A Qualitative Process Evaluation of Participant Experiences in a Feasibility Randomised Controlled Trial to Reduce Indulgent Foods and Beverages

There is a growing interest in the effects of ultra-processed/energy-dense nutrient-poor foods on health outcomes, and few interventions to reduce their consumption have been tested. We tested a simple intervention to help people reduce the indulgences they consume (energy-dense nutrient-poor (EDNP)...

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Main Authors: Claire Deborah Madigan, Andrew J. Hill, Ian Douglas Caterson, Jessica Burk, Chelsea Hendy, Anna Chalkley
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/6/1389
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author Claire Deborah Madigan
Andrew J. Hill
Ian Douglas Caterson
Jessica Burk
Chelsea Hendy
Anna Chalkley
author_facet Claire Deborah Madigan
Andrew J. Hill
Ian Douglas Caterson
Jessica Burk
Chelsea Hendy
Anna Chalkley
author_sort Claire Deborah Madigan
collection DOAJ
description There is a growing interest in the effects of ultra-processed/energy-dense nutrient-poor foods on health outcomes, and few interventions to reduce their consumption have been tested. We tested a simple intervention to help people reduce the indulgences they consume (energy-dense nutrient-poor (EDNP) foods). Herein, we report the qualitative findings to understand how participants reduced their consumption by exploring intervention fidelity and the factors affecting consumption. We conducted a qualitative descriptive study of 23 adults who had taken part in a feasibility randomised controlled trial that asked participants to say no to seven indulgences/week and record what they said no to. Data were collected using face-to-face semi-structured interviews and analysed thematically. A total of 23 adults with an average BMI of 30.8 kg/m<sup>2</sup> took part. Participants liked the term indulgence, as they could apply it to their normal dietary intake and make small changes. They found self-monitoring what they said no to helpful and reported that emotional eating and habits affected consumption. They had difficulty overcoming these. As most people are consuming too many foods that are EDNP, this simple intervention of “Say No” seven times/week has the potential to be developed as a public health campaign.
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spelling doaj.art-376b2ee553744a17b06f8522fdedbe3a2023-11-17T13:05:06ZengMDPI AGNutrients2072-66432023-03-01156138910.3390/nu15061389A Qualitative Process Evaluation of Participant Experiences in a Feasibility Randomised Controlled Trial to Reduce Indulgent Foods and BeveragesClaire Deborah Madigan0Andrew J. Hill1Ian Douglas Caterson2Jessica Burk3Chelsea Hendy4Anna Chalkley5The Centre for Lifestyle Medicine and Behaviour (CLiMB), Loughborough University, Loughborough LE11 3TU, UKThe Boden Initiative, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, AustraliaThe Boden Initiative, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, AustraliaThe Boden Initiative, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, AustraliaThe Boden Initiative, Charles Perkins Centre, The University of Sydney, Sydney, NSW 2006, AustraliaCentre for Physically Active Learning, Western Norway University of Applied Sciences, 6856 Sogndal, NorwayThere is a growing interest in the effects of ultra-processed/energy-dense nutrient-poor foods on health outcomes, and few interventions to reduce their consumption have been tested. We tested a simple intervention to help people reduce the indulgences they consume (energy-dense nutrient-poor (EDNP) foods). Herein, we report the qualitative findings to understand how participants reduced their consumption by exploring intervention fidelity and the factors affecting consumption. We conducted a qualitative descriptive study of 23 adults who had taken part in a feasibility randomised controlled trial that asked participants to say no to seven indulgences/week and record what they said no to. Data were collected using face-to-face semi-structured interviews and analysed thematically. A total of 23 adults with an average BMI of 30.8 kg/m<sup>2</sup> took part. Participants liked the term indulgence, as they could apply it to their normal dietary intake and make small changes. They found self-monitoring what they said no to helpful and reported that emotional eating and habits affected consumption. They had difficulty overcoming these. As most people are consuming too many foods that are EDNP, this simple intervention of “Say No” seven times/week has the potential to be developed as a public health campaign.https://www.mdpi.com/2072-6643/15/6/1389obesityenergy-dense nutrient-poor foodsweight management
spellingShingle Claire Deborah Madigan
Andrew J. Hill
Ian Douglas Caterson
Jessica Burk
Chelsea Hendy
Anna Chalkley
A Qualitative Process Evaluation of Participant Experiences in a Feasibility Randomised Controlled Trial to Reduce Indulgent Foods and Beverages
Nutrients
obesity
energy-dense nutrient-poor foods
weight management
title A Qualitative Process Evaluation of Participant Experiences in a Feasibility Randomised Controlled Trial to Reduce Indulgent Foods and Beverages
title_full A Qualitative Process Evaluation of Participant Experiences in a Feasibility Randomised Controlled Trial to Reduce Indulgent Foods and Beverages
title_fullStr A Qualitative Process Evaluation of Participant Experiences in a Feasibility Randomised Controlled Trial to Reduce Indulgent Foods and Beverages
title_full_unstemmed A Qualitative Process Evaluation of Participant Experiences in a Feasibility Randomised Controlled Trial to Reduce Indulgent Foods and Beverages
title_short A Qualitative Process Evaluation of Participant Experiences in a Feasibility Randomised Controlled Trial to Reduce Indulgent Foods and Beverages
title_sort qualitative process evaluation of participant experiences in a feasibility randomised controlled trial to reduce indulgent foods and beverages
topic obesity
energy-dense nutrient-poor foods
weight management
url https://www.mdpi.com/2072-6643/15/6/1389
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