Search for: All records

The respective benefits and drawbacks of manual food journaling and automated dietary monitoring (ADM) suggest the value of semi-automated journaling systems combining the approaches. However, the current understanding of how people anticipate strategies for implementing semi-automated food journaling systems is limited. We therefore conduct a speculative survey study with 600 responses, examining how people anticipate approaches to automatic capture and prompting for details. Participants feel the location and detection capability of ADM sensors influences anticipated physical, social, and privacy burdens. People more positively anticipate prompts which contain information relevant to their journaling goals, help them recall what they ate, and are quick to respond to. Our work suggests a tradeoff between ADM systems' detection performance and anticipated acceptability, with sensors on facial areas having higher performance but lower acceptability than sensors in other areas and more usable prompting methods like those containing specific foods being more challenging to produce than manual reminders. We suggest opportunities to improve higher-acceptability, lower-accuracy ADM sensors, select approaches based on individual and practitioner journaling needs, and better describe capabilities to potential users. 

People often face barriers to selecting self-tracking tools that support their goals and needs, resulting in tools not meeting their expectations and ultimately abandonment. We therefore examine how people approach selecting self-tracking apps and investigate how technology can better support the process. Drawing on past literature on how people select and perceive the features of commercial and research tracking tools, we surface seven attributes people consider during selection, and design a low-fidelity prototype of an app store that highlights these attributes. We then conduct semi-structured interviews with 18 participants to further investigate what people consider during selection, how people select self-tracking apps, and how surfacing tracking-related attributes could better support selection. We find that people often prioritize features related to self-tracking during selection, such as approaches to collecting and reflecting on data, and trial apps to determine whether they would suit their needs. Our results also show potential for technology surfacing how apps support tracking to reduce barriers to selection. We discuss future opportunities for improving self-tracking app selection, such as ways to enhance existing self-tracking app distribution platforms to enable people to filter and search apps by desirable features. 

Studies of personal informatics systems primarily examine people's use or non-use, but people often leverage other technology towards their long-term behavior change processes such as social platforms. We explore how tracking technologies and social platforms together help people build healthy eating behaviors by interviewing 18 people who use Chinese food journaling apps. We contribute a Model of Socially Sustained Self-Tracking in personal informatics, building on the past model of Personal Informatics and the learning components of Social Cognitive Theory. The model illustrates how people get advice from social platforms on when and how to track, transfer data to and apply knowledge from social platforms, evolve to use social platforms after tracking, and occasionally resume using tracking tools. Observational learning and enactive learning are central to these processes, with social technologies helping people to gain deeper and more reliable domain knowledge. We discuss how lapsing and abandoning of tracking can be viewed as evolving to social platforms, offering recommendations for how technology can better facilitate this evolution. 

Challenging behaviors significantly impact learning and socialization of autistic children and can stress and burden their caregivers. Documentation of challenging behaviors is fundamental for identifying what environmental factors influence them, such as how others respond to a child's such behaviors. Caregiver-tracked data on their child's challenging behaviors can help clinical experts make informed recommendations about how to manage such behaviors. To support caregivers in recording their children's challenging behaviors, we developed GeniAuti, a mobile-based data-collection tool built upon a clinical data collection form to document challenging behaviors and other clinically relevant contextual information such as place, duration, intensity, and what triggers such behaviors. Through an open-ended deployment with 19 parent-child pairs and three expert collaborators, caregivers found GeniAuti valuable for (1) becoming more attentive and reflective to behavioral contexts, including their own response strategies, (2) discovering positive aspects of their children's behaviors, and (3) promoting collaboration with clinical experts around the caregiver-tracked data to develop tailored intervention strategies for their children. However, participant experiences surface challenges of logging behaviors in social circumstances, conflicting views between caregivers and clinical experts around the structured recording process, and emotional struggles resulting from recording and reflecting on intensely negative experiences. Considering the complex nature of caregiver-based health tracking and caregiver--clinician collaboration, we suggest design opportunities for facilitating negotiations between caregivers and clinicians and accounting for caregivers' emotional needs. 

People often turn to online health communities (OHCs) for peer support on their specific medical conditions and health-related concerns. Over time, core members in OHCs build a shared understanding of the medical conditions they support. Although prior work has studied how individuals function differently in active sensemaking mode compared to habitual mode, little is known about how OHCs disseminate their advice once their core members operate primarily in habitual mode. We qualitatively observe one such OHC, 'Surviving Antidepressants', to understand how collectively-built protocols are disseminated in the important domain of discontinuing psychiatric drugs. Psychiatric drugs are widely prescribed to treat mental health diagnoses, but, in certain cases, discontinuation might be clinically advisable. Unfortunately, some people experience severe withdrawal symptoms upon discontinuation, even when following medical advice, and thus turn to OHCs for support. We find that collectively-built protocols resemble medical advice and are delivered in a top-down fashion, with staff members being the primary source of informational support. In contrast, all members provide emotional support and exchange advice on navigating the medical system, while many express their distrust of the medical community and pharmaceutical companies. We also discuss the implications of OHCs offering advice outside of the medical system and offer suggestions for how OHCs can collaborate with healthcare providers to advance scientific knowledge and better support people living with medical conditions. 

Background Supporting mental health and wellness is of increasing interest due to a growing recognition of the prevalence and burden of mental health issues. Mood is a central aspect of mental health, and several technologies, especially mobile apps, have helped people track and understand it. However, despite formative work on and dissemination of mood-tracking apps, it is not well understood how mood-tracking apps used in real-world contexts might benefit people and what people hope to gain from them. Objective To address this gap, the purpose of this study was to understand motivations for and experiences in using mood-tracking apps from people who used them in real-world contexts. Methods We interviewed 22 participants who had used mood-tracking apps using a semistructured interview and card sorting task. The interview focused on their experiences using a mood-tracking app. We then conducted a card sorting task using screenshots of various data entry and data review features from mood-tracking apps. We used thematic analysis to identify themes around why people use mood-tracking apps, what they found useful about them, and where people felt these apps fell short. Results Users of mood-tracking apps were primarily motivated by negative life events or shifts in their own mental health that prompted them to engage in tracking and improve their situation. In general, participants felt that using a mood-tracking app facilitated self-awareness and helped them to look back on a previous emotion or mood experience to understand what was happening. Interestingly, some users reported less inclination to document their negative mood states and preferred to document their positive moods. There was a range of preferences for personalization and simplicity of tracking. Overall, users also liked features in which their previous tracked emotions and moods were visualized in figures or calendar form to understand trends. One gap in available mood-tracking apps was the lack of app-facilitated recommendations or suggestions for how to interpret their own data or improve their mood. Conclusions Although people find various features of mood-tracking apps helpful, the way people use mood-tracking apps, such as avoiding entering negative moods, tracking infrequently, or wanting support to understand or change their moods, demonstrate opportunities for improvement. Understanding why and how people are using current technologies can provide insights to guide future designs and implementations. 

Abstract Objective Fertility is becoming increasingly supported by consumer health technologies, especially mobile apps that support self-tracking activities. However, it is not clear whether the apps support the variety of goals and life events of those who menstruate, especially during transitions between them. Methods Thirty-one of the most popular fertility apps were evaluated, analyzing data from three sources: the content of app store pages, app features, and user reviews. Findings Results suggest that fertility apps are designed to support specific life goals of people who menstruate, offering several data collection features and limited feedback options. However, users often desire holistic tracking that encompasses a variety of goals, life events, and the transitions among them. Discussion These findings suggest fertility patients can benefit more from holistic self-tracking and provide insights for future design of consumer health technologies that better support holistic fertility tracking. Conclusion Fertility apps have the potential to support varied experiences of people who menstruate. But to achieve that, apps need to expand their support by offering ways for more users to perform holistic, personalized, and personally meaningful tracking, so they can derive long-term benefit from the data they collect.