1. The remote food photography method (RFPM) allows accurate tracking of patient food intake through photos with only a 6.6% margin of error compared to actual energy intake. 2. Studies found high levels of patient satisfaction (78.8-93.6%) and engagement (85-93.6%) with using the RFPM for food tracking via photos over traditional diaries. 3. By providing an intuitive interface for easy client-expert communication and food tracking through photos, services like Foodreel can help dietitians acquire more customers, improve patient engagement and outcomes, and increase practice growth and profits.

1. What can do for you?

2. Data fidelity Patient engagement Word of mouth

3. 1 More data.Better data.

4. What’s wrong with 24-hour recall and food diaries?

5. “significant underestimation of EI, particularly among women and obese participants.” 1. 1. Pikholz C, Swinburn B, Metcalf P. Under-reporting of energy intake in the 1997 National Nutrition Survey. N Z Med J 2004;117:U1079.

6. Take Bacon and Eggs.

10. Monday, October 8th Breakfast: Bacon and Eggs.

11. And too often, drinks get left out

12. DETAILS

13. “the largest source of error in estimated EI resulted from participants’ poor estimation of portion size...” 2. 2. Beasley J, Riley WT, Jean-Mary J. Accuracy of a PDA-based dietary assessment program. Nutrition 2005;21:672–677.

14. “…even after training.” 18. 18. Blake AJ, Guthrie HA, Smiciklas-Wright H. Accuracy of food portion estimation by overweight and normal-weight subjects. J Am Diet Assoc 1989;89:962–964.

15. Are there effective methods to get accurate data from patients? Relative portion identification training Financial Incentives PDA tracking

16. Not really… 3. 5. 4. Relative portion identification training Financial Incentives PDA tracking 7. Hendrickson S, Mattes R. Financial incentive for diet recall accuracy does not affect reported energy intake or number of underreporters in a sample of overweight females. J Am Diet Assoc 2007;107:118– 121. 8. Koebnick C, Wagner K, Thielecke F, et al. An easy-to-use semiquantitative food record validated for energy intake by using doubly labeled water technique. Eur J ClinNutr 2005;59:989–995. 9. Yon BA, Johnson RK, Harvey-Berino J, Gold BC, Howard AB. Personal digital assistants are comparable to traditional diaries for dietary self-monitoring during a weight loss program. J Behav Med 2007;30:165–175.

17. So what about the Remote Food Photography Method (RFPM)?

18. 6.6% margin of error from actual EI 6. Martin CK, Han H, Coulon SM, Allen HR, Champagne CM, Anton SD. A novel method to remotely measure food intake of free-living people in real-time: The Remote Food Photography Method (RFPM). Br J Nutr. 2009 March ; 101(3): 446–456.

19. But wait! There’s more!

20. "photographic food diaries can alter attitudes and behaviors associated with food choices, and they are more likely to do so than written diaries because they serve as an intervention at the point when decisions regarding what to eat are being made.” 7. 7. Zepeda L, Deal D. (2008). Think before you eat: photographic food diaries as intervention tools to change dietary decision making and attitudes. Int J Consumer Studies, 2008; 32, 692 - 698.

21. 2 More patient engagement.

22. 78.8% “satisfaction with the RFPM” 85% “satisfaction with sending photographs to the researchers” 6. 6. Martin CK, Han H, Coulon SM, Allen HR, Champagne CM, Anton SD. A novel method to remotely measure food intake of free-living people in real-time: The Remote Food Photography Method (RFPM). Br J Nutr. 2009 March ; 101(3): 446–456.

23. 93.6%of participants gave high scores for “ease of use” 6. 6. Martin CK, Han H, Coulon SM, Allen HR, Champagne CM, Anton SD. A novel method to remotely measure food intake of free-living people in real-time: The Remote Food Photography Method (RFPM). Br J Nutr. 2009 March ; 101(3): 446–456. 7. Mitch

24. 93.6% “would rather use the RFPM ratherthan pen-and-paper to record food intake” 6. 6. Martin CK, Han H, Coulon SM, Allen HR, Champagne CM, Anton SD. A novel method to remotely measure food intake of free-living people in real-time: The Remote Food Photography Method (RFPM). Br J Nutr. 2009 March ; 101(3): 446–456.

25. But who carries around a camera?

26. More photos are uploaded to Flickr from the iPhone than any other camera. 10. 10. http://www.flickr.com/cameras/

27. Don’t have an iPhone?53% of American households own camera phones11. 112009 PMA U.S. Camera/Camcorder Digital Imaging Survey

28. 3 Word of mouth is the most common client acquisition method for dieticians.

29. There are new, innovative and direct ways to reach potential customers Your Practice

30. + + Growth +

31. And also few pure web solutions that cuts out real human interaction

32. But a real expert is irreplaceable.

33. So what can Foodreel do for you?

34. Visual and intuitive interface

35. with easy client-to-expert communication

36. A differentiated practice Customer Acquisition Higher client engagement

37. Easy tracking and management Better, more accurate results Customer Satisfaction

38. in sum

39. Better PR More Customers Higher per client value

40. Results = $

41. foodreel.netfoodreel.inc@gmail.com

42. Outline – disregard this 1 More data: no more notebooks, it's as if you're standing over the shoulder of your patients at every meal 2 Competitive advantage: a tool that puts your service in another class from others in your field 3 Results: several studies have shown the efficacy of photo diary tools in improving weight, f&v intake, and overall health. 4 Engagement: interact with your patients between visits, get them more engaged with their diet, and have more data to discover their real issues 5 Build your clientele: generate word-of-mouth referrals like never before with a tool that gets patients talking

43. 78.8% of “participants rated their satisfaction with the RFPM as 5 or higher” (out of 6) 85% of “participants rated their satisfaction with sending photographs to the researchers as 5 or higher” 93.6% of “participants rated the ease of use of the RFPM as 5 or higher” almost all participants (93.6%) “indicted they would rather use the RFPM rather than pen-and-paper to record food intake” 15. 15. Martin CK, Han H, Coulon SM, Allen HR, Champagne CM, Anton SD. A novel method to remotely measure food intake of free-living people in real-time: The Remote Food Photography Method (RFPM). Br J Nutr. 2009 March ; 101(3): 446–456.

44. So people like taking photos, but what about tagging and comments?

45. “the average user logged in for 4 hours and 39 minutes in June.” 8. 8. http://www.businessinsider.com/chart-of-the-day-more-time-spent-on-facebook-2009-7

46. But they’re just talking to friends, right?

47. 1.7 billion user photos 2.2 billion friends tagged in user photos 160 terabytes of photo storage 60+ million photos added each week 3+ billion photo images viewed every day 100,000+ images served per second during peak traffic windows 9. 9. http://blog.facebook.com/blog.php?post=2406207130