Menu Satisfaction Research Articles

Food for future: The impact of menu design on vegetarian food choice and menu satisfaction in a hypothetical hospital setting

Daily food choices do not only affect our health but also the environment in important ways. Food choice architecture can help to nudge people towards more healthy and sustainable food options. The current research explores the influence of menu design strategies on food choices and satisfaction in a hypothetical hospital setting. Specifically, we systematically tested the effect of vegetarian option availability, menu category framing, and health recommendation inclusion on hypothetical food choice and satisfaction, conducting two large online studies representative of the German adult population that consumes meat at least once a week (Study 1: N = 991; Study 2: N = 989). Both studies were based on a menu from a German university hospital. Results revealed that increasing the availability of vegetarian options increased vegetarian food choices. Neutral menu descriptions had no impact, whereas health recommendations that were presented in form of a visual appeal slightly increased vegetarian dish choices. Importantly, the research also considered menu satisfaction, revealing no main effects of availability, framing and health recommendation. Only when a health recommendation was added to a menu with high availability of vegetarian options, satisfaction was decreased. The findings suggest that menu design elements could modestly influence food choices and satisfaction among meat-eaters in healthcare settings, warranting further investigation with hospital patients.

Food Is Medicine for Individuals Affected by Homelessness: Findings from a Participatory Soup Kitchen Menu Redesign.

Health disparities among people experiencing homelessness are likely exacerbated by limited access to healthy, fresh, and minimally processed foods. Soup kitchens and shelters serve as essential food safety nets for preventing hunger in this population, and community interest is growing in the potential of "food is medicine" interventions to improve the mental and physical wellbeing of people who receive meals from these providers. This study describes our two-phase approach to first identify and prioritize nutrition needs within an urban soup kitchen community and then test and implement new recipes and menu guidelines to help the standard soup kitchen menu better align with those priorities. We began by first conducting a nutrition needs assessment, including a collection of intercept surveys from a convenience sample of soup kitchen guests to better understand their nutrition-related health needs, dental issues, food preferences, and menu satisfaction (n = 112), as well as a nutrition analysis of the standard menu based on seven randomly selected meals. Most respondents reported at least one chronic health condition, with depressive disorders (50.9%) and cardiovascular diseases (49.1%) being the most common. Nearly all guests requested more fruits and vegetables at mealtimes, and results from the menu analysis revealed opportunities to lower meal contents of sodium, saturated fat, and added sugars and to raise micronutrient, fiber, and omega-3 content. We then applied these nutrition needs assessment findings to inform the second phase of the project. This phase included the identification of new food inventory items to help support cardiovascular and mental health-related nutrition needs, taste test sampling of new healthy menu items with soup kitchen guests, and hands-on culinary medicine training to kitchen staff on newly-developed "food is medicine" guidelines to support menu transformation. All taste tests of new menu items received over 75% approval, which exceeded satisfaction ratings of the standard menu collected during the phase 1 needs assessment. Findings from this community-based participatory research project confirm the great potential for hunger safety net providers to support critical nutrition needs within this vulnerable population through strategic menu changes. However, more research is needed on the longitudinal impacts of such changes on health indicators over time.

4114 A Community/Academic Partnership to Implement Nutritional and Social/Behavioral Interventions to reduce Hypertension among Seniors Aging in Place

OBJECTIVES/GOALS: The Rockefeller University CCTS, Clinical Directors Network (CDN), and Carter Burden Network (CBN) received a DHHS-Administration for Community Living Nutrition Innovation grant to test whether implementation of DASH-concordant meals and a program to enhance self-efficacy, could lower blood pressure among seniors aging in place. METHODS/STUDY POPULATION: CEnR-Nav model to engage stakeholders, enroll seniors age >60 yr., eating 4 meals a week at 2 CBN congregate meal sites; Advisory Committee to facilitate dissemination; menus aligned with Dietary Approaches to Stop Hypertension (DASH) and New York City Department for the Aging (DFTA) nutritional guidelines; interactive sessions for education (nutrition, blood pressure, medication adherence); Omron 10 home BP devices for daily home monitoring. Plate Waste and Meal Satisfaction (Likert scale) to assess taste preference and cost impact. Outcomes: Primary: Change in Systolic BP at Month 1; change in percent with controlled blood pressure. Secondary: change in validated measures of cognitive (e.g. SF-12, PHQ-2), behavioral (Home BP monitoring), nutritional (food frequency) variables, satisfaction, costs. RESULTS/ANTICIPATED RESULTS: Menu alignment required multiple iterations. Plate Waste and Menu Satisfaction tools were developed. Site 1 enrollment began June 2019; educational sessions and home BP monitors and training were provided. Baseline mean blood pressure (Site 1) was 138/79 +20.5; (range: 7% hypertensive crisis, 36% stage 2 hypertension, 22% stage 1 hypertension, 22% elevated, and 13% normal). DASH-aligned meals began October 2019; Meal satisfaction declined briefly, chefs adjusted menus, and meal satisfaction rose to pre-intervention levels. Site 2 enrollment is ongoing; dietary intervention will start in 2020. Primary outcome data (change in BP) will be complete in March 2020. Secondary outcome data on social and behavioral impact of the interventions will also be presented. DISCUSSION/SIGNIFICANCE OF IMPACT: We leveraged our community-academic research partnership to conduct research addressing uncontrolled hypertension, an urgent unmet health need among seniors. The DASH Implementation Study can inform the broader aging services and healthcare community of the potential for congregate nutrition programs to improve cardiovascular health outcomes.

APLICAÇÃO DE INDICADOR DE ACEITABILIDADE E SUA EFICIÊNCIA NA ANÁLISE DOS FATORES ASSOCIADOS À SATISFAÇÃO SOBRE DIFERENTES PÚBLICOS EM UNIDADES DE ALIMENTAÇÃO E NUTRIÇÃO

O estudo do tipo qualitativo avalia os parâmetros determinantes na satisfação global de refeições em quatro Unidades de Alimentação e Nutrição situadas em Cascavel, Paraná, Brasil, a correlação com o grau de apetite, sintomas físicos e gastrointestinais. Na obtenção dos dados, utilizou-se como base o Questionário de Satisfação em Cuidados Intensivos de Serviço Alimentar do Paciente – ACHFPS - (Acute Care Hospital Foodservice Patient Satisfaction Questionnaire), desenvolvido por Capra et al. (2005). A amostra apresentou 220 indivíduos com idade média de 44,90 ± 19,65 anos, de ambos os sexos e estado de saúde variado. A satisfação global foi satisfatória na maioria das categorias, mas insatisfatória quanto à variedade de frutas e à quantidade da porção ofertada. Não se obteve significância de aceitabilidade entre os gêneros, mas, quando subdivididos por estado de saúde, observou-se maior aceitação em indivíduos com patologias, assim como com relação ao apetite e aos sintomas físicos e gastrointestinais.

한식뷔페 레스토랑 고객의 외식동기, 메뉴만족, 고객만족도 간의 관계 : 메뉴만족도의 매개효과 중심으로

한식뷔페 레스토랑 고객의 외식동기, 메뉴만족, 고객만족도 간의 관계 : 메뉴만족도의 매개효과 중심으로

산업체급식 메뉴 만족도 조사도구의 활용에 대한 사례연구

This study was performed to develop menu satisfaction index in Business & Industry (B&I) food service and to survey customer's menu satisfaction using the index. The menu satisfaction index included 16 items with Likert 5 point. Cronbach's alpha to assess the internal reliability of the developed scales was 0.8917, which indicated highly reliable. Construct validity was assessed by principal components analysis and then four factors explaining 65.964% of the total variance were found. Among the 15 items of menu satisfaction, the average scores of all items were above 3.0 out of 5. As a result of analysis on menu satisfaction factors, ‘propriety of food temperature’ (3.52 out of 5) was the highest consideration followed by ‘sufficiency of format’ (3.46), ‘excellence in food’ (3.35) and ‘well-being orientation’ (3.31). It could be said that customer's perception on the menu quality was very positive. Four factors were correlated with overall menu satisfaction positively. Especially, ‘excellence in food’, and ‘well-being orientation’ and ‘sufficiency of format’ affected significantly on overall menu satisfaction. It concluded that customers were satisfied with portion size, temperature, price but their needs for taste and health/nutrition-related service would be increased. The menu satisfaction developed in this study should be applied to other B & I food service operation by type.