Mobile Ecological Momentary Diet Assessment: A Low Burden, Ecologically-Valid Approach to Measuring Dietary Intake in Near-Real Time

移动生态瞬时饮食评估：一种低负担、生态有效的近实时测量膳食摄入量的方法

• 批准号: 10550227
• 负责人: Susan Schembre
• 金额: $ 65.23万
• 依托单位: GEORGETOWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-01 至 2026-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10550227
• 关键词: Address; Adult; Age; American; American diet; Beverages; Categories; Cessation of life; Cognitive; Computer software; Consumption; Cross-Over Studies; Data; Diet; Dietary Assessment; Dietary Intervention; Dietary intake; Disease; Eating; Ecological momentary assessment; Energy Intake; Environment; Ethnic Origin; Event; Fatigue; Feedback; Food; Frequencies; Future; Gender; Goals; Image; Intake; Internet; Intervention; Interviewer; Measures; Memory; Methods; Modeling; National Health and Nutrition Examination Survey; Notification; Nutrient; Outcome Measure; Participant; Pattern; Persons; Population Heterogeneity; Premature Mortality; Psychosocial Factor; Public Health; Questionnaires; Race; Randomized; Recommendation; Reporting; Research; Research Personnel; Response Latencies; Sampling; Sodium; Source; Surveys; Taxes; Technology; Testing; Time; Translating; Update; Visual; Woman; Work; assessment application; behavior change; cost; design; dietary; dietary guidelines; feeding; fruits and vegetables; improved; men; minimally invasive; mobile application; mobile computing; novel; prevent; prototype; response; satisfaction; saturated fat; smartphone application; smartphone based assessment; social; sugar; tool; usability; user centered design

ABSTRACT The excessive intake of saturated fat and added sugars has been identified as a leading cause of premature mortality among adults in the U.S. contributing to approximately 700,000 deaths each year. The 2015-2020 Dietary Guidelines for Americans recommend limiting these nutrients to <10% total energy intake to prevent disease. Achieving these public health recommendations will require understanding the patterns of saturated fat and added sugar intake so more effective dietary interventions can be developed. Traditionally, estimates of saturated fat and added sugar intake are measured using food frequency questionnaires or 24-hr dietary recalls (24HR). These methods are time-intensive and cognitively taxing for users and costly for researchers. They are also highly prone to recall bias and misreporting related due, in part, to the reliance on a person’s memory over long recall intervals and errors in portion size estimation. The proposed dietary assessment method aims to address these limitations with ecological momentary assessment (EMA). EMA uses updated technology and sampling methods that can update and improve upon traditional assessment methods. EMA studies often use mobile phone apps to assess events with brief, automated surveys delivered periodically throughout the day. EMA can, thereby, shorten recall intervals to improve reporting errors and reduce user and researcher burden while maximizing the ecological validity. To date, mobile EMA methods for diet assessment (mEMDA) used in research have been study specific. They have not been systematically developed nor optimized for widespread use in research. This project would represent the first research-quality and fully automated, EMA-based mobile dietary assessment research tool. In recent pilot work, we demonstrated the potential utility of mEMDA. A brief mobile survey performed as well as web-assisted 24HR to estimate the intake of predefined snack foods. Here, the goal of the proposed project is to systematically develop and test a mEMDA app and sampling approach to accurately estimate the intake of saturated fat and added sugars in a diverse population. To do this we will derive a culturally- and demographically representative list of foods and beverages that contribute a majority (>70%) of the saturated fat and added sugars in the American diet using recent NHANES data (Aim 1); develop with a user-centered design the mEMDA app and analysis platform with visual food images for portion size estimation and nutrient analysis capabilities (Aim 2); determine the best mEMDA sampling approach (event-contingent vs. interval-contingent sampling) (Aim 3); and compare the accuracy of estimating energy intake from saturated fat and added sugars using the optimized mEMDA app and sampling approach vs. interviewer-assisted 24HR in a controlled-feeding study. Future applications of the mEMDA app include: (1) reliably assessing momentary intakes of other foods or nutrients (e.g., fruit and vegetable intake, sodium), (2) integration with mobile intervention platforms to give real-time, dietary feedback to participants (3) concurrent-capturing meal context variables (e.g., social, environmental, and psycho-social variables) for future, just-in-time dietary interventions.

摘要