Sustainability 14 15207
Sustainability 14 15207
Article
Web-Based Experiential Nutrition Education Intervention
“The Green Hub” to Promote Sustainable and Healthy Diets
among Young Adults in Australia
Nadine Ghammachi * , Seema Mihrshahi and Rimante Ronto
Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University,
Sydney, NSW 2109, Australia
* Correspondence: [email protected]
Abstract: Background: Sustainable and healthy dietary patterns can help achieve both optimal health
and reduce environmental impacts. They involve the increased intake of plant-based foods which
are local and seasonal, and reduced intake of animal-derived foods and food wastage. There is
emerging evidence regarding the use and effectiveness of web-based health promotion programs to
improve diet related behaviours especially in young adults. This study investigated the effectiveness
of the “Green Hub” pilot study, a four-week web-based experiential nutrition education intervention
to promote sustainable and healthy diets among young adults in Australia. Methods: This study
used a pre-/post-study design with process evaluation. The four-week intervention integrated
modules on different aspects of a sustainable and healthy diets and was delivered through a private
Facebook group. Eligible participants were young adults between the age of 18–25 years old residing
in Australia. Results: Out of 19 participants who consented, 17 participants completed the program.
Two thirds of participants (67%) stated that they were familiar with the sustainable and healthy diet
Citation: Ghammachi, N.; concept but only 33% were able to define this concept comprehensively. The post-intervention survey
Mihrshahi, S.; Ronto, R. Web-Based resulted in improved knowledge, attitudes, and motivation to adopt more sustainable eating patterns.
Experiential Nutrition Education Conclusion: The “Green Hub” experiential nutrition education program showed positive impact on
Intervention “The Green Hub” to participants’ willingness to adopt sustainable and healthy diets. The findings of this pilot study will
Promote Sustainable and Healthy inform future larger scale studies and policy development on improving sustainable and healthy
Diets among Young Adults in diets among young adults.
Australia. Sustainability 2022, 14,
15207. https://doi.org/10.3390/ Keywords: sustainable and healthy diet; young adults; web-based interventions
su142215207
negative impact on both health and the environment [7,10–12]. Negative health outcomes
include the rise in overweight and obesity, and development of non-communicable diseases
worldwide [11]. Therefore, the topic of sustainable and healthy diets is an emerging area
in public health nutrition research aiming to optimize health and reduce environmental
impact of food systems.
In 2019, the EAT-Lancet Commission on Healthy Diets from Sustainable Food Systems
shed light on the importance of achieving a “planetary health diet” from sustainable
food systems [2]. The recommendations for sustainable and healthy diets depend largely
on inclusion of plant-based foods, with optional fish and dairy and minimal red meat
intake [10]. Furthermore, recommendations include purchasing local and seasonal produce,
reducing food waste, and focusing on sustainably grown produce using environmentally
friendly production practices [3,10,13,14].
In the Australian food system context, there is growing evidence regarding the en-
vironmental impact of the Australian food system on GHG emissions, water use, and
biodiversity [15]. For instance, agricultural production in Australia accounts for 16% of
Australia’s total GHG emissions with livestock as the major contributor (about 80%) [15,16].
Despite differences in environmental impact within each group, evidence indicates that
production and consumption of plant-based foods in Australia (vegetables, fruits, and
grains) have a lower environmental impact compared to animal-sourced and processed
foods [15]. Therefore, recent research has investigated the possibility of implementing
sustainable and healthy diets in Australia [3,16,17]. Findings show that Australians would
like to lead more environmentally friendly lifestyle and mostly support the idea of sus-
tainable diets [3]. However, knowledge and engagement with sustainable eating patterns
remains limited [3,17]. It is especially important to start promoting sustainable and healthy
diets among young Australians who are known to consume overall poor-quality diets.
According to the Australian Institute of Health (AIH) report, young adults are not meeting
the recommended servings of fruits, vegetables, and whole grains [18]. The Australian
Bureau of Statistics (ABS) 2017–18 National Health Survey (NHS) showed that over half
of people between 18–24 years old do not meet the recommended fruit intake, and almost
95% do not meet the recommended vegetable intake [19,20]. In general, young adults are
more prone to adopt poor dietary habits compared to other age groups [19,20]. Poor dietary
habits can be due to changing life circumstances while transitioning from adolescence into
adulthood [20]. The transition to adulthood is often stressful, characterised by changes in
relationships and living situations, and influenced by socioeconomic status [19–22]. This
suggests that there is a need for nutrition education programs to help young adults in
understanding and adhering to sustainable and healthy diet. One way to reach young
adults is through online platforms, particularly social media [23–25]. Statistics indicate that
young adults are among the most frequent users of mobile phones and the internet [25]. In
addition, literature reviews show that young adults appear to be open to receive nutrition
related information and cooking content on social media platforms [21,26].
This pilot study aimed to develop and evaluate the effectiveness of a four-week
web-based experiential nutrition education program, “The Green Hub”, in promoting
sustainable and healthy diets in young adults in Australia.
form was created. Participants were recruited through advertisements on social media plat-
forms (Facebook, Instagram, Twitter), and student noticeboards at Macquarie University.
Interested participants were contacted by the principal researcher who emailed consent
forms and provided further instructions on enrolment in the program. “The Green Hub”
program was delivered over a four-week period through a private Facebook group. This
project was granted ethical approval from the Medicine and Health Sciences Subcommittee
at Macquarie University [reference number: 520211037130416].
2.3. Intervention
The pilot study contained four modules related to sustainable and healthy diets
concepts (Table 2). The Behaviour Change Wheel (BCW) and the Theoretical Domains
Framework (TDF) helped shape the program strategies. The BCW and TDF are commonly
used in public health promotion and nutrition interventions as these models provide the
ability to assess factors influencing behaviour change [27,28].
2.4. Measurements
2.4.1. Process Evaluation
Process evaluation was performed to monitor and document the program’s imple-
mentation to gain a better understanding of the relationship between program activities
and outcomes. Data on program engagement with the resources (e.g., infographics, videos)
were collected based on Facebook insights (likes, comments, and number of views) and
answers to quizzes.
Quantitative analysis within the program’s Facebook group was conducted through
available insights data to measure participation rate. For instance, number of views on posts,
number of cooking videos views, number of likes, comments, and replies on educational
posts and stories were collected as usage data and total interactions.
3. Results
3.1. Participants
In total, 65 individuals expressed interest in joining the program. Out of 65, only
19 participants returned the signed consent form and enrolled in the Facebook private
group by the due date. Out of 19 participants, 17 (89%) completed the whole program.
The majority of participants were females (86.7%), and almost all participants were
students (86.7%) and employed either in a full-time or part-time/casual job. About half
the participants (53.3%) were born in Australia while others were from different countries
around the world. Demographic characteristics are summarised in Table 3.
Sustainability 2022, 14, 15207 5 of 12
Number of
Facebook Answers to
Seen by * Likes * Comments * Participants
Insights Quizzes †
Trying Recipes
Week 1 (n = 19) 18.5 2.9 1 14 4
Week 2 (n = 18) 15.3 2.8 2.2 14 6
Week 3 (n = 18) 16.5 3 1.5 7.5 7
Week 4 (n = 17) 13.7 2.5 0.8 4 7
(n) total number of participants per week. (*) average number per post. (†) average number of answers provided
on quizzes.
availability and successfully used leftovers. This may indicate that recipes were flexible
and sparked participants creativity and higher order cooking skills.
Participant Quotes
P1 “Can definitely say that the banana bread was a hit”
“Hi Nadine! Today I made the veggie tacos for lunch, and they were delicious. I’m
P2
really enjoying the weekly recipes and can’t wait to see next weeks!”
P3 “It turned out so well for me!! Delicious.”
“I am OBSESSED! I didn’t expect to love it as much as I do. I honestly don’t leap at
P4 the thought of mushrooms but could not even tell they were in the Bolognese. I will
definitely be adding this into my weekly meal plans!”
“I really enjoyed the recipe, especially as a nice alternative to what I’d normally eat
P4
for breakfast.”
following recipes when cooking, shopping with specific meals in mind, and shopping with
a shopping list. Although a large change was not observed for these three food practices, it
is important to note that participant scores were already considerably high at baseline (6.87,
6.86, and 6.53 on a scale of 8, respectively).
In regard to food affordability, 50% of participants post-intervention strongly/somewhat
believed that eating a sustainable and healthy diet can be too expensive, which is an
important barrier in adopting a sustainable and healthy diet. Similarly, availability of
sustainably produced foods and practicality of adopting a sustainable and healthy diet
seemed to be potential barriers.
Encouraging results were noted when participants were asked about the likelihood
of adopting more sustainable eating behaviours to reduce the environmental impact of
foods (refer to Table 6). Participants showed a higher likelihood of consuming more plant-
based, seasonal, and locally produced foods, as well as consumption of less red meat and
processed foods and a reduction of food waste.
Table 6. Participants’ likelihood to take actions that help reduce the environmental impact of foods
in the next 6 months.
4. Discussion
To our knowledge “The Green Hub” pilot study was the first intervention to promote
sustainable and healthy diets in young adults in Australia. Although the sample size
was considerably small (19 participants), some promising learnings from this study have
implications for future research in this area. At pre-intervention, participants had limited
knowledge regarding sustainable and healthy eating aspects. “The Green Hub” pilot study
Sustainability 2022, 14, 15207 8 of 12
has resulted in a better understanding of what constitutes a sustainable and healthy diet
among young Australians, especially the importance of reducing red meat consumption
in order to achieve a sustainable and healthy diet. Therefore, it is essential to explore the
interventions aiming to raise awareness around sustainable and healthy diets. This is a
fundamental step to help Australian consumers adopt more sustainable eating patterns [34].
Overall, process evaluation revealed modest engagement with program content based
on Facebook insights. Despite modest engagement, participants reported very positive
feedback regarding cooking challenges and mainly rated the program as enjoyable, infor-
mative, and easy to understand. The survey findings also showed an improving trend in
attitudes, self-efficacy, motivation, and willingness to adopt sustainable eating behaviours
such as increasing plant-based food intake, substituting red-meat with legumes/grains,
and purchasing seasonal and local produce. This study findings are consistent with another
similar study, “The Green Eating Project”, a 5-week web-based nutrition intervention aim-
ing to promote sustainable eating behaviours among young adults in the USA [35]. This
project resulted in improved attitudes, self-efficacy, and knowledge related to sustainable
eating patterns [35].
From pre- to post-intervention, participants showed a better awareness regarding the
environmental impact of animal-sourced protein intake and the importance of consuming
legumes and grains as alternatives. Food frequency questionnaire results also showed a de-
crease in processed meat and fast-food intake and an increase in legumes and grains intake.
Nevertheless, there was no decrease in red meat consumption at the program completion.
Although the significance of improvements in food intake is unknown due to small sample
size, this might imply that young adults have the motivation and intentions to reduce red
meat intake but need further guidance to change their actual eating behaviour. These find-
ings are consistent with results from a systematic literature review aiming to understand
consumer awareness and attitudes towards the environmental impact of meat intake [36].
Results showed that consumers were aware and willing to reduce meat consumption, but
only a minority changed their meat intake [36]. Unsurprisingly, previous research showed
that some barriers to eliminate or decrease meat intake remain, such as taste, enjoyment,
cultural beliefs, and nutrition value (high protein content) [37–39]. Therefore, meat reduc-
tion could be gradual and presented as a concept of substitutes or food swaps rather than
a meat elimination approach. A New Zealand based qualitative study found supportive
results regarding young adults’ interest in meat reduction through experimenting with
new alternative meal ideas, rather than emphasizing meat elimination [37]. Furthermore,
another study looking at consumers’ attitudes and behaviours found not only barriers,
but also multiple potential motivators to reduce red meat intake [38]. Motivators such
as environmental impact, animal welfare, and health benefits can all be emphasized in
future interventions for a stronger and more convincing argument towards reducing meat
intake [38].
Using a multidimensional approach to promoting sustainable and healthy diets is
important to achieve long-term behaviour change as it has been shown that increasing
knowledge and raising awareness alone is not sufficient to support sustainable eating
patterns [16]. More factors should be taken into consideration such as affordability, acces-
sibility, and availability of sustainably produced food options. In this study, for example,
participants seemed to be more convinced regarding benefits of sustainable and healthy
diets for their health, the planet, and the local economy at program completion. However,
survey results showed that affordability and accessibility seemed to remain a barrier to-
wards sustainable food consumption and purchasing. This is especially important knowing
that, based on research, food cost and availability highly affect consumers’ food choices
and eating patterns [17,40]. “The Green Project” study highlighted availability of locally
produced food options as a potential barrier for young adults [35]. Regarding affordability,
a recent study indicated that in Australia a sustainable and healthy diet can be more expen-
sive than a typical Australian diet, with serious inequities noted among people of different
socioeconomic status [40]. On the contrary, it can be argued that affordability could be a
Sustainability 2022, 14, 15207 9 of 12
misconception among consumers because the study by Barosh et al. [40] was limited to
a specific metropolitan area in Australia. A more recent study was conducted with the
same aim but on a national scale that is more representative of the Australian context [17].
These findings showed that a sustainable and healthy diet is even more affordable than a
typical Australian diet across all areas of the country [17]. Similar results were found in
other countries around the world such as the UK and Brazil [41,42]. This might suggest
that it is essential to provide information in future interventions on how and where to shop
for affordable sustainable and healthy food options. In addition, this is important input for
policy makers to make local produce more available and accessible.
Participants’ positive feedback regarding cooking challenges and recipe cards in this
study was encouraging. Interestingly, participants seemed to shop more often for food
to be prepared at home at program completion. This might indicate that due to cooking
challenges, participants were more motivated to cook at home. This is important to
address as the literature shows that cooking meals at home more often is associated with
better diet quality [34,43–45]. Although participants reported positive feedback regarding
cooking at home, confidence in cooking skills dropped slightly. This may be related to
perceived over-rating of their cooking skills when comparing them to the cooking videos or
selection bias due to small sample size. These findings indicate the need to develop more
resources that include live cooking shows or easy to follow step-by-step cooking videos,
similar to the “The Green Hub” study [22,46]. Other studies targeting young adults also
indicated the need to develop more interventions to improve cooking skills and provide
meal ideas [22,37]. Adequate cooking skills during young adulthood can predict higher
vegetable intake and lower processed and fast food consumption throughout adulthood,
and potentially a lower environmental impact of food choices [47].
Young adults are the most avid users of social media platforms including Facebook and
Twitter [48]. Facebook provides a wide range of features and insights that made program
delivery practical and innovative. In addition, program content was made unrestrictedly
accessible for all participants at their own convenience. So almost all participants viewed the
program content on a daily basis although overall engagement was considered moderately
low. This suggests that Facebook is a potentially convenient yet effective medium for
nutrition education interventions. For instance, Brown et al. [49] delivered an intervention
using mobile phone texting to increase fruit and vegetable intake among young adults.
Participants in the study voted for Facebook being one of the most preferred ways to
receive nutrition information which supports our findings [49]. Other systematic reviews
are also supportive of the large potential to deliver more interventions for young adults
through different social media platforms [21,24]. Nevertheless, overall low engagement
remains a commonly reported problem [21,50,51]. Klassen et al. [21] and Maher et al. [50]
conducted systematic literature reviews to investigate the effectiveness of social media
use in improving nutrition outcomes and health behaviour change in young adults. Both
reviews showed that studies that used private Facebook groups retained high rates of daily
logins but overall low engagement [21,50]. Engagement also varied widely among studies,
meaning that other factors than the choice of platform could also potentially affect program
engagement, such as study design, quality of program content, participants’ interests in the
topic, and level of readiness to change of the participant [21].
strategies (emails, face-to-face invitations, google advertisements) may have also had an
impact [52]. Risk of selection bias and lack of generalisability are important limitations of
this study. Participants who joined can differ from the general young adult population
by access to internet, education status, interest in sustainable diets, and ability to access a
kitchen or cooking facilities. In addition, due to the small sample size, significance tests
were not feasible for this study; therefore, positive changes cannot be conclusive. It could
also be argued that participants who consented to enrol in the Facebook group were already
considering or more interested in sustainable eating patterns than the general population
of young adults in Australia. Some other study limitations include participants being
mostly females (86.7%), which is in line with previous literature indicating that females
usually show more interest in health-related interventions including dietary behaviour
than males [50]. It would be interesting to investigate new recruitment strategies to attract
more male participants for equal gender representation. Also, the program was delivered
over a short period of time, so long-term effects are unknown.
5. Conclusions
“The Green Hub” study showed encouraging results in improving self-efficacy, atti-
tudes, knowledge, and willingness to adopt sustainable and healthy diets using a short
intervention over a four-week period, delivered through Facebook. Process evaluation
showed a high level of satisfaction with the content, such as cooking challenges, but overall,
there was moderate to low engagement using indicators such as “likes” and comments on
the Facebook page. “The Green Hub” study will need to be replicated in a larger population
of young adults due to our small sample size, and may even be tailored to other population
groups. This is the first step for researchers to inform future interventions in the Australian
context. Findings presented in this study may be used to inform policy makers to integrate
sustainable dietary practices in the Australian food system and promote sustainable and
healthy diets in the Australian Dietary Guidelines.
Author Contributions: N.G. and R.R. conceived the research question and study protocol. N.G.
designed the study material including nutrition education material, cooking videos, and recruitment
tools. N.G. conducted study implementation, data collection, and data analysis, and drafted the
paper as first author. S.M. supervised data collection and analysis and R.R. supervised throughout
the study. S.M. and R.R. edited subsequent drafts of the manuscript. All authors have read and
agreed to the published version of the manuscript.
Funding: This research received no external funding.
Institutional Review Board Statement: This study was granted ethical approval from the Medicine
and Health Sciences Subcommittee at Macquarie University (reference number: 520211037130416).
Informed Consent Statement: Written informed consent was obtained from all participants involved
in the study.
Data Availability Statement: Not applicable.
Acknowledgments: Authors would like to thank Julia Carins and Keren Papier for their guidance
and advice on this project. Authors would also like to thank all participants for joining the study and
engaging with program material.
Conflicts of Interest: The authors declare no conflict of interest.
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