Effectiveness of Cell Phones with Digital Picture Capability and MyPyramid Tracker for Measurement of Fruit/Vegetable Consumption

Sunday, 30 October 2011: 11:40 AM

JoAnn D. Long, RN, PhD, NEA-BC
Department of Nursing, Lubbock Christian University, Lubbock, TX
Toby Rogers, PhD, MPT
Department of Exercise and Sport Sciences, Lubbock Christian University, Lubbock, TX
Gary Estep, PhD
Department of Science, Lubbock Christian University, Lubbock, TX
Carol Boswell, EdD, RN, CNE, ANEF
Anita Thigpen Perry School of Nursing, Texas Tech University Health Sciences Center, Odessa, TX
Brent Shriver, PhD
School of Health Professions, The University of Texas Health Science Center at San Antonio Laredo Extension Campus, Laredo, TX
Carmen Roman-Shriver, PhD, RD, LD
Department of Nutrition & Dietetics, University of Texas HSCSA Laredo Campus, Laredo, VT
Dean Culpepper, PhD
Department of Exercise and Sports Sciences, Lubbock Christian University, Lubbock, TX
Gina Kuenzi, BSN
Cath Lab, University Medical Center, Lubbock, TX
Laurel Littlefield, BS, MS, ACSM-HFS
Department of Exercise, Nutrition, and Preventive Health, Baylor University, Waco, TX

Learning Objective 1: Discuss the effectiveness of technology-based methods (MyPyramid Tracker with/without use of cell phone pictures for memory prompt) of dietary assessment for fruit/vegetable consumption;

Learning Objective 2: Discuss focus group findings and implications for using technology to measure healthy eating in a college-age population.

Purpose:  Inadequate fruit/vegetable intake is linked to the leading causes of global mortality and rise in obesity (World Health Organization, 2009).  Traditional dietary assessment methods have limited sensitivity in detecting changes in fruit/vegetable consumption.  Advances in mobile technologies may reduce reporting burden while enhancing effectiveness of fruit/vegetable recording, warrenting further study.  The purpose of this project was to test the effectiveness of a technology-based method of dietary assessment for fruit/vegetables using cell phones with digital picture capability, for memory prompt in conjunction with MyPyramidtracker.gov website. 

Methods:  A quasi-experimental repeated measures design was used.  The research questions were: 1) What is the effectiveness of recording fruit/vegetable consumption using cell phone digital pictures for memory prompt in conjunction with the MyPyramid Tracker website as compared to MyPyramid Tracker website alone; and 2) What is the acceptability and feasibility of these methods for recording diet among youths?   

Results: Data was collected from 69 college-age students enrolled in a southwestern university in the fall of 2010.  Subjects recorded three days of diet in MyPyramid Tracker using memory only and three days adding cell phone digital pictures as a memory prompt over a 2 week period.  A mixed-model ANOVA supported a statistically significant difference in the cell phone for memory prompt fruit/vegetable scores, F (1, 66) = 3.904, p = .05.  Data for research question two was collected from focus groups. 

Conclusion:  Digital cell phone pictures were more effective than MyPyramid Tracker alone and may contribute to increased accuracy of recording fruit/vegetable consumption.  Focus groups suggested both usability and acceptablility of technology for recording diet in this population. Roger’s theory of Diffusion of Innovation is suggested as a possible theoretical model for testing technology-based methods of fruit/vegetable consumption.  The authors gratefully acknowledge the support for this study provided by a 2010 STTI Small Grant.