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Updated: Jan 24, 2026

Concept Development and Use of an Automated Food Intake and Eating Behavior Assessment Method
Published on: February 19, 2021
Prototyping the Automated Food Imaging and Nutrient Intake Tracking System: Modified Participatory Iterative Design
Kaylen J Pfisterer1,2, Jennifer Boger1,2, Alexander Wong1,2
1Department of Systems Design Engineering, University of Waterloo, Waterloo, ON, Canada.
The Automated Food Imaging and Nutrient Intake Tracking (AFINI-T) system offers an accurate, user-friendly solution for monitoring food intake in long-term care. This innovative technology aims to improve nutritional support and interventions for older adults.
Area of Science:
- Gerontology and Nutritional Science
- Human-Computer Interaction
- Health Informatics
Background:
- Malnutrition affects 45% of older adults in long-term care (LTC).
- Current food intake tracking methods lack accuracy and ease of use.
- A need exists for an objective, comprehensive system for LTC settings.
Purpose of the Study:
- To develop a prototype for the Automated Food Imaging and Nutrient Intake Tracking (AFINI-T) system using a participatory design sprint.
- To address user-identified problems and solutions for improved system adoption.
- To mitigate barriers to implementation and utilize user-centered technology development.
Main Methods:
- A 6-stage iterative participatory design sprint involving 38 participants from 15 roles.
- Assessment of subjective workload, usability, and charting efficiency.
- Comparison of the AFINI-T prototype with current food and fluid intake charting methods.
Main Results:
- Key system priorities identified: ease of use, accuracy, reliability, maintainability, and PointClickCare integration.
- The AFINI-T prototype demonstrated significantly lower time demands, effort, and frustration compared to current methods.
- High usability ratings were achieved, with 7 out of 8 sections rated 'very satisfactory'.
Conclusions:
- The AFINI-T system shows promise as an intelligent food and fluid intake tracking tool for LTC.
- The system may offer improvements over existing methods, with strong user interest.
- The study highlights the adaptability of the sprint method for developing novel, needs-based technologies.
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