A Native Mobile-Based App for Nutritional Self-Care Behavior Assessment Assessment of A Mobile Nutritional Application

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Amir Jamshidnezhad
Seyed Mohammad Hossein Mousavi Jazayeri
Behzad Fouladi Dehaghi
Ali Talebi Shoushtarian


Diet therapy, mobile app, nutritional behavior, mobile health, self-care


Background: While obesity and weight mismatch are of the commonest health challenges worldwide, the advancement of mobile technology and its entry into the field of health have proven to have a significant role in weight control and self-care in nutritional behavior. Purpose: the purpose of the study was to develop and evaluate an integrated communication app on the nutritional behavior of users and their opinion of the app usability. Methods: Fit-mail App for Nutritional Self-care (FANS) was developed according to the app development methodology including design, implementation, and evaluation phases. The FANS was provided to 50 students of Ahvaz University of Medical Sciences who voluntarily participated in the study. Nutritional behavior was examined using the FANS during two stages before and after a 60-day period. The usability and nutrition activity were assessed in the students who completed the intervention of a mobile app on the nutritional behavior study. Results: The results showed statistically significant differences between the two questionnaires before using FANS with mean = 61.7292 and after that mean = 92.1042 (p-value <0.001). The results showed that the frequency of having a goal to increase physical activity has changed before and after using the FANS. Moreover, the results showed that using self-care app in nutritional behavior to check calorie intake with 40% was the most and getting information on nutrition with 18% the least important goal of the users. Conclusions: According to the results, a native mobile-based app can play valuable role in promoting healthy activities. Moreover, it enhanced people's attitude to adherence to diet and self-care consequently.


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1.Pirzadeh A, Sharifirad G. A survey of healthy life style in teachers in 4 district in Esfahan. 2011;1(46):24-27.

2.Yahyavi SH, Pourrahimi M. Impact of dietary behaviors and exercise activities education on the self-efficacy of middle school students. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch. 2012;22(2):143-51.

3. Paxton F, Ball M, Bunker S, Cooper C. Nutrition education in outpatient cardiac rehabilitation programs in Victoria. Australian Journal of Nutrition and Dietetics. 1999;56(2):76-80.

4. Pour-Edalati M, Moghadam NK, Shahesmaeili A, Salehi-Nejad P. Exploring the Effect of Mindfulness-Based Stress Reduction on Childbirth Fear Among Single-Child Mothers in the City of Kerman, Iran (2017): A Clinical Trial Study. Medical-Surgical Nursing Journal. 2019;7(4). DOI:10.5812/msnj.90247.

5.Ajami S, Heydarniya Z. Using mobile health technology to monitor elderly health. health information manegment [in Persian]. 2015;12(4):391-2

6. Zare E, Simbar M, Shahhoseini Z. Explaining the concept of self-care in adolescents. Journal of Qualitative Research in Health Sciences. 2016;4(4):395-405.

7. Wang Q, Egelandsdal B, Amdam GV, Almli VL, Oostindjer M. Diet and physical activity apps: perceived effectiveness by app users. JMIR mHealth and uHealth. 2016;4(2):e33.

8. Sama P, Eapen Z, Weinfurt K, Shah B, Schulman K. An evaluation of mobile health application tools. JMIR mHealth and uHealth. 2014;2(2), e19.

9. Zaidan S, Roehrer E. Popular mobile phone apps for diet and weight loss: a content analysis. JMIR mHealth and uHealth. 2016;4(3):e80.

10. Brian RM, Ben-Zeev D. Mobile health (mHealth) for mental health in Asia: objectives, strategies, and limitations. Asian journal of psychiatry. 2014;10:96-100.

11. Heerden Av, Tomlinson M, Swartz L. Point of care in your pocket: a research agenda for the field of m-health. Bulletin of the World Health Organization. 2012;90:393-4.

12. Park Y. A pedagogical framework for mobile learning: Categorizing educational applications of mobile technologies into four types. The international review of research in open and distributed learning. 2011;12(2):78-102.

13. Luxton DD, McCann RA, Bush NE, Mishkind MC, Reger GM. mHealth for mental health: Integrating smartphone technology in behavioral healthcare. Professional Psychology: Research and Practice. 2011;42(6):505.

14. Safdari R, Shams Abadi AR, Pahlevany Nejad S. Improve Health of the Elderly People With M-Health and Technology. Iranian Journal of Ageing. 2018;13(3):288-99.

15. Schembre SM, Liao Y, O'connor SG, Hingle MD, Shen S-E, Hamoy KG, et al. Mobile Ecological Momentary Diet Assessment Methods for Behavioral Research: Systematic Review. JMIR mHealth and uHealth. 2018;6(11):e11170.

16. Spring B, Duncan JM, Janke EA, Kozak AT, McFadden HG, DeMott A, et al. . Integrating technology into standard weight loss treatment: a randomized controlled trial. JAMA Intern Med. (2013) 173:105–11. DOI: 10.1001/jamainternmed.

17. Ahn J. S, Kim D. W, Kim J, Park H, Lee J. E. Development of a Smartphone Application for Dietary Self-Monitoring. Frontiers in Nutrition. 2019; 6 (149): 1-12. DOI: 10.3389/fnut.2019.00149.

18. Smith JJ, Morgan PJ, Plotnikoff RC, Dally KA, Salmon J, et al. Smart-phone obesity prevention trial for adolescent boys in low-income communities: the ATLAS RCT. Pediatrics. 2014;134:e723–31.

19. Partridge SR, McGeechan K, Hebden L, Balestracci K, Wong ATY, Denney-Wilson E, et al. Effectiveness of a mHealth lifestyle program with telephone support (TXT2BFiT) to prevent unhealthy weight gain in young adults: randomized controlled trial. JMIR Mhealth Uhealth. 2015;3:e66.

20. 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. DOI: 10.2196/mhealth.7410.

21. De Cock N, Vangeel J, Lachat C, Beullens K, Vervoort L, Goossens L, Maes L, Deforche B, De Henauw S, Braet C, Eggermont S, Kolsteren P, Van Camp J, Van Lippevelde W
Use of Fitness and Nutrition Apps: Associations With Body Mass Index, Snacking, and Drinking Habits in Adolescents. JMIR Mhealth Uhealth 2017;5(4):e58. DOI: 10.2196/mhealth.6005.

22. Bietz MJ, Bloss CS, Calvert S, Godino JG, Gregory J, Claffey MP, Sheehan J, Patrick K. Opportunities and challenges in the use of personal health data for health research. J Am Med Inform Assoc. 2016 Apr;23(e1):e42–8. doi: 10.1093/jamia/ocv118.

23. Mummah S, Robinson T N, M Maya, Farzinkhou S, Sutton S, Gardner C D. Effect of a mobile app intervention on vegetable consumption in overweight adults: a randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity. 2017; 14(1): 125-135.

24. King AC, Hekler EB, Grieco LA, Winter SJ, Sheats JL, Buman MP, et al. Harnessing different motivational frames via mobile phones to promote daily physical activity and reduce sedentary behavior in aging adults. Plos One. 2013;8:e62613.

25. Maher C, Ferguson M, Vandelanotte C, Plotnikoff R, De Bourdeaudhuij I, Thomas S, et al. A web-based, social networking physical activity intervention for insufficiently active adults delivered via facebook app: randomised controlled trial. JMIR. 2015;17:e174.

26. Gabrielli S, Dianti M, Maimone R, Betta M, Filippi L, Ghezzi M, Forti S.Design of a Mobile App for Nutrition Education (TreC-LifeStyle) and Formative Evaluation With Families of Overweight Children. JMIR Mhealth Uhealth 2017;5(4):e48. DOI: 10.2196/mhealth.7080

27.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. DOI: 10.2196/mhealth.7410

28. Rahmani M, Saghi M, Rahbari M, Kiani S. Effectiveness of Nutrition on Health of Society. 3rd National Conference on Food Sciences and Technology, Ghoochan, Iran. 2014.

29. Hebden L, Cook A, van der Ploeg HP, Allman-Farinelli M. Development of Smartphone Applications for Nutrition and Physical Activity Behavior Change. JMIR Res Protoc 2012;1(2):e9. DOI: 10.2196/resprot.2205.