Capturing Food Choice with a Bilingual Interactive Multimedia Dietary Assessment Tool
Jennifer Anderson, PhD, RD, Jamie Zoellner, MS, RD; Susan Martin Gould, PhD, RD; Department of Food Science & Human Nutrition, Colorado State University

Findings Summary
Utilizing advancements in computer technology, a bilingual interactive multimedia (IMM) dietary assessment tool that mimics a 24-hour diet recall has been developed. Food choices were determined by examining 191 individual 24-hour recalls from the Colorado Expanded Food and Nutrition Education Program and from the 1982-1984 Hispanics National Health and Nutrition Examination Survey. Several phases of testing were used during development to determine the introduction format, food groupings, graphics, audio, and program flow. In the final format, the IMM recall represents a multiple-pass method in which users first choose foods from 172 quality photographs, followed by food variety, cooking techniques, and portion sizes. Lastly, users may add and/or delete foods on a review screen. A corresponding database generates a nutrient profile comprised of 20 nutrients and dietary constituents. Data have been collected from comparative validation testing, whereby a 24-hour recall interview administered face-to-face was the criterion assessment method. The outcomes have shown strong agreements between the two assessment methods. The only significant difference found among the dietary constituents was for Vitamin C. The IMM dietary recall is well-liked by users, and the reported data may be as accurate as current dietary assessment methods while the need for literacy skills is minimized.

Learning Objective 1
know how foods for an interactive multimedia dietary recall were selected

Learning Objective 2
understand how the statistical analysis show similarities for two methods of collecting dietary recall data

Learning Objective 3
understand the importance of this study in the context of low-income, low-literate, and Spanish speaking audiences

Dissemination Plan
• Reports to funding agencies
• Presentations at National Conferences
• Web site for Alternative Strategies of Nutrition Education - http://www.cahs.colostate.edu/fshn/nep/
• Publication in e-health peer reviewed journal(s).
• Application within food assistance programs required to obtain 24 hour dietary recalls and subsequent nutrition education to the clients.