Meal Delivery Research Articles

Real‐time demands, restaurant density, and delivery reliability: An empirical analysis of on‐demand meal delivery

Real‐time demands, restaurant density, and delivery reliability: An empirical analysis of on‐demand meal delivery

Exploring the use of meal delivery services in Belgium

Abstract Background Ready-to-eat meal delivery services have become commonplace in recent years and their growth accelerated during the COVID-19 pandemic. However, the potential ramifications on dietary habits and subsequent health outcomes remain largely unexplored. Given the well-established links between unhealthy dietary patterns and chronic diseases such as obesity, type II diabetes, and cardiovascular diseases, understanding the determinants and public health implications of ready-to-eat meal delivery services use is imperative. This study aims to investigate the determinants associated with the use of ready-to-eat meal delivery services and their implications for health behaviours and outcomes. Methods This cross-sectional study is conducted amongst adults residing in Flanders or Brussels, Belgium. A quantitative online survey commenced in April 2024 and is scheduled to conclude by June 2024. Structural equation models will be used to assess determinants and implications of ready-to-eat meal delivery services use. Latent class analysis will be used to identify user profiles and subsequent structural equation modelling will assess determinants of these profiles and their associated health (behaviour) outcomes. Results Preliminary results suggest meal delivery usage was higher in younger and middle-income users. Main reasons of use amongst users (n = 139) were more time for leisure activities (66%) and supermarket avoidance (64%). Main reasons for non-use amongst non-users (n = 69) were not wanting to spend money with meal delivery services (70%) and preference to cook own meals (81%). Data collection is currently ongoing. Further analysis is planned, and full results will be available by November 2024. Conclusions This study will provide a better understanding of drivers of meal delivery services use in Belgium and their potential impact on public health. It will also help inform public health strategies targeted at improving dietary habits. Key messages • Recognising that meal delivery services will become ever present in the future, insights into why people order meals for delivery and the potential health implications of such services are essential. • The use of advanced statistical techniques highlights the potential of the study to offer novel insights into determinants and ramifications of meal delivery services usage.

Influence of School Feeding Programs on Student Attendance and Academic Performance in Ghana, and Its Potential as a Model for Other West African Nations

Purpose: The aim of the study was to evaluate the influence of school feeding programs on student attendance and academic performance in Ghana, and its potential as a model for other West African nations Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries. Findings: Influence of school feeding programs in Ghana reveals that these initiatives significantly improve student attendance and academic performance, particularly in underserved and rural areas. By providing daily meals, the programs help reduce hunger, improve concentration, and boost overall participation in school activities. Attendance rates have notably increased as families are more motivated to send their children to school, knowing meals are provided. Unique Contribution to Theory, Practice and Policy: Maslow’s hierarchy of needs theory, human capital theory & social ecological model (SEM) may be used to anchor future studies on the influence of school feeding programs on student attendance and academic performance in Ghana, and its potential as a model for other West African nations. To maximize the impact on both attendance and academic performance, programs should focus on improving the nutritional content and consistent delivery of meals. Ghana’s school feeding program should serve as a policy model for other West African nations, but adaptations must be made to fit the specific contexts of each country.

Food purchase and consumption behavior during the COVID-19 pandemic lockdown in Bangladesh: association between sociodemographic composition

BackgroundBangladesh suffered a severe COVID-19 wave from June to August 2021, which forced the government to impose emergency nationwide lockdown measures for three months with discontinuities. The sudden lockdown strongly affected the dietary preferences, financial circumstances, and social interactions of citizens.MethodsIn this comprehensive study, we collected sociodemographic information as well as data on food purchase and consumption behaviors from 1,350 adults in Bangladesh during the weeks of enforced confinement. The association between the sociodemographic factors (viz., gender, age, education status, income, occupation, and household size) and food purchase and consumption behaviors were determined by conducting bivariate and multivariate logistic regression models reporting as odds ratios.ResultsThe descriptive result reveals that 49.63% of the participants experienced wage reductions, with many people enduring reductions of up to 75%; 12.22% lost their jobs. Besides, a decline in the frequency of shopping was observed by 35.04%; and 24.52% avoided outdoor shopping during the pandemic period. Additionally, 28.74% of participants purchased less overall, while 19.48% purchased significantly fewer items per trip compared to the pre-pandemic period. The multivariate analysis shows a prominent increase in online grocery shopping (OR: 4.03, 95% CI: 2.38–6.83, p < 0.001) and meal delivery services (OR = 5.19, 95% CI = 3.21–7.17, p < 0.001) among higher educated individuals compared to the individuals having no institutional education. The personnel having formal jobs purchased 2.34 times more from online grocery sites (95% CI = 0.34–4.08, p = 0.003) compared to the unemployed one. In contrast, a notable increase in panic buying and stockpiling was observed, driven by scarcity and escalating prices of essential food items. The frequency of meals with families, active engagement in meal preparation, and the exploration of novel recipes also increased notably.ConclusionsThe consumption of takeaway food and inter-meal snacks increased significantly with the education level of individuals. These findings highlighted that a prolonged pandemic could magnify economic vulnerability in Bangladesh.

Features of consumer behaviour in the sphere of fast food catering on the Moscow market

The article presents the results of the empirical research of consumer behaviour features in the sphere of fast food catering in the Moscow market. The research method is a questionnaire survey with the use of digital technologies. The article reveals the loyalty of consumers to the visited fast food establishments; their motivation to visit new such places is determined; the awareness of consumers about the opening of new fast food establishments is studied; their preferences regarding the use of meal delivery services of these places and staying at them are revealed. The conclusions are formulated that direct visit to fast food restaurants remains a popular social practice among a significant part of consumers; digital meal delivery services of these places is actively used by consumers; visiting fast food establishments and ordering meal delivery there are typical for representatives of low-, middle-, and high-income audience segments; the communication activity of new fast food restaurants being opened is insufficient; the audience’s expectations from visiting these places and ordering food from them are not limited to the satisfaction of basic needs. The results of the research can be useful for the development of marketing strategies and advertising campaigns in the sphere of fast food catering as well as for the adjustment of business strategies of the restaurants.

THE ACCOMPANIMENT OF SUPPLEMENTARY FOOD FOR MONITORING THE STUNTING RISK CHILDREN IN RENGAS I VILLAGE OGAN ILIR

Introduction: The Ogan Ilir Regency district has the second-highest prevalence of stunting in South Sumatra, with a prevalence rate of 24.9%. Providing additional meals (PMT) is an essential component, especially to improve the conditions of low-income communities affected by malnutrition, with a specific focus on young children. The purpose of the activity is to provide a continuous supply of food, thus preventing body weight loss and promoting optimal nutritional well-being. Methods: The event took place at a village in Payaraman District situated in Ogan Ilir Regency. The participant were the two children, namely Anak R (3.5 years old) and Anak S (1.7 years). The service methods included the process of meal preparation for PMT and the delivery of meals to the homes of children. The method used for the PMT involved the daily allocation of food, the nutrient composition of various foods, including pumpkin, potatoes, carrots, maize and similar substitutes. At the end of the month, the final anthropometric measurements were collected. The anthropometric measurements encompassed body weight, and height. The weight of the youngster was measured using a digital scale manufactured for further analysis. Results: There was a noticeable improvement in weight and height of Anak R and Anak S. Anak R demonstrated a weight gain after the programme from exactly 9.30 kg to 9.80 kg, while Anak S showed an increased weight from 7.80 kg to 8.50 kg. Anak R's height improved from 81.0 cm to 85.0 cm and Anak S's from 71.0 cm to 72.0 cm. Despite the observed growth in the weight and height of both children, the acquired findings did not meet the desired levels for each child's weight and height. Conclusion: Community service activities include food supplementary accompaniment and stunting surveillance has assisted for children with high risk of stunting conditions to gain weight and height after food additions. The accompaniment community service activity can be used as an effort to reduce cases of malnutrition.

Features of the restaurant market and consumer behavior in the Moscow restaurant business segment: study results

The article presents a comprehensive study results aimed at identifying peculiarities of the restaurant market and consumer behavior in the Moscow restaurant business segment. Within the framework of the research three stages have been realized. At the first stage the Moscow restaurant market macroenvironment has been analyzed to identify external factors of influence on modern restaurant business. The external factors of positive and negative impact on the restaurant industry development have been structured and described. At the second stage to identify the main trends of the Moscow restaurant market the method of content analysis of the Moscow restaurant business establishments sites with high rating indicators based on the Yandex neural network data was used. The main trends of the Moscow restaurant market are: restaurants’ focus on preparing healthy food and vegetarian cuisine; use of farm products and local ingredients in prepared dishes; technological innovations implementation that simplify consumer experience; focus on the principles of sustainable development and environmental friendliness in the business model; restaurant formats variety. At the third stage of the study, a survey has been conducted among visitors to Moscow restaurants and cafes to identify consumer behavior. The identified consumer practices in the restaurant market indicate, on the one hand, active involvement of the audience in visiting Moscow restaurants, cafes, and bars, and on the other hand, the use of restaurant meal delivery services via restaurant websites or mobile applications. The dominant influence of rational factors in consumers’ choice of a restaurant to visit and changes in the consumer motivation structure when visiting restaurants and cafes have been revealed.

12273 Do The First 48 Hours Of Hospitalization Require More Vigilance In Geriatric Patients At Risk Of Hypoglycemia?

Abstract Disclosure: S. Ravi: None. H. Afsana: None. Hypoglycemia (HG; blood glucose &amp;lt;70 mg/dL) is a commonly encountered problem in hospitalized patients and is associated with significant morbidity and mortality as well as increased healthcare costs. Elderly patients are particularly vulnerable to HG as they are more likely to have autonomic dysfunction, resulting in fewer discernible symptoms as well as an impaired counterregulatory response, making it more likely that events go undetected and uncompensated. A survey of the literature identifies a number of risk factors for developing HG, including nephropathy, liver disease, infection, cognitive dysfunction, as well as sulfonylurea and long-term insulin use. Given the significant risks posed by HG, we pose the question: how can we do better to identify geriatric patients at high risk of HG events? In this retrospective chart review, data was collected from charts of patients aged 65-99 years with HG, who presented to the ED and were hospitalized for various reasons at a community hospital. Patients were included if a diagnosis of HG was documented in the EMR during hospitalization regardless of diagnosis of Diabetes Mellitus (DM). In 219 total individuals, potential associated variables were analyzed using descriptive statistics, chi-square tests, and Fisher’s exact tests. When data was not complete for any individual variables, the incomplete data was excluded during respective analysis. Among 219 patients, 128 (58.45%) presented at the time of admission, 33 (15.07%) presented within 24 hours after, 15 (6.85%) presented between 24 - 47 hours after, and 43 (19.63%) presented ≥48 hours after admission. Overall, 80.37% of HG events occurred within the first 48 hours of hospitalization. Interestingly there was no significant relationship identified between severity of HG events and HbA1c. The percent distribution identified delayed or missed meals (33%), insulin use (26%), and infection (8%), as the most common potential causes. These findings suggest that it is beneficial to extend the suspicion of HG events to all geriatric patients, regardless of diagnosis of DM. While validated tools have been proposed to identify diabetic patients at risk for HG, fewer studies have been done to identify potential markers of HG risk in all geriatric patients. It may be that the first 48 hours pose a critical period to identifying and better managing these patients’ blood sugars. While use of continuous glucose monitoring in the inpatient setting has been proposed as a potential solution, other cost-effective methods include ensuring timely delivery of meals and food intake, as well as closer finger stick glucose monitoring in the first 48 hours. Higher powered studies across a wider variety of clinical settings are required to further investigate hypoglycemic events in geriatric patients and to synthesize validated assessment tools. Presentation: 6/2/2024

Safety and tolerability of a low glycemic load dietary intervention in adults with cystic fibrosis: a pilot study.

To achieve and maintain adequate weight, people with cystic fibrosis (CF) May often consume energy-dense, nutrient-poor foods high in added sugars and refined carbohydrates; however, little is known about the glycemic and metabolic effects of dietary composition in this patient population. The objective of this pilot study was to investigate the safety and tolerability of a low glycemic load (LGL) diet in adults with CF and abnormal glucose tolerance (AGT). Ten adults with CF and AGT completed this prospective, open-label pilot study. Mean age was 27.0 ± 2.1 years, 64% were female, and all had pancreatic insufficiency. Each participant followed his/her typical diet for 2 weeks, then transitioned to a LGL diet via meal delivery service for 8 weeks. The primary outcome was change in weight from baseline to study completion, with safety established if no significant decline was noted. Other key safety outcomes included change in hypoglycemia measured by patient report and continuous glucose monitoring (CGM). Exploratory outcomes included changes in other CGM measures, body composition by dual energy X-ray absorptiometry (DXA), and patient reported outcomes. There were no significant changes in weight or in subjectively-reported or objectively-measured hypoglycemia. Favorable non-significant changes were noted in CGM measures of hyperglycemia and glycemic variability, DXA measures of fat mass, and gastrointestinal symptom surveys. A LGL dietary intervention was safe and well tolerated in adults with CF and AGT. These results lay the groundwork for future trials investigating the impact of low-glycemic dietary interventions on metabolic outcomes in the CF population.

Meal Delivery Routing Problem with Stochastic Meal Preparation Times and Customer Locations

AbstractWe investigate the Meal Delivery Routing Problem (MDRP), managing courier assignments between restaurants and customers. Our proposed variant considers uncertainties in meal preparation times and future order numbers with their locations, mirroring real challenges meal delivery providers face. Employing a rolling-horizon framework integrating Sample Average Approximation (SAA) and the Adaptive Large Neighborhood Search (ALNS) algorithm, we analyze modified Grubhub MDRP instances. Considering route planning uncertainties, our approach identifies routes at least 25% more profitable than deterministic methods reliant on expected values. Our study underscores the pivotal role of efficient meal preparation time management, impacting order rejections, customer satisfaction, and operational efficiency.

How do online meal delivery platforms impact restaurant employees?

ABSTRACT Labor shortages in restaurants have led to an increased reliability on technology, including expanding restaurants’ capacity by using online meal delivery platforms (OMDPs) for delivery. Yet there is an incomplete understanding as to how this decision has impacted restaurant employees, namely, is it making the labor shortage worse? To answer this question, this study surveyed 279 front-of-house and back-of-house restaurant employees to understand how attitudes toward OMPDs effect job crafting, job satisfaction, and turnover intentions. The results were analyzed with PLS-SEM and a qualitative analysis was used as a sensitivity test. Drawing on conservation of resources and job demand resources theories, this study found that pre-established attitudes toward OMDPs mediated the relationship between the impact of OMPDs and workload on job crafting, job satisfaction, and turnover intentions. These results fill the current gap in the literature related to OMDPs and restaurant employees as well as providing crucial evidence that managing employee attitudes toward OMDPs can mitigate the impact of an increased workload for restaurateurs during this challenging time.

On-Demand Meal Delivery: A Markov Model for Circulating Couriers

On-demand meal delivery has become a feature of most cities around the world as a result of platforms and apps that facilitate it as well as the pandemic, which for a period, closed restaurants. Meals are delivered by couriers, typically on bikes, e-bikes, or scooters, who circulate collecting meals from kitchens and delivering them to customers, who usually order online. A Markov model for circulating couriers with n + 1 parameters, where [Formula: see text] is the number of kitchens plus customers, is derived by entropy maximization. There is one parameter for each kitchen and customer representing the demand for a courier, and there is one parameter representing the urgency of delivery. It is shown how the mean and variance of delivery time can be calculated once the parameters are known. The Markov model is irreducible. Two procedures are presented for calibrating model parameters on a data set of orders. Both procedures match known order frequencies with fitted visit probabilities; the first inputs an urgency parameter value and outputs mean delivery time, whereas the second inputs mean delivery time and outputs the corresponding urgency parameter value. Model calibration is demonstrated on a publicly available data set of meal orders from Grubhub. Grubhub data are also used to validate the calibrated model using a likelihood ratio. By changing the location of one kitchen, it is shown how the calibrated model can estimate the resulting change in demand for its meals and the corresponding mean delivery time. The Markov model could also be used for the assignment of courier trips to a street network. History: This paper has been accepted for the Transportation Science Special Issue on ISTTT Conference.

Equity-oriented food supports: Learnings from the Nova Scotia COVID-19 pandemic response.

Public health measures enacted during the COVID-19 pandemic significantly impacted Nova Scotians experiencing food insecurity. Public Health (PH), Nova Scotia Health, created a provincial Housing Isolation Program (HIP) which addressed barriers to isolation, including food access, for COVID-19 cases and contacts being followed by PH. HIP worked with partners to coordinate and respond to urgent food needs of isolating clients by providing grocery and meal delivery options. HIP also made referrals to government and community partners for income and food supports. This program was intended to minimize the spread of COVID-19 by facilitating isolation while meeting basic needs for people with no other means of support. From December 2020 to March 2022, HIP completed grocery and meal deliveries for 579 clients, 1351 referrals to a provincial Income Support Program, and 231 referrals to external food supports. HIP staff worked with clients to manage potential perceptions of stigma. Challenges reported included the urgency of food needs, lack of social supports, and availability and accessibility constraints in rural communities, as well as difficulty accessing culturally appropriate foods and special diets. This intervention demonstrates the importance of addressing food insecurity during emergency preparedness, planning, and response. During emergencies, planning and mobilizing food access requires an equity-oriented approach to overcome stigma. Broadly, continued reliance on charitable responses creates significant vulnerability during emergencies and addressing root causes of food insecurity through social policy will provide longer-term protection.

Safety and impact of the Mediterranean diet in patients with chronic kidney disease: a pilot randomized crossover trial.

Emerging evidence highlights the potential advantages of the Mediterranean diet (MD) in preserving kidney function and slowing chronic kidney disease (CKD) progression. However, interventional studies on the MD are scarce in East Asian populations. This randomized crossover trial aimed to assess the safety and short-term impact of the Mediterranean Proper Optimal Balance (MEDi-POB) diet in Korean patients with stage 3-4 CKD. Kidney function was assessed using the estimated glomerular filtration rate, which was calculated using the CKD Epidemiology Collaboration equation. Fifty patients with CKD were randomly assigned to two groups, each starting with a different 4-week intervention, followed by a 4-week washout period, followed by a switch to the other 4-week intervention. During the MEDi-POB intervention, patients received home delivery of meals twice daily, 5 days a week, while the control intervention comprised a conventional diet. Forty-six patients successfully completed the entire 12-week trial. Paired t-tests were conducted to assess mean differences between the two groups. A linear mixed model was used to adjust for sequence and period. Dietary fat, fiber, and niacin intake were significantly higher following the MEDi-POB diet than following the control diet (p = 0.001 for fat, p < 0.001 for fiber, and p = 0.007 for niacin). The MEDi-POB diet also yielded slightly increased total CO2 levels (p = 0.043), indicating effective management of metabolic acidosis. Conversely, sodium and copper intake were significantly lower with the MEDi-POB diet (p = 0.032 and p = 0.037, respectively). Caloric intake increased, but body mass index slightly decreased from baseline after consuming the MEDi-POB diet. Dietary potassium intake exhibited a non-significant increase (p = 0.053), and no significant changes in serum (p = 0.883) and urine potassium levels (p = 0.087) occurred. Kidney function remained well-preserved following the MEDi-POB diet. These results indicate that the MEDi-POB diet is safe even in patients with advanced CKD, as it does not adversely affect serum and urine potassium levels and helps maintain kidney function.

What Will the Delivery Robots Bring Us Tomorrow?

ABSTRACTAutonomous delivery robots offer a promising solution to the challenges of last mile logistics, a crucial topic in times of increasing logistics volume, environmental concern, and ongoing urbanization. This study investigates the acceptance of such robots in various application scenarios for last mile delivery in Germany. A first, quantitative, study investigating the overall acceptance of autonomous delivery robots for the primary predominant usage scenarios of meal and package delivery tested an adapted technology acceptance model via a structural equation model. A second, qualitative, study was conducted to better understand possible future use cases for these robots included semistandardized interviews with 14 individuals and employed a qualitative content structuring analysis method for data analysis. The results of Study 1 confirm that performance expectancy and effort expectancy influence the acceptance of delivery robots, with performance expectancy and behavioral intention being significantly higher for the package than for meal deliveries. However, in both cases, the average intention to use these robots only slightly exceeded the scale mean. Study 2 reveals that autonomous delivery robots are perceived as more convenient than existing alternatives in grocery and pharmaceutical delivery and return processing. The further application of emergency situations, such as illness or the risk of infection, also emerged from the data; even respondents who generally reject the idea of such robots would still use them in such exceptional situations. These results should be considered in the further development of autonomous delivery robot systems.

207 - Two for the price of one; a systematic review examining the extent of unhealthy food promotion within meal delivery apps

207 - Two for the price of one; a systematic review examining the extent of unhealthy food promotion within meal delivery apps

청소년의 식생활라이프스타일에 따른 외식행동 및 배달·테이크아웃 이용실태 : 2020년 식품소비행태조사 자료 이용

청소년의 식생활라이프스타일에 따른 외식행동 및 배달·테이크아웃 이용실태 : 2020년 식품소비행태조사 자료 이용

Racial and ethnic differences in unmet needs among older adults receiving publicly-funded home and community-based services.

Unmet need for home and community-based services (HCBS) may disparately impact older adults from racial and ethnic minoritized groups. We examined racial and ethnic differences in unmet need for HCBS among consumers ≥65 years using publicly funded HCBS. We analyzed the National Core Indicators-Aging and Disability survey data (2015-2019) from 21,739 community-dwelling HCBS consumers aged ≥65 years in 23 participating states. Outcome measures included self-reported unmet need in six service types (i.e., personal care, homemaker/chore, delivered meals, adult day services, transportation, and caregiver support). Racial and ethnic groups included non-Hispanic Black, Asian, non-Hispanic White, Hispanic, and multiracial groups. Logistic regression models examined associations between race and ethnicity and unmet need, adjusting for sociodemographic, health, and HCBS program (i.e., Medicaid, Older Americans Act [OAA], Program for All-Inclusive Care for the Elderly [PACE]) characteristics, and use of specific service types. Among 21,739 respondents, 23.3% were Black, 3.4% were Asian, 10.8% were Hispanic, 58.8% were non-Hispanic White, and 3.7% were multiracial or identified with other races/ethnicities. Asian and Black consumers had higher odds of reporting unmet need in personal care than White consumers (adjusted odds ratio [aOR], 1.45, p value < 0.01; and aOR, 1.25, p < 0.001, respectively). Asian and Black consumers had significantly higher odds of unmet need in adult day services versus White consumers (aOR, 1.94, p < 0.001 and aOR, 1.39, p < 0.001, respectively). Black consumers had higher odds of unmet need versus non-Hispanic White consumers in meal delivery and caregiver support services (aOR, 1.29; p < 0.01; and aOR 1.26, p < 0.05, respectively). Race and ethnicity were not significantly associated with experiencing unmet need for homemaker/chore or transportation services. Future research should identify driving forces in disparities in unmet need to develop culturally appropriate solutions.

The Association Between Food Insecurity, Parental Stress, and Child Development.

It is recognized that development in the 0-to-5-year period is predictive of lifelong health and well-being and that early childhood development is influenced by parental mental health. Social stressors such as food insecurity can exacerbate parental mental health issues. To improve understanding of this complex interplay, a primary care pediatric practice designed an innovative meal and grocery delivery program for families experiencing food insecurity with at least one child aged 0-5years. As part of the program, food insecurity, parental mental health, and child development were assessed. Food insecurity was found to be correlated with increased stress in the parent-child system, and increased stress was found to be strongly correlated with delays in early childhood developmental progress. These findings suggest that changes in the parent-child relationship resulting from increased parental stress due to food insecurity can play a role in influencing early childhood development.

Food Allergy Awareness Champions: Improving Food Safety Standards in Online Food Procurement for People With Food Hypersensitivities

Background There have been changes more recently in how people commonly acquire and consume food at home. The practice of ordering online food delivery including ready-to-eat meals, drinks, and snacks has increased immensely. The COVID-19 pandemic has likely been a factor in this change in practice as it’s now the case that one in four consumers thinks about using meal delivery services on a regular basis. The aims of this project were: • to improve understanding and knowledge of the behaviours of FHS citizen scientists buying ready-to-eat (takeaway and delivered) food online. • to learn more about the visible procedures and practices of individual food businesses offering online food delivery. • to use accredited methods to determine the presence of certain allergens in selected samples of food procured by participants. Results In general, respondents expressed more trust in nationwide food chains due to their perceived resources, updated information, menu consistency and/or accreditation by a UK allergy charity, such as Allergy UK or Coeliac UK. The citizen scientists revealed some of their behaviours to minimise the risk of contamination including: • eating food alone, before or after the family or work meal • physically separating gluten-containing from non-gluten-containing foods at the table • double checking the food order and the labels provided • following good food hygiene guidelines • using their own senses. Furthermore, there were some indications that older FHS citizens may perceive the risk of ordering online differently from younger age groups.