Childhood obesity continues to be a significant public health issue. mHealth systems offer state-of-the-art approaches to intervention design, delivery, and diffusion of treatment and prevention efforts. Benefits include cost effectiveness, potential for real-time data collection, feedback capability, minimized participant burden, relevance to multiple types of populations, and increased dissemination capability. However, these advantages are coupled with unique challenges. This commentary discusses challenges with using mHealth strategies for child obesity prevention, such as lack of scientific evidence base describing effectiveness of commercially available applications; relatively slower speed of technology development in academic research settings as compared with industry; data security, and patient privacy; potentially adverse consequences of increased sedentary screen time, and decreased focused attention due to technology use. Implications for researchers include development of more nuanced measures of screen time and other technology-related activities, and partnering with industry for developing healthier technologies. Implications for health practitioners include monitoring, assessing, and providing feedback to child obesity program designers about users' data transfer issues, perceived security and privacy, sedentary behavior, focused attention, and maintenance of behavior change. Implications for policy makers include regulation of claims and quality of apps (especially those aimed at children), supporting standardized data encryption and secure open architecture, and resources for research-industry partnerships that improve the look and feel of technology. Partnerships between academia and industry may promote solutions, as discussed in this commentary.
KEYWORDSChildhood, Obesity, Mobile technology, mHealth, Screen time, Focused attention, Sedentary behavior Childhood obesity continues to be a significant public health issue, increasing children's risk for elevated blood pressure and lipid concentrations, musculoskeletal pain, depression, anxiety, bullying, and later heart disease, asthma, and diabetes in adulthood [1][2][3]. Poor diet, lack of exercise, food marketing, a built environment that promotes sedentary forms of transport and leisure, lack of sleep, and television sets in children's bedrooms are some of the multiple sources contributing to children's obesogenic environment [4,5]. Behavior-based interventions are essential for prevention and treatment [6]. Many forms of behavioral obesity interventions have been tested in the past such as school, community, family, and physician based, which have shown moderate success [7][8][9]. Electronic media offers opportunities to extend current approaches and to develop new ones [8,10].
POTENTAIL SUCCESS OF MHEALTH APPROACHESElectronic mobile technologies (e.g., smartphones, iPod touch, tablets, wireless sensors, etc.) that can be employed in mobile health (mHealth) surveil-