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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Examining the Role of Nutrition Labels and Preference Elicitation Methods in Food Recom mendation</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Alain Starke</string-name>
          <email>alain.starke@wur.nl</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Ayoub El Majjodi</string-name>
          <email>ayoub.majjodiu@uib.no</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Christoph Trattner</string-name>
          <email>christoph.trattner@uib.no</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Information Science and Media Studies, University of Bergen</institution>
          ,
          <addr-line>Bergen</addr-line>
          ,
          <country country="NO">Norway</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Marketing and Consumer Behaviour Group, Wageningen University &amp; Research</institution>
          ,
          <addr-line>Wageningen</addr-line>
          ,
          <country country="NL">The Netherlands</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>How users evaluate a recommender system goes beyond the accuracy of the presented content. For food recommendation, users difer in terms of the needs they have. We investigated whether users with diferent levels of health consciousness evaluated food recommender interfaces diferently, depending on two factors: the Preference Elicitation (PE) method and the use of a nutrition label 'boost', which is a nudge that is explained to the user. In an online study (2x2 between-subjects design;  = 244 ), we compared a constraint-based recipe recommender, with feature-based PE, to a collaborative filtering recipe recommender with rating-based PE. Recipes were either annotated with a multiple trafic light nutrition label (i.e. the boost), or not (i.e., baseline). We found that boosts led to healthier recipe choices across both methods of PE. Moreover, we found users to be less satisfied with the constraint-based PE, while this may depend on the user's level of health consciousness.</p>
      </abstract>
      <kwd-group>
        <kwd>Personalization</kwd>
        <kwd>health</kwd>
        <kwd>food recommendations</kwd>
        <kwd>digital nudges</kwd>
        <kwd>nutrition labels</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        Most recommender systems assume that people have both the capabilities and interest to make
fully-informed choices. That is, interaction data such as ratings and bookmarks are assumed
to be accurate reflections of one’s preferences [
        <xref ref-type="bibr" rid="ref1 ref2">1, 2</xref>
        ]. While this goes a long way in some
domains, for example in movies, recommenders in other domains face users that have specific
needs or wishes that they cannot always disclose to the system [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], or require users to be more
experienced to make well-informed decisions [
        <xref ref-type="bibr" rid="ref4 ref5 ref6">4, 5, 6</xref>
        ].
      </p>
      <p>
        In food recommender systems, which present personalized food or recipe content to users [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ],
one’s preferences may strongly depend on contextual factors. This not only includes the
‘inperson’ context, such as the time of day and allergies, but also how the food items are presented
in the digital interface. For example, one’s preferences for a specific burger recipe may strongly
depend on whether salad recipes are presented alongside it, or whether the nutritional content
https://www.christophtrattner.info/ (C. Trattner)
© 2022 Copyright for this paper by its authors. Use permitted under Creative Commons License Attribution 4.0 International (CC BY 4.0).
of that burger is emphasized. Moreover, some users may find it dificult to elicit their preferences
if they have specific needs [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. For example, a user of a collaborative filtering recommender
that only optimizes for ratings may find it dificult to locate recipes without specific features,
such as gluten-free content.
      </p>
      <p>
        One overarching theme in food recommender systems is to support healthier choices [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ].
Most food recommenders are, however, still optimized towards popularity [
        <xref ref-type="bibr" rid="ref10 ref8">10, 8</xref>
        ], leading to
unhealthy outcomes [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ]. The number of food recommender studies that examine how to
optimize for a user’s nutritional needs, such as through knowledge-based methods [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ], is rather
small [
        <xref ref-type="bibr" rid="ref8 ref9">9, 8</xref>
        ]. Even so, most of the research has focused on algorithmic advancements in terms of
prediction accuracy and less so on the healthiness of chosen recipes and the user’s evaluation
[
        <xref ref-type="bibr" rid="ref13 ref14">13, 14</xref>
        ].
      </p>
      <p>
        In this paper, we examine recipe choices and a user’s evaluation for two recommender aspects
that go beyond algorithmic accuracy and the presented content. First, we investigate to what
extent ‘boosting’ can support healthier recipe choices in a food recommender context. Like
nudges [
        <xref ref-type="bibr" rid="ref15 ref16">15, 16</xref>
        ], boosts are changes to a choice architecture that lead to predictable changes in
behavior [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ]. Whereas nudges can also be unconscious and a user is not always aware of them
[
        <xref ref-type="bibr" rid="ref16 ref18">18, 16</xref>
        ], boosts aim to empower users in their decision-making by increasing their competence
[
        <xref ref-type="bibr" rid="ref17">17</xref>
        ], typically by providing more information [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ]. In this sense, boosts tend to be regarded as
ethically more acceptable, due to their explicitness [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ]. A common approach to ‘boost’ healthy
food choices in brick-and-mortar supermarkets is the use of front-of-package labels [
        <xref ref-type="bibr" rid="ref21 ref22">21, 22</xref>
        ].
Such labels summarize the nutritional content of a product, indicating how consuming it relates
to one’s allowed daily intake for diferent nutrients [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ]. A commonly used label in the United
Kingdom, is the Multiple Trafic Light label, which has shown to be efective in supporting
‘ofline’ healthy food choices [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ]. However, their efectiveness in an online context, as well as
for recipes, is less clear.
      </p>
      <p>
        Second, we investigate the role of the used preference elicitation method on a user’s evaluation
of a food recommender system. Whereas content-based and CF-based recommender typically
ask users to interact with individual items (cf. [
        <xref ref-type="bibr" rid="ref25">25, 26</xref>
        ]), other types of recommenders seek to
exploit the relation between user characteristics and recipe features, such as knowledge-based
recommender systems [
        <xref ref-type="bibr" rid="ref12">27, 12</xref>
        ]. Not only does this afect what items are presented, but possibly
also on how users perceive and experience the interaction. Previous research in the energy
recommender domain has shown that the interplay between the used preference elicitation
method and a user’s domain knowledge afects the user’s evaluation [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. They show that
inexperienced users tend to prefer to rate the favorability of individual items (i.e., in this case:
energy-saving measures), while more experienced users could interact with the measures’
features (e.g., ‘efort’ and ‘savings’) [
        <xref ref-type="bibr" rid="ref4">28, 4</xref>
        ]. For the recipe domain, this implies that preference
elicitation through recipe features, as in a constraint-based recommender, would be preferred
by users with a high level of experience.
      </p>
      <p>We argue that the extent to which users are interested in recipe healthiness can afect how
they evaluate a recommender system and its preference elicitation method. On the one hand, in
a collaborative filtering context, users can only indicate their interest in healthier recipes by
rating specific recipes, while this might be easier in a recommender system that inquires on
specific nutrition-related features, such as knowledge-based or constraint-based recommenders.
On the other hand, users who aware of health and nutrition might be able to pick specific
recipes that fit their needs and would experience feature-based elicitation as not fully meeting
their needs. To this end, we consider a user’s level of health consciousness, which measures
one’s perception of one’s diet and the relation between nutrient intake and health [29]. This
aspect is adapted from pre-validated scales, used in nutritional studies [30, 29].</p>
      <p>Approaches in food recommender systems promotes popular and unhealthy content, while
user preferences tend to be more complex to be extracted. We propose the following research
questions:
• RQ1: To what extent does a ‘nutrition label boost’ steer users towards healthier recipe
choices in a recommender system context?
• RQ2: To what extent does a user’s evaluation of a food recommender system depend
on the interplay between a user’s health consciousness and the system’s preference
elicitation method?</p>
      <p>We present an online recommender study in which users can disclose their preferences for
recipes, after which they are presented a personalized recommendation list. By comparing recipe
lists with and without nutrition labels and by using diferent preference elicitation methods, we
show that:
• Healthier recipe choices can be supported by boosts, without changing the recommended
content.
• A user’s perception (i.e., efort) and evaluation (i.e., choice dificulty and satisfaction)
are more favorable among users of a constraint-based recommender with a low level of
health consciousness, and vice versa for a collaborative filtering recommender.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Methodology</title>
      <sec id="sec-2-1">
        <title>2.1. Dataset</title>
        <p>
          We consulted a database that comprised recipes of Allrecipes.com, used in previous food
recommender systems studies (e.g., [
          <xref ref-type="bibr" rid="ref11 ref14">11, 14</xref>
          ]). From the total of 58000+ recipes, we extracted a
sample of 991 recipes. Our dataset included the basic metadata for each recipe, such as image
URLs, serving sizes, the number of ingredients, preparation times, calories, sugar, salt, (saturated)
fat, and protein. Table 1 presents the number of recipes per food category, which were selected
because they contained metadata on features required to generate recommendations.
        </p>
      </sec>
      <sec id="sec-2-2">
        <title>2.2. Recommender Approaches</title>
        <p>
          To address our research questions, and specifically RQ2, we compared two recommender
approaches that were distinct in terms of their preference elicitation (PE) methods1. Collaborative
Filtering (CF) relies on rating-based PE, asking users to indicate preferences for individual
items (i.e., recipes). Such approaches tend to outperform other item-based PE methods, such
as content-based recommendation [31]. In contrast, Constraint-based (CB) recommendation
exploits user preferences for recipe features, retrieving content based on the relation between
user characteristics and recipe features. Both of the selected approaches involve explicit
preference elicitation, as this was found to be the best representation of user preferences in food
domain [
          <xref ref-type="bibr" rid="ref8">8</xref>
          ].
        </p>
        <sec id="sec-2-2-1">
          <title>2.2.1. Collaborative Filtering (CF)</title>
          <p>Before implementing the CF-based recommender, we evaluated several rating-based prediction
algorithms in an ofline setting using out dataset. The results of this analysis were also reported
in [32]. Singular Value Decomposition (SVD) [33] was found to outperform algorithms (e.g.,
SVD++, KNNBasline, NMF ) by 10% in terms of the Root Mean Squared Error and Mean Absolute
Error, and was deployed for our online evaluation.</p>
          <p>As part of the study, users were presented 10 recipes to rate on a 5-point scale. These
recipes were all part of a preferred cuisine by the user (cf. subsection 2.3). Subsequently, a
list of ten recipes was retrieved that was closest to the inferred user profile, based on the SVD
recommender. Five recipes were retrieved from a healthy set, and the other five were retrieved
from a less healthy set ( cf. subsection 2.5.1 ).</p>
        </sec>
        <sec id="sec-2-2-2">
          <title>2.2.2. Constraint-based (CB)</title>
          <p>
            Our CB recommender inquired on preferred user constraints for the recipe recommender. Rather
than relying on the relation between user characteristics and recipe features, such as was done in
the knowledge-based recommender of Musto et al. [
            <xref ref-type="bibr" rid="ref12">12</xref>
            ], we focused on ‘pure’ feature-based PE,
which was consistent with Knijnenburg et al. [
            <xref ref-type="bibr" rid="ref4">4</xref>
            ]. The recommendation process was initiated
by asking users what type of recipes they preferred, based on the food category and diferent
features. Features addressed diferent aspects, such as practicalities (i.e., number of servings)
and health (i.e., preferred amount of calories). An overview of features is depicted in Figure
1. After obtaining feature-based preferences, a similarity function was used to score recipes
(based on [27]), eventually retrieving recipes that were deemed most relevant.
          </p>
        </sec>
      </sec>
      <sec id="sec-2-3">
        <title>2.3. Research Design and System Procedure</title>
        <p>Users were subject to 2 (Preference Elicitation (PE): Collaborative Filtering (CF),
ConstraintBased (CB)) X 2 (Labelling conditions: No label, Boost) between-subject design. For one arm,
users either interacted with a CF-based or a CB system, which difered in terms of PE and the
recommender algorithm. For the other arm, users either interacted with educational pages about
the use of Multiple Trafic Light (MTL) nutrition labels, before being presented personalized
1Materials used for this study: https://github.com/ayoubGL/Boosting_TowardsHealth</p>
        <p>What are your recipe preferences ?
Please select the food category that like the most, then answer carefully the following questions. You will receive personalized
recommendations according to your preferences.</p>
        <p>Food category
I want recipes at least with
The preferred number of servings in my recipes are
Preferred amount of calories in my recipes
The time I have available for cooking (in min)
The preferred number of ingredients in my recipes
3 stars
4 stars</p>
        <p>No preferences
min=1, max=10
min=200, max=1000
min=15, max=60
min=3, max=10</p>
        <p>Next
recipes annotated with MTL labels (i.e., Boost condition), or were not exposed to any education
or label. Figure 2B depicts an example of an MTL label, Figure 3 depicts the educational prompt
of the boost.</p>
        <p>For the online evaluation, users were asked to provide their consent for participation. They
were informed that our food recommender system would help them to find recipes they would
like to cook and eat. Figure 2A depicts the user flow of the proposed system. First, users were
asked to disclose basic demographic characteristics (e.g., age, gender, level of education) and to
respond to questionnaire items about their level of health consciousness, as well as to choose
a preferred food category. In the CF scenario, users were asked to rate ten recipes from the
preferred category using a 5-star rating scale. In the CB scenario, the user filled out a form
expressing her needs in terms of desired recipe features (see Figure 1). Users in both conditions
were presented a list of ten personalized recipe recommendations, among which five were
relatively healthy (i.e., having an FSA score of 8 or lower) and five relatively unhealthy (having
an FSA score of 9 or higher). Recipes were either annotated with the Multiple Trafic Light
(MTL) nutrition labels or not, according to the intervention conditions. Afterwards, users were
asked to evaluate their perception of the system and their experience with the chosen recipes.</p>
      </sec>
      <sec id="sec-2-4">
        <title>2.4. Participants</title>
        <p>A total of 244 participants (75% female) completed our 5-minute study, for which they were
rewarded with GBP 0.75. They were recruited on the crowdsourcing platform Prolific. They
had at least an approval rate of 95% and previously completed at least 30 submissions. Among
them, 99% had attained at least a high school diploma. Participants all lived in Great Britain, as
Personal information &amp;
Health consciousness</p>
        <p>Preferred food
category</p>
        <p>Recipe’s ratings
Recipe features</p>
        <p>Boost
Boost</p>
        <p>Personalized recipes</p>
        <p>&amp; No-label
Personalized recipes</p>
        <p>&amp; MTL label
Personalized recipes</p>
        <p>&amp; No-label
Personalized recipes
&amp; MTL label</p>
        <p>Choice &amp;
Evaluation
Rating-based recommendations</p>
        <p>Constraint-based recommendations</p>
        <p>B
Fiery Fish Tacos with Crunchy Corn Salsa</p>
      </sec>
      <sec id="sec-2-5">
        <title>2.5. Measures</title>
        <sec id="sec-2-5-1">
          <title>2.5.1. Recipe healthiness</title>
          <p>We assessed the healthiness of chosen recipes. In other studies, this was typically based on
nutritional guidelines proposed by various health organizations [34, 35]. We used the
wellvalidated FSA score [36], which was issued by the British Food Standards Agency [37]. The FSA
score was computed by assigning points to four nutrients in a given recipe: sugar, fat, saturated
fat, and salt. For each nutrient, we discerned between low, medium, or high content, assigning
one point for each level (low, medium, high). This led to a scored scale from 4 (healthiest) to 12
(least healthy). We used a score of eight as a threshold to discern 50% healthy and 50% unhealthy
recipes in our recommendation sets.</p>
          <p>Understanding the use of nutrition labels
On the next page, you will be presented personalized recipes recommendations, along with Multiple Traffic Light nutrition labels. Please carefully read the
text bellow to understand what they mean before proceeding to the next page.</p>
          <p>Nutritional labels give you information that can help you make healthier and more informed choices when deciding which food
products to buy: “By checking the label each time you purchase something, you will take more control of your eating habits.”
The traffic light labelling system will tell you whether a recipe has high, medium or low amount of fat, saturated fat, sugars
and salt. It will also tell you how much of each nutrient a recipe contains per serving.
• Red: means the product is high in a nutrient and you should try to cut down, eat less often or eat smaller amounts.
• Amber: means medium, if a food contains mostly amber, you can eat it most of the time.
• Green: means low, the more green lights a label shows, the healthier the food choice is.</p>
          <p>Next</p>
        </sec>
        <sec id="sec-2-5-2">
          <title>2.5.2. Nutrition Labels</title>
          <p>For our boosting intervention, we relied on a Front-of-Package Nutrition Label to inform users
about the health content of recipes. For years, food products displayed nutritional details on
the back of packaging. Although this was found to be associated with low-fat food intake and
healthier food choices overall [38, 39], many people found the information too complex to use
[40, 41]. This spurred the development of Front-of-Package labels that summarize a product’s
nutritional content [42].</p>
          <p>In this study, we used the Multiple Trafic Light (MTL) Front-of-Package nutrition label as a
healthy eating boost (see Figure 2B). The MTL label was based on the FSA score, representing
diferent levels of nutrient content by displaying red, amber, or green colors for high, medium,
or low levels of nutrients, respectively [37].</p>
        </sec>
        <sec id="sec-2-5-3">
          <title>2.5.3. User Characteristics, Perception, and Experience</title>
          <p>
            To examine the user’s evaluation of our food recommender approaches, we inquired on user
characteristics and evaluation aspects. In line with the recommender system user experience
framework [43, 44], we examined perception and experience aspects and user characteristics.
Item responses were submitted to 5-point Likert Scales. Items for choice satisfaction [
            <xref ref-type="bibr" rid="ref14">43, 45, 14</xref>
            ],
choice dificulty [
            <xref ref-type="bibr" rid="ref14">46, 14</xref>
            ], and perceived efort [
            <xref ref-type="bibr" rid="ref6">6</xref>
            ] were adapted from previous recommender
studies. Item for health consciousness was adapted from a pre-validated scale in the food
domain [30, 29], in line with a procedure followed by [47].
          </p>
          <p>Whether the items formed the expected aspects was examined using a principal component
factor analysis. Table 2 outlines the results, describing the factor loadings for the used aspects
and items. Items with low loadings or too many cross-loadings were removed from analysis.
Whereas choice dificulty, choice satisfaction and perceived efort could be inferred reliably,
there were doubts about the reliability of health consciousness. We observed a low value of
Cronbach’s Alpha (0.37), even after dropping unreliable items. Since the used items were part
of a pre-validated scale and the factor loadings with the retained items were good, we decided
to proceed with our analyses including health consciousness.</p>
          <p>For our analyses, all aspects were standardized and predicted using regression scoring. Health
consciousness was considered as both a continuous and dichotomous variable. For the latter,
we diferentiated between low and high levels of health consciousness, performing a mean split
on the standardized variable.</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-3">
      <title>3. Results</title>
      <p>I like the recipe I have chosen.</p>
      <p>I think I will prepare the recipe I have chosen.</p>
      <p>The chosen recipe fits my preference.</p>
      <p>I know many recipes that I like more than the one I have chosen.</p>
      <p>I would recommend the chosen recipe to others.</p>
      <p>I changed my mind several times before making a decision.</p>
      <p>Making a choice was overwhelming.</p>
      <p>It was easy to make this choice.</p>
      <p>My diet is well-balanced and healthy.</p>
      <p>The amount of sugar I get in my food is important.</p>
      <p>I have the impression that I sacrifice a lot for my health.</p>
      <p>My health does not depend on the food I consume.</p>
      <p>I am concerned about the quantity of salt that I get in my food.</p>
      <p>The system takes up a lot of time.</p>
      <p>I quickly understood the functionalities of the system.</p>
      <p>Many actions were required to use the system.</p>
      <p>Loading
We present the analyses for our two research questions. First, we investigated to what extent
annotating recipes with nutrition labels, with (i.e., boosting) or without (i.e., nudging)
explanation, led to healthier recipe choices (RQ1). Second, we examined the interplay between the
used Preference Elicitation (PE) method and user’s evaluation method, specifically examining
how the user’s health consciousness and the PE method led to diferences in user perception
(i.e., perceived efort) and evaluation (i.e., choice dificulty and choice satisfaction; RQ2).</p>
      <sec id="sec-3-1">
        <title>3.1. RQ1: Boosting Towards Healthier Choices</title>
        <p>We first examined to what extent nutrition label boosted afected the healthiness of recipes
chosen. We performed a two-way ANCOVA to predict whether the FSA score of chosen recipes
difered significantly across conditions, while adjusting for a user’s level of health consciousness.
With regard to the labeling conditions, the results in Table 3 show that the FSA score was
significantly lower in the boost condition (  = 7.98 ,  = 1.63 ) than in the no-label condition
( = 8.65 ,  = 1.50 ):  (1, 239) = 10.41 ,  = 0.0014 . This showed that in the context of
personalized recipe recommendations, boosting and annotating recipes with a multiple trafic
light nutrition label leads to an increase in the healthiness of recipe choices.</p>
        <p>The two-way ANCOVA reported in Table 3 further revealed that the healthiness of recipe
choices did not depend on the Preference Elicitation (PE) method. Although chosen recipes were
slightly less healthier after a constraint-based (CB) PE and recommendation method (  = 8.39 ,
 = 1.39 ) than after a collaborative filtering (CF) PE (  = 8.23 ,  = 1.79 ), this diference was
not significant (  = 0.42 ). This suggested that the used PE and recommendation method did
not directly afect the recommended content.</p>
        <p>In addition, we neither observed an interaction efect between the PE method and the use of
a boosted nutrition label. To better understand all efects, please inspect Figure 4, which shows
that users across both PE methods chose healthier recipes when being presented nutrition labels.
Finally, Table 3 did not reveal that a user’s level of health consciousness significantly afected
the healthiness of chosen recipes ( = 0.057 ); we further checked for interaction efects with
the labelling conditions, but did not observe any.</p>
        <sec id="sec-3-1-1">
          <title>3.1.1. Conclusion</title>
          <p>Overall, we found that annotating recipes with multiple trafic light nutrition labels, in
conjunction with an explanation, can support users in making healthier choices. On the other hand,
the recommendation approach did not afect on the healthiness of chosen recipes (see Table
3), nor was it afected by a user’s level of health consciousness. Recipe choices were further
related to how users evaluated our recommender system in the next subsection.</p>
        </sec>
      </sec>
      <sec id="sec-3-2">
        <title>3.2. RQ2: User Evaluation of Preference Elicitation Methods</title>
        <p>We examined a user’s evaluation of our recipe recommender system, based on the used
Preference Elicitation (PE) method. In doing so, we first examined whether the user’s perception was
afected by the interplay between a user’s health consciousness and the preference elicitation
method (RQ2). Then, we examined whether this led to further diferences in a user’s experienced
choice dificulty and choice satisfaction.</p>
        <sec id="sec-3-2-1">
          <title>3.2.1. Perceived Efort</title>
          <p>We performed a one-way ANCOVA on a user’s perceived efort of using our recommender
system, including an interaction efect between health consciousness and the used PE method 2.
The results are outlined in Table 4. We found no main efects for the used elicitation method,
as the perceived efort of using the CB recommender (  = −.014 ,  = 1.03 ), which relied on
disclosing preferences for recipe features, was only somewhat lower than that of the CF-based
recommender ( = .014 ,  = .97 ), which relied on rating-based PE. In addition, we neither
observed a main efect of a user’s health consciousness on efort:  (1, 240) = 1.16 ,  = 0.28 .</p>
          <p>What stands out from Table 4 is an interaction efect between the PE method and a user’s
health:  (1, 240) = 8.42 ,  = 0.0041 . This suggested that a user’s perceived efort depended on
2We also examined whether the user’s perceived efort difered across labelling conditions, such as by performing a
two-way ANOVA across diferent labelling and PE conditions. However, we observed no diferences.
the interplay between the PE method and the user’s level of health consciousness. The direction
of this efect can be understood best by inspecting Figure 5, in which we diferentiated between
low and high levels of health consciousness based on a mean split. While users with low levels
of health consciousness perceived the CB method as less efortful, this increased significantly
for users with a high level of health consciousness. In contrast, Figure 5 depicts much smaller
diferences in perceived efort for a CF-based PE. This suggested that users who were likely
to seek out healthier recipes found our constraint-based recommender, with feature-based
elicitation, more efortful to use.</p>
        </sec>
        <sec id="sec-3-2-2">
          <title>3.2.2. Choice Dificulty and Choice Satisfaction</title>
          <p>We further examined to what extent diferent elicitation methods and user characteristics
afected the user experience aspects of choice dificulty and choice satisfaction. For each aspect,
we performed a linear regression analysis, in which we also checked for diferences across
labelling conditions, as well as whether perception aspects (i.e., efort) and choice metrics (i.e.,
FSA score) played a role.</p>
          <p>Table 5 reports both analyses. For choice dificulty, we found that users of the
constraintbased recommender found it more dificult to use (  = .31 ,  = 0.01 ), compared to users of our
CF-based recommender. In contrast, choice dificulty was not afected by the use of nutrition
labels (i.e., our boost), neither by the user’s level of health consciousness, nor by the interaction
between the PE method and the user’s health consciousness (all  &gt; 0.05 ). This suggested
that it was more dificult to choose between the recipes generated by the constraint-based
recommender (compared to CF), while the use of labels did not support easier decision-making.</p>
          <p>With regard to other aspects, we found that users who perceived a recommender as efortful
to use, also reported higher levels of choice dificulty:  = .26 ,  &lt; 0.001 . This suggested a</p>
        </sec>
        <sec id="sec-3-2-3">
          <title>Factor</title>
          <p>Labelling Condition (Boost vs No label)
Preference Elicitation (CB vs CF)
Health Consciousness
Preference Elicitation (CB vs CF) * Health Consciousness .0075
Choice Dificulty
Perceived Efort
FSA
Intercept
 2

.11
.31∗
.050
-.045
.37</p>
          <p>S.E.
.13
.12
.062
.13
.040
.33
.11∗∗∗
.26 ∗∗∗ .063

.13
.051
-.021
.033
.066
-.55
-.43∗∗ .12
-.21 ∗∗ .065</p>
          <p>S.E.
.13
.062
.13
.065
.040
.34
.11∗∗∗
possible indirect efect of the interplay between a user’s level of health consciousness and the
PE method on choice dificulty, via perceived efort. Hence, an earlier analysis revealed that
users in the CB condition reported higher levels of perceived efort if they had a higher level of
health consciousness, and vice versa. In contrast, the healthiness of the chosen recipe (i.e., FSA)
was not related to choice dificulty.
Linear regression analyses, with models to predict the user’s experienced choice dificulty and choice
satisfaction, based on the experimental conditions, user characteristics, perception aspects and choices.
‘Boost’ and ‘CB’ were coded as 0.5, ‘No label’ and ‘CF’ as -0.5. *** &lt; 0.001, ** &lt; 0.01, * &lt; 0.05.</p>
        </sec>
        <sec id="sec-3-2-4">
          <title>Choice Dificulty</title>
        </sec>
        <sec id="sec-3-2-5">
          <title>Choice Satisfaction</title>
          <p>With regard to choice satisfaction, we observed similar efects as for choice dificulty. Again,
we observed no significant efects for the use of nutritional labels, health consciousness and the
chosen recipe’s FSA score. In a similar vein, users reported lower levels of choice satisfaction for
our constraint-based recommender with feature-based PE ( = −.24 ,  = 1.02
), than for our
rating-based CF recommender ( = .24 ,  = .92
):  = −.43 ,  = 0.001 . In addition, we also
observed a negative, significant relation between the experienced choice dificulty and choice
satisfaction:  = −.21 ,  = 0.002 . This suggested two possible mediated paths towards choice
satisfaction. First, the constraint-based PE method increased the experienced choice dificulty
and, in turn, lowered the user’s level of experienced choice satisfaction. Second, the interaction
between a user’s health consciousness and the PE method afected efort, which afected choice
dificulty and satisfaction subsequently. All the efects, regarding the experimental conditions,
can be understood further by inspecting Figures 6 and 7.</p>
        </sec>
        <sec id="sec-3-2-6">
          <title>3.2.3. Conclusion</title>
          <p>We observed that the user’s evaluation of our food recommender system depended on the
interplay between the PE method and user characteristics. Specifically, we observed that if a
user’s level of health consciousness was high, users perceived higher levels of efort of using the
constraint-based recommender, compared to lower levels of efort for users with a low level of
health consciousness. Efort was further found to positively afect choice dificulty, which had,
in turn, a negative relation with choice satisfaction. On top of that, users had on average more
dificulties in choosing a recipe in the constraint-based condition, while we observed no efects
on the used labeling condition. This showed that how a food recommender is evaluated depends
on the healthy food interests of the user, which is one of the possible user characteristics that
could have been inquired on.</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>4. Discussion</title>
      <p>
        In the context of personalized recipe recommendations, this work has examined two ways how
a recommender can cater to users who are interested in healthy eating. Food recommender
systems have faced dificulties in optimizing for nutritional content [
        <xref ref-type="bibr" rid="ref10 ref11 ref9">9, 10, 11</xref>
        ], particularly
while maintaining a user’s level of satisfaction [36]. In an attempt to ‘boost’ healthier recipe
choices, we have gone beyond optimizing algorithmic accuracy by not necessarily changing
what recipes are presented but how they are presented and how user preferences are elicited.
      </p>
      <p>
        First, we have found that annotating recipes with nutrition labels leads to healthier recipe
choices (RQ1). Our work is among the first to examine such a digital nudge in a personalized
context [48], particularly in the domain food [49], and one of the first to use the concept of
‘boosting’ in a recommender system context. The idea that our (interface) interventions, not
only the algorithm, should be explainable to a person or user is gaining ground in behavioral
economics [
        <xref ref-type="bibr" rid="ref17 ref20">17, 20</xref>
        ]. The purpose of highlighting a specific interface this way is to make it more
salient to a user, which can increase one’s knowledge level or awareness [50]. Although it seems
sensible that a nutrition label can support healthier choices [40], evidence for the efectiveness
of nudges in personalized recommender contexts is scarce [45]. It seems that they need to be
well-designed to be efective, as the content already fits the user’s preferences.
      </p>
      <p>Second, we have found that the user’s evaluation of a food recommender system is significantly
associated with the used preference elicitation method, based on that user’s level of health
consciousness (RQ2). We have compared two distinct recommender approaches, collaborative
ifltering and constraint-based, that also involve diferent methods of preference. Across all types
of users, we find that constraint-based recipe recommendation lists are more dificult to choose
from and, in turn, lead to lower levels of satisfaction. With regard to choice satisfaction, it could
be argued that this outcome is unsurprising, since a constraint-based recommender system
tends to be less efective than a CF-based recommender as it makes much simpler assumptions
about the user’s preferences [51].</p>
      <p>
        When combining health consciousness and the PE method, we would have expected to
observe an additional interaction efect. Hence, our user-specific analyses are more striking.
Similar to the interaction between knowledge and the PE method in [28], we have observed an
interaction efect between health consciousness and the PE method. However, although we have
observed lower perceived efort for lower levels of health consciousness and feature-based PE,
previous findings from the energy domain show the opposite with higher system satisfaction
levels for high domain knowledge and feature-based PE [
        <xref ref-type="bibr" rid="ref4">28, 4</xref>
        ]. we argue that the examined
interplay of user characteristics and PE is diferent. Whereas the work of Knijnenburg et
al. [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ] focuses on domain knowledge and the resulting understandability of diferent
energyrelated features, the current paper focuses on whether a specific aspect in which users can
be interested (i.e., food healthiness) can be catered to efectively using diferent PE methods.
Whether similar findings would be observed when examining the relation between PE and food
knowledge (e.g., subjective food knowledge [52, 53]) will be examined in an upcoming study.
Regardless, our findings stress the complexity and multifacetedness of the food domain [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ], the
domain-specificity of findings in recommender studies.
      </p>
      <p>The main limitation to our findings it that health consciousness faced construct validity issues.
Although the factor loadings of the eventually used items are good, the observed Cronbach’s
Alpha was found to be too low and multiple items were dropped. This can raise some doubts
about whether we have measured health consciousness reliably. Although we wholeheartedly
recommended to replicate our findings, we have proceeded with our analysis in the current
paper, because the used items are part of a pre-validated scale [30], implying that some studies
have already used the scale without validating it further (e.g., [47]).</p>
      <p>
        Another aspect that can be improved is the method of analysis. Whereas Knijnenburg et al.
[
        <xref ref-type="bibr" rid="ref4">4</xref>
        ] has examined mediation efects using structural equation modelling, this was not possible
in the current study due to fit issues. We have not been even to converge to a model that would
meet all assumptions. Instead, we have examined a simplified version of a structural equation
model, by examining mediation through multiple separate analyses (i.e., ANCOVAs, regression).
This approach is line with the earlier 2009 RecSys work of Knijnenburg and Willemsen [28],
inferring mediation in a stepwise manner. This approach is also prescribed by Baron and
Kenny [54]. Nonetheless, it has been argued that this approach faces more limitation than
a structural equation model would [55]. Hence, in a follow-up study, we intend to mitigate
the issues regarding construct validity examine our findings in a structural equation model
by using diferent questionnaire items. Even though health consciousness has been adapted
from previous studies [30, 29], we opt for pre-validated aspects in a follow-up study. In doing
so, we will also consider subjective food knowledge scales, which would be in line with the
earlier work on PE from Knijnenburg et al. [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. All in all, this would allow us to paint a full
picture of the interplay between a food recommender’s PE method and multiple relevant user
characteristics that cannot simply be captured by a recommender algorithm.
      </p>
      <p>
        A limitation regarding the recommended items is the arguably smaller dataset of recipes.
While some other studies with internet-sourced recipes have been able to leverage datasets
with more recipes [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ], our dataset is smaller due to the focus on high-quality ratings for our
collaborative filtering recommender. We have only used ratings from users that have rated at
least 20 recipes, to make sure that the collected ratings are of rather active and experienced
users. In addition,
      </p>
      <p>Follow-up studies should also address the limitations of one-of user choices as a measure
of recommender ‘success’. While food choices may go a long way in digital interfaces to
predict subsequent user behavior (e.g., [56]), an optimal study design would also check whether
chosen recipes are actually prepared and consumed. In a sense, repeated interactions with
a recommender systems through some kind of application would be representative to assess
whether user preferences would shift. Therefore, we opt for a recommender systems with a
longitudinal design, as has been demonstrated in other domains [57].</p>
    </sec>
    <sec id="sec-5">
      <title>Acknowledgments</title>
      <p>This work was supported by industry partners and the Research Council of Norway with
funding to MediaFutures: Research Centre for Responsible Media Technology and Innovation,
through the centers for Research-based Innovation scheme, project number 309339.</p>
      <p>New York: Cambridge 10 (2011) 1941904.
[26] F. Ricci, L. Rokach, B. Shapira, Recommender systems: introduction and challenges, in:</p>
      <p>Recommender systems handbook, Springer, 2015, pp. 1–34.
[27] C. C. Aggarwal, Knowledge-based recommender systems, in: Recommender systems,</p>
      <p>Springer, 2016, pp. 167–197.
[28] B. P. Knijnenburg, M. C. Willemsen, Understanding the efect of adaptive preference
elicitation methods on user satisfaction of a recommender system, in: Proceedings of the
third ACM conference on Recommender systems, 2009, pp. 381–384.
[29] S. J. Gould, Health consciousness and health behavior: the application of a new health
consciousness scale, American Journal of Preventive Medicine 6 (1990) 228–237.
[30] A. Gámbaro, A. C. Ellis, V. Prieto, Influence of subjective knowledge, objective knowledge
and health consciousness on olive oil consumption—a case study, Food and Nutrition 4
(2013) 445–453.
[31] C. Trattner, D. Elsweiler, An evaluation of recommendation algorithms for online recipe
portals, in: Proceedings of the 4th International Workshop on Health Recommender
Systems, CEUR, Aachen, DE, 2019.
[32] A. El Majjodi, A. D. Starke, C. Trattner, Nudging towards health? examining the merits of
nutrition labels and personalization in a recipe recommender system, in: Proceedings of
the 30th ACM Conference on User Modeling, Adaptation and Personalization, 2022, pp.
48–56.
[33] S. Funk, Netflix update: Try this at home (december 2006), 1999. URL: http://sifter.org/
simon/journal/20061211.html.
[34] W. H. Organization, Diet, nutrition, and the prevention of chronic diseases: report of a
joint WHO/FAO expert consultation, volume 916, World Health Organization, 2003.
[35] H. Canada., The development and use of a surveillance tool: The classification of foods in
the canadian nutrient file according to eating well with canada’s food guide, 2014. URL:
http://publications.gc.ca/collections/collection_2014/sc-hc/H164-158-2-2014-eng.pdf.
[36] A. D. Starke, M. C. Willemsen, C. Trattner, Nudging healthy choices in food search through
visual attractiveness, Frontiers in Artificial Intelligence 4 (2021) 20.
[37] Department of Health and Social Care UK, Front of Pack nutrition
labelling guidance, 2016. URL: https://www.gov.uk/government/publications/
front-of-pack-nutrition-labelling-guidance.
[38] K. Anastasiou, M. Miller, K. Dickinson, The relationship between food label use and dietary
intake in adults: A systematic review, Appetite 138 (2019) 280–291.
[39] M. L. Neuhouser, A. R. Kristal, R. E. Patterson, Use of food nutrition labels is associated
with lower fat intake, Journal of the American dietetic Association 99 (1999) 45–53.
[40] M. Cecchini, L. Warin, Impact of food labelling systems on food choices and eating
behaviours: a systematic review and meta-analysis of randomized studies, Obesity reviews
17 (2016) 201–210.
[41] K. G. Grunert, J. M. Wills, L. Fernández-Celemín, Nutrition knowledge, and use and
understanding of nutrition information on food labels among consumers in the uk, Appetite
55 (2010) 177–189.
[42] K. L. Hawley, C. A. Roberto, M. A. Bragg, P. J. Liu, M. B. Schwartz, K. D. Brownell, The
science on front-of-package food labels, Public health nutrition 16 (2013) 430–439.
[43] B. P. Knijnenburg, M. C. Willemsen, Z. Gantner, H. Soncu, C. Newell, Explaining the
user experience of recommender systems, User modeling and user-adapted interaction 22
(2012) 441–504.
[44] B. P. Knijnenburg, M. C. Willemsen, Evaluating recommender systems with user
experiments, in: Recommender systems handbook, Springer, 2015, pp. 309–352.
[45] A. D. Starke, C. Trattner, Promoting healthy food choices online: A case for multi-list
recommender systems, in: Proceedings of the ACM IUI 2021 Workshops, CEUR, Aachen,
DE, 2021.
[46] M. C. Willemsen, M. P. Graus, B. P. Knijnenburg, Understanding the role of latent feature
diversification on choice dificulty and satisfaction, User Modeling and User-Adapted
Interaction 26 (2016) 347–389.
[47] R. Mai, S. Hofmann, How to combat the unhealthy= tasty intuition: The influencing role
of health consciousness, Journal of Public Policy &amp; Marketing 34 (2015) 63–83.
[48] M. Jesse, D. Jannach, Digital nudging with recommender systems: Survey and future
directions, Computers in Human Behavior Reports 3 (2021) 100052.
[49] M. Jesse, D. Jannach, B. Gula, Digital nudging for online food choices, Frontiers in</p>
      <p>Psychology 12 (2021).
[50] L. N. van der Laan, O. Orcholska, Efects of digital just-in-time nudges on healthy food
choice–a field experiment, Food Quality and Preference 98 (2022).
[51] A. Felfernig, R. Burke, Constraint-based recommender systems: technologies and research
issues, in: Proceedings of the 10th international conference on Electronic commerce, 2008,
pp. 1–10.
[52] L. R. Flynn, R. E. Goldsmith, A short, reliable measure of subjective knowledge, Journal of
business research 46 (1999) 57–66.
[53] Z. Pieniak, J. Aertsens, W. Verbeke, Subjective and objective knowledge as determinants
of organic vegetables consumption, Food quality and preference 21 (2010) 581–588.
[54] R. M. Baron, D. A. Kenny, The moderator–mediator variable distinction in social
psychological research: Conceptual, strategic, and statistical considerations., Journal of personality
and social psychology 51 (1986) 1173.
[55] A. Pardo, M. Román, Reflections on the baron and kenny model of statistical mediation,</p>
      <p>Anales de psicologia 29 (2013) 614–623.
[56] W.-Y. Chao, Z. Hass, Choice-based user interface design of a smart healthy food
recommender system for nudging eating behavior of older adult patients with newly diagnosed
type ii diabetes, in: International Conference on Human-Computer Interaction, Springer,
2020, pp. 221–234.
[57] Y. Liang, M. C. Willemsen, A longitudinal study – exploring the efect of nudging on users’
genre exploration behavior and listening preference, in: Sixteenth ACM Conference on
Recommender Systems, ACM, New York, NY, USA, 2022.</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>
          [1]
          <string-name>
            <given-names>W.</given-names>
            <surname>Hill</surname>
          </string-name>
          ,
          <string-name>
            <given-names>L.</given-names>
            <surname>Stead</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Rosenstein</surname>
          </string-name>
          , G. Furnas,
          <article-title>Recommending and evaluating choices in a virtual community of use</article-title>
          ,
          <source>in: Proceedings of the SIGCHI conference on Human factors in computing systems</source>
          ,
          <year>1995</year>
          , pp.
          <fpage>194</fpage>
          -
          <lpage>201</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          [2]
          <string-name>
            <given-names>J.</given-names>
            <surname>Konstan</surname>
          </string-name>
          ,
          <string-name>
            <given-names>J.</given-names>
            <surname>Riedl</surname>
          </string-name>
          ,
          <article-title>Recommended for you</article-title>
          ,
          <source>IEEE Spectrum 49</source>
          (
          <year>2012</year>
          )
          <fpage>54</fpage>
          -
          <lpage>61</lpage>
          . doi:
          <volume>10</volume>
          .1109/ MSPEC.
          <year>2012</year>
          .
          <volume>6309257</volume>
          .
        </mixed-citation>
      </ref>
      <ref id="ref3">
        <mixed-citation>
          [3]
          <string-name>
            <given-names>M. D.</given-names>
            <surname>Ekstrand</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M. C.</given-names>
            <surname>Willemsen</surname>
          </string-name>
          ,
          <article-title>Behaviorism is not enough: better recommendations through listening to users</article-title>
          ,
          <source>in: Proceedings of the 10th ACM conference on recommender systems</source>
          , ACM, New York, NY, USA,
          <year>2016</year>
          , pp.
          <fpage>221</fpage>
          -
          <lpage>224</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref4">
        <mixed-citation>
          [4]
          <string-name>
            <given-names>B.</given-names>
            <surname>Knijnenburg</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Willemsen</surname>
          </string-name>
          ,
          <string-name>
            <given-names>R.</given-names>
            <surname>Broeders</surname>
          </string-name>
          ,
          <article-title>Smart sustainability through system satisfaction: tailored preference elicitation for energy-saving recommenders</article-title>
          ,
          <source>in: 20th Americas Conference on Information Systems (AMCIS</source>
          <year>2014</year>
          ),
          <year>August</year>
          7-
          <issue>9</issue>
          ,
          <year>2014</year>
          , Savannah, Georgia, United States, AIS/ICIS,
          <year>2014</year>
          , pp.
          <fpage>1</fpage>
          -
          <lpage>15</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref5">
        <mixed-citation>
          [5]
          <string-name>
            <given-names>H.</given-names>
            <surname>Schäfer</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M. C.</given-names>
            <surname>Willemsen</surname>
          </string-name>
          ,
          <article-title>Rasch-based tailored goals for nutrition assistance systems</article-title>
          ,
          <source>in: Proceedings of the 24th International Conference on Intelligent User Interfaces</source>
          ,
          <year>2019</year>
          , pp.
          <fpage>18</fpage>
          -
          <lpage>29</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref6">
        <mixed-citation>
          [6]
          <string-name>
            <given-names>A.</given-names>
            <surname>Starke</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Willemsen</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Snijders</surname>
          </string-name>
          ,
          <article-title>Efective user interface designs to increase energyeficient behavior in a rasch-based energy recommender system</article-title>
          ,
          <source>in: Proceedings of the eleventh ACM conference on recommender systems</source>
          ,
          <year>2017</year>
          , pp.
          <fpage>65</fpage>
          -
          <lpage>73</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref7">
        <mixed-citation>
          [7]
          <string-name>
            <given-names>C.</given-names>
            <surname>Trattner</surname>
          </string-name>
          ,
          <string-name>
            <given-names>D.</given-names>
            <surname>Elsweiler</surname>
          </string-name>
          ,
          <article-title>Food recommendations, in: Collaborative recommendations: Algorithms, practical challenges and applications</article-title>
          , World Scientific,
          <year>2019</year>
          , pp.
          <fpage>653</fpage>
          -
          <lpage>685</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref8">
        <mixed-citation>
          [8]
          <string-name>
            <given-names>T. N. T.</given-names>
            <surname>Tran</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Atas</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Felfernig</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Stettinger</surname>
          </string-name>
          ,
          <article-title>An overview of recommender systems in the healthy food domain</article-title>
          ,
          <source>Journal of Intelligent Information Systems</source>
          <volume>50</volume>
          (
          <year>2018</year>
          )
          <fpage>501</fpage>
          -
          <lpage>526</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref9">
        <mixed-citation>
          [9]
          <string-name>
            <given-names>D.</given-names>
            <surname>Elsweiler</surname>
          </string-name>
          ,
          <string-name>
            <given-names>H.</given-names>
            <surname>Hauptmann</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Trattner</surname>
          </string-name>
          ,
          <article-title>Food recommender systems</article-title>
          , in: F.
          <string-name>
            <surname>Ricci</surname>
            ,
            <given-names>L.</given-names>
          </string-name>
          <string-name>
            <surname>Rokach</surname>
            ,
            <given-names>B.</given-names>
          </string-name>
          Shapira (Eds.),
          <source>Recommender Systems Handbook</source>
          , Springer US, New York, NY,
          <year>2022</year>
          , pp.
          <fpage>871</fpage>
          -
          <lpage>925</lpage>
          . URL: https://doi.org/10.1007/978-1-
          <fpage>0716</fpage>
          -2197-4_
          <fpage>23</fpage>
          . doi:
          <volume>10</volume>
          .1007/ 978- 1-
          <fpage>0716</fpage>
          - 2197- 4_
          <fpage>23</fpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref10">
        <mixed-citation>
          [10]
          <string-name>
            <given-names>S.</given-names>
            <surname>Mika</surname>
          </string-name>
          ,
          <article-title>Challenges for nutrition recommender systems</article-title>
          ,
          <source>in: Proceedings of the 2nd Workshop on Context Aware Intel. Assistance</source>
          , Berlin, Germany,
          <string-name>
            <surname>CEUR</surname>
          </string-name>
          ,
          <year>2011</year>
          , pp.
          <fpage>25</fpage>
          -
          <lpage>33</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref11">
        <mixed-citation>
          [11]
          <string-name>
            <given-names>C.</given-names>
            <surname>Trattner</surname>
          </string-name>
          ,
          <string-name>
            <given-names>D.</given-names>
            <surname>Elsweiler</surname>
          </string-name>
          ,
          <article-title>Investigating the healthiness of internet-sourced recipes: implications for meal planning and recommender systems</article-title>
          ,
          <source>in: Proceedings of the 26th international conference on world wide web, ACM</source>
          , New York, NY, USA,
          <year>2017</year>
          , pp.
          <fpage>489</fpage>
          -
          <lpage>498</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref12">
        <mixed-citation>
          [12]
          <string-name>
            <given-names>C.</given-names>
            <surname>Musto</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Trattner</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Starke</surname>
          </string-name>
          , G. Semeraro,
          <article-title>Towards a knowledge-aware food recommender system exploiting holistic user models, in: Proceedings of the 28th ACM conference on user modeling, adaptation and personalization</article-title>
          , ACM, New York, NY, USA,
          <year>2020</year>
          , pp.
          <fpage>333</fpage>
          -
          <lpage>337</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref13">
        <mixed-citation>
          [13]
          <string-name>
            <given-names>C.</given-names>
            <surname>Musto</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A. D.</given-names>
            <surname>Starke</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Trattner</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Rapp</surname>
          </string-name>
          ,
          <string-name>
            <surname>G.</surname>
          </string-name>
          <article-title>Semeraro, Exploring the efects of natural language justifications in food recommender systems</article-title>
          ,
          <source>in: Proceedings of the 29th ACM Conference on User Modeling, Adaptation and Personalization</source>
          ,
          <year>2021</year>
          , pp.
          <fpage>147</fpage>
          -
          <lpage>157</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref14">
        <mixed-citation>
          [14]
          <string-name>
            <given-names>A.</given-names>
            <surname>Starke</surname>
          </string-name>
          ,
          <string-name>
            <given-names>E.</given-names>
            <surname>Asotic</surname>
          </string-name>
          , C. Trattner, “
          <article-title>serving each user”: Supporting diferent eating goals through a multi-list recommender interface</article-title>
          ,
          <source>in: Fifteenth ACM Conference on Recommender Systems</source>
          , ACM, New York, NY, USA,
          <year>2021</year>
          , pp.
          <fpage>124</fpage>
          -
          <lpage>132</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref15">
        <mixed-citation>
          [15]
          <string-name>
            <given-names>E. J.</given-names>
            <surname>Johnson</surname>
          </string-name>
          , S. B.
          <string-name>
            <surname>Shu</surname>
            ,
            <given-names>B. G.</given-names>
          </string-name>
          <string-name>
            <surname>Dellaert</surname>
            ,
            <given-names>C.</given-names>
          </string-name>
          <string-name>
            <surname>Fox</surname>
            ,
            <given-names>D. G.</given-names>
          </string-name>
          <string-name>
            <surname>Goldstein</surname>
            , G. Häubl,
            <given-names>R. P.</given-names>
          </string-name>
          <string-name>
            <surname>Larrick</surname>
            ,
            <given-names>J. W.</given-names>
          </string-name>
          <string-name>
            <surname>Payne</surname>
            ,
            <given-names>E.</given-names>
          </string-name>
          <string-name>
            <surname>Peters</surname>
            ,
            <given-names>D.</given-names>
          </string-name>
          <string-name>
            <surname>Schkade</surname>
          </string-name>
          , et al.,
          <article-title>Beyond nudges: Tools of a choice architecture</article-title>
          ,
          <source>Marketing Letters</source>
          <volume>23</volume>
          (
          <year>2012</year>
          )
          <fpage>487</fpage>
          -
          <lpage>504</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref16">
        <mixed-citation>
          [16]
          <string-name>
            <given-names>R. H.</given-names>
            <surname>Thaler</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C. R.</given-names>
            <surname>Sunstein</surname>
          </string-name>
          , Nudge:
          <article-title>Improving decisions about health, wealth, and happiness</article-title>
          , Penguin,
          <year>2009</year>
          .
        </mixed-citation>
      </ref>
      <ref id="ref17">
        <mixed-citation>
          [17]
          <string-name>
            <given-names>R.</given-names>
            <surname>Hertwig</surname>
          </string-name>
          ,
          <string-name>
            <surname>T.</surname>
          </string-name>
          Grüne-Yanof,
          <article-title>Nudging and boosting: Steering or empowering good decisions</article-title>
          ,
          <source>Perspectives on Psychological Science</source>
          <volume>12</volume>
          (
          <year>2017</year>
          )
          <fpage>973</fpage>
          -
          <lpage>986</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref18">
        <mixed-citation>
          [18]
          <string-name>
            <given-names>G.</given-names>
            <surname>Loewenstein</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Bryce</surname>
          </string-name>
          ,
          <string-name>
            <given-names>D.</given-names>
            <surname>Hagmann</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Rajpal</surname>
          </string-name>
          , Warning: You are about to be nudged,
          <source>Behavioral Science &amp; Policy</source>
          <volume>1</volume>
          (
          <year>2015</year>
          )
          <fpage>35</fpage>
          -
          <lpage>42</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref19">
        <mixed-citation>
          [19]
          <string-name>
            <given-names>L. M.</given-names>
            <surname>König</surname>
          </string-name>
          ,
          <string-name>
            <given-names>B.</given-names>
            <surname>Renner</surname>
          </string-name>
          ,
          <article-title>Boosting healthy food choices by meal colour variety: results from two experiments and a just-in-time ecological momentary intervention</article-title>
          ,
          <source>BMC Public Health</source>
          <volume>19</volume>
          (
          <year>2019</year>
          )
          <fpage>1</fpage>
          -
          <lpage>15</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref20">
        <mixed-citation>
          [20]
          <string-name>
            <given-names>T.</given-names>
            <surname>Rouyard</surname>
          </string-name>
          ,
          <string-name>
            <given-names>B.</given-names>
            <surname>Engelen</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Papanikitas</surname>
          </string-name>
          ,
          <string-name>
            <given-names>R.</given-names>
            <surname>Nakamura</surname>
          </string-name>
          , Boosting healthier choices, bmj
          <volume>376</volume>
          (
          <year>2022</year>
          ).
        </mixed-citation>
      </ref>
      <ref id="ref21">
        <mixed-citation>
          [21]
          <string-name>
            <given-names>M.</given-names>
            <surname>Egnell</surname>
          </string-name>
          ,
          <string-name>
            <given-names>Z.</given-names>
            <surname>Talati</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Hercberg</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Pettigrew</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Julia</surname>
          </string-name>
          ,
          <article-title>Objective understanding of frontof-package nutrition labels: an international comparative experimental study across 12 countries</article-title>
          ,
          <source>Nutrients</source>
          <volume>10</volume>
          (
          <year>2018</year>
          )
          <fpage>1542</fpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref22">
        <mixed-citation>
          [22]
          <string-name>
            <given-names>E. J. Van</given-names>
            <surname>Loo</surname>
          </string-name>
          ,
          <string-name>
            <given-names>V.</given-names>
            <surname>Caputo</surname>
          </string-name>
          ,
          <string-name>
            <given-names>R. M.</given-names>
            <surname>Nayga Jr</surname>
          </string-name>
          , W. Verbeke,
          <article-title>Consumers' valuation of sustainability labels on meat</article-title>
          ,
          <source>Food Policy</source>
          <volume>49</volume>
          (
          <year>2014</year>
          )
          <fpage>137</fpage>
          -
          <lpage>150</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref23">
        <mixed-citation>
          [23]
          <string-name>
            <given-names>N. J.</given-names>
            <surname>Temple</surname>
          </string-name>
          ,
          <string-name>
            <given-names>J.</given-names>
            <surname>Fraser</surname>
          </string-name>
          ,
          <article-title>Food labels: a critical assessment</article-title>
          ,
          <source>Nutrition</source>
          <volume>30</volume>
          (
          <year>2014</year>
          )
          <fpage>257</fpage>
          -
          <lpage>260</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref24">
        <mixed-citation>
          [24]
          <string-name>
            <given-names>P.</given-names>
            <surname>Ducrot</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Julia</surname>
          </string-name>
          ,
          <string-name>
            <given-names>C.</given-names>
            <surname>Méjean</surname>
          </string-name>
          ,
          <string-name>
            <given-names>E.</given-names>
            <surname>Kesse-Guyot</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Touvier</surname>
          </string-name>
          ,
          <string-name>
            <given-names>L. K.</given-names>
            <surname>Fezeu</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Hercberg</surname>
          </string-name>
          ,
          <string-name>
            <given-names>S.</given-names>
            <surname>Péneau</surname>
          </string-name>
          ,
          <article-title>Impact of diferent front-of-pack nutrition labels on consumer purchasing intentions: a randomized controlled trial</article-title>
          ,
          <source>American journal of preventive medicine 50</source>
          (
          <year>2016</year>
          )
          <fpage>627</fpage>
          -
          <lpage>636</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref25">
        <mixed-citation>
          [25]
          <string-name>
            <given-names>D.</given-names>
            <surname>Jannach</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Zanker</surname>
          </string-name>
          ,
          <string-name>
            <given-names>A.</given-names>
            <surname>Felfernig</surname>
          </string-name>
          ,
          <string-name>
            <surname>G. Friedrich,</surname>
          </string-name>
          <article-title>An introduction to recommender systems,</article-title>
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>