1st International ICST Conference on Pervasive Computing Technologies for Healthcare

Research Article

Usability and Feasibility of PmEB: A Mobile Phone Application for Monitoring Real Time Caloric Balance

  • @INPROCEEDINGS{10.1109/PCTHEALTH.2006.361659,
        author={Christopher C. Tsai and Gunny  Lee and Fred Raab and Gregory J. Norman and Timothy  Sohn and William G.  Griswold and Kevin  Patrick},
        title={Usability and Feasibility of PmEB: A Mobile Phone Application for Monitoring Real Time Caloric Balance},
        proceedings={1st International ICST Conference on Pervasive Computing Technologies for Healthcare},
        publisher={IEEE},
        proceedings_a={PERVASIVEHEALTH},
        year={2007},
        month={5},
        keywords={Cellular phones  Costs  Employee welfare  Iterative methods  Mobile handsets  Monitoring  Particle measurements  Public healthcare  Research and development  Usability},
        doi={10.1109/PCTHEALTH.2006.361659}
    }
    
  • Christopher C. Tsai
    Gunny Lee
    Fred Raab
    Gregory J. Norman
    Timothy Sohn
    William G. Griswold
    Kevin Patrick
    Year: 2007
    Usability and Feasibility of PmEB: A Mobile Phone Application for Monitoring Real Time Caloric Balance
    PERVASIVEHEALTH
    IEEE
    DOI: 10.1109/PCTHEALTH.2006.361659
Christopher C. Tsai1,*, Gunny Lee2,*, Fred Raab3,*, Gregory J. Norman3,*, Timothy Sohn4,*, William G. Griswold4,*, Kevin Patrick3,*
  • 1: Decision Systems Group, Brigham & Women's Hospital, Boston, MA4 02115 USA
  • 2: SCIL Group, Stanford University, 353 Serra Mall, Stanford, CA 94305 USA
  • 3: Family and Preventive Medicine, University of California, San Diego, CA 92122 USA
  • 4: Computer Science and Engineering, University of California, San Diego, CA 92122 USA
*Contact email: ctsai@dsg.harvard.edu, gulee@stanford.edu, fraab@paceproject.org, gnorman@paceproject.org, tsohn@ucsd.edu, wgg@ucsd.edu, kpatrick@paceproject.org

Abstract

Obesity is a major public health challenge with over 65% of U.S. adults either overweight or obese. Estimated annual costs of obesity are around $78.5 billion. Self-monitoring is a critical skill for successful weight management. However, self-monitoring is labor-intensive and compliance is often difficult. In this paper, we describe the Patient-Centered Assessment and Counseling Mobile Energy Balance (PmEB) cell phone application that allows users to self-monitor caloric balance in real time. We developed and applied a four-phase iterative research and development methodology. We conducted a usability study and a preliminary feasibility study. The one month feasibility study measured compliance and satisfaction among a sample of 15 participants randomized to one of three groups: 1) a paper diary group, 2) a PmEB group with one daily prompt, and 3) a PmEB group with three daily prompts. PmEB scored highly on usability, compliance, and satisfaction. In addition, cell phone group users scored PmEB the same as or better than Paper Group members scored the paper diary in nearly all categories. Thematic analysis of comments revealed very positive reviews of PmEB as well as areas for improvement. PmEB is both usable and feasible for self-monitoring in weight management, and our iterative pilot study methodology was effective in improving its usability