Skip to main content

Table 3 Number of parents and data collectors expressing each of the barriers and facilitators, plus quotes

From: “Everyone can take photos.” Feasibility and relative validity of phone photography-based assessment of children’s diets – a mixed methods study

Barriers

Facilitators

Category

Sub-category

Parents

Data collectors

Category

Sub-category

Parents

Data collectors

Demanding

Uncomplicated

Time-consuming

M8, M10, M11, M14

DC1, DC3

Easy way of expressing oneself

M5, M9, M11, M13

DC1, DC2

“It was stressful to have to take photos of the food during the three days […] Mornings are stressful as it is and then to have to photograph the breakfast. That was a stressful moment that I didn’t appreciate” M8

“I guess it [was] hard for them to find time for it. As I understood it they had several children or other tasks” DC3

“That you don’t have to explain so much.” M13

“Often fast response to prompts that we sent via text message.” DC1

Having to remember and do correctly

F1, M8, M10, M11, M13, M14, M16

DC1, DC2, DC3

User-friendly instructions and reminders

M3, M5, M10, M14

DC1, DC2

“Sometimes hard to remember that you were to photograph everything [… and] to make it a good photo where the food was displayed clearly.” M16

“Some parents forgot the “after” picture […] Difficult to remember to photograph ALL food” DC1

“Good and informative instructions, easy-to use reference card” M14

“Parents remembered additional things that had been eaten when we sent the evening reminders” DC1

Difficulty in understanding instructions

 

DC1, DC2

Simple method

F2, M5, M6, M8, M9, M15, M16

DC1, DC2

“I think that some hadn’t understood that they were supposed to include everything. It feels like some thought that it was only, like, the meals. What you would think of as food, maybe you wouldn’t think that sweets are food, you know.” DC2

“That you could send it as an MMS, simple and easy.” M6

“Everyone can take photos.” F2

“Felt like the technology of taking photos and sending by MMS was easy for most of them, and that they got reminder the day before and the same day.” DC1

Challenging in irregular situations

Engaging

Differences in family meal preference

M5, M7, M14

DC1, DC3

Child involvement

M3, M4, M7, M12, F5

DC2, DC3

“It’s trickier when you have a child that naturally eats what they feel like from the breakfast table, first one thing, then another thing, then a third thing in more of a buffet style.” M14

“They don’t all [in all the families] have a standard of eating together, but you take a little [food] here and a little there, and then to take pictures of every piece you know…, maybe it wasn’t put on a plate like [for example] sauce and potatoes, they had a different way of eating than what might be considered as standard.” DC3

“Nice that children also enjoy participating in the photographing.” F5

“And the children thought it was fun with the photos. So they were pretty enthusiastic.” DC2

Intake away from home

M1, M10, M15

DC1, DC2, DC3

Positive experience

M1, M2, M7, M10, F4, M15

 

“When we went on an excursion and were going to bring other children.” M15

“Snacks between meals, sweets, they ate at someone else’s or situations when you get a fruit in the shop, or when you are out at a festival or get candy floss or things like that.” DC2

“It was good and educational to participate.” M1

Parental absence

M6, M10, M13, M14

DC1, DC2, DC3

Well-planned meals and intake at home

M1, M4, M10, M11

 

“The child was at granny’s.” M13

“Children who go and take [food and drink] a lot by themselves. They go and pick [food] from the fridge and things like that.” DC2

“Before the meal you had to think of everything, food, drink, toppings, ketchup etc.” M4

  1. F father, M mother, DC data collector