Implementation and Dissemination of the 'About Eating' Program: Evaluating Participant Engagement, Usability, and Module Interest

Abstract Background: Online nutrition education can improve food choices among underserved populations. The About Eating New York (AENY) program is a web-based, self-paced series of modules designed to enhance nutritional literacy, resource management, and confidence in healthy eating. Leveraging dissemination and implementation (D&I) science, AE partnered with community organizations across New York’s ten fiscal regions to extend its reach. Methods: This study analyzed secondary data from the AENY dissemination effort. Participants were recruited via social media and community organizations. Pre- and post-program surveys and end-of-lesson surveys assessed demographics, engagement, and perceptions of usability. Quantitative analyses included descriptive statistics, t-tests, ANOVAs, and chi-square tests. Qualitative feedback was reviewed. Results: Despite outreach efforts, target recruitment was not fully achieved. Among 371 enrolled participants, those receiving SNAP rated AE as more useful (t(47)=2.65, p=0.011), and those with greater financial worry completed more lessons (t(186)=-2.41, p=0.017). However, financially stressed participants had lower confidence in making healthy food choices (t(47)=2.65, p=0.011). Post-program data showed modest improvements in meal planning, grocery list use, and spending plans. Lessons were rated as easy to read and navigate and found increasingly valuable as participants completed more modules (r=0.46, p=0.002). Small gains in eating competence were observed, though most remained “Not Eating Competent.” Conclusions: AE engaged financially vulnerable groups, providing practical budgeting and planning strategies. Although incremental behavioral improvements were noted, translating engagement into sustained confidence remains challenging. Future refinements should enhance recruitment strategies, tailor content to participants’ needs, and maintain a strong D&I focus, ultimately increasing AE’s reach and impact on underserved communities.