JMIR Publications

ABSTRACT

Background:

The global shift towards plant-based diets has been increasing, with more people making the transition for various reasons. In vulnerable subgroups such as patients or older adults, the transition to plant-based diets deserves attention due to the potentially detrimental consequences of lower protein quantity and quality. Guidance in meal formulation to assure optimal protein quantity and quality is needed. This guidance is a complex and time-consuming task for consumers but a viable task for artificial intelligence.

Objective:

We aimed to develop a digital tool that uses artificial intelligence to ensure sufficient protein quality in plant-based meals for older adults, utilizing a co-creation design approach that involved interdisciplinary collaboration.

Methods:

Together with Dutch and Danish dietitians and older adults as potential end-users, three focus groups were held to identify their preferences and dealbreakers. Focus group sessions were based on a User-Task-Environment analysis, the Walt-Disney method, the Brainwriting method, and a Cognitive Walkthrough. The front-end and back-end development of the tool took place in parallel and well-synced to the focus group sessions.

Results:

Both dietitians and older adults from Dutch and Danish sites expressed high interest in a tool that provides feedback and background information on protein quality, sustainability, and (micro)nutrients. The User-Task-Environment analysis delivered useful details on the user, the task of the tool, and the environment in which the tool will be used. The Walt-Disney method delivered usable and realistic solutions to the four challenges presented. Thirty-two percent of the solutions on all themes presented with the Brainwriting method appeared to be highly feasible and relevant, and these suggestions were integrated into the tool. The Cognitive Walkthrough identified certain screens as unclear, necessitating revisions for improved understandability.

Conclusions:

The results of the focus groups revealed the need for a tool in the guidance of meal planning to ensure sufficient protein quality. A first co-created prototype of the tool is ready, which will be further developed and optimized according to the needs of end users. This user-driven tool, designed to guide meal composition for sufficient protein quality, holds promise for enhancing older adults' dietary choices and health outcomes as they transition to plant-based diets.