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Automated Diet Capture Using Voice Alerts and Speech Recognition on Smartphones: Pilot Usability and Acceptability
Lucy Chikwetu1, Shaundra Daily1, Bobak J Mortazavi2
1Department of Electrical and Computer Engineering, Duke University, Durham, NC, United States.
JMIR Formative Research
|May 16, 2023
Summary
Voice-based diet logging via smartphone apps significantly increases user engagement and reduces dropout rates compared to text-based methods. This technology shows promise for effective dietary habit monitoring and promoting healthier lifestyles.
Area of Science:
- Health Informatics
- Human-Computer Interaction
- Nutrition Science
Background:
- Dietary habit monitoring is crucial for managing chronic diseases like type 2 diabetes.
- Speech recognition and natural language processing offer potential for automated dietary logging.
- Usability and acceptability of these technologies require further investigation.
Purpose of the Study:
- To explore the usability and acceptability of speech recognition and natural language processing for automated diet logging.
- To compare the effectiveness of voice versus text-based diet logging methods.
Main Methods:
- Development of base2Diet, an iOS application for voice and text food logging.
- A 28-day, two-arm, two-phase pilot study with 18 participants (9 per arm: voice vs. text).
- Participants received timed meal logging reminders, with adjustable timing in phase II.
Main Results:
- Voice logging resulted in 1.7 times more distinct diet logging events per participant (P=.03).
- Active days per participant were 1.5 times higher in the voice arm (P=.04).
- The voice arm had a significantly lower attrition rate (1 dropout) compared to the text arm (5 dropouts).
Conclusions:
- Voice technologies show significant potential for automated diet capture via smartphones.
- Voice-based diet logging is more effective and better received by users than text-based methods.
- Findings support further research and development of accessible tools for dietary monitoring and health promotion.

