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Updated: Jan 16, 2026

Concept Development and Use of an Automated Food Intake and Eating Behavior Assessment Method
Published on: February 19, 2021
Integrating ASA24 Into a Data-Driven Nutrition Education Intervention in Community Health Center Clinics
Madalyn Rosenthal1, Dagny Larson2, Mariana Rendon Flores2
1Nutritional Sciences, University of Texas, Austin, TX; Population Health, Dell Medical School, Austin, TX.
Objective:
To assess Automated Self-Administered 24-Hour (ASA24) completion rates and study staff assistance provided in our data-driven nutrition education intervention in community health center clinics.
Methods:
Compare sociodemographic characteristics of participants who were and were not able to complete ASA24 independently with t tests and chi-square tests (goodness of fit). Describe participant recall attempts and staff assistance provided.
Results:
Of 66 consented participants, 58 (88%) completed ASA24, with 61% completing independently. Fewer older adults completed ASA24 independently (mean ± SD, 45.7 ± 11.5 vs 52.3 ± 8.8 years, nonsignificant). We identified 5 types of staff assistance with varying amounts of staff time required.
Conclusions And Implications:
We found no statistically significant differences in sociodemographic factors between participants who were and were not able to complete ASA24 independently. We attribute our participants' success to a training video, single sign-on, and on-demand staff assistance. Findings indicate potential for using ASA24 with technological supports and targeted assistance to collect diet data in clinics.
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