Abstract
Hundreds of diabetes self-management apps are available for smart phones, typically using a diary or logging methodology. This paper investigates how well such approaches help participants to make sense of collected data. We found that, while such systems typically support data and trend review, they are ill suited to helping users understand complex correlations in the data. The cognitively demanding user interfaces (UI’s) of these apps are poorly adapted both to the restricted real estate of smartphone displays and to the daily needs of users. Many participants expressed the desire for intelligent, personalized and contextually aware near-term advice. By contrast, users did not see tools for reflection on prior data and behavior, seen as indispensable by many researchers, as a priority. We argue that while designers of future mobile health (mHealth) systems need to take advantage of automation through connected sensors, and the increasing subtlety of intelligent processing, it is also necessary to evolve current graphs and dashboards UI paradigms to assist users in long-term self-management health practices.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
AADE guidelines for the practice of diabetes self-management education and training (DSME/T). Diab. Educ. 35, 85S–107S (2009)
Katz, D., Dalton, N., Price, B.: Failing the challenge: diabetes apps & long-term daily adoption. In: International Conference on Advanced Technologies & Treatments for Diabetes ATTD 2015, 18–21 February 2015, Paris (2015)
Consolvo, S., McDonald, D.W., Toscos, T., Chen, M.Y., Froehlich, J., Harrison, B., Klasnja, P., LaMarca, A., LeGrand, L., Libby, R., et al.: Activity sensing in the wild: a field trial of ubifit garden. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, pp. 1797–1806. ACM (2008)
Lin, J.J., Mamykina, L., Lindtner, S., Delajoux, G., Strub, H.B.: Fish‘n’Steps: encouraging physical activity with an interactive computer game. In: Dourish, P., Friday, A. (eds.) UbiComp 2006. LNCS, vol. 4206, pp. 261–278. Springer, Heidelberg (2006). doi:10.1007/11853565_16
Intille, S.S.: Ubiquitous computing technology for just-in-time motivation of behavior change. Stud. Health Technol. Inf. 107, 1434–1437 (2004)
King, A.C., Ahn, D.K., Oliveira, B.M., Atienza, A.A., Castro, C.M., Gardner, C.D.: Promoting physical activity through hand-held computer technology. Am. J. Prev. Med. 34, 138–142 (2008)
Ruckenstein, M.: Visualized and interacted life: personal analytics and engagements with data doubles. Societies 4, 68–84 (2014)
Li, I., Dey, A.K., Forlizzi, J.: Understanding my data, myself: supporting self-reflection with ubicomp technologies. In: Proceedings of the 13th International Conference on Ubiquitous Computing, pp. 405–414. ACM (2011)
Mamykina, L., Mynatt, E.D.: Investigating and supporting health management practices of individuals with diabetes. In: Proceedings of the 1st ACM SIGMOBILE International Workshop on Systems and Networking Support for Healthcare and Assisted Living Environments, pp. 49–54. ACM, New York (2007)
Mamykina, L., Mynatt, E., Davidson, P., Greenblatt, D.: MAHI: investigation of social scaffolding for reflective thinking in diabetes management. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, pp. 477–486. ACM (2008)
Mamykina, L., Smaldone, A.M., Bakken, S.R.: Adopting the sensemaking perspective for chronic disease self-management. J. Biomed. Inf. 56, 406–417 (2015)
Kanstrup, A.M., Bertelsen, P., Glasemann, M., Boye, N.: Design for more: an ambient perspective on diabetes. In: Proceedings of the Tenth Anniversary Conference on Participatory Design 2008, pp. 118–127. Indiana University (2008)
Kanstrup, A.M., Glasemann, M., Nielsby, O.: IT-services for everyday life with diabetes: learning design, community design, inclusive design. In: Proceedings of the 8th ACM Conference on Designing Interactive Systems, pp. 404–407. ACM (2010)
Cafazzo, J.A., Casselman, M., Hamming, N., Katzman, D.K., Palmert, M.R.: Design of an mHealth app for the self-management of adolescent type 1 diabetes: a pilot study. J. Med. Internet Res. 14, e70 (2012)
Storni, C.: Design challenges for ubiquitous and personal computing in chronic disease care and patient empowerment: a case study rethinking diabetes self-monitoring. Pers. Ubiquit. Comput. 18, 1277–1290 (2014)
Smith, B.K., Frost, J., Albayrak, M., Sudhakar, R.: Integrating glucometers and digital photography as experience capture tools to enhance patient understanding and communication of diabetes self-management practices. Pers. Ubiquit. Comput. 11, 273–286 (2007)
Arsand, E., Frøisland, D.H., Skrøvseth, S.O., Chomutare, T., Tatara, N., Hartvigsen, G., Tufano, J.T.: Mobile health applications to assist patients with diabetes: lessons learned and design implications. J. Diab. Sci. Technol. 6, 1197–1206 (2012)
Choe, E.K., Lee, N.B., Lee, B., Pratt, W., Kientz, J.A.: Understanding quantified-selfers’ practices in collecting and exploring personal data (2014)
Kahneman, D.: Thinking, Fast and Slow. Macmillan, New York (2011)
Barr, N., Pennycook, G., Stolz, J.A., Fugelsang, J.A.: The brain in your pocket: evidence that smartphones are used to supplant thinking. Comput. Hum. Behav. 48, 473–480 (2015)
Owen, T.: Don’t let me down: using contextual information to aid diabetics. In: Proceedings of the 13th International Conference on Ubiquitous Computing, pp. 523–526. ACM (2011)
Adams, A.T., Costa, J., Jung, M.F., Choudhury, T.: Mindless computing: designing technologies to subtly influence behavior. In: Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing, pp. 719–730. ACM (2015)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering
About this paper
Cite this paper
Katz, D., Dalton, N., Holland, S., O’Kane, A., Price, B.A. (2017). Questioning the Reflection Paradigm for Diabetes Mobile Apps. In: Giokas, K., Bokor, L., Hopfgartner, F. (eds) eHealth 360°. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 181. Springer, Cham. https://doi.org/10.1007/978-3-319-49655-9_39
Download citation
DOI: https://doi.org/10.1007/978-3-319-49655-9_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-49654-2
Online ISBN: 978-3-319-49655-9
eBook Packages: Computer ScienceComputer Science (R0)