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Feasibility of ASA24 Diet Data Collection in a Maternal-Fetal Medicine Clinic.

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Title: Feasibility of ASA24 Diet Data Collection in a Maternal-Fetal Medicine Clinic.
Authors: Shamim, Unum, Rosenthal, Madalyn, Harper, Lorie, Burgermaster, Marissa
Source: Journal of Nutrition Education & Behavior. 2025 Supplement, Vol. 57 Issue 8, pS75-S76. 2p.
Subjects: Nutritional assessment, Maternal-child health services, Conferences & conventions, Content mining, Clinics, Diet
Geographic Terms: Indiana
Abstract: Nutrition is crucial to maternal-infant health; however, it is seldom incorporated in prenatal visits. Technology that collects diet data, like the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24), could be used to assess maternal diet and personalize nutrition education interventions. While ASA24 is widely used in research, limited work considers ASA24 feasibility in clinic. To assess feasibility of administering ASA24 in a Maternal-Fetal Medicine clinic. We recruited English- or Spanish-speaking pregnant persons 18-32 weeks of gestation with no fetal abnormalities during their ultrasound appointment in Austin, Texas. While clinic staff reviewed their sonogram (∼10 minutes), bilingual research staff approached patients about the study. Interested patients completed informed consent, demographics, and began a research staff guided ASA24, pausing when clinicians were ready to continue the appointment. After the appointment, patients completed ASA24 with research staff at clinic or at home. We calculated consent rate (overall, per clinic half day, alone vs. with partner), ASA24 completion (in clinic, at home), and recall language using field notes. Time to complete the recall was extracted from the ASA24 website. We identified recalls with implausible caloric intake using standard methods. Of the 206 approached patients, 152(74%) consented (age = 29.8±6.5 years, 71% white, 64% Hispanic/Latina). This translated to an average of 2.84±1.17 patients consented per research assistant per clinic half day. Participants who were alone had a higher consent rate than those with a partner present (86% vs. 75%). Of 152 consented patients, 128(84%) completed ASA24 at the clinic; 21(14%) completed at home; 1(0.1%) completed, but there was a technical error saving to ASA24; and 2(1%) did not complete. Of 149 recorded recalls, 64% were completed in English and 36% in Spanish. Average time to complete was 18.1±8.2 minutes (17.1±7.2 at clinic, 24.8±10.7 at home). Eight recalls (5%) had implausible caloric intake. ASA24 data collection was feasibly integrated into the clinic workflow. Future work should investigate how ASA24 can support personalized nutrition education in clinics and/or population health monitoring. National Cattlemen's Beef Association, a contractor to the Beef Checkoff [ABSTRACT FROM AUTHOR]
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Database: Teacher Reference Center
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Abstract:Nutrition is crucial to maternal-infant health; however, it is seldom incorporated in prenatal visits. Technology that collects diet data, like the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24), could be used to assess maternal diet and personalize nutrition education interventions. While ASA24 is widely used in research, limited work considers ASA24 feasibility in clinic. To assess feasibility of administering ASA24 in a Maternal-Fetal Medicine clinic. We recruited English- or Spanish-speaking pregnant persons 18-32 weeks of gestation with no fetal abnormalities during their ultrasound appointment in Austin, Texas. While clinic staff reviewed their sonogram (∼10 minutes), bilingual research staff approached patients about the study. Interested patients completed informed consent, demographics, and began a research staff guided ASA24, pausing when clinicians were ready to continue the appointment. After the appointment, patients completed ASA24 with research staff at clinic or at home. We calculated consent rate (overall, per clinic half day, alone vs. with partner), ASA24 completion (in clinic, at home), and recall language using field notes. Time to complete the recall was extracted from the ASA24 website. We identified recalls with implausible caloric intake using standard methods. Of the 206 approached patients, 152(74%) consented (age = 29.8±6.5 years, 71% white, 64% Hispanic/Latina). This translated to an average of 2.84±1.17 patients consented per research assistant per clinic half day. Participants who were alone had a higher consent rate than those with a partner present (86% vs. 75%). Of 152 consented patients, 128(84%) completed ASA24 at the clinic; 21(14%) completed at home; 1(0.1%) completed, but there was a technical error saving to ASA24; and 2(1%) did not complete. Of 149 recorded recalls, 64% were completed in English and 36% in Spanish. Average time to complete was 18.1±8.2 minutes (17.1±7.2 at clinic, 24.8±10.7 at home). Eight recalls (5%) had implausible caloric intake. ASA24 data collection was feasibly integrated into the clinic workflow. Future work should investigate how ASA24 can support personalized nutrition education in clinics and/or population health monitoring. National Cattlemen's Beef Association, a contractor to the Beef Checkoff [ABSTRACT FROM AUTHOR]
ISSN:14994046
DOI:10.1016/j.jneb.2025.05.160