There are thousands of apps promoting dietary improvement, increased physical activity (PA) and weight management. Despite a growing number of reviews in this area, popular apps have not been comprehensively analysed in terms of features related to engagement, functionality, aesthetics, information quality, and content, including the types of change techniques employed.
The databases containing information about all Health and Fitness apps on GP and iTunes (7,954 and 25,491 apps) were downloaded in April 2015. Database filters were applied to select the most popular apps available in both stores. Two researchers screened the descriptions selecting only weight management apps. Features, app quality and content were independently assessed using the Mobile App Rating Scale (MARS) and previously-defined categories of techniques relevant to behaviour change. Inter-coder reliabilities were calculated, and correlations between features explored.
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In this paper we described the features of popular weight management apps, analysing their quality and change technique content. App quality was measured through the MARS scale [40], assessing engagement, functionality, aesthetics, and information quality, to provide a more complete evaluation than use of app store user ratings. It is important to note that some apps, although available on both iTunes and GP, offer slightly different features on each operative system. The popular apps examined were overall of moderate quality, but scored higher in terms of functionality and aesthetics. Even though these domains were not significantly associated with user ratings on GP or iTunes, this confirms the idea that people tend to choose well-designed apps that are functional and easy to use [3]. Apps that provided additional interactive features, such as behavioural tracking and semi-automated options, scored significantly higher in engagement, aesthetics and overall app quality, and were also more highly rated on GP. This suggests that reducing the burden associated with manually logging diet or PA may increase engagement, the appeal of an app, and the chances of its repeated use, hence generating a virtuous circle for the app itself.
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Clinic services, cost, and client demographic data were exported from Mobile Health Map website into Microsoft Excel. Aggregate client demographic information from the online impact and quality tools were uploaded to Qualtrics [15] and subsequently exported into Microsoft Excel. The estimated proportions across all clinics were derived from an unweighted mean of the estimate measurements provided by each individual clinic. For example, if clinic A reported that they served an estimated 50% Asian clients and clinic B estimated an average of 30% Asian clients, the reported average per clinic would be 40% Asian clients. This approach was used because the goal of the analysis was to provide averages across clinics with the clinic being the unit of observation, rather than summarizing data at the individual level. While the use of a weighted average was considered to give greater weight to clinics with higher volume, this type of analysis was not possible because only 168 of the clinics provided total patient volume. The number of clinics reporting on each variable differed and is depicted in the text, figured, and tables.
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Important Note : At McDonald's, we take great care to serve quality, great-tasting menu items to our customers each and every time they visit our restaurants. We understand that each of our customers has individual needs and considerations when choosing a place to eat or drink outside their home, especially those customers with food allergies. As part of our commitment to you, we provide the most current ingredient information available from our food suppliers for the nine most common allergens as identified by the U.S. Food and Drug Administration (eggs, dairy, wheat, soy, peanuts, tree nuts, fish, shellfish and sesame), so that our guests with food allergies can make informed food selections. However, we also want you to know that despite taking precautions, normal kitchen operations may involve some shared cooking and preparation areas, equipment and utensils, and the possibility exists for your food items to come in contact with other food products, including allergens. We encourage our customers with food allergies or special dietary needs to visit www.mcdonalds.com for ingredient information, and to consult their doctor for questions regarding their diet. If you have questions about our food, please reach out to us directly using our contact us forms.
Important Note : At McDonald's, we take great care to serve quality, great-tasting menu items to our customers each and every time they visit our restaurants. We understand that each of our customers has individual needs and considerations when choosing a place to eat or drink outside their home, especially those customers with food allergies. As part of our commitment to you, we provide the most current ingredient information available from our food suppliers for the nine most common allergens as identified by the U.S. Food and Drug Administration (eggs, dairy, wheat, soy, peanuts, tree nuts, fish, shellfish and sesame), so that our guests with food allergies can make informed food selections. However, we also want you to know that despite taking precautions, normal kitchen operations may involve some shared cooking and preparation areas, equipment and utensils, and the possibility exists for your food items to come in contact with other food products, including allergens. We encourage our customers with food allergies or special dietary needs to visit www.mcdonalds.com for ingredient information, and to consult their doctor for questions regarding their diet. Due to the individualized nature of food allergies and food sensitivities, customers' physicians may be best positioned to make recommendations for customers with food allergies and special dietary needs. If you have questions about our food, please reach out to us directly at mcdonalds.com/contact or 1-800-244-6227. 2ff7e9595c
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