"It was an unexpected bond": How an emerging participant-driven online social network may be enhancing an eLearning nutrition education & supplemental produce intervention

E-health Dietary Interventions for Participants of SNAP and WIC: A Systematic Review

The migration of federal assistance services to online platforms during the COVID-19 pandemic sparked interest in digital nutrition education for individuals participating in the Supplemental Nutrition Assistance Program (SNAP) and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) programs. With federal government investing in the modernization of the nutrition education components of both programs, there is a need to identify science-backed electronic health (e-health) dietary interventions to improve health outcomes in this population. Therefore, the objective of this systematic literature review was to summarize the effectiveness, acceptability, and feasibility of e-health dietary interventions among individuals participating in WIC or SNAP. Keyword searches were performed in Google Scholar, PubMed, and Science Direct. The search included peer-reviewed literature from 2014 to 2023 and a few articles offering context about interventions used long-term by the nutrition assistance programs. PRISMA guidelines were followed to conduct this systematic literature review, which resulted in 36 articles eligible for extraction. The studies evaluated e-health (52.8%), short message service/text messaging (27.8%), and smartphone application interventions (19.4%) delivered to WIC or SNAP participants. The interventions identified aimed to modify food choice, eating behavior, and dietary intake among SNAP participants, SNAP-eligible adults, and WIC participants. Most interventions were developed using content delivery and health behavior theoretical frameworks (77.8%) and evidence-based nutritional recommendations (59.3%). Review findings show a high level of acceptability and feasibility for e-health and mobile health dietary interventions among WIC and SNAP participants but varying levels of effectiveness. Level of engagement, dosage, retention, and adherence were strong predictors of positive dietary behavior change regardless of the mode of intervention delivery. Future studies need to prioritize health equity by recruiting samples representative of food nutrition assistance participants and addressing digital health literacy as a potential barrier to intervention effectiveness, as none of the present studies measured literacy among participants.

Emergency e-learning acceptance in second-cycle institutions in Ghana: a conditional mediation analysis

This paper investigates the determinants that will influence students' acceptance of the electronic learning (e-learning) system of education after the COVID-19 emergency. Specifically, the paper assesses the attitudes and intentions of students in second-cycle institutions to accept e-learning after the pandemic, using constructs derived from the health belief model and technology acceptance model. Also, we test if there is any significant difference in the attitudes and intentions of students in public and private institutions. Using data collected from 370 students in upper and lower levels of a second-cycle institutions in Ghana, we found that student attitude is significantly influenced by perceived usefulness and moderately affected by perceived severity, whereas, student's intention is moderately affected by the perceived severity but substantially influenced by the student's attitude towards usage. Also, the results revealed that students' attitudes and intentions to use e-learning are moderately affected by the severity of the ongoing COVID-19 pandemic. Finally, there were no significant differences in the attitudes and intentions of the sampled students in public and private second-cycle institutions in Ghana, regarding their acceptance and usage of e-learning after the COVID-19 emergency. Given the study's findings, the paper concludes that students' attitudes and intention to use e-learning are the main determinants that will influence the students' acceptance of the e-learning system of education in second-cycle institutions in Ghana after the COVID-19 emergency. The paper contributes to knowledge by providing evidence of students' acceptance of the e-learning system of education after the COVID-19 emergency in the context of a developing country like Ghana.