Identifying and Planning for Individualized Change: Patient-Provider Collaboration Using Lightweight Food Diaries in Healthy Eating and Irritable Bowel Syndrome
Open accessAbstract
Identifying and planning strategies that support a healthy lifestyle or manage a chronic disease often require patient-provider collaboration. For example, people with healthy eating goals often share everyday food, exercise, or sleep data with health coaches or nutritionists to find opportunities for change, and patients with irritable bowel syndrome (IBS) often gather food and symptom data as part of working with providers to diagnose and manage symptoms. However, a lack of effective support often prevents health experts from reviewing large amounts of data in time-constrained visits, prevents focusing on individual goals, and prevents generating correct, individualized, and actionable recommendations. To examine how to design photo-based diaries to help people and health experts exchange knowledge and focus on collaboration goals when reviewing the data together, we designed and developed Foodprint, a photo-based food diary. Foodprint includes three components: (1) A mobile app supporting lightweight data collection, (2) a web app with photo-based visualization and quantitative visualizations supporting collaborative reflection, and (3) a pre-visit note communicating an individual's expectations and questions to experts. We deployed Foodprint in two studies: (1) with 17 people with healthy eating goals and 7 health experts, and (2) with 16 IBS patients and 8 health experts. Building upon the lens of boundary negotiating artifacts and findings from two field studies, our research contributes design principles to (1) prepare individuals to collect data relevant to their health goals and for collaboration, (2) help health experts focus on an individual's eating context, experiences, and goals in collaborative review, and (3) support individuals and experts to develop individualized, actionable plans and strategies.
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Previous HCI research has explored strategies and interactive tools for healthcare communication such as embodied agents, voice assistants, and mobile apps, which do not necessarily involve AI and thus follow more fixed interaction flows.
“For example, previous HCI research has also explored strategies and interactive tools for healthcare communication such as embodied agents, voice assistants, and mobile apps, which do not necessarily involve AI and thus follow more fixed interaction flows [13,31,32,99,106].”
From Talk2Care: An LLM-based Voice Assistant for Communication between Healthcare Providers and Older Adults (2024) · cites this paper as [31]
The Foodprint System Design section describes a mobile app, web app, and pre-visit notes designed to support collaboration between patients and health experts. This supports the citation as an example of an interactive healthcare tool, but the paper does not characterize Foodprint as following a fixed interaction flow because it lacks AI; its discussion instead considers possible automated analysis. The other cited works may be intended to support the examples of embodied agents and voice assistants. (LLM, conf=0.82)
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- Authors
- Chung, C.-F., Wang, Q., Schroeder, J., Cole, A., Zia, J., Fogarty, J., & Munson, S. A.
- Affiliations
- Indiana University Bloomington (US)
- Georgia Institute of Technology (US)
- University of Washington (US)
- ORCID
- Venue
- Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies
- Published
- 2019-03-29
- Volume
- 3
- Issue
- 1
- Pages
- 1-27
- ISSN
- 2474-9567 (ISSN-L)
- PMC
- PMC6504841
- OpenAlex
- W2925512010
- Cited by
- 93
- References
- 78
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 18 · 2023: 6 · 2022: 19 · 2021: 16 · 2020: 10 · 2019: 3
- FWCI
- 16.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- IUScholarWorks Open (Indiana University) (submittedVersion)
- Funders
- Intel Science and Technology Center for Pervasive Computing
- National Science Foundation (OAI-1028195, IIS-1344613, IIS-1813675)
- Agency for Healthcare Research and Quality (1R21HS023654)
- UW Innovation Research Award
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Health Sciences › Health Professions › Health Information Management › Innovation in Digital Healthcare Systems
- Keywords
- patient-provider partnership, irritable bowel syndrome, health data visualization, mobile health apps, chronic disease management
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