Tell Me What to Eat – Design and Evaluation of a Mobile Companion Helping Children and Their Parents to Plan Nutrition Intake

  • Runhua Xu
  • Irena Pletikosa Cvijikj
  • Tobias KowatschEmail author
  • Florian Michahelles
  • Dirk Büchter
  • Björn Brogle
  • Anneco Dintheer
  • Dagmar I’Allemand
  • Wolfgang Maass
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 8850)


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.


Children Parents Overweight Obesity Mobile App Healthcare 


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  1. 1.
    WHO: Obesity and overweight, Fact sheet N 311. 6.10.14 (2014).
  2. 2.
    Murer, S.B., Saarsalu, S., Zimmermann, M.B., Aeberli, I.: Pediatric adiposity stabilized in Switzerland between 1999 and 2012. European Journal of Nutrition 53, 865–875 (2014)CrossRefGoogle Scholar
  3. 3.
    Hänggli, B., Laimbacher, J., Gutzwiller, F., Fäh, D.: Adipositastherapie bei Kindern und Jugendlichen in der Schweiz: Wo liegen die Hürden. Schweizerische Ärztezeitung 89, 277–281 (2008)Google Scholar
  4. 4.
    Schneider, H., Venetz, W., Berardo, C.G.: Overweight and obesity in Switzerland - Part 1: Cost burden of adult obesity in 2007. Bundesamt für Gesundheit (BAG) (2009)Google Scholar
  5. 5.
    Sempach, R., Farpour-Lambert, N., L’Allemand, D., Laimbacher, J.: Therapie des adipösen Kindes und Jugendlichen: Vorschläge für multi-professionelle Therpieprogramme. Paediatrica 18, 33–37 (2007)Google Scholar
  6. 6.
    Ho, M., Garnett, S.P., Baur, L., Burrows, T., Stewart, L., Neve, M., Collins, C.: Effectiveness of Lifestyle Interventions in Child Obesity: Systematic Review With Meta-analysis. Pediatrics 130, e1647–e1671 (2012)CrossRefGoogle Scholar
  7. 7.
    Spring, B., Duncan, J.M., Janke, E.A., Kozak, A.T., McFadden, H.G., DeMott, A., Pictor, A., Epstein, L.H., Siddique, J., Pellegrini, C.A., Buscemi, J., Hede-ker, D.: Integrating Technology Into Standard Weight Loss Treatment: A Randomized Controlled Trial. JAMA Internal Medicine 173, 105–111 (2013)CrossRefGoogle Scholar
  8. 8.
    Agarwal, R., Gao, G.G., DesRoches, C., Jha, A.K.: The Digital Transformation of Healthcare: Current Status and the Road Ahead. Information Systems Research 21, 796–809 (2010)CrossRefGoogle Scholar
  9. 9.
    Kowatsch, T., Maass, W., Pletikosa Cvijikj, I., Büchter, D., Brogle, B., Dintheer, A., Wiegand, D., Durrer, D., Xu, R., Schutz, Y., l’Allemand-Jander, D.: Design of a Health Information System Enhancing the Performance of Obesity Expert and Children Teams. In: 22nd European Conference on Information Systems (ECIS), Tel Aviv, Israel (2014)Google Scholar
  10. 10.
    Consolvo, S., Everitt, K., Smith, I., Landay, J.A.: Design Requirements for Technologies that Encourage Physical Activity. In: Conference on Human Factors in Computing Systems (CHI 2006), pp. 457–466. Montréal, Québec, Canada (2006)Google Scholar
  11. 11.
    Consolvo, S., McDonald, D.W., Landay, J.A.: Theory-driven design strategies for technologies that support behavior change in everyday life. In: Olsen, D.R.J., Arthur, R.B., Hinckley, K., Morris, M.R., Hudson, S., Greenberg, S. (eds.) Proceedings of the 27th international conference on Human factors in computing systems, pp. 405–414. ACM, New York, NY, USA (2009)Google Scholar
  12. 12.
    Lin, J.J., Mamykina, L., Lindtner, S., Delajoux, G., Strub, H.B.: Fish’n’Steps: Encouraging Physical Activity with an Interactive Computer Game. In: Dourish, P., Friday, A. (eds.) International Conference on Ubiquitous Computing, Ubicomp 2006, pp. 261–278. Springer, Berlin, Germany (2006)CrossRefGoogle Scholar
  13. 13.
    Jarvinen, P., Jarvinen, T.H., Lahteenmaki, L., Sodergard, C.: HyperFit: Hybrid media in personal nutrition and exercise management. In: 2nd International Conference on Pervasive Computing Technologies for Healthcare, pp. 222–226. IEEE (2008)Google Scholar
  14. 14.
    Tsai, C.C., Lee, G., Raab, F., Norman, G.J., Sohn, T., Griswold, W.G., Patrick, K.: Usability and feasibility of PmEB: a mobile phone application for monitoring real time caloric balance. Mobile Networks and Applications 12, 173–184 (2007)CrossRefGoogle Scholar
  15. 15.
    Harvey, M., Ludwig, B., Elsweiler, D.: Learning user tastes: a first step to generating healthy meal plans? Workshop on Recommendation Technologies for Lifestyle Change 2012. In: conjunction with the 6th ACM conference on Recommender Systems (RecSys 2012). ACM, Dublin, Ireland (2012)Google Scholar
  16. 16.
    Wu, J.H., Wang, S.C., Lin, L.M.: Mobile computing acceptance factors in the healthcare industry: a structural equation model. International Journal of Medical Informatics 76, 66–77 (2007)CrossRefGoogle Scholar
  17. 17.
    Khan, D.U., Ananthanarayan, S., Le, A.T., Schaefbauer, C.L., Siek, K.A.: Designing mobile snack application for low socioeconomic status families. In: Bardram, J., Mihailidis, A., Tentori, M. (eds.) 6th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth), pp. 57–64 (2012)Google Scholar
  18. 18.
    Pletikosa Cvijikj, I., Kowatsch, T., Büchter, D., Brogle, B., Dintheer, A., Wiegand, D., Durrer, D., Xu, R., l’Allemand, D., Schutz, Y., Maass, W.: Health Information System for Obesity Prevention and Treatment of Children and Adolescents. In: 22nd European Conference on Information Systems (ECIS), Tel Aviv, Israel (2014)Google Scholar
  19. 19.
    Carroll, J.M.: Making use: scenario-based design of human–computer interactions. MIT Press, Cambridge, MA (2000)Google Scholar
  20. 20.
    Janzen, S., Kowatsch, T., Maass, W.: A Methodology for Content-Centered Design of Ambient Environments. In: Winter, R., Zhao, J., Aier, S. (eds.) DESRIST 2010. LNCS, vol. 6105, pp. 210–225. Springer, Heidelberg (2010)CrossRefGoogle Scholar
  21. 21.
    Affolter, U., Jaun Urech, M., Keller, M., Schmid, U.: Tiptopf - essen, trinken, sich wohlfühlen. Schulverlag plus, Bern, Schweiz (2012)Google Scholar
  22. 22.
    Kowatsch, T., Büchter, D., Pletikosa Cvijikj, I., Xu, R., Brogle, B., Dintheer, A., Wiegand, D., l’Allemand, D., Maass, W.: Design and Preliminary Evaluation of a Mobile Application for Obesity Experts and Children Teams. Poster. 7th Fribourg Obesity Research Conference (FORC-2013) – Pathways from Dieting to Weight Regain, to Obesity & to Metabolic Syndrome, Fribourg, Switzerland (2013)Google Scholar
  23. 23.
    Toselli, S., Argnani, L., Canducci, E., Ricci, E., Gualdi-Russo, E.: Food habits and nutritional status of adolescents in Emilia-Romagna. Italy. Nutrición Hospitalaria 25, 613–621 (2010)Google Scholar
  24. 24.
    Büchter, D., Kowatsch, T., Pletikosa Cvijikj, I., Schutz, Y., l’Allemand, D., Maass, W., Laimbacher, J.: A Longitudinal Study Assessing an IT-supported Neurological Feedback in Obesity Intervention for Children and Adolescents’ Emotional Self Control (Poster). Annual Congress of the foederatio Paedo medicorum helveticorum (fPmh), Basel, Switzerland (2014)Google Scholar
  25. 25.
    Büchter, D., Kowatsch, T., Pletikosa Cvijikj, I., Schutz, Y., l’Allemand, D., Maass, W., Laimbacher, J.: A Longitudinal Study Assessing an IT-supported Neurological Feedback in Obesity Intervention for Children and Adolescent Emotional Self Control. Swiss Medical Weekly 144, 21 (2014)Google Scholar
  26. 26.
    Büchter, D., Kowatsch, T., Brogle, B., Dintheer, A., Wiegand, D.: Pletikosa Cvijikj, I., Maass, W., l’Allemand, D., Laimbacher, J.: Home Support of Obese Children and Adolescents by Means of Health Information Technology System: A Pilot Study for a Psychosomatic Therapy Concept. Swiss Medical Weekly 144, 17 (2014)Google Scholar
  27. 27.
    Chamberlain, A., Crabtree, A., Rodden, T., Jones, M., Rogers, Y.: Research in the wild: Understanding ‘in the wild’ approaches to design and development. Designing Interactive Systems Conference (DIS 2012), pp. 795–796. ACM, Newcastle, UK (2012)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Runhua Xu
    • 1
  • Irena Pletikosa Cvijikj
    • 1
  • Tobias Kowatsch
    • 2
    Email author
  • Florian Michahelles
    • 1
  • Dirk Büchter
    • 3
  • Björn Brogle
    • 3
  • Anneco Dintheer
    • 3
  • Dagmar I’Allemand
    • 3
  • Wolfgang Maass
    • 4
  1. 1.ETH ZurichZurichSwitzerland
  2. 2.University of St.GallenSt.GallenSwitzerland
  3. 3.Children’s Hospital of Eastern SwitzerlandSt.GallenSwitzerland
  4. 4.Saarland UniversitySaarbrückenGermany

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