the highlighted part is all that's needed to activate the approach.
But maybe his SOP is to activate every approach twice, even if not necessary?
In terms of fewer button pushes, hitting "Direct To" is faster.
In retrospect, what I do is perhaps more of habit and my unique panel set up. I have two GPS units, a GTN 650xi and a GNC 355. I keep the GTN 650xi on the flight plan page and generally enter the commands there. I keep the GNC unit on the map screen and don't interact with it as I do the GTN. Thus, after "Activate" I go back to the flight plan screen anyway. I see I'm going to the IAF, all is good. If I need to change, I change. TBH, not sure why I would need to change. If I do have an urge to hit the Direct To button, maybe it's just classical conditioning, like hitting the elevator button more than once.
The habit / process does however serves me well in the ATL area for Arrivals, where about a quarter of the time I get one. Interestingly, despite what Martha and John taught, I've never started at any of the published entry points. It's always "Fly Buckhead 3, go to ACME". Looking at the chart, I select and load the Arrival with an entry point that eventually includes "ACME", and then I hit Direct to ACME.
Net Net, what I do works, but perhaps is an unnecessary double tap/double check. Always looking to learn, and I'll do some VFR practice with the Approach process and just "Direct to" on a loaded by not activated approach. It will either be can teach an old dog or new trick, or just best to let sleeping dogs lie.
EDIT / BONUS: Upon reflecting, I think I'm just a "Direct To" fan / cult member. When departing ATL, I load the flight plan I'm cleared for, go in the air, and it changes under 5 minutes. I start with vectors, then told to go to "EFGH" when I was originally given "ABC". Then another skip in the flight plan fix list. Then direct to destination. In the air when approaching a nice visual approach for Valparaiso (Chicago area), I'm usually told "Direct to ONX" which I assume is to get me east for some Gary or Midway traffic. Usually before I get there I'm turned direct to Valpo.
Net Net, maybe I live a lot in the "Direct To button pushing" world.