Table I.
Growing Up Strong Prototype I and Prototype II program components
| Component | Prototype I | Prototype II |
|---|---|---|
| Education and feedback | - Initial setup provides education about serving sizes of FV | Same as Prototype I |
| - Assessment of FV intake | ||
| - Normative feedback compares current intake to national recommendations and peers | ||
| - Information on health benefits and importance of eating FV | ||
| Goal setting | - Education on goal setting | - Goal setting time parameters expanded to offer wider range of options |
| - Set two daily goals for adding: | ||
| • One serving of fruit to breakfast, lunch, afternoon snack or dinner | - Ability to select different goal times for weekdays and weekends | |
| • One serving of vegetable to breakfast, lunch, afternoon snack or dinner | ||
| - Input time parameters for meal/snack that was chosen (e.g. fruit to breakfast at 8:00 a.m.) | ||
| - Daily goals maintained for 1 week; option to select different goals at the end of 1 week | ||
| Morning general remindera | Not included in Prototype I | - Rings at pre-selected morning time to remind girls of their daily goals, including plan (i.e. tip or recipe) for meeting each goal |
| - Opportunity to select tip in ‘real time’ if one was not selected the night before | ||
| Daily goal remindersa | - Rings at pre-selected goal times to remind girls of chosen goals | Same as Prototype I |
| • ‘Your fruit goal for today is to add a serving of fruit to your breakfast’. | ||
| - Generic tips for meeting the goal included | ||
| • ‘For meeting your goal try to: slice an apple or banana a top it with peanut butter, make dried fruit your snack today … ’ | ||
| Assessment of goal completiona | - Rings 45 min after goal reminder and asks user to assess (yes/no) if they met their goals | Same as Prototype I |
| FV diary | Not included in Prototype I | - Prompts girls to enter all fruits and/or vegetables consumed during assessment of goal completion reminder prompts |
| - Keeps a running total of FV entered and provides feedback on consumption during nightly feedback and goal planning | ||
| Encouragement and problem solving | - Positive indication of goal achievement receives a screen with an encouraging messages | Same as Prototype I |
| • ‘Way to go! Keep up the good work’. | ||
| - Negative indication of goal achievement receives a series of barriers screens | ||
| • Participants select what got it their way from a predetermined list of barriers | ||
| • Each barrier linked to a series of screens that offer specific strategies and tips for that barrier | ||
| Nightly feedback and goal planninga | Not included in Prototype I | - Provides: |
| • Last chance for girls to enter any missed goals and/or missed FV in the food diary | ||
| • Feedback on progress toward goals, e.g. ‘Today you met your fruit goal but not your vegetable goal’. | ||
| • Feedback on daily FV consumption, e.g. ‘You reported eating FV 3 times today. Remember to eat 5 or more servings of FV a day for better health’. | ||
| • Goal planning exercise where girls they selected a tip or recipe for meeting their goals the next day | ||
| - Recipes integrated into the program | ||
| - Tips more kid-friendly and interactive | ||
| - Tips and recipes tailored to each goal, i.e. F or V, and each meal, i.e. breakfast, lunch, afternoon snack and dinner | ||
| Reward system | Not included in Prototype I | - Encourages continued use of the program by enabling girls to earn one song per day: |
| • Girls pre-selected songs | ||
| • Songs encrypted and loaded onto device | ||
| • Program prompted girls to ‘unlock’ one song of their choosing when they responded to 3 out of the 4 daily goal reminder and assessment of goal completion prompts | ||
| Health education | Not included in Prototype I | - Food diary, tips, recipes, barriers and background education/information continually available to girls at the click of a button. |
aRings up to three times over a 6-min period; times out if girl does not respond after the third try.