephone survey conducted in May 2024.</p><p><strong>Setting: </strong>Montevideo, Uruguay.</p><p><strong>Participants: </strong>A total of 505 adult residents of Montevideo were involved in food purchasing for the household, recruited by a survey company.</p><p><strong>Main outcome measures: </strong>Outlet in which participants reported purchasing 2 categories of fresh foods (fruits and vegetables, and meat), and motives underlying their choice of store.</p><p><strong>Analysis: </strong>Descriptive statistics and logistic regression models to assess the associations between the likelihood of purchasing the 2 categories at each type of store and the motives underlying their choice while controlling for sociodemographic variables.</p><p><strong>Results: </strong>Farmers' markets, supermarkets, fruit and vegetable stores, and butcher shops were identified as the primary outlets for purchasing the target categories. Price, quality, convenience, and proximity were the most frequently mentioned motives underlying the choice of outlet. The likelihood of purchasing at different stores was significantly (P < 0.05) associated with motives underlying the choice of outlet and socioeconomic characteristics.</p><p><strong>Conclusions and implications: </strong>People purchase fresh foods in different types of outlets because of a wide range of factors beyond proximity. Incorporating these factors in food environment research may contribute to developing more effective interventions.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of School-based Nutrition Education Programs that Include Environmental Sustainability Components, on Fruit and Vegetable Consumption of 5-12YearOld Children: A Systematic Review.","authors":"Fay Karpouzis, Kim Anastasiou, Rebecca Lindberg, Adam Walsh, Smita Shah, Kylie Ball","doi":"10.1016/j.jneb.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.008","url":null,"abstract":"<p><strong>Introduction: </strong>This systematic review examined the effectiveness of interventions of school-based nutrition education programs that included environmental sustainability components in addressing fruit and vegetable (F&V) consumption and/or variety among children (aged 5-12 years).</p><p><strong>Methods: </strong>The systematic search included MEDLINE, CINAHL, ERIC, Global Health, PsychINFO, EMBASE, the Cochrane Library, and 3 clinical trial registries. Searches between January 1, 1987, and February 22, 2022, found 18 eligible studies. The Evidence Project risk-of-bias (RoB) tool was used for quality assessment.</p><p><strong>Results: </strong>Sixteen studies had moderate-to-high RoB, and 2 had low RoB. Eight studies reported significant increases in F&V consumption and/or variety. Programs that included environmental sustainability experiential components (i.e., gardening, tasting F&Vs, and cooking activities) and were underpinned by a theoretical framework were more likely to report significant outcomes than studies that reported no effects.</p><p><strong>Conclusions and implications: </strong>This review underscores the benefits of school-based nutrition education programs that incorporate experiential components of environmental sustainability. These findings could support future researchers in designing strategies to improve children's F&V consumption by incorporating the experiential components of environmental sustainability into nutrition programs. In addition, conducting process evaluations to gather teachers' input to overcome common implementation barriers, performing long-term follow-up assessments to monitor behavioral changes over time, and implementing school policies to support these programs could also be beneficial. This review was registered with the International Prospective Register of Systematic Reviews (CRD42020184727).</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Digital Technology to Facilitate Choice for Food Pantry Customers: An Evaluation of a Pilot Program.","authors":"Yvette Ng, Katherine Tomaino Fraser, Aikaterini Stamou, Alyson Rosenthal, Nevin Cohen","doi":"10.1016/j.jneb.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.011","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility and acceptability of a novel Digital Choice model at an urban food pantry from customer and staff perspectives.</p><p><strong>Design: </strong>Focus groups, cross-sectional survey, and in-depth interviews.</p><p><strong>Setting: </strong>New York City.</p><p><strong>Participants: </strong>Thirty Digital Choice customers participated in 3 focus groups, 326 Digital Choice and non-Digital Choice customers completed the survey, and 8 program staff were interviewed.</p><p><strong>Interventions: </strong>The Digital Choice model used text messaging/online forms to allow customers to preorder 1 of 4 pantry boxes for pickup at 1 of 3 community sites.</p><p><strong>Phenomena of interest: </strong>Feasibility, acceptability.</p><p><strong>Analysis: </strong>Themes were identified in interviews and focus groups using inductive and deductive approaches, and descriptive statistics were produced from survey and order data.</p><p><strong>Results: </strong>Digital Choice customers indicated high overall satisfaction with the program (96% rated the experience positively), and staff found the program feasible to implement at the current scale. However, among the broader population of Digital Choice and non-Digital Choice customers, 40% indicated challenges with technology.</p><p><strong>Conclusions and implications: </strong>This evaluation suggests that incorporating digital technology to facilitate customer choice and partnering with community sites in the food pantry process is feasible and acceptable for many, but not all, customers.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}