Abstract
Activity tracking apps often make use of goals as one of their core motivational tools. There are two critical components to this tool: setting a goal, and subsequently achieving that goal. Despite its crucial role in how a number of prominent self-tracking apps function, there has been relatively little investigation of the goal-setting and achievement aspects of self-tracking apps.
Here we explore this issue, investigating a particular goal setting and achievement process that is extensive, recorded, and crucial for both the app and its users’ success: weight loss goals in MyFitnessPal. We present a large-scale study of 1.4 million users and weight loss goals, allowing for an unprecedented detailed view of how people set and achieve their goals. We find that, even for difficult long-term goals, behavior within the first 7 days predicts those who ultimately achieve their goals, that is, those who lose at least as much weight as they set out to, and those who do not. For instance, high amounts of early weight loss, which some researchers have classified as unsustainable, leads to higher goal achievement rates. We also show that early food intake, self-monitoring motivation, and attitude towards the goal are important factors. We then show that we can use our findings to predict goal achievement with an accuracy of 79% ROC AUC just 7 days after a goal is set. Finally, we discuss how our findings could inform steps to improve goal achievement in self-tracking apps.
1. INTRODUCTION
The purpose of an activity tracking app is to help users better understand their behavior. Health-focused apps and fitness devices are the most prevalent, often tracking activities like exercise, eating, and heart rate. Beyond physical health, other types of behaviors are becoming increasingly popular to track as well; for instance, iPhones now come pre-installed with an app that tracks screen time spent in other apps.
In many cases, users wish not only to observe their behavior, but also to improve it [20, 43]. Activity tracking apps often aim to help their users do this, and the guidance they provide can take many forms, ranging from general advice and tips from experts, peer pressure from social networking features, reminders or notifications that ask the user to take a specific timely action, and enforcement of explicitly articulated goals [44]. We think of all these mechanisms as methods to promote behavioral change [4]. They play an important role in people’s well-being, akin to the many methods for behavior change in the offline world that one is familiar with, which might include requests or demands from loved ones, medical professionals, bosses, or in the most extreme cases, governmental intervention via fines and criminal punishment.
A nearly universal feature in activity tracking apps, goals are one of the most popular and effective methods for behavioral change [31, 45]. They take many forms. For instance, Apple Watch has three “rings” for the user to fill in, each representing a different daily behavioral goal: one for standing 12 times, one for total calories burned (set by the user), and one for 30 minutes of exercise. Other apps have focused on moderating digital behaviors by setting goals for the amount of time spent on social networking sites [2]. Perhaps the most well-known goal is walking 10,000 steps per day assigned by many fitness-focused activity trackers [7].
Goals in activity tracking apps involve both the setting of a goal (the selection of a desired outcome) and also the achievement of that goal (the process of working towards the selected outcome). Setting a good goal is critically important for users’ success: too hard, and the user will become frustrated and give up. Too easy, and they won’t achieve as much health benefit as they could have [46]. There has been interesting recent work on goals in activity tracking apps [5, 13, 25, 29, 36, 40, 48], but it remains a topic where there is still much to be understood – particularly on the issue of setting a good goal, since it can be difficult to find records of the process by which goals are both set and subsequently achieved, along with the behaviors that led to those goals being achieved. This has led to the problem that, despite the importance of goal-setting and achievement in activity tracking apps, users often receive limited guidance on selecting a goal that they will actually meet. While most activity trackers use general guidelines from relevant domain expertise combined with demographic information [10] to help users make a choice, after the initial goal is set they often provide limited on-going advice as to whether that goal choice is turning out to have been a good one. Some work has gone further and used current trajectory towards a goal to intervene. For instance, they can notify a user if they are not on track to meet their goal by a certain time frame if they keep that trajectory, or are consistently not meeting daily goals [1, 12, 22, 34, 38]. However, these methods do not consider a holistic view of the many important behaviors that lead to a goal being met, and make simplistic assumptions about linear progressions.
Present Work: Weight Loss Goals in MyFitnessPal.
In this paper we consider the goal-setting aspects of activity tracking apps by focusing on a setting where detailed information on both how goals are selected and many related behaviors while attempting to achieve those goals can be studied. Our setting is the process of selecting and working towards weight loss goals in MyFitnessPal. This process has a clearly defined structure: first, upon creating a MyFitnessPal account, all users select weight loss goals, and do so without any guidance from the app. Users optionally provide a free-text reason for their selection of that goal. Users then may then use the app to log their food intake and weight to help them track their progress towards that goal. Meeting their weight loss goal is important for their health: achieving a self-determined weight goal has been linked to long-term weight loss, while the failure to reach a self-determined weight may discourage someone’s belief in their ability to control their weight, resulting in abandonment of weight loss behaviors and weight re-gain [14, 27].
MyFitnessPal weight loss goals thus have the key ingredients we need: they take place in a goal-setting and achievement process carried out by users of a activity tracking app who are working towards meeting that goal, users use the app to help guide their lower-level behaviors that will help them to meet that goal, and given the nature of activity tracking, all of this is logged, making the analysis possible. It also serves as an instance of a broader type of goal-setting, familiar from the off-line world as well as the on-line world, in which people aim to lose weight by setting a weight loss goal.
Both the process of goal-setting and the process of losing weight has been studied extensively in medical literature [14]. By contrast, because of our interest in the issue of goal-setting and achievement in activity tracking apps, we study the process from the perspective of early detection of goals that will never be met: we ask which goals users set, how users behave shortly after they set them, and how those behaviors lead to those goals being achieved. Because we are interested in exploring how activity tracking apps may be able to help users select better goals, we focus specifically on behavior that takes place during the first 7 days after a goal is set, and examine whether we might be able to detect early-on that a long-term weight loss goal will never be met. Such early-detection would enable an intervention warning a user that they are working towards a goal they are unlikely to meet, which means we may be able to encourage them to re-think a more realistic goal and prevent them from spending too much time working towards and becoming invested in that goal, only to ultimately become discouraged and re-gain weight because they did not meet it. This could potentially be considered a “just-in-time intervention” [33].
Present work: Main Results.
We analyze 2.8 million weight loss goals with 44.6 million weights logged over a period of three years. We begin by validating our dataset through a comparison of the goals the people set in MyFitnessPal to prior studies from before the age of activity trackers, finding that women set more ambitious goals than men and younger adults set more ambitious goals than older adults (Section 4). We also use the unprecedented size of our dataset to show that some findings in prior work are likely due to selection effects. We then analyze goal completion rates and duration, finding that men and older adults are more likely to meet their goals (even when accounting for goal difficulty), but that overall completion rates are low (Section 5).
We then turn to the problem of early detection of goals that will never be met (Section 6). We investigate user’s behavior over the first seven days after they set their goal. We find that, contrary to what some prior clinical studies might suggest, there’s no such thing as “too much” early weight loss when it comes to meeting your goal (Section 6.1), and that people who log their weight more frequently within the first week are more likely to meet their goals (Section 6.2). We show that more calories reported per day during the first 7 days leads to a lower likelihood of meeting goals, but only for users who are committed loggers; surprisingly, for many users, logging more calories actually indicates a higher propensity to meet a weight loss goal (Section 6.3). We then turn to the motivations behind the goals that people set, introducing a novel application of topic modeling algorithms to identify four primary motivators and show how achievement rates vary with these motivators (Section 6.4).
Finally, we show that whether a user will achieve their target weight can be predicted just based on the initial behavior during the first few days after the target is set. We build a machine learning model to predict target achievement with promising accuracy. We conclude with a discussion of how these results can be translated into actionable suggestions for activity tracking apps as well as traditional offline weight loss programs.
2. RELATED WORK
Goal-setting Theory and Weight Loss.
There is a vast body of work discussing the mechanics and psychological aspects of goals, as well as how goals can be used for health-related behaviors. Locke and Latham’s seminal work summarizes empirical research on goal-setting theory [27]. Other researchers have focused on how those findings apply specifically to health goals [19, 46].
As with goal-setting theory, there is also a vast body of work discussing the mechanics of weight loss and weight loss goals. As weight loss goals tend to focus on longer term weight loss (as discussed later, we find most people want to lose significant percent of their body weight), literature relating to longer-term weight loss and maintenance, such as Elfhag and Rossner conceptual review of the subject, is most relevant to our work [14]. Other work has focused on characterizing weight loss goals, both in terms of what goals people set and which goals are associated with the best outcomes [16, 24, 26, 27, 49].
Our work first verifies that findings from these smaller-scale offline studies generally apply to our activity tracking dataset in terms of which goals people choose to set and their likelihood of meeting them, while also using the unprecedented scale of our dataset to present new insights. We then extend existing work by specifically investigating early behaviors that predict whether or not a user will meet their weight loss goal in an activity tracking app.
Implementing Goals in Activity Trackers.
Activity trackers provide users with an environment to both set goals and track their progress towards their goals. In the best case, they might also be described as systems to help people implement their goals [18]. Some work has looked at different higher-level strategies for implementing goals in self-trackers, typically through qualitative small-scale studies [8, 11, 32]. Other work has investigated the role that goals play in changing behavior in self-trackers [9, 15, 15, 35]. Rather than exploring the best way to implement goals in activity trackers, our work is a case study of one of the world’s most popular implementations: MyFitnessPal.
Adaptive Goals.
While goals in self-trackers frequently take into account one’s current size and weight, personalized or adaptive goals that take behavior in to account are used sparsely in practice [37]. Some researchers have sought to assign adaptive fitness goals based on a particular user’s historical data, in order to improve a goal that is too difficult or too easy. These typically employ simple algorithms that raise goals that the user is easily achieving, and lower goals that the user is struggling to achieve [1, 12, 22, 34, 38]. MyBehavior, in a study of 17 users, suggested exercise or actions to take, but not goals [42]. Hermanny et al. explored using heart rate variability to set goals [21]. These adaptive goals can be considered part of a new class of “just-in-time interventions” [33].
Critically existing work has focused on measuring progress directly related to the goal (e.g. steps for step count goals, calories for calorie goals). Our work builds on a large dataset covering many behaviors related to achieving the goal and findings from work in goal-setting theory to understand whether a goal will be met by taking a holistic view of a user’s behavior. We are aware of one other paper which aimed to predict whether a weight loss goal will be met; however their model relied upon users having already been working towards their goal for at least two months and to have logged a large number of weights, meaning it was only applicable to less than 1% of the total number of users in their dataset [47].
3. DATASET DESCRIPTION
This section describes the mechanics of the activity tracking app MyFitnessPal, the dataset used in this paper.
The Mechanics of MyFitnessPal.
MyFitnessPal enables its users to track many health-related behaviors. Users can log their food intake, their exercise, and their weight. Users can also set health and behavioral goals. There are three main goals in the app: total weight loss, weekly weight loss, and calories per day. In this paper, we focus on the total weight loss goal: the weight that the user would like to achieve. All users enter a total weight loss goal upon creating a MyFitnessPal account. The app does not provide any guidance when a user is selecting their total weight loss goal. Users also decide upon a weekly weight loss goal between 0 and 2 lbs per week, in increments of half a pound. The default value for this field is 1 lb per week. Using this weekly weight loss goal and demographic information entered by the user (such as current weight and height), the app then automatically assigns the user a calories per day limit. Each food that a user logs is counted against this limit, while exercise is counted as burning off some of those calories.
To log a food item, users type the name of what they ate into the app’s search bar, which will then return a list of matches from which the user can choose. Many of these items are branded and will contain full nutritional content supplied by their manufacturer (e.g. a McDonald’s Big Mac or Trader Joes Granola). Other generic items, such as eggs or chicken breasts, will also contain nutritional content. If the user does not find a suitable match in the app’s database, they can optionally log their item manually and choose which, if any, nutrient content to provide. There are two methods for logging a weight. First, a user can manually enter their current weight into the app whenever they would like. Second, users can connect MyFitnessPal an many internet-connected “smart” scale, which automatically transfer weights they record to the app.
Progress towards the calories per day limit is prominently displayed on the main page of the app. Users can easily view their weight loss progress by clicking on a large icon in the bar at the bottom of the screen.
The Dataset.
We use a dataset of 1.4 million MyFitnessPal users over three years, from August 2014 through April 2017. Users set 2.8 million goals, log 44.6 million weights, and eat 8.8 billion food items. Table 1 provides descriptive statistics for our dataset.
Table 1:
Characteristics | Value |
---|---|
# of users studied | 1,413,431 |
Observation period | August 2014 - April 2017 |
Weights logged | 44,568,749 |
Weight goals set | 2,803,073 |
Food items logged | 8,785,560,832 |
Free-text goal justifications | 56,014 |
Mean age | 38.69 |
% users female | 71.9 |
% users underweight | 0.34 |
% users normal weight | 29.39 |
% users overweight | 36.28 |
% users obese | 33.99 |
In this paper, we focus on weight loss goals and ask the question of which users will ultimately achieve their goal. A user’s goal is considered achieved if, at some point in the future after setting the goal, the user logs a weight that is at least as low as that goal. As we are interested in users who showed at least some amount of interest in using the app to track their weight loss progress, we filter to users with at least 7 days between the first and last logged weight of their goal. To remove any minors, extreme outliers, or users who entered likely fake information, we also filter out users who entered a weight over 1000 pounds, an age less than 18 or over 80, and who’s weight change goal was more than a 100% difference from of their current weight. This removed 3, 681 users users.
4. WHAT WEIGHT GOALS DO PEOPLE CHOOSE?
Performance towards a weight loss goal is, of course, significantly dependant upon the goal’s difficulty. This section focuses on goal selection. We aim to validate our dataset by comparing the weight loss goals that users set in MyFitnessPal to the weight loss goals that people set before the age of self-trackers. In particular, we study which goals users choose for themselves; stratifying by demographic information. As mentioned earlier, MyFitnessPal provides no guidance when users are selecting weight targets, which enables an unbiased analysis. While we do note that there is likely a selection bias in terms of who chooses to use MyFitnessPal, towards people who are interested in loosing weight, this bias towards users interested in self-improvement is likely present in many activity tracking apps.
4.1. Aiming Low: Initial Target Selection
We begin by plotting a histogram of weight loss goals, in terms of percent of current weight, in Figure 1. We find a somewhat skewed (skewedness = −0.46) distribution with a peak around 10% weight loss. We also see that a non-trivial portion of users are actually aiming to gain weight. We remove these users for our later analysis, as this is outside the scope of this paper.
4.2. Declining Ambition: User Age
In this section, we ask how ambition changes with age. To answer this question, we begin by plotting the amount of weight users aim to lose (as a percent of current weight) by age. We find a U-shaped curve, shown in Figure 2a. For instance, for women between the ages of 18 to 35, users aim to lose an increasingly large percent of their weight, moving from 13.2% to 15.7% loss (Mann-Whitney U p < 0.001). The number then stays relatively constant around 15.7% up until the age of 60. However, after age 60, users aim to lose an increasingly smaller amount of weight, with users at age 75 returning approximately to the same goal as those at age 18 (Mann-Whitney U p < 0.001).
To validate our results, we can compare them to a 1989 large-scale telephone-based survey of weight loss goals [49]. To our knowledge, this is the most recent such survey, though notably, it occurred long before the existence of activity tracking apps. The survey reports results from 21,109 American households, asking if they were currently aiming to lose weight. If the survey participant said yes, then the study included that goal in their results. This means that both this survey and our behavioral tracking dataset focus on users aiming to lose weight, thus removing the potential for selection bias on that co-variate. The survey reports results separately for men and women.
Similarly to our results, the survey found a U-shaped curve, but with larger magnitudes. For women between ages 18-29, the survey reports a mean of 17.3 percent loss, compared to our 14.3. Between ages 40-49, the survey reports a mean of 18.1, compared to our 16.0. And between ages 70-79, the survey reports a mean of 14.9, compared to our 13.4. The similar shape of their curve to ours helped to validate our results, while at the same time showing that at all ages, users in MyFitnessPal are slightly less ambitious than those in the 1989 survey.
Having validated our dataset, we now ask, how can we explain this U-shaped curve present in both our work and existing work? The U-shape seems to go against what we might expect, given the fact that younger people tend to be less conservative and take more risks than older people [16]. We note that neither we nor the work we validate our results against have thus far accounted for the fact that age is strongly correlated with whether someone is at a healthy weight, with younger adults more likely to be at a healthy weight. We hypothesize that the U-shaped curve may be due to the fact that younger users will be healthier on average than older users, and thus simply need to lose less to reach a healthy weight. To test this, we take advantage of the unprecedented size of our dataset and stratify our earlier plot by BMI (Body Mass Index, a number based on height and weight used to determine if someone is classified as having a normal weight, overweight, or obese). We do so in Figure 2b. We now find that, when accounting for how healthy a user’s existing weight is, we see that younger users actually set significantly more ambitious weight loss goals than older users.
4.3. Gender Matters: User Gender
We now turn to gender differences. Given our findings from the previous section, In Figure 3 we again stratify by BMI to control for selection bias, as men tend to have a higher BMI than women. We find that women set more ambitious goals than men and that, regardless of BMI, this effect size is about a difference of 5% (Mann-Whitney U p =< 0.0001). This is somewhat in agreement with the 1989 survey mentioned above, but with a larger magnitude (they saw a difference of at most 4.1%).
5. DO PEOPLE REACH THEIR GOALS?
Next, we explore goal achievement rates along with the amount of time taken for goal achievement. We find that overall, 18.2% of weight loss goals are met. This is remarkably close to an earlier finding from 2005 that approximately 20% of people overweight individuals are successful at long-term weight loss [50].
5.1. How many people reach their goals?
Clearly, goal difficulty should impact goal achievement. We hypothesize that more difficult goals are less likely to be achieved. Therefore, we start by breaking down target achievement as a function of goal size. Figure 4 shows a cumulative distribution function (CDF) with a different line for target size buckets. The x-axis indicates percentage of target reached (x = 100 indicates that a target has been achieved). We find that target achievement is relatively low, and decreases as targets become more ambitious. People with the easiest goals (between 1 and 2 percent of their initial weight) are most likely to achieve their targets, with nearly 30% of these users reaching at least 100% of their initial weight loss goal. Of users with the most difficult goals (between 40 and 60 percent of their initial weight), only 10% are likely to achieve their target.
The x-axis of the above plot begins at zero, indicating that a user’s weight has not changed. We note that the plotted y-value of our CDF does not begin at 1.0 for any of the goals; this is because a large portion of users end up gaining weight, putting their goal achievement progress to the left of our x-axis starting point. Interestingly, despite that fact that users who set easier goals are more likely to achieve them, we also find that users who set easier goals are more likely to go in the opposite direction and gain weight. For instance we see that only 40% of users with the easiest goals lose weight, while 90% of users with the hardest goals end up losing weight. This finding highlights the importance of not setting a goal that is “too easy” for a user.
We also notice a blip at 100 percent achievement, indicating that while many users either change their target or stop using the app once they’ve reached their goal, others continue to lose weight even after achieving their target.
We also find that men are more likely to meet their weight loss goals, even when accounting for the fact that men set easier goals: for instance, men who aim to lose 5-10% of their weight succeed 28% of the time, while women who aim to lose 5-10% of their weight succeed 20% of the time.
5.2. How long does it take to reach your target?
Having established how many people reach their targets, we now ask how long it takes them to do so. In Figure 5, we show a CCDF of time taken to achieve a goal as function of goal difficulty. We find that more difficult goals take longer to achieve. For the easiest goals, half of all users who meet their goal do so within 100 days. For the most difficult goals, this number is closer to 300 days.
6. EARLY WARNING SIGNS
Having seen that few users ever meet their goals, we now ask what are the early behavioral factors that indicate a user will or won’t meet their goal? We ground our analysis in the existing body of literature on short and long term weight loss. We work to both answer open questions in the literature and to determine how existing findings apply specifically to early detection in weight loss target achievement.
We focus specifically on the first seven days after the first weight of a goal has been logged. We find that even for difficult, long-term goals such as losing twenty pounds, behavioral differences observed during just the first seven days are indicative of large changes – up to double – the propensity to reach that goal.
6.1. Initial Weight Loss Patterns
Too much too fast?.
Initial weight loss has been identified as a predictor for later weight loss, and also for weight loss maintenance [14]. Some studies have found that the greater the initial weight loss, the better the subsequent outcome [3]. However, other work has found that greater initial weight loss actually predicts future weight gain, explained by the fact that overly quick weight loss is considered unsustainable and clinically unhealthy [30].
Goal-setting theory suggests that early progress towards a goal could serve to provide future motivation, while slow initial progress may cause frustration and ultimately lead to an abandonment of the goal [28]. This taken together with the clinical findings discussed above, make it uncertain as to whether there may be such a thing as “too much” initial progress towards a weight loss goal.
To answer this question, first plot propensity to meet weight loss goal by weight change over the first seven days. Figure 6a shows that we find a U-shaped curve suggested by prior weight loss maintenance literature. On the right, we see that as people gain more weight during the first week, that are less likely to meet their weight loss goals. On the left we see that, as people lose more weight, they are also less likely to meet their goals. We note that the downward trend seems to start around −2 lbs per week, which is exactly what prior literature would suggested: 2 lbs per week of weight loss is often considered the maximum healthy amount [23].
However, we hypothesize that there may be a different reason for this U-shape curve than the idea that “too much” early weight loss is unsustainable and leads to weight gains, as suggested by prior literature. We hypothesize that this U-shaped curve may be due to the fact that people who lose less weight during the first week have also set easier goals on average. To test this, we can stratify our earlier chart by goal difficulty. We show this result in Figure 6b. We now find that there is in fact no amount of initial weight loss which reduces a user’s propensity to meet their weight loss goal. Further, see a large difference in propensity to meet goals based on initial weight loss: for instance, a user who loses between 4-5 pounds over the first two weeks of their 20-40 pound loss goal is twice as likely meet that goal as one who loses between 1 and 2 pounds (Mann-Whitney U p < 0.001). This finding suggests that follow-up studies to highly cited clinical weight loss papers may be warranted, to determine whether the idea of “too much early weight loss” is due to confounding by motivational reasons rather than physical limitations around unsustainable weight loss
6.2. Self-monitoring
Self-monitoring means observing oneself and one’s behaviour. Indeed, this is the core purpose of an activity tracker. Most activity tracking apps today rely on their users manually choosing log many important behaviors. While step count is typically logged automatically, workouts, food intake, and weights often involve some amount of manual input.
Regular self-monitoring of weight has been linked to long-term weight loss maintenance, which suggests that it may also be important for meeting weight loss goals [6]. In Figure 7, we plot the number of days that a user logged their weight over the first 7 days of a goal. We see that, for all difficulty of weight goals, people who log more regularly over the first seven days are significantly more likely to ultimately meet their goal. For a goal between 40-80 lbs, users who log a weight all 7 days of their first week are more than twice as likely to ultimately meet their goal than those who log only once, moving from 10% to 20% likelihood (Mann-Whitney U p < 0.001). Similarly, for a goal between 10 and 20 lbs, we see a change between logging one weight and seven weights from 15% up to 35% (Mann-Whitney U p < 0.001).
6.3. Dietary Intake
One of the core features of MyFitnessPal is the ability to log food intake. Obviously, food intake is strongly associated with weight loss. Longer-term weight loss and maintenance has been linked to eating smaller portions and higher quality nutrients [14].
In MyFitnessPal, users log individual food items, where each item has an associated calorie amount (typically populated by MyFitnessPal’s food database). We hypothesize that users might fall into two categories: uncommitted loggers, who likely aren’t particularly motivated to log their food and don’t log everything they eat, and committed loggers, who are motivated to log what they eat. We assign users to groups based on total days logged over the first 7 days: users who logged at least one food item all 7 days are considered a committed logger, and users who did not are considered an uncommitted logger. How likely are these groups to meet their weight loss goals?
Figure 8 shows propensity to meet a weight loss goal by mean calories per day over the first 7 days, normalized by each user’s Basal Metabolic Rate (BMR, the amount of calories an individual consumes per day at rest), for both committed and uncommitted food loggers. To avoid confounding by goal difficulty, each chart contains only a specific range of goal weight losses. We find that, regardless of amount calories logged, committed food loggers are far more likely to meet their weight loss goals. We also see that, as committed loggers log more calories, they are less likely to meet their goals, which is what we would expect given that eating more calories results in worse weight loss. However, this effect only lasts up until around 110% BMR calories logged, after which more calories logged actually seems to correspond with a higher propensity to meet the goal (though we note that confidence intervals all overlap). This is likely explained by the fact that some of these users are not actually eating more, but rather are extreme loggers who log all food that they eat.
For uncommitted loggers, we see a very slight curve for which more eating indicates a lower propensity to meet a goal, followed by a higher propensity. The difference between the top of the curve and the bottom of the curve is extremely small, which is likely because for these uncommitted loggers, more food loggers mostly is indicative of an increasingly higher commitment to logging, rather than more eating. Overall, we find that logging more calories leads to the expected reduction in propensity to meet a weight loss goal, but only for committed food loggers.
6.4. Motivation
When a user sets their target, MyFitnessPal optionally allowed users to fill in a free text form which asked why they were selecting their goal. We call this a “weight loss reason”. Attitude has been found to be important in weight loss maintenance [14], which suggests it may also be important in meeting weight loss goals. We hypothesize that the weight loss reason provided by a user may provide a glimpse into their mindset and attitude towards setting and meeting their goal. In this section, we examine these weight loss reasons to determine whether they are indicative of propensity to meet a weight loss goal.
After filtering to users who choose to use this field, we end up with 56,014 goals associated with a reason. We first provide a few sample reasons to give a sense of the type of reasons provided by MyFitnessPal users (note that for anonymization, we slightly change the exact text while retaining the meaning). Many are somewhat generic, with users writing that they are setting their goal “To feel better, and have more energy!” and “I would like to get in shape and get back to the weight where I felt comfortable with my body.” However, some reasons were quite specific to the user’s personal situation, such as “My dad’s adopted and doesn’t know his family history, but he had a heart attack at age 34 and a RI before age 46. I already have heart issues (which admittedly are well controlled with meds, but still…..”
The choice to fill in this field seems likely to be related to propensity to self monitor and commitment to the app which, as discussed earlier, are linked to a higher propensity to achieve one’s goal. Surprisingly, we find that users who fill in a weight loss reason are less likely to meet their goals (20.5% vs 17.6%) (Mann-Whitney U p < 0.001). However, this difference can likely be explained by the fact that people who supply a weight loss reason aim to lose nearly 50% more weight (33.8 lbs vs 24.6 lbs, Mann-Whitney U p < 0.001) and, as we showed earlier, more difficult goals are less likely to be met.
We now ask: what is different about the reasons given by people who meet their goals versus the people who don’t? We first find that people who meet their goals use 1.4 fewer words (Mann Whitney U p < 0.0001) than those who do meet their goals, at 19.2 words compared to 20.6 words. This is surprising, as one might expect that a longer reason indicates more commitment to the app or more thought-out reasons for losing weight. But how do these reasons differ in terms of the content’s subject matter?
Topic Models.
Studies have found that people who are motivated to lose weight by a desire for greater self-confidence or superficial considerations such as appearance (e.g. a “healthy narcissism”) are more successful at maintaining weight loss than those who are primarily motivated by medical concerns or from pressure by those around them [14]. To determine if we see a similar effect in propensity to meet weight loss goals, we would like to map each weight loss reason to an easily interpretable category To do this, we propose a novel application of topic modeling algorithms.
Topic models are an unsupervised learning approach to automatically infer interesting patterns in large text corpora [39]. We use this exploratory approach with the goal of understanding what topics are commonly discussed in goal reasons provided by users, with the aim of understanding how they differ in goals which are or are not achieved. Topic modeling has previously been used to extract health-related topics from Twitter [17, 39].
We build our topic model using non-negative matrix factorization (NMF) on extracted term frequency-inverse document frequency (tf-idf) features from our corpus, which helps to select the most useful terms. We use the “English” stopwords list from scikit-learn [41] along with a few words we added manually: want, look, feel, better, healthy, healthier. We use these as stopwords because they were present in far too many articles, to the point that they dominated every topic generated, and in this situation a typical approach to improve topic models is to remove such words. We experiment with selecting a number of topics between k=3 and 20, ultimately selecting k=4 after finding them the most clearly interpretable and differentiated.
Table 2 presents the top 10 terms from each of the four discovered topics, along with our manually assigned topic labels. We assign each goal reason a “primary topic” by selecting the topic with the highest associated score from our NMF model, with a minimum required score of 0.01 (22.4% of goals did not meet this threshold for any of the four topics). We find the topics to be:
Table 2:
1. Kids role model | 2. Lifestyle | 3. Health | 4. Clothes |
---|---|---|---|
good | live | shape | fit |
example | life | health | clothes |
set | long | weight | old |
family | longer | family | able |
children | enjoy | need | jeans |
kids | happy | tired | wear |
daughter | family | time | energy |
energy | able | lose | cute |
role | kids | kids | size |
model | time | energy | comfortable |
Role model for kids: users with a reason in this topic discussed how they wished to set a better example for their children. Primary topic for 12.4% of users.
Lifestyle: users wanted to live longer, happier lives so that they’d have more time to spend with their family. Primary topic for 12.8% of users.
Health: users were concerned about their health and wanted to get in better shape. Primary topic for 36.9% of users.
Clothes: reasons in this topic discussed wanting to fit into older clothes that they used to be able to fit in to, or being able purchase and fit into new clothes that they found attractive. Primary topic for 15.4% of users.
Now that we have learned topics for our goal reasons, we can examine which reasons reflect a higher propensity to meet one’s goal. To do this. In Figure 9, we plot propensity to meet goals by primary topic. We first note that, unlike in prior sections of this paper, we are unable to stratify by goal difficulty due to the smaller size of this dataset. This means that some results may be explained by the fact that, for instance, people who’s primary motivation is fitting in to clothes set slightly easier goals ( 2 lbs) than those who primary motivation is health. That said, we do find that people primarily motivated by health are more likely to meet their goals than people primarily motivated by clothing, which seemingly goes against what the prior work cited above would suggest.
7. PREDICTING GOAL ACHIEVEMENT
Next, we build on insights from previous sections to predict the likelihood that a user will ever achieve their goal after observing their behavior over the first 7 days.
7.1. Features Used For Learning
To illustrate the predictive power of the different feature sets reported earlier in this paper, we define a series of models, each with a different feature set corresponding to one of the goal-related behaviors. We focus on six types of features:
Weight loss goal: In Section 4, we saw propensity to meet a weight loss goal varied significantly with the difficulty of the goal, with easier goals more likely to be met.
Demographics: we found that propensity to meet a goal also varied with the user’s age and gender, with men and younger adults more likely to meet their goals.
Initial weight loss: In Section 5.1, we saw that people who lost more weight over the first 7 days were more likely to meet their goal.
Self-monitoring: In Section 5.2, we saw that users who log their weights more frequently over the first 7 days are more likely to meet their goals.
Calories logged and frequency of logging: In Section 6.3, we saw that logging more calories indicates a lower likelihood of meeting a goal, but only for committed loggers.
Motivation: In Section 6.4, we analyzed free-text motivation provided by users. We use word-level TF-IDF results (for the top 5000 words) as features in this model. This is the same methodology used to train our topic models discussed in Section 6.4.
7.2. Experimental Setup
We aim to predict the likelihood that a user will ever achieve their weight loss goal, after observing their behavior only in the first 7 days. As in Section 6, we filter to users for who there is at least 7 days between the start of their goal and the last weight logged of their goal (though we do not require a minimum number of weight logged during this period). We also remove all users who have already met their goal within the first several days, as it would not be a fair task to predict goal achievement after a user has already achieved their goal. We note that, as shown in Figure 6, most users take far longer than 7 days to meet their goals. We also remove users who didn’t last at least 7 days to avoid users who download the app as a curiosity and use it very briefly without ever truly attempting to meet their goal. Further, we filter to users who use the features of the app that we discuss in this paper at least once: specifically, users must log at least one food item, and also must fill in the free-text motivation field when setting their goal. After applying these filters, we arrive at a dataset containing 33,642 goals. (This large reduction from our overall dataset is primarily due to the fact that most users chose not to provide a free-text weight loss reason, as the app provided no motivation for them to do so. Without that restriction, we would have over 900,000 goals in our prediction dataset, and we find that ROC AUC would be only slightly reduced).
We experiment with several classification models, including Linear Regression, Gradient Boosted Trees, Support Vector Machines, and Random Forests. We find that Random Forest models are the most effective for our task, and so we report results from only from those models. Because of the unbalanced dataset (only 18.6% of users achieve their goal) and the trade-off between true and false positive rate associated with prediction, we choose to compare models using the area under the receiver operating characteristic (ROC) curve (AUC) which is equal to the probability that a classifier will rank a randomly chosen positive instance higher than a randomly chosen negative one. Thus, a random baseline will score 50% on ROC AUC. We use a 10-fold cross-validation for estimation. We standardize all features to have zero mean and unit variance.
7.3. Results
Figure 10 shows the prediction accuracy of our models. With a model trained on all available features, we achieve a an accuracy of 79% ROC AUC.
We find the most predictive features to be the initial goal and the user’s motivation. Strikingly, motivation is significantly more predictive than eating patterns. We note that our motivation model was trained with a simple TF-IDF analysis of the words a user writes in their short free-text goal justification. Future work should explore more sophisticated models and more deeply analyze how free-text motivation for a goal can predict goal achievement rates. Surprisingly, we see that initial weight loss on its own was not a strong predictor of propensity to meet a goal, which is likely explained by the fact that initial loss is somewhat meaningless without knowing the goal that the loss is working towards.
8. DISCUSSION
Goals are a critical component of activity tracking apps. However, long-term goals such as weight loss are rarely met. This paper moves towards addressing this challenge by analyzing user behavior related to both setting and achieving their goals. In particular, we focus on how behavior during the first week after setting a goal predicts whether or not that goal will be achieved. We do so because early detection and notification of goals that are too hard may enable a new class of interventions where users can be encouraged make their goals easier before becoming frustrated and leaving the app. We identify a set of factors which predict goal achievement related to demographics, initial weight loss, self-monitoring, dietary intake, and motivation, summarized in Section 1.
Limitations.
There are several important limitations to our work, primarily related to generalizability and causality. First, we note that a weight loss goal is a long-term health goal, which we saw typically takes weeks, months, or even years to achieve. It is an open question as to whether the characteristics of users who achieve short-term goals, such as “walk 10 minutes today”, might differ.
We also note that our results are correlational in nature. Ideally, the factors we analyze would represent causal effects to help us understand how to improve weight loss goal achievement. While in our analysis we both build off of prior causal findings and make efforts to reduce potential confounders, the factors that lead to weight loss are enormously complex and causal analysis is often extremely difficult or impossible. However, this is not a necessary requirement for such factors to be useful in machine learning models that predict whether or not a goal is likely to be met. We show that even simple models can predict goal achievement after observing just one week of behavior with reasonably high accuracy.
Implications And Future Work.
In addition to uncovering important factors in how people set and achieve their weight loss goals in an activity tracking app, our work also suggests several practical implications. Our work shows that it is possible to predict whether a user will achieve their weight loss goals after observing just their first week of behavior while attempting to meet that goal. This opens the door for activity tracking apps to build a new type of intervention which notifies a user that they seem unlikely to meet their long term goal. Such an intervention might enable users to decide that they should set an easier goal, before they become frustrated and drop out of the app.
Future work should consider several important directions to determine both how to create such an intervention and to determine the effectiveness of such an intervention. First, work should investigate what a activity tracking app do when it recognizes that a goal will never be met, and how users respond to potential interventions. For instance, it is possible than if the user is told too forcefully that they will never meet their goal, perhaps they’ll just immediately give up without aiming for an easier goal. On the other hand, if a user is simply assigned an easier goal, it is possible that they will internally still be interested in meeting their first goal, and thus do not truly have an easier one.
9. CONCLUSION
We present a quantitative analysis of the weight loss goals that people set in MyFitnessPal, and the early behaviors that lead to the achievement of those goals. We find that women set more ambitious goals than men, and that younger users set more ambitious goals than older users. We find that most of these goals are never achieved, but that easier goals are far more likely to be achieved than harder ones. We then show that propensity to meet a goal varies significantly by behavior observed during the first week after setting the goal, despite the fact that goals often take months or even years to achieve. We find that, contrary to what findings from medical studies on weight-loss maintenance might suggest, there is no amount of early weight loss which is “too much”; rather more early progress towards a goal predicts a higher propensity to achieve that goal. We also find that people who log more calories are less likely to meet their goal, but only when we account for commitment to logging. We introduce a novel application of topic modeling to show the four primary motivations that users have for selecting their goals. Finally, we show that the results presented in our paper are sufficiently strong to predict, after observing seven days of behavior, whether a user will ultimately meet their goal, with an accuracy of up to 79% ROC AUC. Our findings suggest that activity tracking apps may be able to help their users avoid the pitfalls of failing to meet their goals by asking them them select a more realistic goal after observing their holistic behavior and motivations early-on.
ACKNOWLEDGEMENTS
We thank Claire Donnat, Rok Sosic, Emma Pierson, and MyFitnessPal. M.G. was supported by a Junglee Corporation Stanford Graduate Fellowship. This research has been supported in part by NSF OAC-1835598, ARO MURI, Stanford Data Science Initiative, and Chan Zuckerberg Biohub.
Contributor Information
Mitchell L. Gordon, Stanford University
Tim Althoff, University of Washington.
Jure Leskovec, Stanford University.
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