Healthc Inform Res.  2019 Jul;25(3):161-172. 10.4258/hir.2019.25.3.161.

Development and Pilot Testing of the Snackability Smartphone Application to Identify Healthy and Unhealthy Snacks

Affiliations
  • 1Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA. cristina.palacios@fiu.edu
  • 2Vertically-Integrated Projects, School of Computing and Information Sciences, Florida International University, Miami, FL, USA.

Abstract


OBJECTIVES
Snacks contribute to the diet quality in youth, which is often poor. Although the US Department of Agriculture (USDA) has guidelines for healthy snacks, this is lost in translation when youth are choosing snacks. To develop a userfriendly app to help identify healthy snacks based on the US Department of Agriculture guidelines and evaluate the app's feasibility, usability, satisfaction, and acceptability.
METHODS
The "˜Snackability' app was developed following the ADDIE (analysis, design, development, implementation, and evaluation) model. The app was pilot tested for 2 weeks among college-age students (18-24 years) using questionnaires and focus groups. Based on the feedback received, the app was improved, and pilot-tested again.
RESULTS
The app had a simple score (−1 to 11) and feedback (the higher the score, the healthier the snack is). The 1st pilot test among 12 students showed that the app's feasibility and usability were >50% (p < 0.05). Participants reported that the app was a good way to help individuals select and consume healthy snacks and suggested improving the search process and including average score reports, a "˜consumed history' tab, gamification, notifications, and the option to add snacks not found. These were incorporated into the 2nd version of the app, which was pilot tested among 8 students. Feasibility, usability, and acceptability of the 2nd version were >50% (p < 0.05). Additional suggestions were to include images for serving size, snack alternatives, and barcode scanning, which were incorporated into the 3rd version.
CONCLUSIONS
Snackability app was feasible, usable, satisfactory, and acceptable, and several features were improved as suggested by participants.

Keyword

Snacks; United States Department of Agriculture; Youth; Smartphone Application; Behavior

MeSH Terms

Adolescent
Agriculture
Diet
Focus Groups
Humans
Serving Size
Smartphone*
Snacks*
United States Department of Agriculture

Figure

  • Figure 1 System configuration and features. CRUD: create, read, update, and delete, USDA: US Department of Agriculture, API: application programming interface.

  • Figure 2 Interface of searching and reporting score of the 3rd version of the Snackability app.

  • Figure 3 Interface of home and settings page of the 3rd version of the Snackability app.


Cited by  1 articles

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Byung Kwan Choi, Young-Taek Park, Lee-Seung Kwon, Yeon Sook Kim
Healthc Inform Res. 2020;26(4):311-320.    doi: 10.4258/hir.2020.26.4.311.


Reference

1. Sebastian RS, Goldman JD, Wilkinson Enns C. Snacking patterns of US adolescents: what we eat in America, NHANES 2005–2006 [Internet]. Washington (DC): Food Surveys Research Group;2010. cited at 2019 Jul 1. Available from: https://www.ars.usda.gov/research/publications/publication/?seqNo115=255987.
2. Fabian C, Pagan I, Rios JL, Betancourt J, Cruz SY, Gonzalez AM, et al. Dietary patterns and their association with sociodemographic characteristics and perceived academic stress of college students in Puerto Rico. P R Health Sci J. 2013; 32(1):36–43.
3. Dunford EK, Popkin BM. 37 year snacking trends for US children 1977-2014. Pediatr Obes. 2018; 13(4):247–255.
4. Dunford EK, Popkin BM. Disparities in snacking trends in US adults over a 35 year period from 1977 to 2012. Nutrients. 2017; 9(8):E809.
Article
5. US Department of Agriculture. What we eat in America, NHANES 2015–2016: snacks (percent of nutrients by gender and age) [Internet]. Washington (DC): US Department of Agriculture;c2019. cited at 2019 Jul 1. Available from: https://www.ars.usda.gov/ARSUserFiles/80400530/pdf/1516/Table_25_SNK_GEN_15.pdf.
6. Harris JL, Hyary M, Schwartz MB. Effects of offering look-alike products as smart snacks in schools. Child Obes. 2016; 12(6):432–439.
Article
7. Lipsky LM, Haynie DL, Liu D, Chaurasia A, Gee B, Li K, et al. Trajectories of eating behaviors in a nationally representative cohort of U.S. adolescents during the transition to young adulthood. Int J Behav Nutr Phys Act. 2015; 12:138.
Article
8. Njike VY, Smith TM, Shuval O, Shuval K, Edshteyn I, Kalantari V, et al. Snack food, satiety, and weight. Adv Nutr. 2016; 7(5):866–878.
Article
9. Bailey RL, Dodd KW, Goldman JA, Gahche JJ, Dwyer JT, Moshfegh AJ, et al. Estimation of total usual calcium and vitamin D intakes in the United States. J Nutr. 2010; 140(4):817–822.
Article
10. US Department of Agriculture. A guide to smart snacks in school [Internet]. Washington (DC): US Department of Agriculture;c2019. cited at 2019 Jul 1. Available from: https://fns-prod.azureedge.net/sites/default/files/tn/508_USDASmartSnacks_508_82218.pdf.
11. Lenhart A. Teens, social media & technology overview 2015 [Internet]. Washington (DC): Pew Research Center;2015. cited at 2019 Jul 1. Available from: https://www.pewinternet.org/2015/04/09/teens-social-media-technology-2015/.
12. Perrin A. 10 facts about smartphones as the iPhone turns 10 [Internet]. Washington (DC): Pew Research Center;2015. cited at 2019 Jul 1. Available from: https://www.pewresearch.org/fact-tank/2017/06/28/10-facts-about-smartphones/.
13. Kelley PG, Consolvo S, Cranor LF, Jung J, Sadeh N, Wetherall D. A conundrum of permissions: installing applications on an android smartphone. In : Blyth J, Dietrich S, Camp LJ, editors. International conference on financial cryptography and data security. Heidelberg: Springer;2012. p. 68–79.
14. Clement J. Average number of apps used vs. number of apps installed by users in the United States in 2016, by device [Internet]. Hamburg, Germany: Statista;2018. cited at 2019 Jul 1. Available from: https://www.statista.com/statistics/681206/us-app-installation-usagedevice/.
15. Krebs P, Duncan DT. Health app use among US mobile phone owners: a national survey. JMIR Mhealth Uhealth. 2015; 3(4):e101.
Article
16. West JH, Belvedere LM, Andreasen R, Frandsen C, Hall PC, Crookston BT. Controlling your "App"etite: how diet and nutrition-related mobile apps lead to behavior change. JMIR Mhealth Uhealth. 2017; 5(7):e95.
Article
17. Turner-McGrievy GM, Beets MW, Moore JB, Kaczynski AT, Barr-Anderson DJ, Tate DF. Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. J Am Med Inform Assoc. 2013; 20(3):513–518.
Article
18. McGriff SJ. Instructional System Design (ISD): using the ADDIE model [Internet]. University Park (PA): Penn State University;2000. cited at 2019 Jul 1. Available from: https://www.lib.purdue.edu/sites/default/files/directory/butler38/ADDIE.pdf.
19. US Department of Agriculture. USDA Branded Food Products Database [Internet]. Washington (DC): US Department of Agriculture;c2019. cited at 2019 Jul 1. Available from: https://www.ars.usda.gov/northeast-area/beltsville-md-bhnrc/beltsville-human-nutrition-research-center/nutrient-data-laboratory/docs/usda-branded-food-products-database/.
20. US Department of Agriculture. Start simple with myplate [Internet]. Alexandria (VA): ChooseMyPlate.gov;c2019. cited at 2019 Jul 1. Available from: https://www.choosemyplate.gov/start-simple-myplate.
21. Tucker CM, Rice KG, Hou W, Kaye LB, Nolan SE, Grandoit DJ, et al. Development of the motivators of and barriers to health-smart behaviors inventory. Psychol Assess. 2011; 23(2):487–503.
Article
22. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006; 3(2):77–101.
Article
23. Edwards EA, Lumsden J, Rivas C, Steed L, Edwards LA, Thiyagarajan A, et al. Gamification for health promotion: systematic review of behaviour change techniques in smartphone apps. BMJ Open. 2016; 6(10):e012447.
Article
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