Previous research suggests an important role for self-tracking in promoting mental wellness. Recent studies with college student populations have examined the feasibility of collecting everyday mood, activity, and social data. However, these studies do not account for students' experiences and challenges adopting self-tracking technologies to support mental wellness goals. We present two studies conducted to better understand self-tracking for stress management and mental wellness in student populations. First, focus groups and card sorting activities with 14 student health professionals reveal expert perspectives on the usefulness of tracking for three scenarios. Second, an online survey of 297 students examines personal experiences with selftracking and attitudes toward sharing self-tracked data with others. We draw on findings from these studies to characterize students' motivations, challenges, and preferences in collecting and viewing self-tracked data related to mental wellness, and we compare findings between students with diagnosed mental illnesses and those without. We conclude with a discussion of challenges and opportunities in leveraging self-tracking for mental wellness, highlighting several design considerations.
Ecological Momentary Assessment (EMA) methods have emerged as an approach that enhances the ecological validity of data collected for the study of human behavior and experience. In particular, EMA methods are used to capture individuals' experiences (e.g., symptoms, affect, and behaviors) in real-world contexts and in near-real time. However, work investigating participants' experiences in EMA studies and in particular, how these experiences may influence the collected data, is limited. We conducted in-depth focus groups with 32 participants following an EMA study on mental well-being in college students. In doing so, we probed how the elicitation of high-quality, reflective responses is related to the design of EMA interactions. Through our study, we distilled three primary considerations for designing EMA interactions, based on observations of 1) response strategies to repeated questions, 2) the perceived burden of EMA prompts, and 3) challenges to the validity and robustness of EMA data. We present these considerations in the context of two microinteraction-based EMA approaches that we tested: lock-screen EMA and image-based question prompts. We conclude by characterizing design tensions in the presentation and delivery of EMA prompts, and outline directions for future work to address these tensions.
Games for health (G4H) aim to improve health outcomes and encourage behavior change. While existing theoretical frameworks describe features of both games and health interventions, there has been limited systematic investigation into how disciplinary and interdisciplinary stakeholders understand design features in G4H. We recruited 18 experts from the fields of game design, behavioral health, and games for health, and prompted them with 16 sample games. Applying methods including open card sorting and triading, we elicited themes and features (e.g., real-world interaction, game mechanics) around G4H. We found evidence of conceptual differences suggesting that a G4H perspective is not simply the sum of game and health perspectives. At the same time, we found evidence of convergence in stakeholder views, including areas where game experts provided insights about health and vice versa. We discuss how this work can be applied to provide conceptual tools, improve the G4H design process, and guide approaches to encoding G4H-related data for large-scale empirical analysis.
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