{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T10:00:57Z","timestamp":1772445657509,"version":"3.50.1"},"reference-count":34,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Computers"],"abstract":"<jats:p>The integration of Internet of Things (IoT) and mobile computing in education offers new avenues to address complex health behaviors that affect cognitive performance. While traditional health education relies on passive information delivery, emerging research suggests that interactive systems can bridge the gap between intent and action. This study addresses the \u201cdouble burden of malnutrition\u201d in Ecuadorian schoolchildren (N = 120) as a Human-Computer Interaction (HCI) challenge. By utilizing a quantitative profiling approach rooted in the Social Dimensions of Health framework, we modeled the user requirements for a proposed intervention system. The findings identified a critical \u201cAction Gap\u201d: while 78.3% of users possess the motivation to improve habits for academic gain, 53.3% remain entrenched in high-sugar consumption patterns due to environmental latency. Statistical profiling reveals a significant dissonance (p&lt;0.05) between cognitive intent and behavioral execution. Consequently, this paper presents the \u201cDigital Bridge Architecture,\u201d a computational framework that leverages these motivation metrics to design an Alternate Reality Game (ARG) logic. We conclude that conventional static applications may be limited in their capacity to support sustained behavioral change in this context. The proposed framework suggests that context-aware, gamified feedback mechanisms can offer a promising direction for aligning academic motivation with healthier behavioral outcomes.<\/jats:p>","DOI":"10.3390\/computers15030152","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T08:51:57Z","timestamp":1772441517000},"page":"152","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modeling the Nutrition\u2013Academic Intention Gap: A Data-Driven Adaptive Gamified Architecture"],"prefix":"10.3390","volume":"15","author":[{"given":"Nadia","family":"Pesantez-Jara","sequence":"first","affiliation":[{"name":"Facultad de Salud y Servicios Sociales, Universidad Estatal de Milagro, Milagro 092301, Ecuador"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2371-8253","authenticated-orcid":false,"given":"Nicol\u00e1s","family":"M\u00e1rquez","sequence":"additional","affiliation":[{"name":"Escuela de Ingenier\u00eda Comercial, Facultad de Econom\u00eda y Negocios, Universidad Santo Tom\u00e1s, Talca 3460000, Chile"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1600-3447","authenticated-orcid":false,"given":"Cristian","family":"Vidal-Silva","sequence":"additional","affiliation":[{"name":"Departamento de Visualizaci\u00f3n Interactiva y Realidad Virtual, Universidad de Talca, Talca 3460000, Chile"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Smoli\u0144ska, K., Szopa, A., Sobczy\u0144ski, J., Serefko, A., and Dobrowolski, P. (2024). Nutritional Quality Implications: Exploring the Impact of a Fatty Acid-Rich Diet on Central Nervous System Development. Nutrients, 16.","DOI":"10.3390\/nu16071093"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.arteri.2021.11.005","article-title":"Challenges and Perspectives of the Double Burden of Malnutrition in Latin America","volume":"34","author":"Madrigal","year":"2022","journal-title":"Cl\u00edn. Investig. Arterioscler."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2275","DOI":"10.1007\/s10648-022-09696-z","article-title":"Adaptive Education: Learning and Remembering with a Stone-Age Brain","volume":"34","author":"Nairne","year":"2022","journal-title":"Educ. Psychol. Rev."},{"key":"ref_4","first-page":"518","article-title":"Nutritional Factors Influencing School Performance: A Review of the Literature Between 2020\u20132025","volume":"32","author":"Parra","year":"2025","journal-title":"TPM\u2013Test. Psychom. Methodol. Appl. Psychol."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Goldwater, M.B., Hashmi, F.A., Mondal, S., and Legare, C.H. (2025). Community Health Workers\u2019 Counseling Is Based on a Deficit Model of Behavior Change. PLoS Glob. Public Health, 5.","DOI":"10.1371\/journal.pgph.0004167"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Daiiani, M., Sweetser, P., Stanley, S., Caldwell, S., and Van Rooy, D. (2024). Evaluating the Impact of Gameful Design on Pro-Environmental Attitudes: Beyond Blue as Intervention. Proceedings of the 19th International Conference on the Foundations of Digital Games (FDG \u201924), Worcester, MA, USA, 21\u201324 May 2024, ACM.","DOI":"10.1145\/3649921.3649933"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Catellani, P., and Carfora, V. (2023). Habits and Behavior Change. The Social Psychology of Eating, Springer.","DOI":"10.1007\/978-3-031-35070-2"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1109\/COMST.2023.3246993","article-title":"A Tutorial on Internet of Behaviors: Concept, Architecture, Technology, Applications, and Challenges","volume":"25","author":"Zhao","year":"2023","journal-title":"IEEE Commun. Surv. Tutor."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"128379","DOI":"10.1109\/ACCESS.2025.3589938","article-title":"Human Behavior Analysis: A Comprehensive Survey on Techniques, Applications, Challenges, and Future Directions","volume":"13","author":"Essahraui","year":"2025","journal-title":"IEEE Access"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Fatorachian, H., Kazemi, H., and Pawar, K. (2025). Enhancing Smart City Logistics Through IoT-Enabled Predictive Analytics: A Digital Twin and Cybernetic Feedback Approach. Smart Cities, 8.","DOI":"10.3390\/smartcities8020056"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1186\/s12966-016-0454-y","article-title":"Efficacy of interventions that use apps to improve diet, physical activity and sedentary behaviour: A systematic review","volume":"13","author":"Schoeppe","year":"2016","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s41239-017-0042-5","article-title":"Gamifying education: What is known, what is believed and what remains uncertain: A critical review","volume":"14","author":"Dichev","year":"2017","journal-title":"Int. J. Educ. Technol. High. Educ."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1007\/s11423-023-10337-7","article-title":"Gamification Enhances Student Intrinsic Motivation, Perceptions of Autonomy and Relatedness, but Minimal Impact on Competency: A Meta-Analysis and Systematic Review","volume":"72","author":"Li","year":"2024","journal-title":"Educ. Technol. Res. Dev."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Fogg, B.J. (2009). A Behavior Model for Persuasive Design. Proceedings of the 4th International Conference on Persuasive Technology (Persuasive \u201909), Claremont, CA, USA, 26\u201329 April 2009, ACM.","DOI":"10.1145\/1541948.1541999"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e69544","DOI":"10.2196\/69544","article-title":"Advancing Health Care with Digital Twins: Meta-Review of Applications and Implementation Challenges","volume":"27","author":"Riahi","year":"2025","journal-title":"J. Med. Internet Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e17662","DOI":"10.2196\/17662","article-title":"Implementation Science and Digital Therapeutics for Behavioral Health","volume":"8","author":"Lord","year":"2021","journal-title":"JMIR Ment. Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s11517-024-03209-6","article-title":"Digital Transformation of Mental Health Therapy by Integrating Digitalized Cognitive Behavioral Therapy and Eye Movement Desensitization and Reprocessing","volume":"63","author":"Wu","year":"2025","journal-title":"Med. Biol. Eng. Comput."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"L\u00f3pez-Gil, J.F., Cisneros-V\u00e1squez, E., Olivares-Arancibia, J., Ya\u00f1\u00e9z-Sep\u00falveda, R., and Guti\u00e9rrez-Espinoza, H. (2025). Investigating the Relationship Between Ultra-Processed Food Consumption and Academic Performance in the Adolescent Population: The EHDLA Study. Nutrients, 17.","DOI":"10.3390\/nu17030524"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e077310","DOI":"10.1136\/bmj-2023-077310","article-title":"Ultra-processed food exposure and adverse health outcomes: Umbrella review of epidemiological meta-analyses","volume":"384","author":"Lane","year":"2024","journal-title":"BMJ"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Mohamed, W., and Kobeissy, F. (2024). Human Nutritional Neuroscience: Fundamental Issues. Nutrition and Psychiatric Disorders, Springer. Nutritional Neurosciences.","DOI":"10.1007\/978-981-97-2681-3"},{"key":"ref_21","unstructured":"Fontanilla, R.C. (2023). Nourishing Minds: A Literature Review on the Link of Nutrition, Academic Engagement, and Student Success. Herculean J., 1, Available online: https:\/\/herculeanjournal.com\/index.php\/main\/article\/view\/8."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Zourmpakis, A., Kalogiannakis, M., and Papadakis, S. (2023). Adaptive Gamification in Educational Systems: A Systematic Literature Review. Computers, 12.","DOI":"10.3390\/computers12070143"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Zourmpakis, A., Kalogiannakis, M., and Papadakis, S. (2024). Gamification and Adaptive Learning Systems: A Systematic Review. Computers, 13.","DOI":"10.3390\/computers13120324"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"e2107346118","DOI":"10.1073\/pnas.2107346118","article-title":"The Effectiveness of Nudging: A Meta-Analysis of Choice Architecture Interventions Across Behavioral Domains","volume":"119","author":"Mertens","year":"2022","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"20552076241260482","DOI":"10.1177\/20552076241260482","article-title":"Gamification Preferences in Nutrition Apps: Toward Healthier Diets and Food Choices","volume":"10","author":"Berger","year":"2024","journal-title":"Digital Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e020799","DOI":"10.1136\/bmjgh-2025-020799","article-title":"School-Based Behaviour Change Intervention to Reduce Ultra-Processed Food Consumption Among Adolescents: Evidence from a Cluster-Randomised Controlled Trial in India","volume":"11","author":"Kaur","year":"2026","journal-title":"BMJ Glob. Health"},{"key":"ref_27","first-page":"1","article-title":"Identifying Adolescent Behavioral Profiles Through K-Means Clustering Based on Smartphone Usage, Mental Health, and Academic Performance","volume":"8","author":"Aristo","year":"2025","journal-title":"Int. J. Inform. Inf. Syst."},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Hermosa-Bosano, C., and L\u00f3pez-Gil, J.F. (2025). Low Self-Perceived Cooking Skills Are Linked to Greater Ultra-Processed Food Consumption Among Adolescents: The EHDLA Study. Nutrients, 17.","DOI":"10.3390\/nu17071168"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1016\/j.patrec.2009.09.011","article-title":"Data clustering: 50 years beyond K-means","volume":"31","author":"Jain","year":"2010","journal-title":"Pattern Recognit. Lett."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.eswa.2012.07.021","article-title":"A comparative study of efficient initialization methods for the k-means clustering algorithm","volume":"40","author":"Celebi","year":"2013","journal-title":"Expert Syst. Appl."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1108\/MD-10-2019-1402","article-title":"Rethinking risk management in entrepreneurial SMEs: Towards the integration with the decision-making process","volume":"59","author":"Crovini","year":"2021","journal-title":"Manag. Decis."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Goh, E.V., Sobratee-Fajurally, N., Allegretti, A., Sardeshpande, M., Mustafa, M., Azam-Ali, S.H., Omari, R., Schott, J., Chimonyo, V.G.P., and Weible, D. (2024). Transforming Food Environments: A Global Lens on Challenges and Opportunities for Achieving Healthy and Sustainable Diets for All. Front. Sustain. Food Syst., 8.","DOI":"10.3389\/fsufs.2024.1366878"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"100263","DOI":"10.1016\/j.fhj.2025.100263","article-title":"Ultra-Processed Foods and Public Health: Evidence of Harm and of Conflicts of Interest in the Food Industry to Evade Regulation","volume":"12","year":"2025","journal-title":"Future Healthc. J."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s00038-020-01445-9","article-title":"Commercial Determinants of Health: A Proposed Research Agenda","volume":"65","author":"Paichadze","year":"2020","journal-title":"Int. J. 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