P65 Feasibility Test of ASA24-2016 to Assess Children's Diets as Reported by Parents Enrolled in Washington State EFNEP

2019 
Objective To determine the feasibility of using the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24-2016) to assess children's diets as reported by parents enrolled in the Expanded Food and Nutrition Education Program (EFNEP). Use of Theory or Research Washington EFNEP collects adult dietary data with a facilitated group 24-hour dietary recall (24HDR) using the form “Food Tracker: What I ate yesterday,” supported by the facilitator and visual guides (Townsend et al 2013). The facilitation of ASA24 mirrored the facilitated process with guided instruction and visuals. Target Audience A sample of English and Spanish speaking parents enrolled in WA EFNEP. Program Description As part of a larger study, parents were asked to complete a 24HDR via ASA24 for their youngest child between ages 2-8 at week two and nine of EFNEP classes. A facilitation kit was used to assist participants. All ASA24 data collections were conducted by trained professional staff. Evaluation Methods Raw data was exported from ASA24 to track the number of successful logins and attempts to enter recalls at each timepoint, total calories consumed, meal times, and food codes. Data collectors recorded errors frequently encountered, adjustments made to specific recalls, and user difficulties. Results Of the 88 enrolled participants, 62% completed ASA24 entry in Spanish and 38% in English. Fifty four percent (47) successfully completed ASA24, 27% (24) were unable to complete ASA24 and their child recalls were collected on paper, and 19% (17) did not attend the data collection. Conclusions ASA24 can successfully be used to assess children's diets reported by parents enrolled in EFNEP. However, users may encounter challenges with connectivity, limited participant literacy levels, and technical difficulties within the ASA24 system. Identifying challenges and strategies to overcome them, is critical to inform the advancement and dissemination of this web-based tool. Funding USDA.
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