Improving student diet and food security in higher education using participatory and co-creation approaches: a systematic review.

Publisher: BioMed Central Country of Publication: England NLM ID: 101217089 Publication Model: Electronic Cited Medium: Internet ISSN: 1479-5868 (Electronic) Linking ISSN: 14795868 NLM ISO Abbreviation: Int J Behav Nutr Phys Act Subsets: MEDLINE

Original Publication: [London] : BioMed Central, c2004-

Food Security* ; Students* ; Diet*/methods; Humans ; Universities ; Health Promotion/methods

Background: Higher education students are an important target group for public health nutrition interventions. When designing tailored and contextually relevant interventions, participatory and co-creation approaches are increasingly recognized as promising but their use and effectiveness has not been assessed in this type of population. We systematically reviewed interventions aiming to improve dietary quality and/or food security in higher education settings with the aims 1) to identify and describe their participatory and co-creation approaches and 2) to compare the effectiveness of interventions using or not using participatory and co-creation approaches.
Methods: Our search in PubMed, Google Scholar, Web of Science, EMBASE was performed in January 2023 and yielded 3658 unique records, out of which 42 articles (66 interventions) were included. Effectiveness of interventions was assessed at the individual level (longitudinal evaluations) or at the group level (repeated cross-sectional evaluations). A five-level classification was used to describe a continuum of engagement from students and other partners in the intervention design and implementation: no participation (level one), consultation, co-production, co-design and co-creation (levels two to five). To synthetize effectiveness, comparisons were made between studies without participation (level one) or with participation (levels two-five).
Results: Ten (24%) out of 42 studies used a participatory and co-creation approach (levels two-five). Studies using a participatory and co-creation approach reported a positive finding on individual-level outcome (i.e. overall diet quality or food group intake or food security) in 5/13 (38%) intervention arms (vs 13/31 or 42% for those without participation). Studies using a participatory and co-creation approach reported a positive finding on group-level outcomes (i.e. food choices in campus food outlets) in 4/7 (57%) (vs 8/23 or 35% in those without participation).
Conclusions: Participatory and co-creation approaches may improve the effectiveness of nutrition interventions in higher education settings but the level of evidence remains very limited. More research is warranted to identify best co-creation practices when designing, implementing and evaluating nutritional interventions in the higher education setting.
Trial Registration: PROSPERO registration number CRD42023393004.
(© 2024. The Author(s).)

J Am Coll Health. 2014;62(4):234-42. (PMID: 24499161)
Nutr Rev. 2009 Feb;67(2):83-94. (PMID: 19178649)
Appetite. 2017 Feb 1;109:100-107. (PMID: 27864073)
J Am Coll Health. 2022 Nov-Dec;70(8):2511-2518. (PMID: 33577424)
Adv Nutr. 2019 Sep 1;10(5):848-863. (PMID: 31181143)
Adv Nutr. 2020 Mar 1;11(2):327-348. (PMID: 31644787)
Am J Public Health. 2019 Jan;109(S1):S86-S93. (PMID: 30699029)
BMC Public Health. 2018 Oct 1;18(1):1149. (PMID: 30285680)
J Acad Nutr Diet. 2015 Oct;115(10):1647-81.e1. (PMID: 26271691)
Nutrients. 2019 Apr 23;11(4):. (PMID: 31018565)
JMIR Mhealth Uhealth. 2020 Aug 5;8(8):e15156. (PMID: 32755883)
Health Promot Int. 2022 Jun 23;37(Supplement_2):ii7-ii20. (PMID: 35748283)
Nurs Forum. 2022 Sep;57(5):898-904. (PMID: 35616363)
Nutrients. 2021 May 14;13(5):. (PMID: 34069308)
Appetite. 2016 Oct 1;105:14-26. (PMID: 27181201)
Trials. 2015 Dec 07;16:555. (PMID: 26643917)
Int J Environ Res Public Health. 2021 Nov 18;18(22):. (PMID: 34831861)
Int J Behav Nutr Phys Act. 2018 Sep 10;15(1):86. (PMID: 30200990)
Lancet. 2019 May 11;393(10184):1958-1972. (PMID: 30954305)
Nutrients. 2020 Jul 31;12(8):. (PMID: 32752041)
Annu Rev Public Health. 2008;29:325-50. (PMID: 18173388)
Public Health Nutr. 2020 Apr;23(5):924-934. (PMID: 31937380)
Health Educ Behav. 2018 Oct;45(5):661-667. (PMID: 30122086)
J Am Coll Health. 2023 Apr;71(3):952-958. (PMID: 33798023)
BMC Public Health. 2014 Jun 05;14:563. (PMID: 24903620)
Appetite. 2013 Jun;65:111-6. (PMID: 23402710)
Nutrients. 2019 Jul 17;11(7):. (PMID: 31319573)
J Nutr Educ Behav. 2014 Nov-Dec;46(6):S27-41. (PMID: 25457733)
J Cancer Educ. 2016 Jun;31(2):366-74. (PMID: 25994357)
Int J Environ Res Public Health. 2023 May 19;20(10):. (PMID: 37239614)
Eur J Clin Nutr. 2021 Feb;75(2):335-344. (PMID: 32366994)
Soc Sci Med. 1995 Dec;41(12):1667-76. (PMID: 8746866)
Nutrients. 2021 Oct 14;13(10):. (PMID: 34684593)
Appetite. 2022 Jun 1;173:105979. (PMID: 35245642)
BMJ. 2014 Mar 07;348:g1687. (PMID: 24609605)
PLoS One. 2016 Nov 3;11(11):e0165298. (PMID: 27812123)
Front Nutr. 2022 Apr 08;9:840818. (PMID: 35571951)
Psychol Sci. 2019 Nov;30(11):1603-1615. (PMID: 31577177)
Obesity (Silver Spring). 2017 Aug;25(8):1428-1434. (PMID: 28646548)
Prev Chronic Dis. 2016 Feb 04;13:E18. (PMID: 26851337)
Public Health Res Pract. 2022 Jun 15;32(2):. (PMID: 35702744)
J Nutr Educ Behav. 2019 Feb;51(2):205-216. (PMID: 30291016)
Appetite. 2014 Nov;82:103-10. (PMID: 25049137)
J Nutr Metab. 2013;2013:658642. (PMID: 24069535)
Educ Action Res. 2017;25(4):489-505. (PMID: 30135617)
JMIR Res Protoc. 2016 Feb 29;5(1):e29. (PMID: 26929118)
Eat Behav. 2016 Dec;23:104-109. (PMID: 27619174)
J Public Health Policy. 2015 Feb;36(1):110-22. (PMID: 25209536)
Int J Environ Res Public Health. 2021 Sep 14;18(18):. (PMID: 34574607)
J Nutr Educ Behav. 2019 Jul - Aug;51(7):865-875. (PMID: 30981657)
J Health Psychol. 2017 Jun;22(7):853-863. (PMID: 26672109)
BMC Public Health. 2023 May 25;23(1):953. (PMID: 37231441)
Annu Rev Public Health. 2006;27:323-40. (PMID: 16533120)
Worldviews Evid Based Nurs. 2004;1(3):176-84. (PMID: 17163895)
Int J Adolesc Med Health. 2020 Aug 26;34(4):243-248. (PMID: 32845862)
Public Health Nutr. 2015 Oct;18(15):2742-9. (PMID: 25434293)
JMIR Mhealth Uhealth. 2017 May 17;5(5):e67. (PMID: 28526664)
Obes Rev. 2022 Sep;23(9):e13482. (PMID: 35670030)
Nutrients. 2019 Aug 02;11(8):. (PMID: 31382395)
J Med Internet Res. 2017 Mar 06;19(3):e63. (PMID: 28264793)
Obes Rev. 2013 Oct;14 Suppl 1:1-12. (PMID: 24074206)
J Med Ethics. 2018 Dec;44(12):801-804. (PMID: 30337451)
Transl Behav Med. 2021 Mar 16;11(2):359-368. (PMID: 32359068)
J Am Coll Health. 2021 Oct;69(7):697-703. (PMID: 32027234)
Perspect Psychiatr Care. 2022 Oct;58(4):2003-2016. (PMID: 34997635)
Nutrients. 2022 Oct 08;14(19):. (PMID: 36235848)
J Am Coll Health. 2014;62(5):320-7. (PMID: 24654921)
BMJ. 2013 Sep 10;347:f3755. (PMID: 24021722)
Curr Dev Nutr. 2022 Dec 17;7(5):100001. (PMID: 37273841)
Int J Environ Res Public Health. 2020 Jul 16;17(14):. (PMID: 32708831)
Lancet. 2017 Dec 9;390(10112):2602-2604. (PMID: 28622953)
J Am Coll Health. 2021 Apr;69(3):252-259. (PMID: 31566483)
J Environ Manage. 2015 Jul 1;157:311-9. (PMID: 25929196)
Am J Public Health. 2016 Oct;106(10):1808-14. (PMID: 27552277)
Appetite. 2020 Jan 1;144:104479. (PMID: 31585133)
Glob Health Res Policy. 2023 Mar 13;8(1):5. (PMID: 36915174)
J Am Coll Health. 2023 Feb-Mar;71(2):422-439. (PMID: 34292133)
Nutrients. 2020 Mar 24;12(3):. (PMID: 32213973)
Perspect Public Health. 2017 Mar;137(2):122-135. (PMID: 26980694)

Keywords: Co-creation; Intervention; Participatory approach; Students in higher education; Systematic review; Young adults

Date Created: 20240708 Date Completed: 20240709 Latest Revision: 20240711

20240711

PMC11232249

10.1186/s12966-024-01613-7

38978008