Photo-Texting, a Self-Assessment Technique for the Home Food Environment

Lesli Biediger-Friedman^1, , Kristen Lines¹ and Monica Silva¹

¹School of Family and Consumer Sciences Department, Texas State University, San Marcos City, USA

Cite this paper

Lesli Biediger-Friedman, Kristen Lines and Monica Silva. Photo-Texting, a Self-Assessment Technique for the Home Food Environment. Journal of Food Security. 2017; 5(3):66-74. doi: 10.12691/JFS-5-3-2

Abstract

This paper explores a methodology of photo-texting to assess and improve upon the home food environment (HFE); a method which aims to engage participants with nutrition and food security among households. Various approaches to assessing and intervening within the HFE have demonstrated the efficacy of strengthening household food practices, improving food security, and dietary behaviors. However, public health practitioners face barriers in assessing the HFE. These include the intimate nature of the home setting, as well as the significant time, labor, and costs required to complete a comprehensive HFE assessment. Photo elicitation, though, provides a flexible strategy, while also empowering participants and conserving the resources of practitioners. This technique permits the collection of reflective self-assessments and provides a platform for goal setting. In this paper, we describe the step-by-step method of a photo elicitation technique that was developed to overcome the challenges with HFE research techniques. Furthermore, the described method may be beneficial as a practice tool to coach participants to self-assess their nutrition environment and to recognize behavioral factors within their homes and families. A pilot study of the photo-texting technique was implemented to identify lessons learned and illustrate feasibility. Results from the pilot study reveal participant engagement in all photo assignment, food and nutrition trends within the HFE, and effective goal setting techniques. Furthermore, participants reported favorable attitudes toward this technique of community-participatory research. There are many opportunities to facilitate effective HFE changes by utilizing the photo-texting technique and applying it to public health practice and research settings.

Keywords

photo voice, smartphones, home food environment, family meals, community-based participatory research

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Hergenrather, K.C., Geishecker, S., McGuire-Kuletz, M., Gitlin, D.J. and Rhodes, S.D, “An introduction to community-based participatory research”, Rehab Education, 24 (3-4), 225-38, July 2010.
[2]	Wang, C. and Burris, M.A, “Photovoice: Concept, methodology, and use for participatory needs assessment”, Health Education and Behavior, 24 (3), 369-87, June 1997.
[3]	Harley, A, “Picturing reality: Power, ethics, and politics in using photovoice”, International Journal of Qualitative Methods, 11 (4), 320-339, September 2012.
[4]	Torres, M.E., Meetze, E.G. and Smithwick-Leone, J, “Latina voices in childhood obesity: A pilot study using Photovoice in South Carolina”, American Journal of Preventive Medicine, 44 (3), S225-231, March 2013.
[5]	Watts, A.W., Lovato, C.Y., Barr, S.I., Hanning, R.M. and Mâsse, L.C, “A qualitative study exploring how school and community environments shape the food choices of adolescents with overweight/obesity”, Appetite, 95, 360-367, December 2015.
[6]	Pew Research Center. U.S. smartphone use in 2015. Avalable at: http://www.pewinternet.org/2015/04/01/chapter-one-a-portrait-of-smartphone-ownership/.
[7]	Jacobs, J.A., Jones, E., Gabella, B.A., Spring, B. and Brownson, C, “Tools for implementing an evidence-based approach in public health practice the need for evidence-based public health”, Preventing Chronic Disease, 9 (1), 1-9, 2012.
[8]	Story, M., Kaphingst, K.M., Robinson-O'Brien, R. and Glanz, K, “Creating healthy food and eating environments: Policy and environmental approaches”, Annual Reviews of Public Health, 29, 253-272, April 2008.
[9]	Pinard, C.A., Yaroch, A.L., Hart, M.H., Serrano, E.L., McFerren, M.M. and Estabrooks, P.A, “Measures of the home environment related to childhood obesity: A systematic review”, Public Health Nutrition, 15 (01), 97-109, January 2012.
[10]	Wyse, R., Campbell, E., Nathan N. and Wolfenden, L, “Associations between characteristics of the home food environment and fruit and vegetable intake in preschool children: A cross-sectional study”, BMC Public Health, 11 (1), December 2011.
[11]	Baig, A.A., Benitez, A., Locklin, C.A., Gao, Y., Lee, S.M., Quinn, M.T. et al., “Picture good health: A church-based self-management intervention among Latino adults with diabetes”, Journal of General Internal Medicine, 30 (10), 1481-90, October 2015.
[12]	Russinova, Z., Rogers, E.S., Gagne, C., Bloch, P., Drake, K.M. and Mueser, K.T, “A randomized controlled trial of a peer-run antistigma Photovoice intervention”, Psychiatric Services, 65 (2), 242-246, February 2014.
[13]	Keysor, J., Jette, A. and Haley, S, “Development of the home and community environment (HACE) instrument”, Journal of Rehabilitation Medicine, 37 (1), 37-44, January 2005.
[14]	Hendrie, G., Sohonpal, G., Lange, K. and Golley, R, “Change in the family food environment is associated with positive dietary change in children”, International Journal of Behavioral Nutrition and Physical Activity, 10 (1), 1, January 2013.
[15]	Martin-Biggers, J., Spaccarotella, K., Hongu, N., Alleman, G., Worobey, J. and Byrd-Bredbenner, C, “Translating it into real life: A qualitative study of the cognitions, barriers and supports for key obesogenic behaviors of parents of preschoolers”, BMC Public Health, 15 (1), 189, February 2015.
[16]	Golley, R.K., Hendrie, G., Slater, A. and Corsini, N, “Interventions that involve parents to improve children’s weight-related nutrition intake and activity patterns - what nutrition and activity targets and behaviour change techniques are associated with intervention effectiveness?”, Obesity Reviews, 12 (2), 114-130, February 2011.
[17]	Wyse, R., Wolfenden, L. and Bisquera, A, “Characteristics of the home food environment that mediate immediate and sustained increases in child fruit and vegetable consumption: Mediation analysis from the Healthy Habits cluster randomized controlled trial”, International Journal of Behavioral Nutrition Physical Activity, 12 (1), September 2015.
[18]	Rosenkranz, R.R. and Dzewaltowski, D.A, “Model of the home food environment pertaining to childhood obesity”, Nutrition Reviews, 66 (3), 123-40, March 2008.
[19]	Woolford, S.J., Khan, S., Barr, K.L.C., Clark, S.J., Strecher, V.J. and Resnicow, K, “A picture may be worth a thousand texts: Obese adolescents’ perspectives on a modified photovoice activity to aid weight loss”, Childhood Obesity, 8 (3), 230-6, June 2012.
[20]	Corbin, J. and Strauss, A, Basics of Qualitative Research, Theoretical Sampling. Sage Publications, Los Angeles, 2008, 151-194.
[21]	de Vet, H.C., Terwee, C.B., Knol, D.L. and Bouter, L.M, "When to use agreement versus reliability measures", Journal of Clinical Epidemiology, 59 (10), 1033-1039, October 2006.
[22]	Robinson, E., Higgs, S., Daley, A. J., Jolly, K., Lycett, D., Lewis, A. and Aveyard, P, “Development and feasibility testing of a smart phone based attentive eating intervention”, BMC Public Health, 13 (1), 639, July 2013.
[23]	Findholt, N.E., Michael, Y.L. and Davis, M.M, “Photovoice engages rural youth in childhood obesity prevention”, Public Health Nursing, 28 (2), 186-192, March 2012.
[24]	Thomas, H.C., Irwin, J.D, “Using photovoice with at-risk youth: In a community-based cooking program,” Canadian Journal of Dietetic Practice and Research, 74(1), 14-20, February 2013.
[25]	Sharifi, M., Dryden, E.M., Horan, C.M., Price, S., Marshall, R., Hacker, K., Finkelstein, J.A. and Taveras, E.M, “Leveraging text messaging and mobile technology to support pediatric obesity-related behavior change: A qualitative study using parent focus groups and interviews”, Journal of Medical Internet Research, 15(12), 272, December 2013.
[26]	Arsenault, L.N., Xu, K., Taveras, E.M. and Hacker, K.A, “Parents' obesity-related behavior and confidence to support behavioral change in their obese child: Data from the STAR study”, Academic Pediatrics, 14 (5), 456-462, October 2014.
[27]	Birch, L.L. and Fisher, J.O, “Mothers' child-feeding practices influence daughters' eating and weight”, The American Journal of Clinical Nutrition, 71 (5), 1054-1061, May 2000.
[28]	O'donnell, S., Greene, G.W. and Blissmer, B, “The effect of goal setting on fruit and vegetable consumption and physical activity level in a web-based intervention”, Journal of Nutrition Education and Behavior, 46 (6), 570-575, December 2014.
[29]	Gilliland, J., Sadler, R., Clark, A., O’Connor, C., Milczarek, M. and Doherty, S, “Using a smartphone application to promote healthy dietary behaviours and local food consumption”, BioMed Research International, 2015, August 2015.
[30]	Carlson, E.D, “Photovoice as a social process of critical consciousness”, Qualitative Health Research, 16 (6), 836-852, July 2006.
[31]	Østbye, T., Mann, C.M., Vaughn, A.E., Brouwer, R.J.N., Neelon, S.E.B., Hales, D., Bangdiwala, S.I., Ward, D.S, “The keys to healthy family child care homes intervention: Study design and rationale,” Contemporary Clinical Trials, 40: 81-89, January 2015.
[32]	Glanz, K. and Rimer, B.K, Cognitive-Behavioral Models: Leading the way in individual and interpersonal theories. In: Theory at a Glance: A Guide for Health Promotion Practice. U.S Department of Health and Human Services, Washington D.C., 1997, 16-30.
[33]	Riley, R.G. and Manias, E, “The uses of photography in clinical nursing practice and research: A literature review”, Journal of Advanced Nursing, 48 (4), 397-405, November 2004.