Feasibility study of smartphone application for self-monitoring dietary intake among cancer patients
Objective: Evidence accumulates that optimal nutrition status positively influences cancer treatment outcomes. A "smartphone application" (intelligent dietitian support apps, iDSA) was developed to act as a tool to assist patients in terms of dietary monitoring. This study aimed to examine the feasibility of iDSA for self-monitoring dietary intake among cancer patients.
Method: This was a pilot study. Eligible patients were approached and recruited. Dietitian entered individual estimated energy protein requirement into iDSA after installation. Participants recorded and monitored own daily dietary intake. Dietitian arranged for a two-week follow up to monitor nutritional status (weight and dietary intake).
Results: This study enrolled 14 participants, six males and eight females, with a mean age of 36.4 ± 10.1 years. iDSA improved participants’ nutritional outcomes significantly; weight gained 1.2 ± 0.2 kg, increased energy intake 215 ± 100 kcal/day and protein intake 8 ± 5.1 g/day. There were 92.9% of participants agreed or totally agreed that they were able to monitor and increase dietary intake during using iDSA. However, about 57.1% reported that it was burdensome to record their diet daily and sometimes they forgot to record their food intake.
Conclusion: Self-monitoring dietary intake via intelligent dietitian support apps was feasible among cancer patients. With compliance to iDSA resulted in an increase in dietary intake and body weight after two-week. iDSA usability was rated good and can be used to study dietary intake among cancer patients.
- Abdul Manaf, Z., Shahar, S., Safii, N. S., & Haron, H. (2015). Atlas of Food Exchanges & Portion Sizes.
- Arends, J., Bachmann, P., Baracos, V., Barthelemy, N., Bertz, H., Bozzetti, F., . . . Preiser, J.-C. (2017). ESPEN guidelines on nutrition in cancer patients. Clinical Nutrition, 36(1), 11-48. doi:https://doi.org/10.1016/j.clnu.2016.07.015
- Baggott, C., Gibson, F., Coll, B., Kletter, R., Zeltzer, P., & Miaskowski, C. (2012). Initial evaluation of an electronic symptom diary for adolescents with cancer. JMIR research protocols, 1(2), e23-e23. doi:10.2196/resprot.2175
- Blake, D. H. (2008). Innovation in practice: mobile phone technology in patient care. British Journal of Community Nursing, 13(4), 160-165. doi:10.12968/bjcn.2008.13.4.29024
- Boldt, J. (2010). Use of albumin: an update. British Journal of Anaesthesia, 104(3), 276-284. doi:10.1093/bja/aep393
- Burke, L. E., Wang, J., & Sevick, M. A. (2011). Self-monitoring in weight loss: a systematic review of the literature. Journal of the American Dietetic Association, 111(1), 92-102. doi:10.1016/j.jada.2010.10.008
- Carter, M. C., Burley, V. J., Nykjaer, C., & Cade, J. E. (2013). Adherence to a smartphone application for weight loss compared to website and paper diary: pilot randomized controlled trial. Journal of medical Internet research, 15(4), e32-e32. doi:10.2196/jmir.2283
- Chen, Y. S., Wong, J. E., Ayob, A. F., Othman, N. E., & Poh, B. K. (2017). Can Malaysian Young Adults Report Dietary Intake Using a Food Diary Mobile Application? A Pilot Study on Acceptability and Compliance. Nutrients, 9(1), 62. doi:10.3390/nu9010062
- Davis, S. F., Ellsworth, M. A., Payne, H. E., Hall, S. M., West, J. H., & Nordhagen, A. L. (2016). Health Behavior Theory in Popular Calorie Counting Apps: A Content Analysis. JMIR mHealth and uHealth, 4(1), e19-e19. doi:10.2196/mhealth.4177
- Gangadharan, A., Choi, S. E., Hassan, A., Ayoub, N. M., Durante, G., Balwani, S., . . . Suh, K. S. (2017). Protein calorie malnutrition, nutritional intervention and personalized cancer care. Oncotarget, 8(14), 24009-24030. doi:10.18632/oncotarget.15103
- Julious, S. A. (2005). Sample size of 12 per group rule of thumb for a pilot study. Pharmaceutical Statistics: The Journal of Applied Statistics in the Pharmaceutical Industry, 4(4), 287-291.
- Kauer, S. D., Reid, S. C., Crooke, A. H. D., Khor, A., Hearps, S. J. C., Jorm, A. F., . . . Patton, G. (2012). Self-monitoring using mobile phones in the early stages of adolescent depression: randomized controlled trial. Journal of medical Internet research, 14(3), e67-e67. doi:10.2196/jmir.1858
- Lucchiari, C., Masiero, M., & Pravettoni, G. (2012). Methods for nutrition monitoring in cancer patients: a cognitive perspective. Ecancermedicalscience, 6, 259-259. doi:10.3332/ecancer.2012.259
- Mares-Perlman, J. A., Brady, W. E., Klein, B. E., Klein, R., Haus, G. J., Palta, M., . . . Shoff, S. M. (1995). Diet and nuclear lens opacities. American Journal of Epidemiology, 141(4), 322-334. doi:10.1093/aje/141.4.322
- Martin, L. R., Williams, S. L., Haskard, K. B., & Dimatteo, M. R. (2005). The challenge of patient adherence. Therapeutics and clinical risk management, 1(3), 189-199.
- McMillan, D., S. Watson, W., O'Gorman, P., Preston, T., Scott, H., & S. McArdle, C. (2001). Albumin Concentrations Are Primarily Determined by the Body Cell Mass and the Systemic Inflammatory Response in Cancer Patients With Weight Loss. Nutrition and cancer, 39, 210-213. doi:10.1207/S15327914nc392_8
- Mirkovic, J., Kaufman, D. R., & Ruland, C. M. (2014). Supporting cancer patients in illness management: usability evaluation of a mobile app. JMIR mHealth and uHealth, 2(3), e33-e33. doi:10.2196/mhealth.3359
- Sharp, D. B., & Allman-Farinelli, M. (2014). Feasibility and validity of mobile phones to assess dietary intake. Nutrition, 30(11), 1257-1266. doi:https://doi.org/10.1016/j.nut.2014.02.020
- Stinson, J. J., LA; Nguyen, C; Nathan, PC; Maloney, AM; Dupuis, LL; Gerstle, JT; Alman, B; Hopyan, S; Strahlendorf, C; Portwine, C; Johnston, DL; Orr, M. (2013). Development and testing of a multidimensional iPhone pain assessment application for adolescents with cancer. Journal of Medical Internet Research 15 (3). doi:10.2196/jmir.2350
- Tay, I., Garland, S., Gorelik, A., & Wark, J. D. (2017). Development and Testing of a Mobile Phone App for Self-Monitoring of Calcium Intake in Young Women. JMIR mHealth and uHealth, 5(3), e27-e27. doi:10.2196/mhealth.5717
- Todd, K. S., Hudes, M., & Calloway, D. H. (1983). Food intake measurement: problems and approaches. The American Journal of Clinical Nutrition, 37(1), 139-146. doi:10.1093/ajcn/37.1.139
- Turner-McGrievy, G. M., Beets, M. W., Moore, J. B., Kaczynski, A. T., Barr-Anderson, D. J., & Tate, D. F. (2013). Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. Journal of the American Medical Informatics Association : JAMIA, 20(3), 513-518. doi:10.1136/amiajnl-2012-001510
- Van Belle, G. (2011). Statistical rules of thumb (Vol. 699): John Wiley & Sons.
Comments & Peer Review
Volume & Issue : Vol 4 No 2 (2020): Article in Press
Page No.: e000209
How to Cite
Copyrights & License
This work is licensed under a Creative Commons Attribution 4.0 International License.
- HTML viewed - 45 times
- PDF downloaded - 15 times