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Application and Adaptation of a Tool for Measuring Skin Carotenoids in Community-Based Settings: A Mixed Methods
Carmen Byker Shanks1, Betty Izumi2, Jenna Eastman1
1Center for Nutrition and Health Impact, Omaha, Nebraska; GusNIP Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Center, Omaha, Nebraska.
Journal of the Academy of Nutrition and Dietetics
|December 20, 2025
Summary
The Veggie Meter, a tool measuring skin carotenoids, requires adaptation for community settings to effectively assess fruit and vegetable intake (FVI) in public health nutrition interventions.
Area of Science:
- Public Health Nutrition
- Dietary Assessment Methods
- Biochemical Markers
Background:
- Evaluating nutrition interventions to increase fruit and vegetable intake (FVI) is crucial.
- Self-reported dietary data has limitations; skin carotenoid measurements offer an alternative FVI assessment.
- The Veggie Meter is a tool for measuring skin carotenoids.
Purpose of the Study:
- To understand the application and adaptation of the Veggie Meter in community-based settings.
- To explore how this tool measures FVI within diverse public health contexts.
Main Methods:
- Mixed-methods convergent parallel design.
- Quantitative data collected via online surveys (n=14).
- Qualitative semi-structured interviews with experienced Veggie Meter users (n=10).
Main Results:
- Three themes emerged: balancing protocol adherence with adaptation, implementation and operation in community settings, and strategies for participant engagement.
- Adaptation of standard protocols was necessary for varied community environments and participant needs.
- The Veggie Meter can be effectively utilized in community-based research with appropriate modifications.
Conclusions:
- Adapting the Veggie Meter's standard protocols is essential for successful data collection in diverse community settings.
- This adaptation ensures the tool meets the specific needs of environments, communities, and participants in public health nutrition intervention evaluations.
- The Veggie Meter shows promise as a feasible measure of FVI in community-based research when protocols are contextually adjusted.
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