Design of a Mobile App Interface That Engages Community Members in a Food System Pilot Study
Abstract
:1. Introduction
- What do community members perceive to be the potential role(s) of an app for local food sourcing in their neighborhoods?
- How do community members react to the function and features of the initial BUDConnect user interface wireframe mockups, and how can the interface be improved for future development and testing?
2. Materials and Methods
2.1. Setting
2.2. Participants
2.3. Study Design
2.4. Data Collection
- An interactive map (Figure 1C) to allow users to locate nearby corner store addresses, hours of operation, currently stocked healthier foods and ongoing promotions or deals in real-time.
- Collective feedback (Figure 1D,F) to crowd-source community insights and encourage store owners to maintain stocks of affordable, fresh, healthy products via polls, chat messaging and reviews or ratings (e.g., store cleanliness and available variety, quality and price).
- Built-in gamification to enhance the user experience and encourage sustained app use, such as a point system to reward engagement.
2.5. Data Analyses
3. Results
3.1. Characteristics of the Study Sample
3.2. Community Member Perspectives
3.3. Perceived Roles of an App for Neighborhood Food Sourcing
“It’s not like the most safe of neighborhoods. It’s hard to feel like I can venture everywhere.”—35 year old Middle Eastern female
“Maybe I want carrots, and they only have, like, a bag, and they sell out [quickly], I think it would be very convenient just to know they have that.”—36 year old Hispanic female
“…hop from store to store to try to find the items, like, if you don’t have time to go to the market. And you’re just missing maybe two items from a meal and you go to the corner store, you’d have to go to maybe two or three corner stores and try to find those two items.”—43 year old American Indian female
“A lot of times you just go there because you’re like, I want that one thing [and] I got to go real quick. And then like they don’t have it so you go to the next one a block away and they don’t have it so then you got to go four blocks to the grocery store and this whole thing was just to like, save a four block walk.”—33 year old White male
“Clearly there’s a need for fresher produce and things like dairy for people in the community…[having an app] would be probably a lot better for the community, it’d save a lot of time. I wouldn’t have to hop from corner store to corner store to find two items…especially when you’ve got two little ones at home and dinner to prepare.”—43 year old American Indian female
“…just help really build community, if it’s something that would be engaging to all of our neighbors.”—27 year old Asian non-binary person
“It’s a big Italian community, and also it’s a Jewish community as well. It’s the kind of community where you want to go and walk around because there’s a lot of history here…if you build a relationship with people in the community, you’re going to see a trend where everybody’s coming in [to local stores].”—52 year old White male
“Each community is different. And with so many communities in Baltimore City, it’s important to have a good representation of each to service them best…the demands are different for certain foods.”—43 year old American Indian female
“He will often ask, are you looking for something? So I think, you know, he’s a nice guy and cares about the customers. I often see him greeting everybody.”—36 year old Hispanic female
“The guy that runs that store, you know, we get along well. But, it’s like, I don’t know what you’re doing to stock the shelves. And I’m not going to ask questions.”—32 year old White female
“I go in [the store] for what I need and leave.”—30 year old Black female
“I’m kind of just in and out because I don’t go in there to like browse so much as like, I go in there needing something and I leave relatively quickly.”—29 year old Asian female
“They don’t seem like they care enough if the community has healthy stuff…it’s more of a for-profit situation.”—38 year old Black female
“It’s just way more profitable to sell soda and chips than healthy food.”—33 year old White male
“[The app could] definitely shorten some time down from searching a store that I don’t know what they have, or just making an assumption and then getting to the store and them not having what I want so I settle for something I don’t want.”—24 year old White male
“If there was an app to tell me if those stores had things like produce, I definitely would use that…like if I could go up the street to [the store] and get carrots rather than going all the way to the market… that would be more convenient.”—38 year old Black female
“Our family is gluten-free so that’s like kind of the big reason why we can’t do all of our shopping in [smaller] stores. It’s just like specialty diet things aren’t as accessible there or they’re just like significantly higher cost….so I think like having the benefit to search for and request products you need [in an app]…would be helpful.”—29 year old Asian female
“The corner stores are all doing their best, and I just feel like [the app] has the opportunity to reflect poorly on them and potentially lead to less business for them, when like maybe it wasn’t their fault.”—32 year old White female
“Reviews have a tendency to be more negative than positive… if the store gets a one or two star review and then people don’t go to buy collard greens [from them] which are already getting older and older then you just get into the cycle that you can’t, you know, break.”—33 year old White male
“First of all, I think that the color is really good.”—27 year old Asian non-binary person
“I kind of like the color scheme of it…I’m sensitive to colors, so I like that. It was a relaxing color.”—35 year old Middle Eastern female
“Some may have a hard time trying to find that link [to the app]. So you want to make it accessible for them as well, kind of like a push notification.”—43 year old American Indian female
3.4. Revised Interface Design for Development and Testing
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Hales, C.M.; Carroll, M.D.; Fryar, C.D.; Ogden, C.L. Prevalence of Obesity and Severe Obesity among Adults: United States, 2017–2018; NCHS Data Brief, no 360; National Center for Health Statistics: Hyattsville, MD, USA, 2020. [Google Scholar]
- National Heart, Lung, and Blood Institute [NHLBI]. Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert Panel. 2013. Available online: https://www.nhlbi.nih.gov/health-topics/managing-overweight-obesity-in-adults (accessed on 15 January 2024).
- Vilar-Compte, M.; Burrola-Méndez, S.; Lozano-Marrufo, A.; Ferre-Eguiluz, I.; Flores, D.; Gaitan-Rossi, P.; Teruel, G.; Peréz-Escamilla, R. Urban Poverty and Nutrition Challenges Associated with Accessibility to a Healthy Diet: A Global Systematic Literature Review. Int. J. Equity Health 2021, 20, 40. [Google Scholar] [CrossRef]
- Martínez Steele, E.; Baraldi, L.G.; Louzada, M.L.d.C.; Moubarac, J.-C.; Mozaffarian, D.; Monteiro, C.A. Ultra-Processed Foods and Added Sugars in the US Diet: Evidence from a Nationally Representative Cross-Sectional Study. BMJ Open 2016, 6, e009892. [Google Scholar] [CrossRef]
- Rehm, C.D.; Peñalvo, J.L.; Afshin, A.; Mozaffarian, D. Dietary Intake among US Adults, 1999–2012. JAMA 2016, 315, 2542. [Google Scholar] [CrossRef]
- Barnhill, A.; Palmer, A.; Weston, C.M.; Brownell, K.D.; Clancy, K.; Economos, C.D.; Gittelsohn, J.; Hammond, R.A.; Kumanyika, S.; Bennett, W.L. Grappling with Complex Food Systems to Reduce Obesity: A US Public Health Challenge. Public Health Rep. 2018, 133 (Suppl. S1), 44S–53S. [Google Scholar] [CrossRef]
- Song, H.-J.; Gittelsohn, J.; Kim, M.; Suratkar, S.; Sharma, S.; Anliker, J. A Corner Store Intervention in a Low-Income Urban Community Is Associated with Increased Availability and Sales of Some Healthy Foods. Public Health Nutr. 2009, 12, 2060–2067. [Google Scholar] [CrossRef]
- Bodor, J.N.; Ulmer, V.M.; Futrell Dunaway, L.; Farley, T.A.; Rose, D. The Rationale behind Small Food Store Interventions in Low-Income Urban Neighborhoods: Insights from New Orleans. J. Nutr. 2010, 140, 1185–1188. [Google Scholar] [CrossRef]
- Dannefer, R.; Williams, D.A.; Baronberg, S.; Silver, L. Healthy Bodegas: Increasing and Promoting Healthy Foods at Corner Stores in New York City. Am. J. Public Health 2012, 102, e27–e31. [Google Scholar] [CrossRef]
- Martin, K.S.; Havens, E.; Boyle, K.E.; Matthews, G.; Schilling, E.A.; Harel, O.; Ferris, A.M. If You Stock It, Will They Buy It? Healthy Food Availability and Customer Purchasing Behaviour within Corner Stores in Hartford, CT, USA. Public Health Nutr. 2012, 15, 1973–1978. [Google Scholar] [CrossRef]
- Winkler, M.R.; Zenk, S.N.; Baquero, B.; Steeves, E.A.; Fleischhacker, S.E.; Gittelsohn, J.; Leone, L.A.; Racine, E.F. A Model Depicting the Retail Food Environment and Customer Interactions: Components, Outcomes, and Future Directions. Int. J. Environ. Res. Public Health 2020, 17, 7591. [Google Scholar] [CrossRef]
- Song, H.-J.; Gittelsohn, J.; Kim, M.; Suratkar, S.; Sharma, S.; Anliker, J. Korean American Storeowners’ Perceived Barriers and Motivators for Implementing a Corner Store-Based Program. Health Promot. Pract. 2010, 12, 472–482. [Google Scholar] [CrossRef]
- Kim, M.; Budd, N.; Batorsky, B.; Krubiner, C.; Manchikanti, S.; Waldrop, G.; Trude, A.; Gittelsohn, J. Barriers and Facilitators to Stocking Healthy Food Options: Viewpoints of Baltimore City Small Storeowners. Ecol. Food Nutr. 2017, 56, 17–30. [Google Scholar] [CrossRef] [PubMed]
- Dodson, J.L.; Hsiao, Y.-C.; Kasat-Shors, M.; Murray, L.; Nguyen, N.K.; Richards, A.K.; Gittelsohn, J. Formative Research for a Healthy Diet Intervention among Inner-City Adolescents: The Importance of Family, School and Neighborhood Environment. Ecol. Food Nutr. 2009, 48, 39–58. [Google Scholar] [CrossRef] [PubMed]
- DC Central Kitchen. Building Healthy Corners: A Best Practice Guide in Three Phases. 2018. Available online: https://dccentralkitchen.org/wp-content/uploads/2018/04/Building-Healthy-Corners-A-Best-Practice-Guide-in-Three-Phases-2018.pdf (accessed on 15 January 2024).
- Key, K.D.; Furr-Holden, D.; Lewis, E.Y.; Cunningham, R.; Zimmerman, M.A.; Johnson-Lawrence, V.; Selig, S. The Continuum of Community Engagement in Research: A Roadmap for Understanding and Assessing Progress. Prog. Community Health Partnersh. Res. Educ. Action 2019, 13, 427–434. [Google Scholar] [CrossRef]
- Katapally, T.R. The SMART Framework: Integration of Citizen Science, Community-Based Participatory Research, and Systems Science for Population Health Science in the Digital Age. JMIR mHealth uHealth 2019, 7, e14056. [Google Scholar] [CrossRef] [PubMed]
- Cho, H.; Porras, T.; Baik, D.; Beauchemin, M.; Schnall, R. Understanding the Predisposing, Enabling, and Reinforcing Factors Influencing the Use of a Mobile-Based HIV Management App: A Real-World Usability Evaluation. Int. J. Med. Inform. 2018, 117, 88–95. [Google Scholar] [CrossRef] [PubMed]
- Gittelsohn, J.; Lewis, E.C.; Martin, N.M.; Zhu, S.; Poirier, L.; Van Dongen, E.J.I.; Ross, A.; Sundermeir, S.M.; Labrique, A.B.; Reznar, M.M.; et al. The Baltimore Urban Food Distribution (BUD) App: Study Protocol to Assess the Feasibility of a Food Systems Intervention. Int. J. Environ. Res. Public Health 2022, 19, 9138. [Google Scholar] [CrossRef] [PubMed]
- Lewis, E.C.; Zhu, S.; Oladimeji, A.T.; Igusa, T.; Martin, N.M.; Poirier, L.; Trujillo, A.J.; Reznar, M.M.; Gittelsohn, J. Design of an Innovative Digital Application to Facilitate Access to Healthy Foods in Low-Income Urban Settings. mHealth 2024, 10, 2. [Google Scholar] [CrossRef] [PubMed]
- Misiaszek, C.; Buzogany, S.; Freishtat, H. Baltimore City’s Food Environment Report: 2018 Report; Johns Hopkins Center for a Livable Future: Baltimore, MD, USA, 2018; Available online: https://clf.jhsph.edu/publications/baltimore-citys-food-environment-report-2018-report (accessed on 15 January 2024).
- Abell Foundation. 2020 Abell Foundation Digital Divide Report. 2020. Available online: https://abell.org/wp-content/uploads/2022/02/2020_Abell_digital20divide_full20report_FINAL_web20dr.pdf (accessed on 15 January 2024).
- Ross, A.; Krishnan, N.; Panchal, J.; Brooks, J.K.; Lloyd, E.; Lee, T.-H.; Gittelsohn, J. Formative Research for an Innovative Smartphone Application to Improve Distribution of Healthy Foods to Corner Stores in Baltimore City. Ecol. Food Nutr. 2018, 58, 3–22. [Google Scholar] [CrossRef] [PubMed]
- Radandt, N.E.; Corbridge, T.; Johnson, D.B.; Kim, A.S.; Scott, J.M.; Coldwell, S.E. Validation of a Two-Item Food Security Screening Tool in a Dental Setting. J. Dent. Child. 2018, 85, 114–119. [Google Scholar]
- Adobe Inc. Adobe Photoshop. 2019. Available online: https://www.adobe.com/products/photoshop.html (accessed on 15 January 2024).
- Microsoft Corporation. Microsoft Excel for Mac (Version 16.81). 2024. Available online: https://office.microsoft.com/excel (accessed on 15 January 2024).
- Fereday, J.; Muir-Cochrane, E. Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development. Int. J. Qual. Methods 2016, 5, 80–92. [Google Scholar] [CrossRef]
- Proudfoot, K. Inductive/Deductive Hybrid Thematic Analysis in Mixed Methods Research. J. Mix. Methods Res. 2023, 17, 308–326. [Google Scholar] [CrossRef]
- ATLAS.ti Scientific Software Development GmbH. ATLAS.ti Web (Version 24) [Qualitative Data Analysis Software]. 2024. Available online: https://atlasti.com (accessed on 15 January 2024).
- Maryland Department of Transportation [MDOT]. CharmPass. Available online: https://www.mta.maryland.gov/charmpass (accessed on 15 January 2024).
- Uizard Technologies. Uizard. 2024. Available online: https://uizard.io/ (accessed on 15 January 2024).
- Riley, W.T.; Rivera, D.E.; Atienza, A.A.; Nilsen, W.; Allison, S.M.; Mermelstein, R. Health Behavior Models in the Age of Mobile Interventions: Are Our Theories up to the Task? Transl. Behav. Med. 2011, 1, 53–71. [Google Scholar] [CrossRef] [PubMed]
- BeLue, R.; NDao, F.; McClure, S.; Alexander, S.; Walker, R. The Role of Social Issues on Food Procurement among Corner Store Owners and Shoppers. Ecol. Food Nutr. 2020, 59, 35–46. [Google Scholar] [CrossRef] [PubMed]
- Hampton, K.N.; Sessions, L.F.; Her, E.J. Core Networks, Social Isolation, And New Media: Internet and Mobile Phone Use, Network Size, And Diversity. Inf. Commun. Soc. 2011, 14, 130–155. [Google Scholar] [CrossRef]
- Kim, E.; Drumwright, M. Engaging Consumers and Building Relationships in Social Media: How Social Relatedness Influences Intrinsic vs. Extrinsic Consumer Motivation. Comput. Hum. Behav. 2016, 63, 970–979. [Google Scholar] [CrossRef]
- McDaniel, P.A.; Minkler, M.; Juachon, L.; Thayer, R.; Estrada, J.; Falbe, J. Merchant Attitudes toward a Healthy Food Retailer Incentive Program in a Low-Income San Francisco Neighborhood. Int. Q. Community Health Educ. 2018, 38, 207–215. [Google Scholar] [CrossRef] [PubMed]
- Zhang, M.; Ying, J.; Song, G.; Fung, D.S.; Smith, H. Yelp for Health: Using the Social Web to Enhance Public Health Systems. J. Med. Internet Res. 2018, 20, e10047. [Google Scholar] [CrossRef]
- Friemel, T.N. The Digital Divide Has Grown Old: Determinants of a Digital Divide Among Seniors. New Media Soc. 2016, 18, 313–331. [Google Scholar] [CrossRef]
- Goodr. Available online: https://goodr.co/ (accessed on 15 January 2024).
- Too Good to Go. Available online: https://www.toogoodtogo.com/en-us (accessed on 15 January 2024).
- JavaScript React. Available online: https://react.dev/ (accessed on 15 January 2024).
- Tailwind CSS. Available online: https://tailwindcss.com/ (accessed on 15 January 2024).
- GitHub. Available online: https://github.com/ (accessed on 15 January 2024).
- Baltimore Office of Sustainability. Urban Agriculture. Available online: https://www.baltimoresustainability.org/projects/baltimore-food-policy-initiative/homegrown-baltimore/urban-agriculture-2/#:~:text=Urban%20Agriculture%20Tax%20Credit&text=This%20credit%20gives%20farmers%2090,subject%20it%20to%20property%20taxes (accessed on 15 January 2024).
Characteristic | n |
---|---|
Age (years) | |
20–29 | 3 |
30–39 | 12 |
40–49 | 3 |
50–59 | 2 |
Gender | |
Female | 13 |
Male | 6 |
Non-Binary | 1 |
Race/Ethnicity | |
Black or African American | 6 |
White | 7 |
Asian | 2 |
Middle Eastern | 3 |
American Indian | 1 |
Hispanic or Latino | 1 |
Food Insecure | |
Yes | 9 |
No | 11 |
Food Assistance Program Enrollment | |
SNAP | 10 |
WIC | 0 |
Free/Reduced-Cost School Lunch | 6 |
Free/Reduced-Cost School Breakfast | 1 |
Marital Status | |
Married | 5 |
Never Married | 14 |
Divorced | 1 |
Employment Status | |
Employed | 10 |
Unemployed | 8 |
Disability | 1 |
Nonprofit Sector | 1 |
Annual Household Income | |
USD 0–10k | 3 |
USD 10–20k | 5 |
USD 20–30k | 1 |
USD 50–60k | 1 |
USD 60–70k | 3 |
USD 80k+ | 7 |
Theme | Sub-Themes |
---|---|
|
|
|
|
|
|
|
|
|
|
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Lewis, E.C.; Williamson, S.; Xie, Y.; Poirier, L.; Oladimeji, A.T.; Igusa, T.; Gittelsohn, J. Design of a Mobile App Interface That Engages Community Members in a Food System Pilot Study. Nutrients 2024, 16, 1723. https://doi.org/10.3390/nu16111723
Lewis EC, Williamson S, Xie Y, Poirier L, Oladimeji AT, Igusa T, Gittelsohn J. Design of a Mobile App Interface That Engages Community Members in a Food System Pilot Study. Nutrients. 2024; 16(11):1723. https://doi.org/10.3390/nu16111723
Chicago/Turabian StyleLewis, Emma C., Stacey Williamson, Yutong Xie, Lisa Poirier, Ayoyemi T. Oladimeji, Takeru Igusa, and Joel Gittelsohn. 2024. "Design of a Mobile App Interface That Engages Community Members in a Food System Pilot Study" Nutrients 16, no. 11: 1723. https://doi.org/10.3390/nu16111723
APA StyleLewis, E. C., Williamson, S., Xie, Y., Poirier, L., Oladimeji, A. T., Igusa, T., & Gittelsohn, J. (2024). Design of a Mobile App Interface That Engages Community Members in a Food System Pilot Study. Nutrients, 16(11), 1723. https://doi.org/10.3390/nu16111723