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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Promoting Healthy Food Choices Online: A Case for Multi-List Recommender Systems</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Alain D. Starke</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Christoph Trattner</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Information Science &amp; Media Studies, University of Bergen</institution>
          ,
          <country country="NO">Norway</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Marketing and Consumer Behavior Group, Wageningen University &amp; Research</institution>
          ,
          <country country="NL">The Netherlands</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>Many food choices are made online. Interactive, personalized interfaces, such as recommender systems, can help users to ifnd new products to eat or recipes to cook, but they tend to promote unhealthy alternatives. In this position paper, we argue that better algorithms are not the only way forward. We blend algorithms and user interface design to present a multi-list recommender interface that presents multiple lists of personalized items in a single interface, where each list is optimized for a specific feature (e.g., 'less fat'). We argue how multi-list recommenders can be used to support healthier food choices.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Recommender Systems</kwd>
        <kwd>Food</kwd>
        <kwd>Digital Health</kwd>
        <kwd>Interfaces</kwd>
        <kwd>Algorithms</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        content is recommended (cf. [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]). We propose a multi-list
recommender interface to support healthy food choices,
Recipe websites have become increasingly popular. This based on the UI of Netflix [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]. This interface combines
has spurred the development of food recommender sys- diferent ‘single lists’ of algorithms that use a specific
optems, which help users to navigate the thousands of timization (e.g., ‘Drama movies’ or ‘Because you watched
recipes found online, by presenting personalized content Frozen’) to come up with a new subset of similar
recom[
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. However, online users struggle to identify healthy mendations, which are combined into a comprehensive
recipes, due to a lack of knowledge and misleading cues, multi-list UI. We describe how this can be applied in the
and because popular recipes tend to be unhealthy [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. food domain to promote healthier alternatives, taking as
      </p>
      <p>
        An increasing number of algorithmic approaches to a starting point an interface that suggests alternatives
personalization have surfaced [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. For example, recom- for a recipe that a user had searched for, either through
mender systems present food (e.g., meal plans) that is a look-up task or implicitly in an exploratory search.
similar to what a user liked in the past [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. Yet, there has
been little attention for health [
        <xref ref-type="bibr" rid="ref1 ref3">1, 3</xref>
        ]. It has been shown
that computing similarity between recipes (cf. [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]) is 2. Case: Multi-list Recommenders
not enough to shift preferences towards health-related
behaviors [
        <xref ref-type="bibr" rid="ref3 ref4">3, 4</xref>
        ]. In fact, it is suggested that suitable rec- Most recommender systems optimize their content to be
ommendations for one’s current preferences could even similar towards a user’s past preferences.
Algorithmibe counterproductive [
        <xref ref-type="bibr" rid="ref5 ref6 ref7">5, 6, 7</xref>
        ], especially if one’s current cally speaking, this leads to “more like this”
recommenlifestyle is rather unhealthy [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. dations [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. For example, in the food domain, if a user has
      </p>
      <p>
        Most users stick to familiar recipes [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. For example, in bookmarked several recipes that contain potatoes, then
the context of sustainability, users might swap their ham- a recommender system will present more potato-based
burger’s beef-based patty for a plant-based one, relying recipes. The downside of this approach is that if a user
on familiar substitutes. Although this is consistent with is currently unhealthy, she is reinforced into her current
recommendation strategies on recipe websites, which preferences through more unhealthy content [
        <xref ref-type="bibr" rid="ref3 ref4">3, 4</xref>
        ].
typically present a ‘more like this’ set of recommenda- A few solutions have been proposed to alleviate this.
tions alongside each recipe [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ], such similar recommenda- For example, imposing health constraints on the
algotions are unlikely to produce healthy recommendations. rithm might boost the healthiness of chosen items [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ],
      </p>
      <p>
        In this position paper, we argue that personalization but this might leave users dissatisfied if they have no
approaches should go beyond only changing what is rec- healthy eating goals. Moreover, one could show a much
ommended, by also focusing on the decision context: how larger list of recommendations, but this will lead to a
sharp increase in choice dificulty, or choice overload,
Joint Proceedings of the ACM IUI 2021 Workshops, April 13–17, 2021, when not explained properly to a user [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ].
College Station, USA We argue that a multi-list recommender system can
("C. aTlaraintt.sntearr)ke@wur.nl (A. D. Starke); christoph.trattner@uib.no overcome algorithmic biases towards unhealthy foods
© 2021 for this paper by its authors. Use permitted under Creative Commons and mitigate choice overload. It comprises novel
algoCPWrEooUrckReshdoinpgs IhStpN:/c1e6u1r3-w-0s.o7r3g LCicEenUseRAttWribuotironk4s.0hIontpernPatrioonacl e(CeCdBiYn4g.0)s. (CEUR-WS.org) rithmic and interface components. In terms of content,
a multi-list recommender uses multiple algorithms that
each retrieve similar content, but difer in terms of what
specific attributes are optimized for. For example,
similarity could be computed across multiple attributes (e.g.,
ingredients, nutrients) to optimize utility (cf. [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ]), of
which the importance weights can be adapted in line
with a user’s goals (e.g., putting more weight on calorie
content for users who wish to lose weight). In terms of
the interface, the most important contribution is to
highlight the diferences between the diferent ‘single lists’, by
explaining them to the user. For example, by highlighting
the similarity of new recommendations with items liked
in the past [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] or by emphasizing health benefits in a
food recommender system [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ].
      </p>
      <p>
        A recommender study on computers shows how this
can be achieved, by using a ‘critiquing’ approach [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ].
      </p>
      <p>The recommender system would present an initial item
that fits a user’s past preferences, for which alternatives
are presented underneath it across various attribute
categories, such as ‘Cheaper and Heavier’ or ‘Higher
Processor Speed, but More Expensive’. This way, each
additional attribute category forms a new list of similar
recommendations, which are diversified based on
diferent attributes, as well as explained clearly to a user.</p>
      <p>
        An example of a multi-list recommender interface is
depicted in Figure 1. A reference recipe is depicted at
the top, which a user may have searched for earlier. To
explore alternatives, similar item recommendations are
presented underneath it, in separate ‘single lists’, where
each list is optimized towards a certain attribute. In our
example, the first row optimizes for similarity with the
reference recipe, explained as “Recipes that contain
similar ingredients”. This could be achieved by using
similarity functions and metrics, such as cosine similarity
and RMSE [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. In contrast, the second row focuses on
‘Similar recipes with less fat’, which could be achieved
by either putting more attribute weight on a recipe’s fat
content or determining the top-100 similar recipes and
subsequently re-ranking that list on fat content. This way,
multi-list recommender interfaces can be used to support
a variety of user goals, recommending recipes that people
like, yet supporting variations that some users might find
particularly interesting.
2.1. Directions for Future Research
The efectiveness of multi-list recommenders to support
changes in user preferences and behavior has yet to be
tested. The food domain is an excellent starting point, for
multi-list interfaces provide algorithmic diversity that is
needed to improve current unhealthy approaches in food
recommenders [
        <xref ref-type="bibr" rid="ref3 ref4">3, 4</xref>
        ]. We propose two lines of research
to examine visual UI design in recommender systems.
      </p>
      <p>
        First, diferent list representations (i.e., single list vs
multilists) should be compared in terms of choice behavior
and user evaluation, for it is currently unclear to what
extent they are efective [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ]. For example, does a
multilist representation reduce choice overload? Second, we
propose to investigate what types of explanatory labels
in a multi-list representation are the most persuasive to
shift a user’s food preferences. For example, should they
highlight health prevention (‘Similar, but less fat’), or
health promotion attributes (‘Similar, but more fiber’)?
      </p>
      <p>
        Another interesting avenue of research is the use of
visual cues, which can afect consumer preferences for food
selection [
        <xref ref-type="bibr" rid="ref15 ref16">15, 16</xref>
        ]. For one, product packaging color may
be adapted to invoke certain emotions in supermarkets
[
        <xref ref-type="bibr" rid="ref16">16</xref>
        ]. In an online context, recipe websites could exploit
ifndings that recipes tend to be rated more favorably if
they are accompanied by visually attractive photos [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ].
      </p>
      <p>
        Above all, we argue to evaluate multi-list recommender
systems through a user-centric approach (cf. [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ]). Not
only should be examined what recipe is chosen, but
also how users perceive and evaluate a multi-list
recommender interface, for instance, compared to a single
list approach. An important measure would be the
perceived choice dificulty (cf. [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ]), since it is currently
unclear whether presenting many sub-lists (5+) is
possible without afecting user satisfaction. Moreover, it
would be interesting to examine which types of ‘single
lists’ are the most efective in supporting health food
choices, which could be a interdisciplinary field of study
between computer science and nutrition science. In
doing so, it would be important to striking the right balance
between algorithmic accuracy (i.e., reducing RMSE) and
interface design (e.g., nudges).
      </p>
    </sec>
    <sec id="sec-2">
      <title>3. Conclusion</title>
      <p>
        We have proposed how healthy food choices could be
supported by combining adaptations in the presented
content (i.e., algorithms) and the decision context (i.e.,
the interface), in a new approach. We have argued how
to enable users to find and to select healthy content in a
recommender system. Fundamental to our approach is
that users are still given the freedom to choose what they
want, in line with research on nudging [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ], but that the
use of the interface would not trigger choice overload or
increase choice dificulty [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ].
      </p>
      <p>For future research, we stress that interfaces and
algorithms are not two mutually exclusive categories of
research. Our multi-list recommender systems case nicely
illustrates how ‘similar content’ and ‘healthy content’
can go hand in hand, by pointing out what each single
list of recommendations represents. We expect that
diversifying the diferent types of recommendations presented,
rather than only focusing on algorithmic optimization
will be more efective in supporting healthy eating habits.
For instance, should these lists always be fully
personalized, or can they be less personalized in terms of past
preferences and optimized to a user’s eating goals?</p>
    </sec>
    <sec id="sec-3">
      <title>4. Acknowledgments</title>
      <p>This work is in part funded by MediaFutures partners,
the Research Council of Norway (grant number 309339),
and the Niels Stensen Fellowship.</p>
    </sec>
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