Published by De Gruyter Oldenbourg January 4, 2019

Designing for empowerment – An investigation and critical reflection

Hanna Schneider
Dr. Hanna Schneider received her PhD from LMU Munich under the guidance of Prof. Dr. Andreas Butz. Hanna’s work has been published at premier venues for Human-Computer Interaction such as ACM CHI and ACM IUI. Before her PhD, Hanna obtained a B.Sc. in Media Informatics from LMU Munich, a Honor degree in Technology Management from CDTM, and an M.Sc. in Human-Computer Interaction from University College London and Université Paris Sud.

From the journal it - Information Technology

https://doi.org/10.1515/itit-2018-0036

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Abstract

Technology bears the potential to empower people – to help them tackle challenges they would otherwise give up on or not even try, to make experiences possible that they did not have access to before. One type of such technologies – the application area of the thesis presented here – is health and wellbeing technology (HWT), such as digital health records, physical activity trackers, or digital fitness coach applications. Researchers and companies alike often claim that HWTs empower people to live healthier and happier lives. However, there is reason to challenge and critically reflect on these claims and underlying assumptions as more and more researchers are finding that technologies described as empowering turn out to be “disempowering”. This critical reflection is the starting point of the thesis presented here: Can HWTs really empower people in their everyday lives? If so, how can we design for empowerment?

In my cumulative dissertation, I combine studies on existing HWTs, such as patient-controlled electronic health records and personalized mobile fitness coaches with the development of novel prototypes such as transparent digital fitness coaches that communicate their rationale to the user. By reflecting on these case studies, I come to revisit the sometimes washed-out meaning of “empowerment” in “empowering technologies”; I introduce a framework to establish conceptual clarity; and I suggest three principles to design for empowerment based on my own work and the Capability Approach by Sen and Nussbaum that aim to inform and inspire research on HWTs and beyond.

Keywords: Empowerment; health and wellbeing technology; human-computer interaction

ACM CCS:

About the author

Hanna Schneider

Dr. Hanna Schneider received her PhD from LMU Munich under the guidance of Prof. Dr. Andreas Butz. Hanna’s work has been published at premier venues for Human-Computer Interaction such as ACM CHI and ACM IUI. Before her PhD, Hanna obtained a B.Sc. in Media Informatics from LMU Munich, a Honor degree in Technology Management from CDTM, and an M.Sc. in Human-Computer Interaction from University College London and Université Paris Sud.

References

1. A. Allen. Feminist Perspectives on Power. In The Stanford Encyclopedia of Philosophy (fall 2016 ed.), Edward N. Zalta (Ed.). Metaphysics Research Lab, Stanford University.Search in Google Scholar

2. M. Beaudouin-Lafon. Designing Interaction, Not Interfaces. In Proceedings of the Working Conference on Advanced Visual Interfaces (AVI ’04), pp. 15–22, New York, NY, USA. ACM, (2004).10.1145/989863.989865Search in Google Scholar

3. F. Bentley, K. Tollmar, P. Stephenson, L. Levy, B. Jones, S. Robertson, E. Price, R. Catrambone and J. Wilson. Health Mashups: Presenting Statistical Patterns Between Wellbeing Data and Context in Natural Language to Promote Behavior Change. ACM Trans. Comput.-Hum. Interact., 20(5):30:1-30:27 (2013).10.1145/2503823Search in Google Scholar

4. N. Carr. Closing Keynote: Computers, Automation and the Human Future. In Proceedings of the 2017 CHI Conference Extended Abstracts on Human Factors in Computing Systems (CHI EA ’17). New York, NY, USA. ACM, (2017).10.1145/3027063.3056456Search in Google Scholar

5. H. Cramer, V. Evers, S. Ramlal, M. van Someren, L. Rutledge, N. Stash, L. Aroyo and B. Wielinga. The Effects of Transparency on Trust in and Acceptance of a Content-Based Art Recommender. User Modeling and User-Adapted Interaction 18, 5 (20 Aug 2008).10.1007/s11257-008-9051-3Search in Google Scholar

6. M. P. Craven, K. Selvarajah, R. Miles, H. Schnädelbach, A. Massey, K. Vedhara, N. Raine-Fenning and J. Crowe. User Requirements for the Development of Smartphone Self-reporting Applications in Healthcare. In Human-Computer Interaction. Applications and Services, pp. 36–45, Berlin, Heidelberg. Springer Berlin Heidelberg (2013).10.1007/978-3-642-39262-7_5Search in Google Scholar

7. J. Davis. Design Methods for Ethical Persuasive Computing. In Proceedings of the 4th International Conference on Persuasive Technology, Persuasive ’09, pp. 6:1–6:8, New York, NY, USA. ACM, (2009).10.1145/1541948.1541957Search in Google Scholar

8. M. L. Dertouzos. Redefining Tomorrow’s User Interface (Plenary Address). In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’90), p. 1, New York, NY, USA. ACM, (1990).10.1145/97243.97244Search in Google Scholar

9. M. Eiband, H. Schneider, M. Bilandzic, J. Fazekas-Con, M. Haug and H. Hussmann. Bringing Transparency Design into Practice. In 23rd International Conference on Intelligent User Interfaces (IUI ’18), pp. 211–223, New York, NY, USA. ACM, (2018).10.1145/3172944.3172961Search in Google Scholar

10. Fitbit. About (2018). https://www.fitbit.com/about [Accessed Nov. 30, 2018].Search in Google Scholar

11. L. Flicker. Dementia Reconsidered: the Person Comes First. BMJ, 318(7187):880 (1999).10.1136/bmj.318.7187.880aSearch in Google Scholar PubMed PubMed Central

12. A. Frediani Participatory Methods and the Capability Approach, Briefing Note of the Human Development and Capability (date unknown).Search in Google Scholar

13. K. M. Gerling, M. Miller, R. L. Mandryk, M. V. Birk and J.D. Smeddinck. Effects of Balancing for Physical Abilities on Player Performance, Experience and Self-esteem in Exergames. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’14), pp. 2201–2210, New York, NY, USA. ACM, (2014).10.1145/2556288.2556963Search in Google Scholar

14. Y. N. Harari. Homo Deus: A brief history of tomorrow. Random House (2016).10.17104/9783406704024Search in Google Scholar

15. R. Hoffman, M. Johnson, J. M. Bradshaw and A. Underbrink. Trust in Automation. IEEE Intelligent Systems, 28(1):84–88 (2013).10.1109/MIS.2013.24Search in Google Scholar

16. N. Iivari and K. Kuutti. Critical Design Research and Information Technology: Searching for Empowering Design. In Proceedings of the 2017 Conference on Designing Interactive Systems (DIS ’17), pp. 983–993, New York, NY, USA. ACM, (2017).10.1145/3064663.3064747Search in Google Scholar

17. J. Johnstone. Technology as empowerment: a capability approach to computer ethics. Ethics and Information Technology, 9(1):73–87 (2007).10.1007/s10676-006-9127-xSearch in Google Scholar

18. T. Kulesza, S. Stumpf, M. Burnett, W.-K. Wong, Y. Riche, T. Moore, I. Oberst, A. Shinsel and K. McIntosh. Explanatory Debugging: Supporting End-User Debugging of Machine-Learned Programs. In Proceedings of the 2010 IEEE Symposium on Visual Languages and Human-Centric Computing (VLHCC ’10), pp. 41–48, Washington, DC, USA. IEEE Computer Society, (2010).10.1109/VLHCC.2010.15Search in Google Scholar

19. T. Kulesza, S. Stumpf, M. Burnett and I. Kwan. Tell Me More? The Effects of Mental Model Soundness on Personalizing an Intelligent Agent. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ’12), pp. 1–10, ACM, New York, NY, USA, (2012).10.1145/2207676.2207678Search in Google Scholar

20. R. E. Ladner. Access and Empowerment: Commentary on “Computers and People with Disabilities”. ACM Trans. Access. Comput., 1(2):11:1-11:5 (2008).10.1145/1408760.1408765Search in Google Scholar

21. A. Lazar, R. Cornejo, C. Edasis and A. M. Piper. Designing for the Third Hand: Empowering Older Adults with Cognitive Impairment Through Creating and Sharing. In Proceedings of the 2016 ACM Conference on Designing Interactive Systems (DIS ’16), pp. 1047–1058, New York, NY, USA. ACM, (2016).10.1145/2901790.2901854Search in Google Scholar

22. D. Lupton. Quantifying the body: monitoring and measuring health in the age of mHealth technologies. Critical Public Health, 23(4):393–403 ().10.1080/09581596.2013.794931Search in Google Scholar

23. J. B. Lyons, G. G. Sadler, K. Koltai, H. Battiste, N. T. Ho, L. C. Hoffmann, D. Smith, W. Johnson and R. Shively. Shaping Trust through Transparent Design: Theoretical and Experimental Guidelines. In Advances in Human Factors in Robots and Unmanned Systems, pp. 127–136 (2017). Springer.10.1007/978-3-319-41959-6_11Search in Google Scholar

24. S. Mann. Wearable computing as means for personal empowerment. Keynote Address for The First International Conference on Wearable Computing (ICWC’98).Search in Google Scholar

25. R. McNaney, M. Balaam, A. Holden, G. Schofield, D. Jackson, M. Webster, B. Galna, G. Barry, L. Rochester and P. Olivier. Designing for and with People with Parkinson’s: A Focus on Exergaming. In Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems, (CHI ’15), pp. 501–510, New York, NY, USA. ACM, (2015).10.1145/2702123.2702310Search in Google Scholar

26. Microsoft. About. (2018). https://www.microsoft.com/en-us/about/default.aspx [Accessed Nov. 30, 2018].Search in Google Scholar

27. Y. Rogers and G. Marsden. Does He Take Sugar?: Moving Beyond the Rhetoric of Compassion. Interactions, 20(4):48–57 (2013).10.1145/2486227.2486238Search in Google Scholar

28. M. Nussbaum. Women and human development: The capabilities approach, volume 3 (2001). Cambridge University Press.10.1017/CBO9780511841286Search in Google Scholar

29. I. Oosterlaken. Taking a capability approach to technology and its design: A philosophical exploration. PhD thesis (2013), Delft University of Technology (TU Delft), Delft, The Netherlands.Search in Google Scholar

30. M. Rabbi, M. H. Aung, M. Zhang and T. Choudhury. MyBehavior: Automatic Personalized Health Feedback from User Behaviors and Preferences Using Smartphones. In Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp ’15), pp. 707–718, New York, NY, USA. ACM, (2015).10.1145/2750858.2805840Search in Google Scholar

31. D. Samoocha, J. D. Bruinvels, A. N. Elbers, R. J. Anema and J. A. van der Beek. Effectiveness of Web-based Interventions on Patient Empowerment: A Systematic Review and Meta-analysis. J Med Internet Res, 12(2):e23 (2010).10.2196/jmir.1286Search in Google Scholar PubMed PubMed Central

32. J. Schaffer, P. Giridhar, D. Jones, T. Höllerer, T. Abdelzaher and J. O’Donovan. Getting the Message? A Study of Explanation Interfaces for Microblog Data Analysis. In Proceedings of the 20th International Conference on Intelligent User Interfaces (IUI ’15), pp. 345–356, New York, NY, USA. ACM, (2015).10.1145/2678025.2701406Search in Google Scholar

33. H. Schneider, S. Hill and A. Blandford. Patients Know Best: Qualitative Study on How Families Use Patient-Controlled Personal Health Records. J Med Internet Res, 18(2):e43 (2016).10.2196/jmir.4652Search in Google Scholar PubMed PubMed Central

34. H. Schneider, K. Moser, A. Butz and F. Alt. Understanding the Mechanics of Persuasive System Design: A Mixed-Method Theory-driven Analysis of Freeletics. In Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems (CHI ’16), pp. 309–320, New York, NY, USA. ACM, (2016).10.1145/2858036.2858290Search in Google Scholar

35. H. Schneider, K. Schauer, C. Stachl and A. Butz. Your Data, Your Vis: Personalizing Personal Data Visualizations, pp. 374–392. Springer International Publishing, Cham (2017).10.1007/978-3-319-67687-6_25Search in Google Scholar

36. H. Schneider, M. Eiband, D. Ullrich and A. Butz. Empowerment in HCI – A Survey and Framework. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (CHI ’18), pp. 244:1–244:14, New York, NY, USA. ACM, (2018).10.1145/3173574.3173818Search in Google Scholar

37. B. Shneiderman. Human Values and the Future of Technology: A Declaration of Empowerment. SIGCAS Comput. Soc., 20(3):1–6 (1990).10.1145/97344.97360Search in Google Scholar

38. A. Sen. Development as freedom. Oxford Paperbacks (2001).Search in Google Scholar

39. C. Storni. Multiple Forms of Appropriation in Self-Monitoring Technology: Reflections on the Role of Evaluation in Future Self-Care. International Journal of Human-Computer Interaction, 26(5):537–561 (2010).10.1080/10447311003720001Search in Google Scholar

40. T. Veinot. Power to the Patient? A Critical Examination of Patient Empowerment Discourses, pp. 30–41. Palgrave Macmillan UK, London (2010).10.1057/9780230292543_3Search in Google Scholar

41. M. A. Zimmerman. Psychological empowerment: Issues and illustrations. American Journal of Community Psychology, 23(5):581–599 (1995).10.1007/BF02506983Search in Google Scholar PubMed