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Article ; Online: Usability and Overall Perception of a Health Bot for Nutrition-Related Questions for Patients Receiving Bariatric Care: Mixed Methods Study.

Beyeler, Marina / Légeret, Corinne / Kiwitz, Fabian / van der Horst, Klazine

JMIR human factors

2023 Volume 10, Page(s) e47913

Abstract: Background: Currently, over 4000 bariatric procedures are performed annually in Switzerland. To improve outcomes, patients need to have good knowledge regarding postoperative nutrition. To potentially provide them with knowledge between dietetic ... ...

Abstract	Background: Currently, over 4000 bariatric procedures are performed annually in Switzerland. To improve outcomes, patients need to have good knowledge regarding postoperative nutrition. To potentially provide them with knowledge between dietetic consultations, a health bot (HB) was created. The HB can answer bariatric nutrition questions in writing based on artificial intelligence. Objective: This study aims to evaluate the usability and perception of the HB among patients receiving bariatric care. Methods: Patients before or after bariatric surgery tested the HB. A mixed methods approach was used, which consisted of a questionnaire and qualitative interviews before and after testing the HB. The dimensions usability of, usefulness of, satisfaction with, and ease of use of the HB, among others, were measured. Data were analyzed using R Studio (R Studio Inc) and Excel (Microsoft Corp). The interviews were transcribed and a summary inductive content analysis was performed. Results: A total of 12 patients (female: n=8, 67%; male: n=4, 33%) were included. The results showed excellent usability with a mean usability score of 87 (SD 12.5; range 57.5-100) out of 100. Other dimensions of acceptability included usefulness (mean 5.28, SD 2.02 out of 7), satisfaction (mean 5.75, SD 1.68 out of 7), and learnability (mean 6.26, SD 1.5 out of 7). The concept of the HB and availability of reliable nutrition information were perceived as desirable (mean 5.5, SD 1.64 out of 7). Weaknesses were identified in the response accuracy, limited knowledge, and design of the HB. Conclusions: The HB's ease of use and usability were evaluated to be positive; response accuracy, topic selection, and design should be optimized in a next step. The perceptions of nutrition professionals and the impact on patient care and the nutrition knowledge of participants need to be examined in further studies.
MeSH term(s)	Humans ; Male ; Female ; Artificial Intelligence ; Bariatric Surgery ; Nutritional Status ; Surveys and Questionnaires ; Perception
Language	English
Publishing date	2023-11-08
Publishing country	Canada
Document type	Journal Article
ISSN	2292-9495
ISSN (online)	2292-9495
DOI	10.2196/47913
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A New Model for Ranking Schools of Public Health: The Public Health Academic Ranking.

Dugerdil, Adeline / Babington-Ashaye, Awa / Bochud, Murielle / Chan, Margaret / Chiolero, Arnaud / Gerber-Grote, Andreas / Künzli, Nino / Paradis, Gilles / Puhan, Milo Alan / Suggs, L Suzanne / Van der Horst, Klazine / Escher, Gérard / Flahault, Antoine

International journal of public health

2024 Volume 69, Page(s) 1606684

Abstract: Objectives: ...

Abstract	Objectives:
MeSH term(s)	Humans ; Public Health/education ; Pilot Projects ; Schools ; Universities ; Hygiene
Language	English
Publishing date	2024-03-11
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2274130-6
ISSN	1661-8564 ; 1661-8556
ISSN (online)	1661-8564
ISSN	1661-8556
DOI	10.3389/ijph.2024.1606684
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Article ; Online: Home-based cooking intervention with a smartphone app to improve eating behaviors in children aged 7-9 years: a feasibility study.

Haddad, Joyce / Vasiloglou, Maria F / Scheidegger-Balmer, Franziska / Fiedler, Ulrich / van der Horst, Klazine

Discover social science and health

2023 Volume 3, Issue 1, Page(s) 13

Abstract: Objective: To develop and evaluate the feasibility of a mobile application in Swiss households and assess its impact on dietary behavior and food acceptability between children who cooked with limited parental support (intervention group) with children ... ...

Abstract	Objective: To develop and evaluate the feasibility of a mobile application in Swiss households and assess its impact on dietary behavior and food acceptability between children who cooked with limited parental support (intervention group) with children who were not involved in cooking (control group). Methods: A ten-week randomized controlled trial was conducted online in 2020. Parents were given access to a mobile-app with ten recipes. Each recipe emphasized one of two generally disliked foods (Brussels sprouts or whole-meal pasta). Parents photographed and weighed the food components from the child's plate and reported whether their child liked the meal and target food. The main outcome measures were target food intake and acceptability analyzed through descriptive analysis for pre-post changes. Results: Of 24 parents who completed the baseline questionnaires, 18 parents and their children (median age: 8 years) completed the evaluation phase. Mean child baseline Brussel sprouts and whole-meal pasta intakes were 19.0 ± 24.2 g and 86.0 ± 69.7 g per meal, respectively. No meaningful differences in intake were found post-intervention or between groups. More children reported a neutral or positive liking towards the whole-meal pasta in the intervention group compared to those in the control group. No change was found for liking of Brussel sprouts. Conclusions for practice: The intervention was found to be feasible however more studies on larger samples are needed to validate feasibility. Integrating digital interventions in the home and promoting meal preparation may improve child reported acceptance of some healthy foods. Using such technology may save time for parents and engage families in consuming healthier meals.
Language	English
Publishing date	2023-06-01
Publishing country	Switzerland
Document type	Journal Article
ISSN	2731-0469
ISSN (online)	2731-0469
DOI	10.1007/s44155-023-00042-4
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Article: Assessment of food neophobia and disgust sensitivity

Hartmann, Christina / van der Horst, Klazine

(In: Meule, Adrian (Ed.), Assessment of eating behavior (206-217 pp.). Göttingen: Hogrefe Publishing (Serie: Psychological Assessment DS Science and Practice, Band 6))

2023

Abstract: The following chapter is separated into two major parts. In the first part, the concept food neophobia is explained and how it can be measured. In that vein, not only the established Food Neophobia Scale published in 1992 is addressed, but also the more ... ...

Title translation	Erfassung von Lebensmittelneophobie und Ekelempfindlichkeit (DeepL)
Series title	In: Meule, Adrian (Ed.), Assessment of eating behavior (206-217 pp.). Göttingen: Hogrefe Publishing (Serie: Psychological Assessment DS Science and Practice, Band 6)
Abstract	The following chapter is separated into two major parts. In the first part, the concept food neophobia is explained and how it can be measured. In that vein, not only the established Food Neophobia Scale published in 1992 is addressed, but also the more recently developed Motivation to Eat New Foods Scale is introduced. Potential limitations and newer developments in the field are discussed. In the second part of the chapter, the focus is on disgust sensitivity and how it can be assessed with questionnaires, facial, physiological, and behavioral measures. A distinction is made between state disgust (instant sensation) and trait disgust (personality-like trait). Critical aspects in the field of disgust research regarding linguistic challenges and differentiation from neighboring emotions such as fear are briefly addressed as well.
Keywords	Disgust ; Ekel ; Food ; Fragebögen ; Measurement ; Messung ; Nahrungsmittel ; Neophobia ; Neophobie ; Psychological Assessment ; Psychologische Messung ; Questionnaires
Language	English
Document type	Article
Database	PSYNDEX

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Article ; Online: The Nutritional Content of Meal Images in Free-Living Conditions-Automatic Assessment with goFOOD

Papathanail, Ioannis / Abdur Rahman, Lubnaa / Brigato, Lorenzo / Bez, Natalie S / Vasiloglou, Maria F / van der Horst, Klazine / Mougiakakou, Stavroula

Nutrients

2023 Volume 15, Issue 17

Abstract: A healthy diet can help to prevent or manage many important conditions and diseases, particularly obesity, malnutrition, and diabetes. Recent advancements in artificial intelligence and smartphone technologies have enabled applications to conduct ... ...

Abstract	A healthy diet can help to prevent or manage many important conditions and diseases, particularly obesity, malnutrition, and diabetes. Recent advancements in artificial intelligence and smartphone technologies have enabled applications to conduct automatic nutritional assessment from meal images, providing a convenient, efficient, and accurate method for continuous diet evaluation. We now extend the goFOOD
MeSH term(s)	Humans ; Artificial Intelligence ; Retrospective Studies ; Social Conditions ; Meals ; Diet, Healthy
Language	English
Publishing date	2023-09-02
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu15173835
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Article ; Online: Home-based cooking intervention with a smartphone app to improve eating behaviors in children aged 7–9 years

Joyce Haddad / Maria F. Vasiloglou / Franziska Scheidegger-Balmer / Ulrich Fiedler / Klazine van der Horst

Discover Social Science and Health, Vol 3, Iss 1, Pp 1-

a feasibility study

2023 Volume 14

Abstract: Abstract Objective To develop and evaluate the feasibility of a mobile application in Swiss households and assess its impact on dietary behavior and food acceptability between children who cooked with limited parental support (intervention group) with ... ...

Abstract	Abstract Objective To develop and evaluate the feasibility of a mobile application in Swiss households and assess its impact on dietary behavior and food acceptability between children who cooked with limited parental support (intervention group) with children who were not involved in cooking (control group). Methods A ten-week randomized controlled trial was conducted online in 2020. Parents were given access to a mobile-app with ten recipes. Each recipe emphasized one of two generally disliked foods (Brussels sprouts or whole-meal pasta). Parents photographed and weighed the food components from the child’s plate and reported whether their child liked the meal and target food. The main outcome measures were target food intake and acceptability analyzed through descriptive analysis for pre-post changes. Results Of 24 parents who completed the baseline questionnaires, 18 parents and their children (median age: 8 years) completed the evaluation phase. Mean child baseline Brussel sprouts and whole-meal pasta intakes were 19.0 ± 24.2 g and 86.0 ± 69.7 g per meal, respectively. No meaningful differences in intake were found post-intervention or between groups. More children reported a neutral or positive liking towards the whole-meal pasta in the intervention group compared to those in the control group. No change was found for liking of Brussel sprouts. Conclusions for practice The intervention was found to be feasible however more studies on larger samples are needed to validate feasibility. Integrating digital interventions in the home and promoting meal preparation may improve child reported acceptance of some healthy foods. Using such technology may save time for parents and engage families in consuming healthier meals.
Keywords	Food acceptance ; Liking ; Children ; Cooking ; Meal preparation ; Vegetable intake ; Public aspects of medicine ; RA1-1270 ; Social Sciences ; H
Subject code	360
Language	English
Publishing date	2023-06-01T00:00:00Z
Publisher	Springer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Development of a diet quality score and adherence to the Swiss dietary recommendations for vegans.

Bez, Natalie S / Haddad, Joyce / Tedde, Giulia S / Rose, Karolin / Ivanov, Aljoscha V / Milazzo, Marina / Wickart, Joëlle / Casale, Giulia / D'Ascanio, Michele / Van der Horst, Klazine / Herter-Aeberli, Isabelle / Bogl, Leonie H

Journal of health, population, and nutrition

2024 Volume 43, Issue 1, Page(s) 17

Abstract: Background: Vegan diets have recently gained popularity in Switzerland as well as globally. The aim of the present study was to develop a diet quality score for vegans (DQS-V) based on the Swiss dietary recommendations for vegans.: Methods: The ... ...

Abstract	Background: Vegan diets have recently gained popularity in Switzerland as well as globally. The aim of the present study was to develop a diet quality score for vegans (DQS-V) based on the Swiss dietary recommendations for vegans. Methods: The dataset included 52 healthy vegan adults. Dietary intake data were assessed by three-day weighed food records. Body weight and height were measured, and a venous blood sample for the analysis of vitamin and mineral status was collected. Spearman rank correlation coefficients were used due to not-normally distributed data. Dietary patterns were identified using principal component analysis (PCA). Results: The DQS-V score (mean ± SD) was 48.9 ± 14.7. Most vegans adhered to the recommended portions of vegetables, vitamin C-rich vegetables, fruits, omega-3-rich nuts, fats and oils, and iodized salt. However, the intake of green leafy vegetables, vitamin C-rich fruits, wholegrains, legumes, nuts and seeds, selenium-rich nuts, zero caloric liquid, and calcium-fortified foods was suboptimal. The sample overconsumed sweet-, salty-, fried foods, and alcohol. The DQS-V had a significantly positive correlation with intakes of fibre, polyunsaturated fatty acids, potassium, zinc, and phosphorus intakes (p's < 0.05) but was negatively correlated with vitamin B12 and niacin intakes (p's < 0.05). Two dietary patterns were derived from PCA: 1) refined grains and sweets and 2) wholegrains and nuts. The correlation between the DQS-V and the first dietary pattern was negative (- 0.41, p = 0.004) and positive for the second dietary pattern (0.37, p = 0.01). The refined grains and sweets dietary pattern was inversely correlated with beta-carotene status (- 0.41, p = 0.004) and vitamin C status (r = - 0.51, p = 0.0002). Conclusion: The newly developed DQS-V provides a single score for estimating diet quality among vegan adults. Further validation studies examining the DQS-V in relation to an independent dietary assessment method and to biomarkers of nutritional intake and status are still needed before the general application of the DQS-V.
MeSH term(s)	Adult ; Humans ; Diet, Vegan ; Vegans ; Switzerland ; Diet ; Vegetables ; Ascorbic Acid ; Diet, Vegetarian
Chemical Substances	Ascorbic Acid (PQ6CK8PD0R)
Language	English
Publishing date	2024-01-30
Publishing country	Bangladesh
Document type	Journal Article
ZDB-ID	2025045-9
ISSN	2072-1315 ; 1606-0997
ISSN (online)	2072-1315
ISSN	1606-0997
DOI	10.1186/s41043-024-00498-3
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Article ; Online: Parental Feeding Practices and Associations with Children's Food Acceptance and Picky Eating.

Fries, Lisa R / van der Horst, Klazine

Nestle Nutrition Institute workshop series

2019 Volume 91, Page(s) 31–39

Abstract: Picky eating, which includes behaviors such as limited dietary variety, neophobia, food refusals, and sensory sensitivities, can be a source of stress for families. Parents can influence their children's mealtime behavior through the feeding practices ... ...

Abstract	Picky eating, which includes behaviors such as limited dietary variety, neophobia, food refusals, and sensory sensitivities, can be a source of stress for families. Parents can influence their children's mealtime behavior through the feeding practices they use when offering foods. Some practices are counterproductive to establishing healthy eating habits and should be avoided, but caregivers need alternative behaviors to replace them. Parents should be encouraged to keep trying after a food is refused, as children may need to be exposed to a food several times before it is accepted. Varying the preparation changes the taste, texture, and appearance of food, and children may prefer some variants to others. Some children refuse foods to express independence; thus, providing choices between two healthy options may allow children to express a preference without saying "no" altogether. Coercive feeding practices such as the use of pressure to eat or using food as rewards should be avoided, as these can create negative associations with the food or meals and lead to food refusals. Instead, caregivers can model eating and enjoying the food. Nonfood rewards, such as praise or stickers, can also be used to encourage children to taste a food without negative outcomes.
MeSH term(s)	Child ; Child Behavior ; Cooking/methods ; Diet/psychology ; Feeding Behavior/psychology ; Feeding Methods/psychology ; Food Fussiness ; Food Preferences/psychology ; Humans ; Infant ; Meals/psychology ; Parenting/psychology ; Reward
Language	English
Publishing date	2019-03-13
Publishing country	Switzerland
Document type	Journal Article
ISSN	1664-2155
ISSN (online)	1664-2155
DOI	10.1159/000493676
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Children's dietary assessment and promotion: The Swiss situation.

Bender, Nicole / Marques-Vidal, Pedro / Patriota, Pollyanna / Rangelov, Natalie / Staub, Kaspar / Suggs, L Suzanne / van der Horst, Klazine

International journal of public health

2020 Volume 65, Issue 5, Page(s) 507–509

Language	English
Publishing date	2020-05-29
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	2274130-6
ISSN	1661-8564 ; 1661-8556
ISSN (online)	1661-8564
ISSN	1661-8556
DOI	10.1007/s00038-020-01393-4
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Article ; Online: Parenting styles, feeding styles and food-related parenting practices in relation to toddlers' eating styles: A cluster-analytic approach.

van der Horst, Klazine / Sleddens, Ester F C

PloS one

2017 Volume 12, Issue 5, Page(s) e0178149

Abstract: Introduction: Toddlers' eating behaviors are influenced by the way parents interact with their children. The objective of this study was to explore how five major constructs of general parenting behavior cluster in parents of toddlers. These parenting ... ...

Abstract	Introduction: Toddlers' eating behaviors are influenced by the way parents interact with their children. The objective of this study was to explore how five major constructs of general parenting behavior cluster in parents of toddlers. These parenting clusters were further explored to see how they differed in the use of feeding strategies (i.e. feeding styles and food parenting practices) and by reported child eating styles. Methods: An online survey with 1005 mothers/caregivers (legal guardians) with at least one child between 12 and 36 months old was conducted in the United States in 2012, assessing general parenting behavior, feeding style, food parenting practices and the child eating styles. Results: A three cluster solution of parenting style was found and clusters were labelled as overprotective/supervising, authoritarian, and authoritative. The clusters differed in terms of general parenting behaviors. Both overprotective and authoritative clusters showed high scores on structure, behavioral control, and nurturance. The overprotective cluster scored high on overprotection. The 'authoritarian' cluster showed lowest levels of nurturance, structure and behavioral control. Overprotective and authoritative parents showed very similar patterns in the use of food parenting practices, e.g. monitoring food intake, modeling, and promoting healthy food intake and availability at home. Overprotective parents also reported higher use of pressure to eat and involvement. Authoritarian parents reported high use of giving the child control over their food behaviors, emotion regulation, using food as a reward, and controlling food intake for weight control. Children's eating styles did not largely vary by parenting cluster. Conclusion: This study showed that a relatively new parenting style of overprotection is relevant for children's eating behaviors. Overprotective parents reported food parenting practices that are known to be beneficial for children's food intake, such as modelling healthy food intake, as well as more unfavorable practices such as pressure. Longitudinal data on parenting practices and their relation to healthy eating in children is needed to inform communication and interventions for parents, reinforcing key feeding strategies which have positive effects on child eating behaviors and addressing parenting styles that have unintended negative effects.
MeSH term(s)	Adult ; Aged ; Child, Preschool ; Cluster Analysis ; Feeding Behavior/psychology ; Female ; Food ; Humans ; Infant ; Male ; Middle Aged ; Parent-Child Relations ; Parenting/psychology ; Psychology, Child ; Surveys and Questionnaires ; United States ; Young Adult
Language	English
Publishing date	2017-05-24
Publishing country	United States
Document type	Journal Article
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0178149
Database	MEDical Literature Analysis and Retrieval System OnLINE

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