This study provides increased understanding of self-monitoring practices, attitudes, and needs of individuals with bipolar disorder. This knowledge bears implications for clinical researchers and practitioners seeking insight into how individuals independently self-manage their condition as well as for researchers designing monitoring technologies to support mental health management.
Dynamic psychological processes are most often assessed using self-report instruments. This places a constraint on how often and for how long data can be collected due to the burden placed on human participants. Smartphones are ubiquitous and highly personal devices, equipped with sensors that offer an opportunity to measure and understand psychological processes in real-world contexts over the long term. In this article, we present a novel smartphone approach to address the limitations of self-report in bipolar disorder where mood and activity are key constructs. We describe the development of MoodRhythm, a smartphone application that incorporates existing self-report elements from interpersonal and social rhythm therapy, a clinically validated treatment, and combines them with novel inputs from smartphone sensors. We reflect on lessons learned in transitioning from an existing self-report instrument to one that involves smartphone sensors and discuss the potential impact of these changes on the future of psychological assessment.
To better support the self-management of chronic pain, this paper investigates how those living with the condition prefer to self-assess their pain levels using smartphones. Our work consists of three stages: design ideation and review, an in-lab user study with 10 participants resulting in nine candidate interfaces, and a 3 week field trial of two further honed measures with 12 participants. This research firstly yields a better understanding of participants’ strong and sometimes contrasting preferences regarding their self-assessment of pain intensity. We additionally contribute two novel interfaces that support accurate, quick, and repeated use along with other participant-valued interactions (e.g., familiar, relatable, and highly usable). In particular, we focus on designing tailored measures that both enhance respondent motivation as well as minimize the difficulty of meaningful self-assessment by supporting the cog-nitive effort in translating a subjective experience into a single numerical value.
We often think of ourselves as individuals with steady capabilities. However, converging strands of research indicate that this is not the case. Our biochemistry varies significantly over the course of a 24 hour period. Consequently our levels of alertness, productivity, physical activity, and even sensitivity to pain fluctuate throughout the day. This offers a considerable opportunity for the UbiComp community to identify novel measurements and interventions that can leverage these daily variations. To illustrate this potential, we present results from an empirical study with 9 participants over 97 days investigating whether such variations manifest in low-level smartphone use, focusing on daily rhythms related to sleep. Our findings demonstrate that phone usage patterns can be used to detect and predict individual daily variations indicative of temporal preference, sleep duration, and deprivation. We also identify opportunities and challenges for measuring and enhancing well-being using these simple and effective markers of circadian rhythms.
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