Conference PaperPDF Available

Design and Preliminary Evaluation of a Mobile Application for Obesity Experts and Children Teams

Authors:
The descripve stascs of the rst
eld study are provided in Table 1.
The average age of the paents was
12.8 years. Four usage sessions were
recorded at home on average from
the system protocol of the prototype.
Furthermore, each session lasted ap-
proximately eleven minutes and pa-
ents took 12.3 photos on average
between the rst and second consulta-
on. Some examples are shown below.
DESIGN AND PRELIMINARY EVALUATION OF A MOBILE APPLICATION
FOR OBESITY EXPERT AND CHILDREN TEAMS
Tobias Kowatsch1, Dirk Büchter2, Irena Plekosa3, Runhua Xu3, Björn Brogle2, Anneco Dintheer2, Dunja Wiegand2, Dagmar l’Allemand2 & Wolfgang Maass1
1University of St. Gallen, 2Ostschweizer Kinderspital of St. Gallen, 3ETH Zurich, Switzerland
Research Partner Funding
Introducon
Childhood obesity is one
of the major disease pat-
terns of the twenty-rst
century. Due to the need
for mul-professional ther-
apies requiring intensive
personnel and nancial re-
sources, IT-supported in-
tervenons promise help.
Meta analyses, however,
show their limited impact
on health outcomes up ll
now.
Method
The current work aims
therefore to design and
evaluate a mobile appli-
caon that increases the
cooperaon between obe-
sity experts and children.
For that purpose, four IT
experts, ve therapists,
nine obese children 10 to
14 years old and their par-
ents adopted a structured
design-science methodol-
ogy (Janzen et al. 2010).
Perceived characteriscs
of the applicaon and di-
rect eects on cooperaon
of therapists and children
were evaluated.
Results
The resulng applica-
on provides recipe rec-
ommendaons based on
ingredients available at
home and desired by chil-
dren. It further allows to
document groceries and
meals via a photo func-
onality. All interacons
with the applicaon were
recorded to document
screen me and ulizaon
for ecient shopping and
healthy meals.
First feedback from sev-
en therapists, six children
and their parents indicates
that the applicaon is per-
ceived useful, easy and fun
to use. With regard to di-
rect eects on the coop-
eraon between obesity
expert and children teams,
there is evidence that
the applicaon supports
shared understanding and
cross understanding.
Outlook
Future work will incorpo-
rate further components
of therapy programs, such
as physical acvity or re-
laxaon, but will also in-
vesgate in a longitudinal
eld study how the use
of this applicaon within
a therapy program inu-
ences health condion of
obese children.
Overview
7th Fribourg Obesity Research Conference (FORC-2013), Switzerland
Design Evaluaon
“Peter and his parents plan their meals. Based on available and desired ingredi-
ents, recipe recommendaons are provided to him. He chooses three of them and
ingredients of these recipes were transferred to the shopping list of his parents.
Collaborave Development
Davis, F.D. 1989. “Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Informaon
Technology,” MIS Quarterly (13:3), pp. 319-339.
Huber, G.P., and Lewis, K. 2010. “Cross-Understanding: Implicaons for Group Cognion and
Performance,” The Academy of Management Review (35:1), pp. 6-26.
Janzen, S., Kowatsch, T., and Maass, W. 2010. “A Methodology for Content-Centered Design of
Ambient Environments,” in Global Perspecves on Design Science Research, 5th Internaonal
Conference, Desrist 2010, St. Gallen, Switzerland, June 4-5, 2010 Proceedings, R. Winter, J.L.
Zhao and S. Aier (eds.). Berlin, Germany: Springer, pp. 210-225.
Kamis, A., Koufaris, M., and Stern, T. 2008. “Using an Aribute-Based Decision Support System for
User-Customized Products Online: An Experimental Invesgaon,” MIS Quarterly (32:1), March,
pp. 159-177.
Maass, W., Storey, V.C., and Kowatsch, T. 2011. “Eects of External Conceptual Models and Verbal
Explanaons on Shared Understanding in Small Groups,” in 30th Internaonal Conference
on Conceptual Modeling (ER 2011), Jeusfeld M., L. Delcambre and T.W. Ling (eds.). Brussels,
Belgium: Springer, pp. 92-103.
References
www.pathmate.ch
Screenshots
# Construct Related
Work
Therapist Child Parent
T1 T2 T1 T2 T1 T2
1 Perceived usefulness of the applicaon Davis 1989 4.00
(.816) 3.50
(1.73)
2 Perceived ease of use of the applicaon Davis 1989 3.75
(1.26) 5.25
(.96)
3 Perceived enjoyment during applicaon use Kamis et al.
2008
5.17
(.75)
4.75
(.50)
4.50
(.84)
4.00
(.89)
5.67
(.52)
4.00
(.00)
4 Shared understanding between child & therapist Maass et al.
2011
5.17
(.75)
5.25
(.50)
5.50
(.55)
4.50
(.58)
5 Cross understanding between child & therapist Huber &
Lewis 2010
4.83
(1.17)
4.75
(.50)
4.83
(.75)
4.50
(.58)
Table 1. Mean values and standard deviaon (in brackets). Note: T1/2=rst/second consultaon; N(T1) = 6 and N(T2) = 4
children and parents, one physician; The results are based on 6-point Likert scales ranging from strongly disagree (1) to
strongly agree (6) and were consistent with evaluaons of six further therapists that were not involved in the actual study.
... The descriptive statistics and details with regard to the two primary research questions are shown inTable 1. Further empirical results of this study with a focus on other theoretical constructs such as perceived usefulness, perceived ease of use, perceived enjoyment (of the overall mobile health app to improve health behavior) or the potential of the mobile health app to improve shared understanding and cross-understanding among patient and therapist with regard to obesity therapy are published in [9] and [22].Table 1 . Descriptive statistics of the pilot study (N=4). ...
Conference Paper
Full-text available
Obesity is a global issue and has a direct impact on the public and private healthcare system. In this paper we describe the design and evaluation of a novel mobile health application that supports obese children and their parents to improve their nutrition intake. First results from quantitative app usage logs, questionnaires and interviews indicate that the mobile health app provides relevant information to attain a balanced nutrition. A discussion of the results and an outline of future work conclude this paper.
Thesis
Full-text available
Information and communication services have become ubiquitous in our everyday life and, in turn, research on Ubiquitous Information Systems (UIS) has received increasing attention. UIS services can elicit both negative and positive emotions, which are not necessarily perceived consciously by individuals but which may still have an impact on predictors and outcomes of UIS service use. Due to the limitations of psychological self-reports in uncovering these automatic cognitive processes, the current work investigates emotional stimuli of UIS services with neurophysiological data. In particular, we choose electrodermal activity as an indicator of physiological arousal and assess its utility for the design and use of UIS services. To account for the neurophysiological nature of electrodermal activity and to investigate its value in relation to established self-report instruments, we integrate the stimulus-organism-response paradigm with a two-systems view of cognitive processing. Against the background of this theoretical framework, we hypothesise relationships between breakdown events of UIS services (the emotional stimuli), physiological arousal and perceived ease of use (manifestations of the organism's automatic and inferential cognitive processes), and task performance (the response of the organism). We also consider physiological learning processes related to generalisation effects. In order to test the hypotheses, we use empirical data from two studies. Results indicate that electrodermal activity is a useful measure for the design and use of UIS services, even though generalisation effects can reduce its reliability. Moreover, we demonstrate that electrodermal activity is related to perceived ease of use and task performance. We finally discuss the theoretical and practical implications of our results, examine the limitations of the current work and outline future research.
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