[go: up one dir, main page]
More Web Proxy on the site http://driver.im/ skip to main content
10.1145/3430524.3446075acmotherconferencesArticle/Chapter ViewAbstractPublication PagesteiConference Proceedingsconference-collections
research-article

Always On:: Unpacking the challenges of living with insulin pumps, to design novel solutions

Published: 14 February 2021 Publication History

Abstract

Insulin pumps are effective tools for the precise control of glucose levels, for type 1 diabetes (T1D) patients. Unfortunately, many design and usability challenges still exist with these technologies. We investigated current shortcomings and limitations through survey (N=105), interview (N=7), and participatory workshop (N=3) data collection methods. Our findings revealed issues with current technolog y including wear-ability and accessibility in public, operation while performing demanding tasks, interruptions during social activities, continuity of maintenance, and interface operations. Using the data from our investigative work, we produced design criteria to develop a novel wrist-worn interface and separate pump design for a closed loop system. We then evaluated the design through remote usability testing sessions (N=7) with insulin pump users. Our study aspires to inform the future design of novel insulin pumps that enable people with T1D to maintain better control of their glucose through consistent interactions with these tools, during their everyday activities.

References

[1]
Bill Buxton. 2007. Multi-touch systems that I have known and loved. Microsoft Research, 56, 1-11.
[2]
Center for Devices and Radiological Health. Center for Biologics Evaluation and Research. 2019, September. Policy for Device Software Functions and Mobile Medical Applications: Guidance for Industry and Food and Drug Administration Staff. Retrieved from https://www.fda.gov/media/80958/download
[3]
Peter Conrad. 2007. The Medicalization of Society: On the Transformation of Human Conditions into Treatable Disorders (1 edition ed.). Johns Hopkins University Press, Baltimore.
[4]
DIYPS.org. Dana Lewis. Retrieved March 7, 2020 from https://diyps.org/about/dana-lewis/
[5]
Juan Espinoza, Payal Shah and Jennifer Raymond. 2020. Integrating Continuous Glucose Monitor Data Directly into the Electronic Health Record: Proof of Concept. Diabetes technology & therapeutics, 22(8), 570–576. https://doi.org/10.1089/dia.2019.0377
[6]
Jean E. Fox. 2015, December. The Science of Usability Testing. In Proceedings of the 2015 Federal Committee on Statistical Methodology (FCSM) Research Conference, Washington, DC, USA (pp. 1-3).
[7]
Francine Gemperle, Chris Kasabach, John Stivoric, Malcolm Bauer and Richard Martin. 1998. “Design for wearability,” Digest of Papers. Second International Symposium on Wearable Computers (Cat. No.98EX215), Pittsburgh, PA, USA, pp. 116-122.
[8]
Erik Grönvall and Nervo Verdezoto. 2013. Beyond Self-monitoring: Understanding Non-functional Aspects of Home-based Healthcare Technology. In Proceedings of the 2013 ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp ’13). ACM, New York, NY, USA, 587–596. https://doi.org/10.1145/2493432.2493495
[9]
Andrew Harper, Leila Aflatoony, Wendell Wilson, Wei Wang. 2020. Exploring the challenges and potential alternatives of Insulin Pump Technologies, In Proceedings of Pervasive Health 2020: 14th EAI International Conference on Pervasive Computing Technologies for Healthcare, 4 pages.
[10]
Rex Hartson. 2003. Cognitive, physical, Sensory, and Functional Affordances in Interaction Design, Behaviour & Information Technology, 22:5, 315-338.
[11]
Sarah Homewood, Harvey Bewley, and Laurens Boer. 2019. Ovum: Designing for Fertility Tracking as a Shared and Domestic Experience. In Proceedings of the 2019 On Designing Interactive Systems Conference (DIS ‘19). Association for Computing Machinery, New York, NY, USA, 553–565.
[12]
Dmitri S. Katz, Blaine A. Price, Simon Holland, and Nicholas Sheep Dalton. 2018. Data, Data Everywhere, and Still Too Hard to Link: Insights from User Interactions with Diabetes Apps. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (CHI ‘18). Association for Computing Machinery, New York, NY, USA, Paper 503, 1–12.
[13]
Dana Lewis. DIYPS.org. Retrieved March 7, 2020. from https://diyps.org/about/dana-lewis/
[14]
LoopDocs. RileyLink FAQs. Retrieved February 2020 from https://loopkit.github.io/loopdocs/faqs/rileylink-faqs/
[15]
Lena Mamykina, Elizabeth D. Mynatt, and David R. Kaufman. 2006. Investigating health management practices of individuals with diabetes. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ‘06). Association for Computing Machinery, New York, NY, USA, 927–936.
[16]
Lena Mamykina, Andrew D. Miller, Elizabeth D. Mynatt, and Daniel Greenblatt. 2010. Constructing identities through storytelling in diabetes management. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI ‘10). Association for Computing Machinery, New York, NY, USA, 1203–1212.
[17]
Francisco Nunes. 2019. From Medicalized to Mundane Self-care Technologies. Interactions 26, 3 (April 2019), 67–69. https://doi.org/10.1145/3319374
[18]
Francisco Nunes, Nervo Verdezoto, Geraldine Fitzpatrick, Morten Kyng, Erik Grönvall, and Cristiano Storni. 2015. Self-Care Technologies in HCI: Trends, Tensions, and Opportunities. ACM Trans. Comput.-Hum. Interact. 22, 6 (Dec.2015), 33:1–33:45. https://doi.org/10.1145/2803173
[19]
Sean Michael Ragan. 2018. Medicine Ignored This Insulin Problem. Hackers Solved It. Retrieved from https://medium.com/neodotlife/dana-lewis-open-aps-hack-artificial-pancreas-af6ef23a997f
[20]
Noel E. Schaeffer. 2012. The Role of Human Factors in the Design and Development of an Insulin Pump. Journal of Diabetes Science and Technology, Vol 6, 2, 260-264.
[21]
Katta Spiel. 2019. Body-positive Computing As a Means to Counteract Normative Biases in Fitness Trackers. XRDS 25, 4 (July 2019), 34–37. https://doi.org/10.1145/3331065

Cited By

View all
  • (2024)“Obviously, Nothing's Gonna Happen in Five Minutes”: How Adolescents and Young Adults Infrastructure Resources to Learn Type 1 Diabetes ManagementProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642612(1-16)Online publication date: 11-May-2024
  • (2022)Workshops in TEI: Development, Evaluation, Exploration, and ImplementationProceedings of the Sixteenth International Conference on Tangible, Embedded, and Embodied Interaction10.1145/3490149.3505562(1-9)Online publication date: 13-Feb-2022
  • (2022)Patch Pumps: What are the advantages for people with diabetes?Diabetes Research and Clinical Practice10.1016/j.diabres.2022.109858187(109858)Online publication date: May-2022

Index Terms

  1. Always On:: Unpacking the challenges of living with insulin pumps, to design novel solutions
    Index terms have been assigned to the content through auto-classification.

    Recommendations

    Comments

    Please enable JavaScript to view thecomments powered by Disqus.

    Information & Contributors

    Information

    Published In

    cover image ACM Other conferences
    TEI '21: Proceedings of the Fifteenth International Conference on Tangible, Embedded, and Embodied Interaction
    February 2021
    908 pages
    ISBN:9781450382137
    DOI:10.1145/3430524
    Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

    Publisher

    Association for Computing Machinery

    New York, NY, United States

    Publication History

    Published: 14 February 2021

    Permissions

    Request permissions for this article.

    Check for updates

    Author Tags

    1. Continuous Glucose Monitor
    2. Diabetes Management
    3. Insulin Pump
    4. Interface Design

    Qualifiers

    • Research-article
    • Research
    • Refereed limited

    Conference

    TEI '21

    Acceptance Rates

    TEI '21 Paper Acceptance Rate 40 of 136 submissions, 29%;
    Overall Acceptance Rate 393 of 1,367 submissions, 29%

    Contributors

    Other Metrics

    Bibliometrics & Citations

    Bibliometrics

    Article Metrics

    • Downloads (Last 12 months)41
    • Downloads (Last 6 weeks)7
    Reflects downloads up to 02 Mar 2025

    Other Metrics

    Citations

    Cited By

    View all
    • (2024)“Obviously, Nothing's Gonna Happen in Five Minutes”: How Adolescents and Young Adults Infrastructure Resources to Learn Type 1 Diabetes ManagementProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642612(1-16)Online publication date: 11-May-2024
    • (2022)Workshops in TEI: Development, Evaluation, Exploration, and ImplementationProceedings of the Sixteenth International Conference on Tangible, Embedded, and Embodied Interaction10.1145/3490149.3505562(1-9)Online publication date: 13-Feb-2022
    • (2022)Patch Pumps: What are the advantages for people with diabetes?Diabetes Research and Clinical Practice10.1016/j.diabres.2022.109858187(109858)Online publication date: May-2022

    View Options

    Login options

    View options

    PDF

    View or Download as a PDF file.

    PDF

    eReader

    View online with eReader.

    eReader

    Figures

    Tables

    Media

    Share

    Share

    Share this Publication link

    Share on social media