Skip to main content

Advertisement

Log in

Personal Digital Assistants are Comparable to Traditional Diaries for Dietary Self-Monitoring During a Weight Loss Program

  • Original Paper
  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

 

Dietary self-monitoring is considered the core of behavioral weight control programs. As software for personal digital assistants (PDA) has become more available, this study investigated whether the use of a PDA would improve dietary self-monitoring frequency and subsequent weight loss over the use of traditional paper diaries. One-hundred-seventy-six adults (BMI 25–39.9) participated in a 6-month behavioral weight control program. Treatment subjects (n = 61) were provided with a PalmZire 21 with Calorie King’s Diet Diary software installed. Their self-monitoring habits and weight loss were compared with the results from a previous program (n = 115) which followed the same protocol using paper diaries for self-monitoring. No significant differences in weight loss or dietary self-monitoring were found. More frequent self-monitoring correlated with weight loss in both groups (p<.001). People seeking to lose weight should be encouraged to self-monitor and be matched with a mode of self-monitoring that is fitting to their lifestyle and skills.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.

Similar content being viewed by others

REFERENCES

  • Agras, W. S., Taylor, C. B., Feldman, D. E., Losch, M., and Burnett, K. F. (1990). Developing computer-assisted therapy for the treatment of obesity. Behav. Ther. 21: 99–109.

    Article  Google Scholar 

  • Appel, L. K., Moore, T. J., Obarzanek, E., Vollmer, W. M., Svetkey, L. P., Sacks, F. M., Bray, G. A., Vogt, T. M., Cutler, J. A., Windhauser, M. M., Lin, P. H., and Karanja, N. (1997). A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N. Engl. J. Med. 336: 1117–1124.

    Article  PubMed  Google Scholar 

  • Baker, R. C., and Kirschenbaum, D. S. (1993). Self-monitoring may be necessary for successful weight control. Behav. Ther. 24: 377–394.

    Article  Google Scholar 

  • Baker, R. C., and Kirschenbaum, D. S. (1998). Weight control during the holidays: highly consistent self-monitoring as a potentially useful coping mechanism. Health Psychol. 17: 367–370.

    Article  PubMed  Google Scholar 

  • Battig, K., Kos J., and Hasenfratz, M. (1994). Smoking and food intake in a field study: Continuous actometer/heart rate recording and pocket computer assisted dietary reports, subjective self-assessments, and mental performance. Drug Dev. Res. 31: 59–70.

    Article  Google Scholar 

  • Beasley, J., Riley, W. T., and Jean-Mary, J. (2005) Accuracy of a PDA-based dietary assessment program. Nutrition 21: 672–677.

    Article  PubMed  Google Scholar 

  • Block, G. (1982). A review of validations of dietary assessment methods. Am. J. Epidemiol. 115: 492–505.

    PubMed  Google Scholar 

  • Borg, P., Fogelholm, M., and Kukkonen-Harjula, K. (2004). Food selection and eating behaviour during weight maintenance intervention and 2-y follow-up in obese men. Int. J. Obes. 28: 1548–1554.

    Article  Google Scholar 

  • Boutelle, K. N., and Kirschenbaum, D. S. (1998). Further support for consistent self-monitoring as a vital component of successful weight control. Obes. Res. 6: 219–224.

    PubMed  Google Scholar 

  • Boutelle, K. N., Kirschenbaum, D. S., Baker, R. C., and Mitchell, M. E. (1999). How can obese weight controllers minimize weight gain during the high risk holiday season? By self-monitoring very consistently. Health Psychol. 18: 364–368.

    Article  PubMed  Google Scholar 

  • Burnett, K. F., Taylor, C. B., and Agras, W. S. (1985). Ambulatory computer-assisted therapy for obesity: A new frontier for behavior therapy. J. Consult Clin. Psychol. 53: 698–703.

    Article  PubMed  Google Scholar 

  • Foreyt, J. P., and Goodrick, G. K. (1993). Evidence for success of behavior modification in weight loss and control. Ann. Intern. Med. 119: 698–701.

    PubMed  Google Scholar 

  • Glanz, K., Murphy, S., Moylan, J., Evensen, D., and Curb, J. D. (2006). Improving dietary self-monitoring and adherence with hand-held computers: a pilot study. Am. J. Health Promot. 20: 165–169.

    PubMed  Google Scholar 

  • Greeno, C. G., Wing, R. R., and Shiffman, S. (2000). Binge antecedents in obese women with and without binge eating disorder. J. Consult Clin. Psychol. 68: 95–102.

    Article  PubMed  Google Scholar 

  • Harvey-Berino, J., Pintauro, S., Buzzell, P., DiGiulio, M., Gold, B. C., Moldovan, C., and Ramirez, E. (2002). Does using the Internet facilitate the maintenance of weight loss? Int. J. Obes. 26: 1254–1260.

    Article  Google Scholar 

  • Harvey-Berino, J., Pintauro, S., Buzzell, P., and Gold, E. C. (2004). Effect of Internet support on the long-term maintenance of weight loss. Obes. Res. 12: 320–329.

    Article  PubMed  Google Scholar 

  • Heetderks-Cox, M. J., Alford, B. B., Bednar, C. M., Heiss, C. J., Tauai, L. A., and Edgren, K. K. (2001). CD-ROM nutrient analysis database assists self-monitoring behavior of active duty Air Force personnel receiving nutrition counseling for weight loss. J. Am. Diet Assoc. 101: 1041–1046.

    Article  PubMed  Google Scholar 

  • Honas, J. J., Early, J. L., Frederickson, D. D., and O’Brien, M. S. (2003). Predictors of attrition in a large clinic-based weight-loss program. Obes Res. 11: 888–894.

    PubMed  Google Scholar 

  • Honkoop, P. C., Sorbi, M. J., Godaert, G. L. R., and Spierings, E. L. H. (1999). High-density assessment of the HIS classification criteria for migraine without aura: a prospective study. Cephalalgia 19: 201–206.

    Article  PubMed  Google Scholar 

  • Hyland, M. E., Kenyon, C. A. P., Allen, R., and Howarth, P. (1993). Diary keeping in asthma: comparison of written and electronic methods. BMJ 306: 487–489.

    Article  PubMed  Google Scholar 

  • Jamison, R. N., Raymond, S. A., Levine, J. G., Slawsby, E. A., Nedeljkovic, S. S., and Katz, N. P. (2001). Electronic diaries for monitoring chronic pain: 1-year validation study. Pain 91: 277–285.

    Article  PubMed  Google Scholar 

  • Koop, A., and Mosges, R. (2002). The use of handheld computers in clinical trials. Control Clin. Trials 23: 469–480.

    Article  PubMed  Google Scholar 

  • Kos, J., and Battig, K. (1996). Comparison of an electronic food diary with a nonquantitative food frequency questionnaire in male and female smokers and nonsmokers. J. Am. Diet Assoc. 96: 283–285.

    Article  PubMed  Google Scholar 

  • O’Neil, P. M. (2001). Assessing dietary intake in the management of obesity. Obes. Res. 9(Suppl 5): 361S–374S.

    PubMed  Google Scholar 

  • Paffenbarger, R. S., Wing, A. L., and Hyde, R. T. (1978). Physical activity as an index of heart attack risk in college alumni. Am. J. Epidemiol. 108: 161–175.

    PubMed  Google Scholar 

  • Romanczyk, R. G. (1974). Self-monitoring in the treatment of obesity: parameters of reactivity. Behav. Ther. 5: 531–540.

    Article  Google Scholar 

  • Sperduto, W. A., Thompson, H. S., and O’Brien, R. M. (1986). The effect of target behavior monitoring on weight loss and completion rate in a behavior modification program for weight reduction. Addict. Behav. 11: 337–340.

    Article  PubMed  Google Scholar 

  • Stevens, V. J., Rossner, J., Greenlick, M., Stevens, N., Frankel, H. M., and Craddick, S. (1989). Freedom from Fat: a contemporary multi-component weight loss program for the general population of obese adults. J. Am. Diet Assoc. 89: 1254–1258.

    PubMed  Google Scholar 

  • Stone, A. A., Shiffman, S., Schwartz, J. E., Broderick, J. E., and Hufford, M. R. (2003). Patient compliance with paper and electronic diaries. Control Clin. Trails 24: 182–199.

    Article  Google Scholar 

  • Streit, K. J., Stevens, N. H., Stevens, V. J., and Rossner, J. (1991). Food records: a predictor and modifier of weight change in a long-term weight loss program. J. Am. Diet Assoc. 91: 213–216.

    PubMed  Google Scholar 

  • Tate, D. F., Wing, R. R., and Winett, R. A. (2001). Using Internet technology to deliver a behavioral weight loss program. JAMA 285: 1172–1177.

    Article  PubMed  Google Scholar 

  • Taylor, C. B., Agras, W. S., Losch, M., Plante, T.G., and Burnett, K. (1991). Improving the effectiveness of computer-assisted weight loss. Behav. Ther. 22: 229–236.

    Article  Google Scholar 

  • Tsang, M. W., Mok, M., Kam, G., Jung, M., Tang, A., Chan, U., Chu, C. M., Li, I., and Chan, J. (2001). Improvement in diabetes control with a monitoring system based on a hand-held, touch-screen electronic diary. J. Telemed & Telecare 7: 47–50.

    Article  Google Scholar 

  • US Department of Agriculture. (2000). Nutrition and Your Health: Dietary Guidelines for Americans. Home and Garden Bulletin No 232. U.S. Government Printing Office, Washington, DC.

  • Wadden, T. A., and Osei, S. (2002). The treatment of obesity: an overview. In: Wadden, T. A., Stunkard, A. J. (Eds.), Handbook of obesity treatment. The Guilford Press, New York pp. 229–248.

    Google Scholar 

  • Yon, B. A., Johnson, R. K., Harvey-Berino, J., and Gold, B. C. (2006). The use of a personal digital assistant for dietary self-monitoring does not improve the validity of self-reports of energy intake. J. Am. Diet Assoc. 106: 1256–1259.

    Article  PubMed  Google Scholar 

Download references

ACKNOWLEDGMENTS

This study was supported by NIH Grant R01-DK056746 awarded to Dr. Harvey-Berino and the Vermont Agricultural Experiment Station. We thank CalorieKing for their support, Paul Buzzell, MS, for assistance with the Website and setting up the PDAs, and Amy Starinski for help with data coding.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rachel K. Johnson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yon, B.A., Johnson, R.K., Harvey-Berino, J. et al. Personal Digital Assistants are Comparable to Traditional Diaries for Dietary Self-Monitoring During a Weight Loss Program. J Behav Med 30, 165–175 (2007). https://doi.org/10.1007/s10865-006-9092-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10865-006-9092-1

KEY WORDS:

Navigation