Use of mobile device applications in Canadian dietetic practice.

PURPOSE A cross-sectional web-based survey of dietitians was used to explore topics related to mobile devices and their applications (apps) in Canadian dietetic practice. METHODS A survey was drafted, posted on SurveyMonkey, and pretested with dietitians and dietetic interns. Dietitians of Canada (DC), a supporter of this work, promoted the survey to members through its monthly electronic newsletters from January 2012 to April 2012. RESULTS Of 139 dietitians who answered some survey questions, 118 finished the survey; this represents a response rate of approximately 3%. Overall, 57.3% of respondents reported app use in practice, and 54.2% had a client ask about or use a nutrition/food app. About 40.5% of respondents had recommended nutrition/food apps to clients. Respondents were enthusiastic about apps, but many described challenges with use. From the survey data, three themes emerged that can affect dietitians' use of apps and whether they recommend apps to clients: mobile device and app factors (access to information/tools, content quality, usability, accessibility/compatibility, and cost), personal factors (knowledge, interest, suitability, and willingness/ability to pay), and workplace factors. CONCLUSIONS Apps are now infiltrating dietetic practice. Several factors can affect dietitians' use of apps and whether they recommend them to clients. These findings will help guide future development and use of apps in practice.

[1]  D. Goff iPhones, iPads, and Medical Applications for Antimicrobial Stewardship , 2012, Pharmacotherapy.

[2]  G. Hartvigsen,et al.  Features of Mobile Diabetes Applications: Review of the Literature and Analysis of Current Applications Compared Against Evidence-Based Guidelines , 2011, Journal of medical Internet research.

[3]  Samuel N Forjuoh,et al.  Improving diabetes self-care with a PDA in ambulatory care. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[4]  R. Hanning,et al.  Dietary assessment and self-monitoring with nutrition applications for mobile devices. , 2012, Canadian journal of dietetic practice and research : a publication of Dietitians of Canada = Revue canadienne de la pratique et de la recherche en dietetique : une publication des Dietetistes du Canada.

[5]  S. White,et al.  Survey of iPhone usage among anaesthetists in England , 2011, Anaesthesia.

[6]  W. Stewart Agras,et al.  Ambulatory computer-assisted behavior therapy for obesity: An empirical model for examining behavioral correlates of treatment outcome , 1992 .

[7]  Ronald Tamler,et al.  An evaluation of diabetes self-management applications for Android smartphones , 2012, Journal of telemedicine and telecare.

[8]  Ruth A Wittmann-Price,et al.  Use of personal phones by senior nursing students to access health care information during clinical education: staff nurses' and students' perceptions. , 2012, The Journal of nursing education.

[9]  Joshua H. West,et al.  Apps of Steel: Are Exercise Apps Providing Consumers With Realistic Expectations? , 2013, Health education & behavior : the official publication of the Society for Public Health Education.

[10]  M. Tsang,et al.  Improvement in diabetes control with a monitoring system based on a hand-held, touch-screen electronic diary , 2001, Journal of telemedicine and telecare.

[11]  Heather Wharrad,et al.  Smartphone and medical related App use among medical students and junior doctors in the United Kingdom (UK): a regional survey , 2012, BMC Medical Informatics and Decision Making.

[12]  M. Semler,et al.  Patient attitudes toward physician use of tablet computers in the exam room. , 2010, Family medicine.

[13]  W. Agras,et al.  Developing computer-assisted therapy for the treatment of obesity , 1990 .

[14]  T. Wyatt,et al.  Smartphones in Nursing Education , 2011, Computers, informatics, nursing : CIN.

[15]  Robyn Whittaker,et al.  Issues in mHealth: Findings From Key Informant Interviews , 2012, Journal of medical Internet research.

[16]  Jonathan White,et al.  ‘It's on my iPhone’: attitudes to the use of mobile computing devices in medical education, a mixed-methods study , 2012, BMJ Open.

[17]  M. Carter,et al.  Adherence to a Smartphone Application for Weight Loss Compared to Website and Paper Diary: Pilot Randomized Controlled Trial , 2013, Journal of medical Internet research.

[18]  R. Steele,et al.  An evaluation of a personal electronic device to enhance self-monitoring adherence in a pediatric weight management program using a multiple baseline design. , 2011, Journal of pediatric psychology.

[19]  Ka Ooi Gan,et al.  A scientific audit of smartphone applications for the management of obesity , 2011, Australian and New Zealand journal of public health.

[20]  The mobile technology era: potential benefits and the challenging quest to ensure patient privacy and confidentiality. , 2012, Plastic and reconstructive surgery.

[21]  J. Smyth,et al.  Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments. , 2010, British journal of health psychology.

[22]  K. Burnett,et al.  Ambulatory Computer-Assisted Therapy for Obesity. A New Frontier for Behavior Therapy , 1985 .

[23]  D. Tate,et al.  Tweets, Apps, and Pods: Results of the 6-Month Mobile Pounds Off Digitally (Mobile POD) Randomized Weight-Loss Intervention Among Adults , 2011, Journal of medical Internet research.

[24]  Orrin I. Franko,et al.  Smartphone App Use Among Medical Providers in ACGME Training Programs , 2012, Journal of Medical Systems.

[25]  W. Nilsen,et al.  Health behavior models in the age of mobile interventions: are our theories up to the task? , 2011, Translational behavioral medicine.

[26]  R. Katz-Sidlow,et al.  Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. , 2012, Journal of hospital medicine.

[27]  J. West,et al.  There ’ s an App for That : Content Analysis of Paid Health and Fitness Apps , 2018 .

[28]  N. J. Smart A survey of smartphone and tablet computer use by colorectal surgeons in the UK and Continental Europe , 2012, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[29]  James Armstrong,et al.  Smartphone applications for pediatric anesthesia , 2012, Paediatric anaesthesia.

[30]  Orrin I. Franko,et al.  Smartphone Apps for Orthopaedic Surgeons , 2011, Clinical orthopaedics and related research.

[31]  Andrew T. Kaczynski,et al.  Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program , 2013, J. Am. Medical Informatics Assoc..

[32]  R. Oehler,et al.  Infectious diseases resources for the iPhone. , 2010, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[33]  J. Cafazzo,et al.  Design of an mHealth App for the Self-management of Adolescent Type 1 Diabetes: A Pilot Study , 2012, Journal of medical Internet research.