Interactive Digital Nutrition Education for Primary School Children: A Systematic Review

Authors

DOI:

https://doi.org/10.37287/ijghr.v8i6.2807

Keywords:

dietary behaviour, digital nutrion education, food literacy, primary school, serious game

Abstract

Interactive digital nutrition education is increasingly used in primary schools, but its effects are clearer for learning than for sustained dietary change. To synthesise evidence on interactive digital nutrition education for primary school children, with attention to nutrition knowledge, food literacy, dietary behaviour, engagement, and implications for school health practice.  PubMed and Scopus were searched for studies published from January 2015 to 30 September 2026. Two reviewers independently screened records and resolved disagreements by consensus. Eligible studies involved primary school children using an interactive digital nutrition intervention with at least one measurable child-level outcome. Design-specific JBI tools and the Mixed Methods Appraisal Tool were used for methodological appraisal, and findings were synthesised narratively because interventions and outcomes were heterogeneous. The searches identified 149 records; 134 unique records were screened, 34 reports underwent eligibility assessment, and 20 reports representing 19 unique studies were included. Serious games were the most common modality. Knowledge and food-literacy outcomes were generally favourable, whereas effects on food choice and dietary intake were less consistent. Methodological safeguards were strongest in randomised trials; common limitations were unclear allocation concealment, limited blinding, short follow-up, and absence of control groups in several pilot studies. Interactive digital nutrition education is promising for short-term learning and engagement in primary school children. Behavioural effects appear more likely when digital learning is linked to repeated practice and real food choices in the school environment.

 

Author Biography

Endang Triyanto, Universitas Jenderal Soedirman

Dr. Endang Triyanto, S.Kep., Ns., M.Kep. is a lecturer in the Master of Nursing Program, Universitas Jenderal Soedirman, Indonesia. His academic expertise includes community nursing, family nursing, health promotion, research methodology, and biostatistics. His research interests focus on community and family health, adolescent health, health promotion, nursing education, and technology-supported nursing interventions.

References

Arga, H. S. P., Sapriya, S., & Supriatna, N. (2025). Enhancing food literacy and sustainable consumption through an interactive e-book for elementary students for supporting Sustainable Development Goals. Journal of Engineering Science and Technology, 20(Special Issue), 119-126.

Aromataris, E., Lockwood, C., Porritt, K., Pilla, B., & Jordan, Z. (Eds.). (2024). JBI manual for evidence synthesis. JBI.

Barker, T. H., Habibi, N., Aromataris, E., Stone, J. C., Leonardi-Bee, J., Sears, K., Hasanoff, S., Klugar, M., Tufanaru, C., Moola, S., & Munn, Z. (2024). The revised JBI critical appraisal tool for the assessment of risk of bias quasi-experimental studies. JBI Evidence Synthesis, 22(3), 378-388. https://doi.org/10.11124/JBIES-23-00268

Barker, T. H., Stone, J. C., Sears, K., Klugar, M., Tufanaru, C., Leonardi-Bee, J., Aromataris, E., & Munn, Z. (2023). The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. JBI Evidence Synthesis, 21(3), 494-506. https://doi.org/10.11124/JBIES-22-00430

Brown, J. M., Rita, N., Franco-Arellano, B., LeSage, A., & Arcand, J. (2025). Evaluation of a curriculum-based nutrition education intervention protocol in elementary schools: Nonrandomized feasibility study. JMIR Formative Research, 9, e69242.

Brown, J. M., Savaglio, R., Watson, G., Kaplansky, A., LeSage, A., Arcand, J., et al. (2020). Optimizing child nutrition education with the Foodbot Factory mobile health app: Formative evaluation and analysis. JMIR Formative Research, 4(4), e15534.

Chinellato, I., Acquaviva, A., Lista, M., Nemi, L., Da Ros, E., Poggiante, F., et al. (2026). An innovative, multimedia-based intervention for promoting changes in lifestyle in Italian families. Nutrients, 18(17), 2851. https://doi.org/10.3390/nu18172851

Chow, C. Y., Riantiningtyas, R. R., Kanstrup, M. B., Papavasileiou, M., Liem, G. D., & Olsen, A. (2020). Can games change children's eating behaviour? A review of gamification and serious games. Food Quality and Preference, 80, 103823. https://doi.org/10.1016/j.foodqual.2019.103823

da Silva, C. C., da Silva Filho, A. G., Monteiro, J. S., & dos Santos, W. P. (2018). The development of digital games for food and nutrition education using popular education and participatory design. In T. L. Wilton (Ed.), Rural education: Teaching strategies, student issues and trends (pp. 141-188). Nova Science Publishers.

de Vlieger, N. M., Sainsbury, L., Smith, S. P., Riley, N., Miller, A., Bucher, T., et al. (2022). Feasibility and acceptability of VitaVillage: A serious game for nutrition education. Nutrients, 14(1), 189. https://doi.org/10.3390/nu14010189

Dominguez Rodriguez, A., Cebolla i Marti, A., Oliver, E., Navarro, J., & Banos Rivera, R. M. (2020). Efficacy and acceptability of a web platform to teach nutrition education to children. Nutricion Hospitalaria, 37(6), 1103-1110.

Espinosa-Curiel, I. E., Pozas-Bogarin, E. E., Lozano-Salas, J. L., Martinez-Miranda, J., Delgado-Perez, E. E., & Estrada-Zamarron, L. S. (2020). Nutritional education and promotion of healthy eating behaviors among Mexican children through video games: Design and pilot test of FoodRateMaster. JMIR Serious Games, 8(2), e16431.

Espinosa-Curiel, I. E., Pozas-Bogarin, E. E., Martinez-Miranda, J., & Perez-Espinosa, H. (2020). Relationship between children's enjoyment, user experience satisfaction, and learning in a serious video game for nutrition education: Empirical pilot study. JMIR Serious Games, 8(3), e21813. https://doi.org/10.2196/21813

Fowler, L. A., Vazquez, M. M., DePietro, B., Wilfley, D. E., & Fitzsimmons-Craft, E. E. (2024). Development, usability, and preliminary efficacy of a virtual reality experience to promote healthy lifestyle behaviors in children: Pilot randomized controlled trial. mHealth, 10, 49.

Franco-Arellano, B., Brown, J. M., Daggett, Q., Lockhart, C., Kapralos, B., Arcand, J., et al. (2024). Updating the Foodbot Factory serious game with new interactive engaging features and enhanced educational content. Applied Physiology, Nutrition, and Metabolism, 49(1), 52-63. https://doi.org/10.1139/apnm-2023-0214

Froome, H. M., Townson, C., Rhodes, S., Franco-Arellano, B., LeSage, A., Arcand, J., et al. (2020). The effectiveness of the Foodbot Factory mobile serious game on increasing nutrition knowledge in children. Nutrients, 12(11), 3413. https://doi.org/10.3390/nu12113413

Gan, F. R., Cunanan, E., & Castro, R. (2019). Effectiveness of Healthy Foodie nutrition game application as reinforcement intervention to previous standard nutrition education of school-aged children: A randomized controlled trial. Journal of the ASEAN Federation of Endocrine Societies, 34(2), 144-152. https://doi.org/10.15605/jafes.034.02.04

Hermans, R. C. J., van den Broek, N., Nederkoorn, C., Otten, R., Ruiter, E. L. M., & Johnson-Glenberg, M. C. (2018). Feed the Alien! The effects of a nutrition instruction game on children's nutritional knowledge and food intake. Games for Health Journal, 7(3), 164-174.

Hong, Q. N., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.-P., Griffiths, F., Nicolau, B., O’Cathain, A., Rousseau, M.-C., Vedel, I., & Pluye, P. (2018). The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information, 34(4), 285-291. https://doi.org/10.3233/EFI-180221

Kato-Lin, Y. C., Kumar, U. B., Sri Prakash, B., Prakash, B., Varadan, V., Padman, R., et al. (2020). Impact of pediatric mobile game play on healthy eating behavior: Randomized controlled trial. JMIR mHealth and uHealth, 8(11), e15717.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71

Prowse, R., & Carsley, S. (2021). Digital interventions to promote healthy eating in children: An umbrella review. JMIR Pediatrics and Parenting, 4(4), e30160. https://doi.org/10.2196/30160

Ruggiero, L., Seltzer, E. D., Dufelmeier, D., McGee Montoya, A., & Chebli, P. (2020). MyPlate Picks: Development and initial evaluation of feasibility, acceptability, and impact of an educational exergame to help promote healthy eating and physical activity in children. Games for Health Journal, 9(3), 197-207.

Sharma, S. V., Shegog, R., Chow, J., Finley, C., Pomeroy, M., Hoelscher, D. M., et al. (2015). Effects of the Quest to Lava Mountain computer game on dietary and physical activity behaviors of elementary school children: A pilot group-randomized controlled trial. Journal of the Academy of Nutrition and Dietetics, 115(8), 1260-1271.

Swierad, E. M., Rausch, J. C., Sawyer, V., Drucker, G., & Williams, O. (2024). The design and acceptability of a hip hop themed integrated nutrition math curriculum for minoritized 5th grade students using the Multisensory Multilevel Health Education Model. Health Promotion Practice, 25(6), 1092-1103.

Talens, C., da Quinta, N., Adebayo, F. A., Erkkola, M., Heikkila, M., Meinila, J., et al. (2025). Mobile- and web-based interventions for promoting healthy diets, preventing obesity, and improving health behaviors in children and adolescents: Systematic review of randomized controlled trials. Journal of Medical Internet Research, 27, e60602. https://doi.org/10.2196/60602

Wang, R., Yao, J., Leong, C., Moltchanova, E., & Hoermann, S. (2025). Promoting learning about nutrition and healthy eating behaviors in Chinese children through an alternate reality game: A pilot study. Nutrients, 17(7), 1219.

Yusoff, H., Wan Dali, W. P. E., & Ruhaiyem, N. I. R. (2021). Evidence-based interactive multimedia nutrition education package efficacy on obesity outcomes through game and video intervention. In Advances in Visual Informatics (pp. 151-162). Springer.

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Published

2026-10-29

How to Cite

Cahyani, D. S., & Triyanto, E. (2026). Interactive Digital Nutrition Education for Primary School Children: A Systematic Review. Indonesian Journal of Global Health Research, 8(6), 1277–1284. https://doi.org/10.37287/ijghr.v8i6.2807

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