Incorporating Consumers’ Needs in Nutrition Apps to Promote and Maintain Use: Mixed Methods Study

BackgroundNutrition apps seem to be promising tools for supporting consumers toward healthier eating habits. There is a wide variety of nutrition apps available; however, users often discontinue app use at an early stage before a permanent change in dietary behavior can be ac...

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Main Authors: Sandra van der Haar, Ireen Raaijmakers, Muriel C D Verain, Saskia Meijboom
Format: Article
Language:English
Published: JMIR Publications 2023-06-01
Series:JMIR mHealth and uHealth
Online Access:https://mhealth.jmir.org/2023/1/e39515
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author Sandra van der Haar
Ireen Raaijmakers
Muriel C D Verain
Saskia Meijboom
author_facet Sandra van der Haar
Ireen Raaijmakers
Muriel C D Verain
Saskia Meijboom
author_sort Sandra van der Haar
collection DOAJ
description BackgroundNutrition apps seem to be promising tools for supporting consumers toward healthier eating habits. There is a wide variety of nutrition apps available; however, users often discontinue app use at an early stage before a permanent change in dietary behavior can be achieved. ObjectiveThe main objective of this study was to identify, from both a user and nonuser perspective, which functionalities should be included in nutrition apps to increase intentions to start and maintain use of these apps. A secondary objective was to gain insight into reasons to quit using nutrition apps at an early stage. MethodsThis study used a mixed methods approach and included a qualitative and a quantitative study. The qualitative study (n=40) consisted of a home-use test with 6 commercially available nutrition apps, followed by 6 focus group discussions (FGDs) to investigate user experiences. The quantitative study was a large-scale survey (n=1420), which was performed in a representative sample of the Dutch population to quantify the FGDs’ results. In the survey, several app functionalities were rated on 7-point Likert scales ranging from 1 (very unimportant) to 7 (very important). ResultsA total of 3 different phases of app use, subdivided into 10 user-centric app aspects and 46 associated app functionalities, were identified as relevant nutrition app elements in the FGDs. Relevance was confirmed in the survey, as all user-centric aspects and almost all app functionalities were rated as important to include in a nutrition app. In the starting phase, a clear introduction (mean 5.45, SD 1.32), purpose (mean 5.40, SD 1.40), and flexible food tracking options (mean 5.33, SD 1.45) were the most important functionalities. In the use phase, a complete and reliable food product database (mean 5.58, SD 1.41), easy navigation (mean 5.56, SD 1.36), and limited advertisements (mean 5.53, SD 1.51) were the most important functionalities. In the end phase, the possibility of setting realistic goals (mean 5.23, SD 1.44), new personal goals (mean 5.13, SD 1.45), and continuously offering new information (mean 4.88, SD 1.44) were the most important functionalities. No large differences between users, former users, and nonusers were found. The main reason for quitting a nutrition app in the survey was the high time investment (14/38, 37%). This was also identified as a barrier in the FGDs. ConclusionsNutrition apps should be supportive in all 3 phases of use (start, use, and end) to increase consumers’ intentions to start and maintain the use of these apps and achieve a change in dietary behavior. Each phase includes several key app functionalities that require specific attention from app developers. High time investment is an important reason to quit nutrition app use at an early stage.
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spelling doaj.art-6d4ee13f5ea640458060577a53e775542023-08-29T00:05:02ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222023-06-0111e3951510.2196/39515Incorporating Consumers’ Needs in Nutrition Apps to Promote and Maintain Use: Mixed Methods StudySandra van der Haarhttps://orcid.org/0000-0002-5635-222XIreen Raaijmakershttps://orcid.org/0000-0002-4479-3394Muriel C D Verainhttps://orcid.org/0009-0001-4526-3766Saskia Meijboomhttps://orcid.org/0000-0002-2533-3026 BackgroundNutrition apps seem to be promising tools for supporting consumers toward healthier eating habits. There is a wide variety of nutrition apps available; however, users often discontinue app use at an early stage before a permanent change in dietary behavior can be achieved. ObjectiveThe main objective of this study was to identify, from both a user and nonuser perspective, which functionalities should be included in nutrition apps to increase intentions to start and maintain use of these apps. A secondary objective was to gain insight into reasons to quit using nutrition apps at an early stage. MethodsThis study used a mixed methods approach and included a qualitative and a quantitative study. The qualitative study (n=40) consisted of a home-use test with 6 commercially available nutrition apps, followed by 6 focus group discussions (FGDs) to investigate user experiences. The quantitative study was a large-scale survey (n=1420), which was performed in a representative sample of the Dutch population to quantify the FGDs’ results. In the survey, several app functionalities were rated on 7-point Likert scales ranging from 1 (very unimportant) to 7 (very important). ResultsA total of 3 different phases of app use, subdivided into 10 user-centric app aspects and 46 associated app functionalities, were identified as relevant nutrition app elements in the FGDs. Relevance was confirmed in the survey, as all user-centric aspects and almost all app functionalities were rated as important to include in a nutrition app. In the starting phase, a clear introduction (mean 5.45, SD 1.32), purpose (mean 5.40, SD 1.40), and flexible food tracking options (mean 5.33, SD 1.45) were the most important functionalities. In the use phase, a complete and reliable food product database (mean 5.58, SD 1.41), easy navigation (mean 5.56, SD 1.36), and limited advertisements (mean 5.53, SD 1.51) were the most important functionalities. In the end phase, the possibility of setting realistic goals (mean 5.23, SD 1.44), new personal goals (mean 5.13, SD 1.45), and continuously offering new information (mean 4.88, SD 1.44) were the most important functionalities. No large differences between users, former users, and nonusers were found. The main reason for quitting a nutrition app in the survey was the high time investment (14/38, 37%). This was also identified as a barrier in the FGDs. ConclusionsNutrition apps should be supportive in all 3 phases of use (start, use, and end) to increase consumers’ intentions to start and maintain the use of these apps and achieve a change in dietary behavior. Each phase includes several key app functionalities that require specific attention from app developers. High time investment is an important reason to quit nutrition app use at an early stage.https://mhealth.jmir.org/2023/1/e39515
spellingShingle Sandra van der Haar
Ireen Raaijmakers
Muriel C D Verain
Saskia Meijboom
Incorporating Consumers’ Needs in Nutrition Apps to Promote and Maintain Use: Mixed Methods Study
JMIR mHealth and uHealth
title Incorporating Consumers’ Needs in Nutrition Apps to Promote and Maintain Use: Mixed Methods Study
title_full Incorporating Consumers’ Needs in Nutrition Apps to Promote and Maintain Use: Mixed Methods Study
title_fullStr Incorporating Consumers’ Needs in Nutrition Apps to Promote and Maintain Use: Mixed Methods Study
title_full_unstemmed Incorporating Consumers’ Needs in Nutrition Apps to Promote and Maintain Use: Mixed Methods Study
title_short Incorporating Consumers’ Needs in Nutrition Apps to Promote and Maintain Use: Mixed Methods Study
title_sort incorporating consumers needs in nutrition apps to promote and maintain use mixed methods study
url https://mhealth.jmir.org/2023/1/e39515
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AT murielcdverain incorporatingconsumersneedsinnutritionappstopromoteandmaintainusemixedmethodsstudy
AT saskiameijboom incorporatingconsumersneedsinnutritionappstopromoteandmaintainusemixedmethodsstudy