Specific goal setting, review of behavioral goals, modeling and demonstrating behavior, identifying barriers, and prompting follow-ups were rarely found in the apps despite being core components of effective clinical weight management programs
The dietitian responds to acknowledge receipt of pictures and provide encouragement, but reserves detailed review and motivational interviewing for in-clinic visits because that interaction cannot be replicated over email
quotethe time with pediatricians is so limited that we need them. To be, we need the patients to be able to leave with something, something to work on, something to um Um, connect with so that when they come back they come back with more information for us.↗
▶Ep 6 · 4:05
quoteI think this is really good information to absorb and translate for our patients and families because I think it again emphasizes that consistency is key, but in the in the long term perspective, but not the daily perfection that food doesn't have to be perfect day in and day out it's, it's checking in, it's consistency.↗
▶Ep 6 · 10:10
clinicalSpecific goal setting, review of behavioral goals, modeling and demonstrating behavior, identifying barriers, and prompting follow-ups were rarely found in the apps despite being core components of effective clinical weight management programs↗
▶Ep 6 · 12:10
clinicalIn the Strong for Life clinic, 24-hour recalls are used to identify the schedule of when the child eats and any structure around meals and snacks, which provides insight into parenting and household structure↗
▶Ep 6 · 12:50
clinicalPhoto food logs are used to assess the quality of food, balance in food groups, and how people eat, with table settings providing additional behavioral information↗
▶Ep 6 · 13:20
clinicalWritten food logs are used less frequently, primarily to discuss emotions and feelings with food↗
▶Ep 6 · 14:20
opinionIn-person professional feedback about food photos using motivational interviewing skills is the most crucial part of the photo food log process and what is missing from commercial apps↗
▶Ep 6 · 14:20
quotein-person professional feedback about food photos. This is really the core and the part that's missing from these apps that we saw in that study.↗
▶Ep 6 · 15:33
clinicalFamilies typically complete photo food logs about 3 times to see substantial improvement, working on small changes each round↗
▶Ep 6 · 16:18
clinicalWhen patients move very fast at meals and cannot remember to take pictures, it provides insight into eating behaviors and indicates bigger non-food-related issues to address before focusing on dietary changes↗
▶Ep 6 · 17:12
clinicalPhoto food logs are typically set up for about 1 month, with families sending one picture per day on average, usually of the meal when the family is together at home↗
▶Ep 6 · 17:50
clinicalThe dietitian responds to acknowledge receipt of pictures and provide encouragement, but reserves detailed review and motivational interviewing for in-clinic visits because that interaction cannot be replicated over email↗
▶Ep 6 · 25:52
clinicalPatients frequently use calorie counting apps like MyFitnessPal, often becoming very restrictive and unable to stick with them long-term↗
▶Ep 6 · 26:42
clinicalThe photo food log system requires a separate HIPAA-compliant email account where patients send pictures that are filed and organized by patient and by round number for review during clinic visits↗
▶Ep 6 · 27:30
quoteI think there's something about emailing pictures to your dietitian that, um, is, um, not replaceable by an app.↗
▶Ep 6 · 28:10
clinicalThe goal of photo food logs is not to send a perfect picture but to send a picture and connect about food, with the most important element being maintaining rapport↗
▶Ep 6 · 28:10
quotetheir goal is not to send a perfect picture. The goal is to send me a picture and to connect with me um about their food↗
▶Ep 6 · 30:07
clinicalPhoto food logs take more time in background preparation before seeing the patient but less time during the actual clinic visit compared to reviewing written food journals↗
Kristen's statements about Pediatric Obesity18 statements
quotethe time with pediatricians is so limited that we need them. To be, we need the patients to be able to leave with something, something to work on, something to um Um, connect with so that when they come back they come back with more information for us.↗
▶Ep 6 · 4:05
quoteI think this is really good information to absorb and translate for our patients and families because I think it again emphasizes that consistency is key, but in the in the long term perspective, but not the daily perfection that food doesn't have to be perfect day in and day out it's, it's checking in, it's consistency.↗
▶Ep 6 · 10:10
clinicalSpecific goal setting, review of behavioral goals, modeling and demonstrating behavior, identifying barriers, and prompting follow-ups were rarely found in the apps despite being core components of effective clinical weight management programs↗
▶Ep 6 · 12:10
clinicalIn the Strong for Life clinic, 24-hour recalls are used to identify the schedule of when the child eats and any structure around meals and snacks, which provides insight into parenting and household structure↗
▶Ep 6 · 12:50
clinicalPhoto food logs are used to assess the quality of food, balance in food groups, and how people eat, with table settings providing additional behavioral information↗
▶Ep 6 · 13:20
clinicalWritten food logs are used less frequently, primarily to discuss emotions and feelings with food↗
▶Ep 6 · 14:20
opinionIn-person professional feedback about food photos using motivational interviewing skills is the most crucial part of the photo food log process and what is missing from commercial apps↗
▶Ep 6 · 14:20
quotein-person professional feedback about food photos. This is really the core and the part that's missing from these apps that we saw in that study.↗
▶Ep 6 · 15:33
clinicalFamilies typically complete photo food logs about 3 times to see substantial improvement, working on small changes each round↗
▶Ep 6 · 16:18
clinicalWhen patients move very fast at meals and cannot remember to take pictures, it provides insight into eating behaviors and indicates bigger non-food-related issues to address before focusing on dietary changes↗
▶Ep 6 · 17:12
clinicalPhoto food logs are typically set up for about 1 month, with families sending one picture per day on average, usually of the meal when the family is together at home↗
▶Ep 6 · 17:50
clinicalThe dietitian responds to acknowledge receipt of pictures and provide encouragement, but reserves detailed review and motivational interviewing for in-clinic visits because that interaction cannot be replicated over email↗
▶Ep 6 · 25:52
clinicalPatients frequently use calorie counting apps like MyFitnessPal, often becoming very restrictive and unable to stick with them long-term↗
▶Ep 6 · 26:42
clinicalThe photo food log system requires a separate HIPAA-compliant email account where patients send pictures that are filed and organized by patient and by round number for review during clinic visits↗
▶Ep 6 · 27:30
quoteI think there's something about emailing pictures to your dietitian that, um, is, um, not replaceable by an app.↗
▶Ep 6 · 28:10
quotetheir goal is not to send a perfect picture. The goal is to send me a picture and to connect with me um about their food↗
▶Ep 6 · 28:10
clinicalThe goal of photo food logs is not to send a perfect picture but to send a picture and connect about food, with the most important element being maintaining rapport↗
▶Ep 6 · 30:07
clinicalPhoto food logs take more time in background preparation before seeing the patient but less time during the actual clinic visit compared to reviewing written food journals↗
Summaries Kristen gave as host
· 34 summaries
Recaps of other experts' statements, not Kristen's own clinical position.
Summaries Kristen gave as host · Pediatric Obesity17 summaries
host summaryKristen Fuller summarizing the discussion: 64% of the population owns smartphones↗
▶Ep 6 · 1:45
host summaryKristen Fuller summarizing the discussion: Weight loss is one of the most popular categories for health-related mobile app downloads↗
▶Ep 6 · 2:05
host summaryKristen Fuller summarizing the discussion: Evidence-based behavioral change techniques are proven to support weight loss↗
▶Ep 6 · 2:25
host summaryKristen Fuller summarizing the discussion: There has not been research to see if evidence-based behavior change techniques are actually incorporated in the programming of diet tracking apps↗
▶Ep 6 · 3:15
host summaryKristen Fuller summarizing the discussion: Portions are frequently underestimated with barcode scanning and food item searching methods of diet tracking↗
▶Ep 6 · 3:35
host summaryKristen Fuller summarizing the discussion: adherence and frequency of diet self-monitoring is significantly associated with weight loss and therefore of greater importance than actually the accuracy of the nutritional data tracked.↗
▶Ep 6 · 3:35
host summaryKristen Fuller summarizing the discussion: Adherence and frequency of diet self-monitoring is significantly associated with weight loss and is of greater importance than the accuracy of the nutritional data tracked↗
▶Ep 6 · 4:40
host summaryKristen Fuller summarizing the discussion: Just-in-time reporting using smartphones to take pictures of food has been studied and proven as a valid assessment of dietary intake in both adults and adolescents↗
▶Ep 6 · 5:30
host summaryKristen Fuller summarizing the discussion: Diet self-monitoring is associated with weight loss with the addition of immediate provision of feedback↗
▶Ep 6 · 6:30
host summaryKristen Fuller summarizing the discussion: The study reviewed 29 mobile apps that met inclusion criteria for diet tracking via photos↗
▶Ep 6 · 8:00
host summaryKristen Fuller summarizing the discussion: Two apps (YouFood and Food Feedback) included 11 of the 13 behavior change techniques evaluated↗
▶Ep 6 · 8:20
host summaryKristen Fuller summarizing the discussion: 18 out of 29 apps (62%) did not provide any feedback at all on food photo posts↗
▶Ep 6 · 8:40
host summaryKristen Fuller summarizing the discussion: Only 1 of the 29 apps used professionals exclusively to provide feedback↗
▶Ep 6 · 8:55
host summaryKristen Fuller summarizing the discussion: 3 apps offered an option of professional feedback↗
▶Ep 6 · 9:05
host summaryKristen Fuller summarizing the discussion: 7 of the 29 apps used only crowdsourcing or collective feedback↗
▶Ep 6 · 9:15
host summaryKristen Fuller summarizing the discussion: 6 apps did not use any self-regulation techniques at all↗
▶Ep 6 · 9:40
host summaryKristen Fuller summarizing the discussion: Providing general encouragement, providing information about others' feedback, and feedback on user performance were the behavior change techniques found most often in the apps↗
Summaries Kristen gave as host · Pediatric Obesity17 summaries
host summaryKristen Fuller summarizing the discussion: 64% of the population owns smartphones↗
▶Ep 6 · 1:45
host summaryKristen Fuller summarizing the discussion: Weight loss is one of the most popular categories for health-related mobile app downloads↗
▶Ep 6 · 2:05
host summaryKristen Fuller summarizing the discussion: Evidence-based behavioral change techniques are proven to support weight loss↗
▶Ep 6 · 2:25
host summaryKristen Fuller summarizing the discussion: There has not been research to see if evidence-based behavior change techniques are actually incorporated in the programming of diet tracking apps↗
▶Ep 6 · 3:15
host summaryKristen Fuller summarizing the discussion: Portions are frequently underestimated with barcode scanning and food item searching methods of diet tracking↗
▶Ep 6 · 3:35
host summaryKristen Fuller summarizing the discussion: Adherence and frequency of diet self-monitoring is significantly associated with weight loss and is of greater importance than the accuracy of the nutritional data tracked↗
▶Ep 6 · 3:35
host summaryKristen Fuller summarizing the discussion: adherence and frequency of diet self-monitoring is significantly associated with weight loss and therefore of greater importance than actually the accuracy of the nutritional data tracked.↗
▶Ep 6 · 4:40
host summaryKristen Fuller summarizing the discussion: Just-in-time reporting using smartphones to take pictures of food has been studied and proven as a valid assessment of dietary intake in both adults and adolescents↗
▶Ep 6 · 5:30
host summaryKristen Fuller summarizing the discussion: Diet self-monitoring is associated with weight loss with the addition of immediate provision of feedback↗
▶Ep 6 · 6:30
host summaryKristen Fuller summarizing the discussion: The study reviewed 29 mobile apps that met inclusion criteria for diet tracking via photos↗
▶Ep 6 · 8:00
host summaryKristen Fuller summarizing the discussion: Two apps (YouFood and Food Feedback) included 11 of the 13 behavior change techniques evaluated↗
▶Ep 6 · 8:20
host summaryKristen Fuller summarizing the discussion: 18 out of 29 apps (62%) did not provide any feedback at all on food photo posts↗
▶Ep 6 · 8:40
host summaryKristen Fuller summarizing the discussion: Only 1 of the 29 apps used professionals exclusively to provide feedback↗
▶Ep 6 · 8:55
host summaryKristen Fuller summarizing the discussion: 3 apps offered an option of professional feedback↗
▶Ep 6 · 9:05
host summaryKristen Fuller summarizing the discussion: 7 of the 29 apps used only crowdsourcing or collective feedback↗
▶Ep 6 · 9:15
host summaryKristen Fuller summarizing the discussion: 6 apps did not use any self-regulation techniques at all↗
▶Ep 6 · 9:40
host summaryKristen Fuller summarizing the discussion: Providing general encouragement, providing information about others' feedback, and feedback on user performance were the behavior change techniques found most often in the apps↗