Sonali R Mishra, Shefali Haldar, Ari H Pollack, Logan Kendall, Andrew D Miller, Maher Khelifi, Wanda Pratt
{"title":"\"Not Just a Receiver\": Understanding Patient Behavior in the Hospital Environment.","authors":"Sonali R Mishra, Shefali Haldar, Ari H Pollack, Logan Kendall, Andrew D Miller, Maher Khelifi, Wanda Pratt","doi":"10.1145/2858036.2858167","DOIUrl":"10.1145/2858036.2858167","url":null,"abstract":"<p><p>Patient engagement leads to better health outcomes and experiences of health care. However, existing patient engagement systems in the hospital environment focus on the passive receipt of information by patients rather than the active contribution of the patient or caregiver as a partner in their care. Through interviews with hospitalized patients and their caregivers, we identify ways that patients and caregivers actively participate in their care. We describe the different roles patients and caregivers assume in interacting with their hospital care team. We then discuss how systems designed to support patient engagement in the hospital setting can promote active participation and help patients achieve better outcomes.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2016 ","pages":"3103-3114"},"PeriodicalIF":0.0,"publicationDate":"2016-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1145/2858036.2858167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34857244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stevie Chancellor, Tanushree Mitra, Munmun De Choudhury
{"title":"Recovery Amid Pro-Anorexia: Analysis of Recovery in Social Media.","authors":"Stevie Chancellor, Tanushree Mitra, Munmun De Choudhury","doi":"10.1145/2858036.2858246","DOIUrl":"10.1145/2858036.2858246","url":null,"abstract":"<p><p>Online communities can promote illness recovery and improve well-being in the cases of many kinds of illnesses. However, for challenging mental health condition like anorexia, social media harbor both recovery communities as well as those that encourage dangerous behaviors. The effectiveness of such platforms in promoting recovery despite housing both communities is underexplored. Our work begins to fill this gap by developing a statistical framework using survival analysis and situating our results within the cognitive behavioral theory of anorexia. This model identifies content and participation measures that predict the likelihood of recovery. From our dataset of over 68M posts and 10K users that self-identify with anorexia, we find that recovery on Tumblr is protracted - only half of the population is estimated to exhibit signs of recovery after four years. We discuss the effectiveness of social media in improving well-being around anorexia, a unique health challenge, and emergent questions from this line of work.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2016 ","pages":"2111-2123"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565731/pdf/nihms891347.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35298382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jaemyung Shin, Jina Huh, Bumsoo Kang, Jinhan Kim, Taiwoo Park, Junewha Song
{"title":"BeUpright: Posture Correction Using Relational Norm Intervention.","authors":"Jaemyung Shin, Jina Huh, Bumsoo Kang, Jinhan Kim, Taiwoo Park, Junewha Song","doi":"10.1145/2858036.2858561","DOIUrl":"10.1145/2858036.2858561","url":null,"abstract":"<p><p>Research shows the critical role of social relationships in behavior change, and the advancement of mobile technologies brings new opportunities of using online social support for persuasive applications. In this paper, we propose Relational Norm Intervention (RNI) model for behavior change, which involves two individuals as a target user and a helper respectively. RNI model uses Negative Reinforcement and Other-Regarding Preferences as motivating factors for behavior change. The model features the passive participation of a helper who will undergo artificially generated discomforts (e.g., limited access to a mobile device) when a target user performs against a target behavior. Based on in-depth discussions from a two-phase design workshop, we designed and implemented BeUpright, a mobile application employing RNI model to correct sitting posture of a target user. Also, we conducted a two-week study to evaluate the effectiveness and user experience of BeUpright. The study showed that RNI model has a potential to increase efficacy, in terms of behavior change, compared to conventional notification approaches. The most influential factor of RNI model in the changing the behavior of target users was the intention to avoid discomforting their helpers. RNI model also showed a potential to help unmotivated individuals in behavior change. We discuss the mechanism of RNI model in relation to prior literature on behavior change and implications of exploiting discomfort in mobile behavior change services.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2016 ","pages":"6040-6052"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962064/pdf/nihms-803071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34722374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel A Epstein, Monica Caraway, Chuck Johnston, An Ping, James Fogarty, Sean A Munson
{"title":"Beyond Abandonment to Next Steps: Understanding and Designing for Life after Personal Informatics Tool Use.","authors":"Daniel A Epstein, Monica Caraway, Chuck Johnston, An Ping, James Fogarty, Sean A Munson","doi":"10.1145/2858036.2858045","DOIUrl":"https://doi.org/10.1145/2858036.2858045","url":null,"abstract":"<p><p>Recent research examines how and why people abandon self-tracking tools. We extend this work with new insights drawn from people reflecting on their experiences after they stop tracking, examining how designs continue to influence people even after abandonment. We further contrast prior work considering abandonment of health and wellness tracking tools with an exploration of why people abandon financial and location tracking tools, and we connect our findings to models of personal informatics. Surveying 193 people and interviewing 12 people, we identify six reasons why people stop tracking and five perspectives on life after tracking. We discuss these results and opportunities for design to consider life after self-tracking.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2016 ","pages":"1109-1113"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1145/2858036.2858045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34994965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ari H Pollack, Uba Backonja, Andrew D Miller, Sonali R Mishra, Maher Khelifi, Logan Kendall, Wanda Pratt
{"title":"Closing the Gap: Supporting Patients' Transition to Self-Management after Hospitalization.","authors":"Ari H Pollack, Uba Backonja, Andrew D Miller, Sonali R Mishra, Maher Khelifi, Logan Kendall, Wanda Pratt","doi":"10.1145/2858036.2858240","DOIUrl":"https://doi.org/10.1145/2858036.2858240","url":null,"abstract":"<p><p>Patients going home after a hospitalization face many challenges. This transition period exposes patients to unnecessary risks related to inadequate preparation prior to leaving the hospital, potentially leading to errors and patient harm. Although patients engaging in self-management have better health outcomes and increased self-efficacy, little is known about the processes in place to support and develop these skills for patients leaving the hospital. Through qualitative interviews and observations of 28 patients during and after their hospitalizations, we explore the challenges they face transitioning from hospital care to self-management. We identify three key elements in this process: knowledge, resources, and self-efficacy. We describe how both system and individual factors contribute to breakdowns leading to ineffective patient management. This work expands our understanding of the unique challenges faced by patients during this difficult transition and uncovers important design opportunities for supporting crucial yet unmet patient needs.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2016 ","pages":"5324-5336"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1145/2858036.2858240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34737948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel A Epstein, Felicia Cordeiro, James Fogarty, Gary Hsieh, Sean A Munson
{"title":"Crumbs: Lightweight Daily Food Challenges to Promote Engagement and Mindfulness.","authors":"Daniel A Epstein, Felicia Cordeiro, James Fogarty, Gary Hsieh, Sean A Munson","doi":"10.1145/2858036.2858044","DOIUrl":"https://doi.org/10.1145/2858036.2858044","url":null,"abstract":"<p><p>Many people struggle with efforts to make healthy behavior changes, such as healthy eating. Several existing approaches promote healthy eating, but present high barriers and yield limited engagement. As a lightweight alternative approach to promoting mindful eating, we introduce and examine <i>crumbs</i>: daily food challenges completed by consuming one food that meets the challenge. We examine crumbs through developing and deploying the iPhone application <i>Food4Thought</i>. In a 3-week field study with 61 participants, crumbs supported engagement and mindfulness while offering opportunities to learn about food. Our 2×2 study compared <i>nutrition</i> versus <i>non-nutrition</i> crumbs coupled with <i>social</i> versus <i>non-social</i> features. <i>Nutrition</i> crumbs often felt more purposeful to participants, but <i>non-nutrition</i> crumbs increased mindfulness more than <i>nutrition</i> crumbs. <i>Social</i> features helped sustain engagement and were important for engagement with <i>non-nutrition</i> crumbs. <i>Social</i> features also enabled learning about the variety of foods other people use to meet a challenge.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2016 ","pages":"5632-5644"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1145/2858036.2858044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34994966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Munmun De Choudhury, Emre Kiciman, Mark Dredze, Glen Coppersmith, Mrinal Kumar
{"title":"Discovering Shifts to Suicidal Ideation from Mental Health Content in Social Media.","authors":"Munmun De Choudhury, Emre Kiciman, Mark Dredze, Glen Coppersmith, Mrinal Kumar","doi":"10.1145/2858036.2858207","DOIUrl":"10.1145/2858036.2858207","url":null,"abstract":"<p><p>History of mental illness is a major factor behind suicide risk and ideation. However research efforts toward characterizing and forecasting this risk is limited due to the paucity of information regarding suicide ideation, exacerbated by the stigma of mental illness. This paper fills gaps in the literature by developing a statistical methodology to infer which individuals could undergo transitions from mental health discourse to suicidal ideation. We utilize semi-anonymous support communities on Reddit as unobtrusive data sources to infer the likelihood of these shifts. We develop language and interactional measures for this purpose, as well as a propensity score matching based statistical approach. Our approach allows us to derive distinct markers of shifts to suicidal ideation. These markers can be modeled in a prediction framework to identify individuals likely to engage in suicidal ideation in the future. We discuss societal and ethical implications of this research.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2016 ","pages":"2098-2110"},"PeriodicalIF":0.0,"publicationDate":"2016-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659860/pdf/nihms909062.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35649499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katie O'Leary, Jordan Eschler, Logan Kendall, Lisa M Vizer, James D Ralston, Wanda Pratt
{"title":"Understanding Design Tradeoffs for Health Technologies: A Mixed-Methods Approach.","authors":"Katie O'Leary, Jordan Eschler, Logan Kendall, Lisa M Vizer, James D Ralston, Wanda Pratt","doi":"10.1145/2702123.2702576","DOIUrl":"https://doi.org/10.1145/2702123.2702576","url":null,"abstract":"<p><p>We introduce a mixed-methods approach for determining how people weigh tradeoffs in values related to health and technologies for health self-management. Our approach combines interviews with Q-methodology, a method from psychology uniquely suited to quantifying opinions. We derive the framework for structured data collection and analysis for the Q-methodology from theories of self-management of chronic illness and technology adoption. To illustrate the power of this new approach, we used it in a field study of nine older adults with type 2 diabetes, and nine mothers of children with asthma. Our mixed-methods approach provides three key advantages for health design science in HCI: (1) it provides a structured health sciences theoretical framework to guide data collection and analysis; (2) it enhances the coding of unstructured data with statistical patterns of polarizing and consensus views; and (3) it empowers participants to actively weigh competing values that are most personally significant to them.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2015 ","pages":"4151-4160"},"PeriodicalIF":0.0,"publicationDate":"2015-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1145/2702123.2702576","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35265200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Celine Latulipe, Amy Gatto, Ha T Nguyen, David P Miller, Sara A Quandt, Alain G Bertoni, Alden Smith, Thomas A Arcury
{"title":"Design Considerations for Patient Portal Adoption by Low-Income, Older Adults.","authors":"Celine Latulipe, Amy Gatto, Ha T Nguyen, David P Miller, Sara A Quandt, Alain G Bertoni, Alden Smith, Thomas A Arcury","doi":"10.1145/2702123.2702392","DOIUrl":"https://doi.org/10.1145/2702123.2702392","url":null,"abstract":"<p><p>This paper describes the results of an interview study investigating facilitators and barriers to adoption of patient portals among low-income, older adults in rural and urban populations in the southeastern United States. We describe attitudes of this population of older adults and their current level of technology use and patient portal use. From qualitative analysis of 36 patient interviews and 16 caregiver interviews within these communities, we derive themes related to benefits of portals, barriers to use, concerns and desired features. Based on our initial findings, we present a set of considerations for designing the patient portal user experience, aimed at helping healthcare clinics to meet U.S. federally-mandated 'meaningful use' requirements.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2015 ","pages":"3859-3868"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1145/2702123.2702392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34459912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Last Meter: Blind Visual Guidance to a Target.","authors":"Roberto Manduchi, James M Coughlan","doi":"10.1145/2556288.2557328","DOIUrl":"https://doi.org/10.1145/2556288.2557328","url":null,"abstract":"<p><p>Smartphone apps can use object recognition software to provide information to blind or low vision users about objects in the visual environment. A crucial challenge for these users is aiming the camera properly to take a well-framed picture of the desired target object. We investigate the effects of two fundamental constraints of object recognition - frame rate and camera field of view - on a blind person's ability to use an object recognition smartphone app. The app was used by 18 blind participants to find visual targets beyond arm's reach and approach them to within 30 cm. While we expected that a faster frame rate or wider camera field of view should always improve search performance, our experimental results show that in many cases increasing the field of view does not help, and may even hurt, performance. These results have important implications for the design of object recognition systems for blind users.</p>","PeriodicalId":74552,"journal":{"name":"Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference","volume":"2014 ","pages":"3113-3122"},"PeriodicalIF":0.0,"publicationDate":"2014-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1145/2556288.2557328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32838831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}