HCI for health and wellbeing: Challenges and opportunities

Blandford, Ann

doi:10.1016/j.ijhcs.2019.06.007

Cited by 100 publications

(60 citation statements)

References 99 publications

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“…Threats to user privacy is a challenge in digital health care (Blandford, 2019). Studies investigating user perceptions with digital health interventions suggest mental health data is perceived to be the most sensitive (Stawarz, Preist, Tallon, Wiles, & Coyle, 2018), in comparison to general and physical health data (Valdez & Ziefle, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Design of the ExeRTiOn online resource, like the design and development of any other digital or complex intervention was non‐linear, iterative and complex (Blandford, 2019; Bradbury, Watts, Arden‐Close, Yardley, & Lewith, 2014; O'Cathain et al ., 2019). ExeRTiOn was designed pragmatically and utilized a combination approach intervention design (O'Cathain et al ., 2019).…”

Section: Introductionmentioning

confidence: 99%

“…Early involvement with key stakeholders and target users is crucial to uncover usability and experience, and to inform development and refinement of digital health care interventions (Blandford, 2019; Bradbury et al ., 2014). Therefore, this study aimed to evaluate the usability (functionality, navigation, and interactivity) of the patient‐facing ExeRTiOn online resource, report participant experience using ExeRTiOn, and identify emergent themes and valued content of ExeRTiOn in a sample of new KTRs and health care professionals (HCPs).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Usability and experience testing to refine an online intervention to prevent weight gain in new kidney transplant recipients

Castle

Greenwood

Chilcot

et al. 2020

British J Health Psychol

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Objectives. Weight gain in the first year following kidney transplantation increases the risk of adverse health outcomes. Currently, there is no recognized intervention available to prevent weight gain after kidney transplantation. An online kidney transplant-specific resource, entitled Exercise in Renal Transplant Online (ExeRTiOn), has been co-created by a multi-professional team, including patients, to assist with weight prevention. This study aimed to evaluate patient and health care professional usability and experience of the ExeRTiOn online resource. Design. Qualitative study utilizing 'Think-Aloud' and semi-structured interviews. Methods. Participants (n = 17) were purposively sampled to include new kidney transplant recipients (n = 11) and transplant health care professionals (n = 6). Kidney transplant recipient participants were from a spread of physical activity levels based on scores from the General Practice Physical Activity Questionnaire (GPPAQ). 'Think-Aloud' interviews assessed the usability of ExeRTiOn. Semi-structured interviews explored participants' experience of ExeRTiOn, weight gain, and physical activity. The data set were analysed thematically. Participant characteristics, including login data and self-reported body weight, were collected. Results. Data analyses identified valued intervention content and usability aspects which were summarized by two themes. The first theme 'You need to know how to manage yourself' included subthemes: (1) the resource filled a guidance gap, (2) expert patient content resonated, and (3) the importance of goal setting and monitoring progress. The second theme 'room for improvement' included subthemes: (2) web support and (2) content and operational change suggestions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Usability and experience testing to refine an online intervention to prevent weight gain in new kidney transplant recipients

Castle

Greenwood

Chilcot

et al. 2020

British J Health Psychol

View full text Add to dashboard Cite

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“…In sum, there are clear theoretical and practical implications associated with customizing virtual avatars representing one’s anxiety, and the effects are only beginning to be understood. Yet, it is evident that avatar-based e-health solutions warrant further attention, and placement alongside recent HCI developments for health and wellbeing as noted by Blandford (2019) .…”

Section: Discussionmentioning

confidence: 99%

Customizing Your Demons: Anxiety Reduction via Anthropomorphizing and Destroying an “Anxiety Avatar”

Pimentel

Kalyanaraman

2020

Front. Psychol.

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Character customization is a prominent feature in digital games, affording users the ability to tailor one’s virtual self-representation (avatar) to match aspects of their actual or ideal self, influencing psychological well-being. The mental health implications of character customization can be partially explained by self-discrepancy theory, which argues that achieving congruence with one’s avatar reduces cognitive dissonance. However, the role of undesirable self-concepts such as mental health ailments have largely been overlooked in this context despite forming part of one’s identity. In theory, customization of an avatar representing undesirable self-concepts presents a self-regulatory paradox: individuals desire to reduce discrepancies with a self-representation, yet they also desire to enlarge discrepancies with a disliked-self. To reconcile this, two experiments explored the psychological implications of imbuing avatars with undesirable self-concepts. In Study 1 (N = 90), participants customized an avatar to represent anxiety within themselves (i.e., an anxiety avatar). Customization significantly reduced state anxiety compared to a control group, supporting the proposed discrepancy-reduction mechanism. Study 2 (N = 122) employed a 2 (customization: yes, no) × 2 (destruction: yes, no) between-subjects design, with participants either destroying or observing an anxiety avatar. Destruction of customized anxiety avatars resulted in the largest reduction in anxiety among all conditions, supporting the proposed discrepancy-enlargement mechanism. Theoretical and practical implications for the use of avatar-based e-mental health interventions are discussed.

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“…Patients have the need to know and understand (ie, cognitive needs) and the need to feel acknowledged and understood (ie, affective needs) [ 1 ]. Currently, patients take an active role in the management of their health, and in doing so they combine mass and interpersonal communication to gratify their cognitive and affective needs (hereafter referred to collectively as “needs”) [ 2 ]. By using mass and interpersonal communication, patients engage in a process that is called “convergence” [ 3 - 5 ].…”

Section: Introductionmentioning

confidence: 99%

Patients’ Convergence of Mass and Interpersonal Communication on an Online Forum: Hybrid Methods Analysis

Sanders¹,

Araujo²,

Vliegenthart³

et al. 2020

J Med Internet Res

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Background Patients are increasingly taking an active role in their health. In doing so, they combine both mass and interpersonal media to gratify their cognitive and affective needs (ie, convergence). Owing to methodological challenges when studying convergence, a detailed view of how patients are using different types of media for needs fulfillment is lacking. Objective The aim of this study was to obtain insight into the frequency of reported convergence, how convergence affects what posters write online, motives for posting, and the needs posters are trying to fulfill. Methods Using a hybrid method of content analysis and supervised machine learning, this study used naturally available data to fill this research gap. We analyzed opening posts (N=1708) of an online forum targeting cancer patients and their relatives (Kanker.nl). Results Nearly one-third of the forum opening posts contained signs of convergence in mass or interpersonal media. Posts containing mass media references disclosed less personal information and were more geared toward community enhancement and sharing experiences compared to posts without convergence. Furthermore, compared to posts without signs of convergence, posts that included interpersonal media references disclosed more personal information, and posters were more likely to ask for the experiences of fellow users to fulfill their needs. Within posts containing signs of convergence, posts including interpersonal media references reported fewer shortages of information, disclosed more information about the disease, and were more active in seeking other posters’ experiences compared to posts containing mass media references. Conclusions The current study highlights the intertwining of media platforms for patients. The insights of this study can be used to adapt the health care system toward a new type of health information–seeking behavior in which one medium is not trusted to fulfill all needs. Instead, providers should incorporate the intertwinement of sources by providing patients with reliable websites and forums through which they can fulfill their needs.

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HCI for health and wellbeing: Challenges and opportunities

Cited by 100 publications

References 99 publications

Usability and experience testing to refine an online intervention to prevent weight gain in new kidney transplant recipients

Usability and experience testing to refine an online intervention to prevent weight gain in new kidney transplant recipients

Customizing Your Demons: Anxiety Reduction via Anthropomorphizing and Destroying an “Anxiety Avatar”

Patients’ Convergence of Mass and Interpersonal Communication on an Online Forum: Hybrid Methods Analysis

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