Author(s):
- Yuhan Luo
- Peiyi Liu
- Eun Kyoung Choe
Abstract:
We report co-design workshops with registered dietitians conducted to identify opportunities for designing customizable food trackers. Dietitians typically see patients who have different dietary problems, thus having different information needs. However, existing food trackers such as paper-based diaries and mobile apps are rarely customizable, making it difficult to capture necessary data for both patients and dietitians. During the co-design sessions, dietitians created representative patient personas and designed food trackers for each persona. We found a wide range of potential tracking items such as food, reflection, symptom, activity, and physical state. Depending on patients’ dietary problems and dietitians’ practice, the necessity and importance of these tracking items vary. We identify opportunities for patients and healthcare providers to collaborate around data tracking and sharing through customization. We also discuss how to structure co-design workshops to solicit the design considerations of self-tracking tools for patients with specific health problems.
Documentation:
https://doi.org/10.1145/3290605.3300822
References:
Bitesnap. https://getbitesnap.com/. Accessed: 2019-01-07.Daytum. https://daytum.com/. Accessed: 2019-01-07.KeepTrack. http://www.zagalaga.com/. Accessed: 2019-01-07.Lose It. https://www.loseit.com/. Accessed: 2019-01-07.
My fitnesspal. https://www.myfitnesspal.com/. Accessed: 2019-01-07.MyFoodDiary. https://www.myfooddiary.com/. Accessed: 2019-01-07.
RescueTime. https://www.rescuetime.com/. Accessed: 2019-01-07.Sketch. https://www.sketchapp.com/. Accessed: 2019-01-07.
YouAte. https://youate.com/. Accessed: 2019-01-07.
Chadia Abras, Diane Maloney-Krichmar, and Jenny Preece. 2004. User-centered design. Bainbridge, W. Encyclopedia of Human-Computer Interaction. Thousand Oaks: Sage Publications 37, 4 (2004), 445–456.
Amid Ayobi, Tobias Sonne, Paul Marshall, and Anna L Cox. 2018. Flexible and Mindful Self-Tracking: Design Implications from Paper Bullet Journals. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’18). ACM, 28.
Gladys Block. 1982. A review of validations of dietary assessment methods. American journal of epidemiology 115, 4 (1982), 492–505.
Caroline Bolton-Smith, CE Casey, KF Gey, WCS Smith, and Hugh Tunstall-Pedoe. 1991. Antioxidant vitamin intakes assessed using a food-frequency questionnaire: correlation with biochemical status in smokers and non-smokers. British Journal of Nutrition 65, 3 (1991), 337–346.
Bertha S Burke. 1947. The dietary history as a tool in research. Journal of the American Dietetic Association 23 (1947), 1041–1046.
Lora E Burke, Molly B Conroy, Susan M Sereika, Okan U Elci, Mindi A Styn, Sushama D Acharya, Mary A Sevick, Linda J Ewing, and Karen Glanz. 2011. The effect of electronic self-monitoring on weight loss and dietary intake: a randomized behavioral weight loss trial. Obesity 19, 2 (2011), 338–344.
Lora E Burke, Melanie Warziski, Terry Starrett, Jina Choo, Edvin Music, SusanSereika,SusanStark,andMaryAnnSevick.2005. Self-monitoring dietary intake: current and future practices. Journal of Renal Nutrition 15, 3 (2005), 281–290.
Eun Kyoung Choe, Saeed Abdullah, Mashfiqui Rabbi, Edison Thomaz, Daniel A Epstein, Felicia Cordeiro, Matthew Kay, Gregory D Abowd, Tanzeem Choudhury, James Fogarty, Bongshin Lee, Mark Matthews, and Juile A Kientz. 2017. Semi-automated tracking: A balanced approach for self-monitoring applications. IEEE Pervasive Computing 16, 1 (2017), 74–84.
Eun Kyoung Choe, Bongshin Lee, Tariq Osman Andersen, Lauren Wilcox, and Geraldine Fitzpatrick. 2018. Harnessing the Power of Patient-Generated Data. IEEE Pervasive Computing 17, 2 (2018), 50–56.
Eun Kyoung Choe, Bongshin Lee, Matthew Kay, Wanda Pratt, and Julie A Kientz. 2015. SleepTight: low-burden, self-monitoring technology for capturing and reflecting on sleep behaviors. In Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing. ACM, 121–132.
Eun Kyoung Choe, Nicole B Lee, Bongshin Lee, Wanda Pratt, and Julie A Kientz. 2014. Understanding quantified-selfers’ practices in collecting and exploring personal data. In Proceedings of the 32nd annual ACM conference on Human factors in computing systems. ACM, 1143–1152.
Chia-FangChung,ElenaAgapie,JessicaSchroeder,SonaliMishra,James Fogarty, and Sean A Munson. 2017. When personal tracking becomes social:ExaminingtheuseofInstagramforhealthyeating.InProceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’17). ACM, 1674–1687.
Chia-Fang Chung, Jonathan Cook, Elizabeth Bales, Jasmine Zia, and Sean A Munson. 2015. More than telemonitoring: health provider use and nonuse of life-log data in irritable bowel syndrome and weight management. Journal of medical Internet research 17, 8 (2015).
Felicia Cordeiro, Elizabeth Bales, Erin Cherry, and James Fogarty. 2015. Rethinking the mobile food journal: Exploring opportunities for lightweight photo-based capture. In Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems. ACM, 3207–3216.
Patricia B Crawford, Eva Obarzanek, John Morrison, and ZI Sabry. 1994. Comparative advantage of 3-day food records over 24-hour recall and 5-day food frequency validated by observation of 9-and 10-year-old girls. Journal of the American Dietetic Association 94, 6 (1994), 626–630.
Oystein Dale and Kaare Birger Hagen. 2007. Despite technical problems personal digital assistants outperform pen and paper when collecting patient diary data. Journal of clinical epidemiology 60, 1 (2007), 8–17.
Elizabeth V Eikey. 2016. Providers’ Perceptions of the Impact of Weight Loss Apps on Users with Eating Disorders. In Proceedings of the 2016 ACM SIGMIS Conference on Computers and People Research. ACM, 19–20.
Elizabeth V Eikey and Madhu C Reddy. 2017. It’s Definitely Been a Journey: A Qualitative Study on How Women with Eating Disorders Use Weight Loss Apps. In PProceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’17). ACM, 642–654.
Elizabeth Victoria Eikey, Madhu C Reddy, Kayla M Booth, Lynette Kvasny, Johnna L Blair, Victor Li, and Erika S Poole. 2017. Desire to be underweight: Exploratory study on a weight loss app community and user perceptions of the impact on disordered eating behaviors. JMIR mHealth and uHealth 5, 10 (2017).
Daniel A Epstein, Nicole B Lee, Jennifer H Kang, Elena Agapie, Jessica Schroeder, Laura R Pina, James Fogarty, Julie A Kientz, and Sean Munson. 2017. Examining menstrual tracking to inform the design of personal informatics tools. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’17). ACM, 6876–6888.
MJ Gibney. 1997. Periodicity of eating and human health: present perspective and future directions. British Journal of Nutrition 77, S1 (1997), S3–S5.
Michael J Gonzales and Laurel D Riek. 2013. Co-designing patientcentered health communication tools for cancer care. In Proceedings of the 7th International Conference on Pervasive Computing Technologies for Healthcare. ICST (Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering), 208–215.
Annelies HC Goris, Margriet S Westerterp-Plantenga, and Klaas R Westerterp. 2000. Undereating and underrecording of habitual CHI 2019, May 4–9, 2019, Glasgow, Scotland Uk Luo et al. food intake in obese men: selective underreporting of fat intake. The American journal of clinical nutrition 71, 1 (2000), 130–134.
Andrea Grimes and Richard Harper. 2008. Celebratory technology: new directions for food research in HCI. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 467–476.
Kate EC Grimshaw, Joe Maskell, Erin M Oliver, Ruth CG Morris, Keith D Foote, EN Clare Mills, Barrie M Margetts, and Graham Roberts. 2014. Diet and food allergy development during infancy: birth cohort study findings using prospective food diary data. Journal of Allergy and Clinical Immunology 133, 2 (2014), 511–519.
Matthew K Hong, Udaya Lakshmi, Thomas A Olson, and Lauren Wilcox. 2018. Visual ODLs: Co-Designing Patient-Generated Observations of Daily Living to Support Data-Driven Conversations in Pediatric Care. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’18). ACM, 476.
Ravi Karkar, Jessica Schroeder, Daniel A Epstein, Laura R Pina, Jeffrey Scofield, James Fogarty, Julie A Kientz, Sean A Munson, Roger Vilardaga, and Jasmine Zia. 2017. Tummytrials: a feasibility study of using selfexperimentation to detect individualized food triggers. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’17). ACM, 6850–6863.
Yoojung Kim, Eunyoung Heo, Hyunjeong Lee, Sookyoung Ji, Jueun Choi, Jeong-Whun Kim, Joongseek Lee, and Sooyoung Yoo. 2017. Prescribing 10,000 steps like aspirin: designing a novel interface for data-driven medical consultations. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’17). ACM, 5787–5799. Young-Ho Kim, Jae Ho Jeon, Bongshin Lee, Eun Kyoung Choe, and Jinwook Seo. 2017. OmniTrack: A Flexible Self-Tracking Approach Leveraging Semi-Automated Tracking. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 1, 3 (2017), 67. William J Korotitsch and Rosemery O Nelson-Gray. 1999. An overview of self-monitoring research in assessment and treatment. Psychological Assessment 11, 4 (1999), 415.Jisoo Lee, Erin Walker, Winslow Burleson, Matthew Kay, Matthew Buman, and Eric B Hekler. 2017. Self-experimentation for behavior change: Design and formative evaluation of two approaches. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’17). ACM, 6837–6849. Cynthia LeRouge, Jiao Ma, Sweta Sneha, and Kristin Tolle. 2013. User profilesandpersonasinthedesignanddevelopmentofconsumerhealth technologies. International journal of medical informatics 82, 11 (2013), e251–e268.Ian Li, Anind K Dey, and Jodi Forlizzi. 2011. Understanding my data, myself: supporting self-reflection with ubicomp technologies. In Proceedings of the 13th international conference on Ubiquitous computing. ACM, 405–414. Kristine H Luce and Janis H Crowther. 1999. The reliability of the eating disorder examination-Self-report questionnaire version (EDE-Q). InternationalJournalofEatingDisorders25,3(1999),349–351.David S Ludwig and Jon Kabat-Zinn. 2008. Mindfulness in medicine. Jama 300, 11 (2008), 1350–1352.Yunsheng Ma, Elizabeth R Bertone, Edward J Stanek III, George W Reed, James R Hebert, Nancy L Cohen, Philip A Merriam, and Ira S Ockene. 2003. Association between eating patterns and obesity in a free-living US adult population. American journal of epidemiology 158, 1 (2003), 85–92.Christophe Matthys, Stefaan De Henauw, Mia Bellemans, Mieke De Maeyer, and Gui De Backer. 2007. Breakfast habits affect overall nutrient profiles in adolescents. Public health nutrition 10, 4 (2007), 413–421.Mollie McKillop, Lena Mamykina, and Noémie Elhadad. 2018. Designing in the Dark: Eliciting Self-tracking Dimensions for Understanding Enigmatic Disease. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’18). ACM, 565. Elizabeth L Murnane, Dan Cosley, Pamara Chang, Shion Guha, Ellen Frank, Geri Gay, and Mark Matthews. 2016. Self-monitoring practices, attitudes, and needs of individuals with bipolar disorder: implications for the design of technologies to manage mental health. Journal of the American Medical Informatics Association 23, 3 (2016), 477–484.Laura M O’Connor, Marleen AH Lentjes, Robert N Luben, Kay-Tee Khaw, Nicholas J Wareham, and Nita G Forouhi. 2014. Dietary dairy product intake and incident type 2 diabetes: a prospective study using dietary data from a 7-day food diary. Diabetologia 57, 5 (2014), 909–917.Rosa M Ortega, Carmen Pérez-Rodrigo, and Ana M López-Sobaler. 2015. Dietary assessment methods: dietary records. Nutricion hospitalaria 31, 3 (2015).Ruth E Patterson, Alan R Kristal, Lesley Fels Tinker, Rachel A Carter, Mary Pat Bolton, and Tanya Agurs-Collins. 1999. Measurement characteristics of the Women’s Health Initiative food frequency questionnaire. Annals of epidemiology 9, 3 (1999), 178–187.Beate Pfeiffer, Trent Stellingwerff, Adrian B Hodgson, Rebecca Randell, Klaus Pöttgen, Peter Res, and Asker E Jeukendrup. 2012. Nutritional intake and gastrointestinal problems during competitive endurance events. Medicine & Science in Sports & Exercise 44, 2 (2012), 344–351.Jenny Preece, Yvonne Rogers, and Helen Sharp. 2015. Interaction design: beyond human-computer interaction. John Wiley & Sons.John Pruitt and Tamara Adlin. 2010. The persona lifecycle: keeping people in mind throughout product design. Elsevier. Helaine RH Rockett, Anne M Wolf, and Graham A Colditz. 1995. Development and reproducibility of a food frequency questionnaire to assess diets of older children and adolescents. Journal of the American Dietetic Association 95, 3 (1995), 336–340.John Rooksby, Mattias Rost, Alistair Morrison, and Matthew Chalmers Chalmers. 2014. Personal tracking as lived informatics. In Proceedings of the 32nd annual ACM conference on Human factors in computing systems. ACM, 1163–1172. Elizabeth B-N Sanders, Eva Brandt, and Thomas Binder. 2010. A framework for organizing the tools and techniques of participatory design. In Proceedings of the 11th biennial participatory design conference. ACM, 195–198. Elizabeth B-N Sanders and Pieter Jan Stappers. 2008. Co-creation and the new landscapes of design. Co-design 4, 1 (2008), 5–18.Carolyn Snyder. 2003. Paper prototyping: The fast and easy way to design and refine user interfaces. Morgan Kaufmann. Tina Tan, Angeline Kuek, Shih Ee Goh, Ee Lian Lee, and Victor Kwok. 2016. Internet and smartphone application usage in eating disorders: A descriptive study in Singapore. Asian journal of psychiatry 19 (2016), 50–55.Gabrielle M Turner-McGrievy, Michael W Beets, Justin B Moore, Andrew T Kaczynski, Daheia J Barr-Anderson, and Deborah F Tate. Co-Designing Food Trackers with Dietitians: CHI 2019, May 4–9, 2019, Glasgow, Scotland Uk 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 20, 3 (2013), 513–518.CA Vereecken, Marc Covents, Christophe Matthys, and Lea Maes. 2005. Young adolescents’ nutrition assessment on computer (YANA-C). European journal of clinical nutrition 59, 5 (2005), 658.Carine Anna Vereecken, Marc Covents, Denise Haynie, and Lea Maes. 2009. Feasibility of the young children’s nutrition assessment on the web. Journal of the American Dietetic Association 109, 11 (2009), 1896–1902.Greg Walsh, Alison Druin, Mona Leigh Guha, Elizabeth Foss, Evan Golub, Leshell Hatley, Elizabeth Bonsignore, and Sonia Franckel. 2010. Layered elaboration: a new technique for co-design with children. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. ACM, 1237–1240. Peter West, Richard Giordano, Max Van Kleek, and Nigel Shadbolt. 2016. The quantified patient in the doctor’s office: Challenges & opportunities. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’16). ACM, 3066–3078. Walter C Willett, Laura Sampson, Meir J Stampfer, Bernard Rosner, Christopher Bain, Jelia Witschi, Charles H Hennekens, and Frank E Speizer. 1985. Reproducibility and validity of a semiquantitative food frequency questionnaire. American journal of epidemiology 122, 1 (1985), 51–65.Haining Zhu, Joanna Colgan, Madhu Reddy, and Eun Kyoung Choe. 2016. Sharing patient-generated data in clinical practices: an interview study. In AMIA Annual Symposium Proceedings, Vol. 2016. American Medical Informatics Association, 1303.Haining Zhu, Yuhan Luo, and Eun Kyoung Choe. 2017. Making Space for the Quality Care: Opportunities for Technology in Cognitive Behavioral Therapy for Insomnia. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’17). ACM, 5773–5786. Jasmine Zia, Chia-Fang Chung, Jessica Schroeder, Sean A Munson, Julie A Kientz, James Fogarty, Elizabeth Bales, Jeanette M Schenk, and MM Heitkemper. 2017. The feasibility, usability, and clinical utility of traditional paper food and symptom journals for patients with irritable bowel syndrome. Neurogastroenterology & Motility 29, 2 (2017)