Kristen Fuller
18 statements · 1 topic · summaries given as host listed separately
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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
clinical ·
Pediatric Obesity
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
clinical ·
Pediatric Obesity
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Kristen's statements about Pediatric Obesity 18 statements
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Nutrition Journal Club: Pediatric Obesity 2017
Quotation
the 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.
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I 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.
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Statement
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
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In 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
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Photo 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
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Written food logs are used less frequently, primarily to discuss emotions and feelings with food
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Quotation
in-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.
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In-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
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Families typically complete photo food logs about 3 times to see substantial improvement, working on small changes each round
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When 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
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Photo 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
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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
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Patients frequently use calorie counting apps like MyFitnessPal, often becoming very restrictive and unable to stick with them long-term
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The 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
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Quotation
I think there's something about emailing pictures to your dietitian that, um, is, um, not replaceable by an app.
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Statement
The 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
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Quotation
their 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
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Statement
Photo 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
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Summaries Kristen gave as host · 17 summaries
Recaps of other experts' statements, not Kristen's own clinical position.
Summaries Kristen gave as host · Pediatric Obesity 17 summaries
Open the Pediatric Obesity collection →
Nutrition Journal Club: Pediatric Obesity 2017
Host summary
Kristen Fuller summarizing the discussion: Weight loss is one of the most popular categories for health-related mobile app downloads
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Kristen Fuller summarizing the discussion: Evidence-based behavioral change techniques are proven to support weight loss
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Kristen 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
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Kristen Fuller summarizing the discussion: Portions are frequently underestimated with barcode scanning and food item searching methods of diet tracking
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Kristen 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.
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Kristen 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
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Kristen 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
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Kristen Fuller summarizing the discussion: Diet self-monitoring is associated with weight loss with the addition of immediate provision of feedback
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Kristen Fuller summarizing the discussion: The study reviewed 29 mobile apps that met inclusion criteria for diet tracking via photos
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Kristen Fuller summarizing the discussion: Two apps (YouFood and Food Feedback) included 11 of the 13 behavior change techniques evaluated
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Kristen Fuller summarizing the discussion: 18 out of 29 apps (62%) did not provide any feedback at all on food photo posts
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Kristen Fuller summarizing the discussion: Only 1 of the 29 apps used professionals exclusively to provide feedback
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Kristen Fuller summarizing the discussion: 3 apps offered an option of professional feedback
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Kristen Fuller summarizing the discussion: 7 of the 29 apps used only crowdsourcing or collective feedback
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Kristen Fuller summarizing the discussion: 6 apps did not use any self-regulation techniques at all
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Kristen 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
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