Teenagers’ Usage of a Mobile-Wearable-Cloud Platform to Promote Healthy Lifestyles: the PEGASO Experience

Caon, Maurizio; Carrino, Stefano; Angelini, Leonardo; Khaled, Omar Abou; Mugellini, Elena; Velickovski, Filip; Andreoni, Giuseppe

doi:10.1109/embc.2018.8512535

Cited by 3 publications

(9 citation statements)

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“…This has been observed in many studies and in particular, in research with adolescents it has been observed that they tend to lose interest in tracking apps or wearable devices after a few weeks ( 45 ). In the PEGASO study, only 20 out of 357 users kept entering their meals in the e-Diary for at least 90 days ( 37 ).…”

Section: Discussionmentioning

confidence: 99%

“…The intervention included two wearables and an app for monitoring physical activity, a serious game with educational content, an app for exchanging earned reward points for discounts on healthy food and physical activity programs in the participants' city, and the PEGASO Companion, the main app for accessing all the aforementioned apps and services. The Companion ( 36 , 37 ) integrated a virtual coach that provided the user with educational content and tried to keep the user engagement high through gamification techniques, including quizzes, challenges, badges, and points.…”

Section: Methodsmentioning

confidence: 99%

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PEGASO e-Diary: User Engagement and Dietary Behavior Change of a Mobile Food Record for Adolescents

et al. 2022

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BackgroundObesity amongst children and adolescents is becoming a major health problem globally and mobile food records can play a crucial role in promoting healthy dietary habits.ObjectiveTo describe the methodology for the implementation of the e-Diary mobile food record, to assess its capability in promoting healthy eating habits, to evaluate the factors associated with its usage and engagement.MethodsThis is a descriptive study that compared the characteristics of participants engaged in the e-Diary, which was part of the PEGASO project in which an app to provide proactive health promotion was given to 365 students at 4 European sites enrolled during October to December 2016: England (UK), Scotland (UK), Lombardy (Italy), and Catalonia (Spain). The e-Diary tracked the users' dietary habits in terms of food groups, dietary indexes, and 6 dietary target behaviors relating to consumption of: fruit; vegetable; breakfast; sugar-sweetened beverages; fast-food; and snacks. The e-Diary provided also personalized suggestions for the next meal and gamification.ResultsThe e-Diary was used for 6 months by 357 adolescents (53.8% females). The study showed that females used the e-Diary much more than males (aOR 3.8, 95% CI 1.6–8.8). Participants aged 14 years were more engaged in the e-Diary than older age groups (aOR 5.1, 95% CI 1.4–18.8) as were those with a very good/excellent self-perceived health status compared to their peers with fair/poor health perception (aOR 4.2, 95% CI 1.3–13.3). Compared to the intervention sites, those living in Catalonia (aOR 13.2 95% CI 2.5–68.8) were more engaged. In terms of behavior change, a significant positive correlation between fruit (p < 0.0001) and vegetables (p = 0.0087) intake was observed in association with increased engagement in the e-Diary. Similarly, adolescents who used the app for more than 2 weeks had significantly higher odds of not skipping breakfast over the study period (aOR 2.5, 95% CI 1.0–6.3).ConclusionsThe users highly engaged with the e-Diary were associated with improved dietary behaviors: increased consumption of fruit and vegetables and reduced skipping of breakfast. Although the overall usage of the e-Diary was high during the first weeks, it declined thereafter. Future applications should foster user engagement, particularly targeting adolescents at high risk.Clinical Trial Registrationhttps://www.clinicaltrials.gov/, identifier: NCT02930148.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

PEGASO e-Diary: User Engagement and Dietary Behavior Change of a Mobile Food Record for Adolescents

et al. 2022

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“…The length of study ranged from several days over a period of one week [ 21 ] to nine months [ 31 ]. 21 studies took place within a single country, whilst two studies were conducted over multiple countries [ 16 , 18 ]. The number of included studies conducted in each country are listed in Fig 1 , with five of the included studies conducted in United States.…”

Section: Resultsmentioning

confidence: 99%

“…The other ten studies used proprietary physical tracking wearables developed for the study. Only one study employed the use of a smart garment which was worn by the user during physical activity [ 16 ].…”

Section: Resultsmentioning

confidence: 99%

Internet of things–Enabled technologies as an intervention for childhood obesity: A systematic review

et al. 2022

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Childhood obesity is one of the most serious public health challenges of the 21st century, with consequences lasting into adulthood. Internet of Things (IoT)-enabled devices have been studied and deployed for monitoring and tracking diet and physical activity of children and adolescents as well as a means of providing remote, ongoing support to children and their families. This review aimed to identify and understand current advances in the feasibility, system designs, and effectiveness of IoT-enabled devices to support weight management in children. We searched Medline, PubMed, Web of Science, Scopus, ProQuest Central and the IEEE Xplore Digital Library for studies published after 2010 using a combination of keywords and subject headings related to health activity tracking, weight management, youth and Internet of Things. The screening process and risk of bias assessment were conducted in accordance with a previously published protocol. Quantitative analysis was conducted for IoT-architecture related findings and qualitative analysis was conducted for effectiveness-related measures. Twenty-three full studies are included in this systematic review. The most used devices were smartphone/mobile apps (78.3%) and physical activity data (65.2%) from accelerometers (56.5%) were the most commonly tracked data. Only one study embarked on machine learning and deep learning methods in the service layer. Adherence to IoT-based approaches was low but game-based IoT solutions have shown better effectiveness and could play a pivotal role in childhood obesity interventions. Researcher-reported effectiveness measures vary greatly amongst studies, highlighting the importance for improved development and use of standardised digital health evaluation frameworks.

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“…The app includes adolescents' preferences, a technology combination that includes an entertainment, advisory, self-monitoring, and social support tool. However, actual data could not be retrieved for this study (58). The remaining studies utilized text messaging to promote healthy behaviors in children aged 8-10 years (59); investigated the impact of web and mobile technologies for type 1 diabetes therapy (60); the use of short message services (SMS) to promote lifestyle behaviors and psychological wee-being in children aged 7-12 years (61); and the use of mHealth to explore healthy eating in ethnic minority first or second year students (62).…”

Section: Resultsmentioning

confidence: 99%

Mobile Health Interventions Addressing Childhood and Adolescent Obesity in Sub-Saharan Africa and Europe: Current Landscape and Potential for Future Research

Reddy

Dukhi

Sewpaul

et al. 2021

Front. Public Health

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Child and adolescent overweight is a growing public health problem globally. Europe and low and middle-income (LMIC) countries in Sub-Saharan Africa provide sufficiently suitable populations to learn from with respect to the potential for mobile health (mHealth) interventions in this area of research. The aim of this paper is to identify mHealth interventions on prevention and treatment of childhood and adolescent obesity in Sub-Saharan Africa and Sweden and report on their effects, in order to inform future research in this area. A search of peer-reviewed publications was performed using PubMed, ScienceDirect, EBSCOhost, and Scopus. The search included all articles published up to August 2019. The search strings consisted of MeSH terms related to mHealth, overweight or obesity, children, adolescents or youth and individual countries in Europe and Sub-Saharan Africa. Second, a combination of free-text words; mobile phone, physical activity, exercise, diet, weight, BMI, and healthy eating was also used. Seven studies were reported from Europe and no eligible studies from Sub-Saharan Africa. The results of this narrative review indicate a lack of research in the development and testing of mHealth interventions for childhood and adolescent obesity. There is a need for an evidence base of mHealth interventions that are both relevant and appropriate in order to stem the epidemic of overweight and obesity among children and adolescents in these countries. Uptake of such interventions is likely to be high as there is high penetrance of mobile phone technology amongst adolescents, even within poor communities in Africa.

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Teenagers’ Usage of a Mobile-Wearable-Cloud Platform to Promote Healthy Lifestyles: the PEGASO Experience

Cited by 3 publications

References 20 publications

PEGASO e-Diary: User Engagement and Dietary Behavior Change of a Mobile Food Record for Adolescents

PEGASO e-Diary: User Engagement and Dietary Behavior Change of a Mobile Food Record for Adolescents

Internet of things–Enabled technologies as an intervention for childhood obesity: A systematic review

Mobile Health Interventions Addressing Childhood and Adolescent Obesity in Sub-Saharan Africa and Europe: Current Landscape and Potential for Future Research

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