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Design for health behavior change supportive technology: healthcare professionals' perspective

Published: 29 September 2018 Publication History

Abstract

Health behavior change is a long and difficult process that persuasive technology supports through persuasion and social influence. Designers, oftentimes, do not distinguish the different social influence factors, one of which is social comparison (the comparison of an individual's data to that of others). Social comparison is tested by psychologists on health, coping, and wellbeing. However, design guidelines for social comparison features are almost inexistent.
This paper explores - through semi-structured interviews - healthcare professionals' perspectives on technology supporting behavior change, and social comparison. The results present five categories the designers can look into and get inspired. Finally, design implications are presented: three design components for a holistic persuasive design, and three questions related to the social comparison features' design in order to help with brainstorming and reflection.

References

[1]
Elliot Aronson. 2003. The social animal. Macmillan.
[2]
Soleh U. Ayubi and Bambang Parmanto. 2012. PersonA: Persuasive social network for physical Activity. Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS, 2153--2157.
[3]
Albert Bandura. 1971. Social learning theory. Social Learning Theory, 1--46.
[4]
Albert Bandura. 1998. Health promotion from the perspective of social cognitive theory. Psychology and Health 13, 4: 623--649.
[5]
MH Becker. 1974. The health belief model and personal health behavior. Slack 2, 4.
[6]
Bram P {Ed} Buunk and Frederick X {Ed} Gibbons. 2016. Health, coping, and well-being: Perspectives from social comparison theory. Routledge. Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=psyc3&NEWS=N&AN=1997-09050-000
[7]
Po Chun Chen, Taysheng Jeng, Yi Shin Deng, and Sheng Fen Chien. 2013. GreenSense: Developing persuasive service technology by integrating mobile devices and social interaction for sustainable and healthy behavior. International Conference on Universal Access in Human-Computer Interaction, Springer, 345--354.
[8]
Dan Coates and Tina Winston. 1983. Counteracting the Deviance of Depression: Peer Support Groups for Victims. Journal of Social Issues 39, 2: 169--194.
[9]
Rebecca L. Collins. 1996. For better or worse: The impact of upward social comparison on self-evaluations. Psychological Bulletin 119, 1: 51--69.
[10]
K. Connor, R. R. W. Brady, A. de Beaux, and B. Tulloh. 2013. Contemporary hernia smartphone applications (apps). Hernia 18, 4: 557--561.
[11]
Festinger. 1954. A Theory of Social Comparison Processes. Human Relations 7, 2: 117--140.
[12]
B J Fogg. 2003. Persuasive Technology: Using Computers to Change What We Think and Do.
[13]
B J Fogg. 2009. A behavior model for persuasive design. Proceedings of the 4th International Conference on Persuasive Technology - Persuasive '09: 1.
[14]
Meg Gerrard, Frederick X Gibbons, David J Lane, and Michelle L Stock. 2005. Smoking cessation: social comparison level predicts success for adult smokers. Health psychology: official journal of the Division of Health Psychology, American Psychological Association 24, 6: 623--629.
[15]
Guido Giunti, Estefania Guisado-Fernandez, and Brian Caulfield. 2017. Connected Health in Multiple Sclerosis: A Mobile Applications Review. 2017 IEEE 30th International Symposium on Computer-Based Medical Systems (CBMS), IEEE, 660--665.
[16]
Karen Glanz, Barbara K Rimer, and K Viswanath. 2008. Health Behavior and Health Education: Theory, Research, and Practice.
[17]
Catherine Grevet, Jennifer Mankoff, and Scott D. Anderson. 2010. Design and evaluation of a social visualization aimed at encouraging sustainable behavior. Proceedings of the Annual Hawaii International Conference on System Sciences: 1--8.
[18]
Greg Guest, Kathleen M. MacQueen, and Emily E. Namey. 2012. Applied thematic analysis. Sage Publications.
[19]
Rimas Gulbinas and John E. Taylor. 2014. Effects of real-time eco-feedback and organizational network dynamics on energy efficient behavior in commercial buildings. Energy and Buildings 84: 493--500.
[20]
A. D. Hamilton and Richard R W Brady. 2012. Medical professional involvement in smartphone "apps" in dermatology. British Journal of Dermatology 167, 1: 220--221.
[21]
Stacey Kuznetsov and Eric Paulos. 2010. UpStream: Motivating Water Conservation with Low-Cost Water Flow Sensing and Persuasive Displays. Proceedings of the 28th international conference on Human factors in computing systems - CHI '10, ACM Press, 1851.
[22]
James J Lin, Lena Mamykina, Silvia Lindtner, Gregory Delajoux, and Henry B Strub. 2006. Fish'n'Steps: Encouraging Physical Activity with an Interactive Computer Game. UbiComp 2006: Ubiquitous Computing: 261--278.
[23]
Yvonna S. Lincoln and Egon G. Guba. 1985. Naturalistic inquiry. Sage Publications.
[24]
Sarah A. Mummah, Abby C. King, Christopher D. Gardner, and Stephen Sutton. 2016. Iterative development of Vegethon: A theory-based mobile app intervention to increase vegetable consumption. International Journal of Behavioral Nutrition and Physical Activity 13, 1: 1--12.
[25]
Vasiliki Mylonopoulou, Karin Väyrynen, and Minna Isomursu. 2018. Designing for Behavior Change - 6 Dimensions of Social Comparison Features. 51st Hawaii International Conference on System Sciences, IEEE.
[26]
Vasiliki Mylonopoulou, Karin Väyrynen, Agnis Stibe, and Minna Isomursu. 2018. Rationale Behind Socially Influencing Design Choices for Health Behavior Change Related research. 13th International Conference on Persuasive Technology, Springer.
[27]
Harold G. Nelson and Erik Stolterman. 2012. The design way: intentional change in an unpredictable world. The MIT Press.
[28]
Harri Oinas-kukkonen and Marja Harjumaa. 2009. Persuasive Systems Design: Key Issues, Process Model, and System Features. Communications of the Association for Information Systems 24, 28: 485--500.
[29]
Michael Quinn Patton. 2002. Qualitative Research & Evaluation Methods.
[30]
James O. Prochaska and Wayne F. Velicer. 1997. The Transtheoretical Change Model of Health Behavior. American Journal of Health Promotion 12, 1: 38--48.
[31]
Stephen Purpura, Victoria Schwanda, Kaiton Williams, William Stubler, and Phoebe Sengers. 2011. Fit4life: The design of a persuasive technology promoting healthy behavior and ideal weight. Proceedings of the 2011 annual conference on Human factors in computing systems - CHI '11: 423.
[32]
Irwin M. Rosenstock. 1964. Historical origins of the health belief model. Health Educ Monogr 2, 4: 328--335.
[33]
Marlene N Silva, Marta M Marques, and Pedro J Teixeira. 2014. Testing theory in practice: The example of self-determination theory-based interventions. The European Health Psychologist 16, 5: 171--180.
[34]
Agnis Stibe. 2015. Towards a Framework for Socially Influencing Systems: Meta-analysis of Four PLS-SEM Based Studies. International Conference on Persuasive Technology., Springer International Publishing.
[35]
Agnis Stibe and Brian Cugelman. 2017. Persuasive Backfiring: When Behavior Change Interventions Trigger Unintended Negative Outcomes. International Conference on Persuasive Technology, Springer, Cham, 65--77.
[36]
Jerry Suls, René Martin, and Ladd Wheeler. 2002. Social comparison: Why, with whom, and with what effect? Current Directions in Psychological Science 11, 5: 159--163.
[37]
Anja Thieme, Rob Comber, Julia Miebach, et al. 2012. "We've Bin Watching You" - Designing for Reflection and Social Persuasion to Promote Sustainable Lifestyles. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI '12): 2337--2346.
[38]
Henry L. Tosi, Edwin A. Locke, and Gary P. Latham. 1991. A Theory of Goal Setting and Task Performance. The Academy of Management Review 16, 2: 480.
[39]
Nina Valkanova, Sergi Jorda, Martin Tomitsch, and Andrew Vande Moere. 2013. Reveal-it!: the impact of a social visualization projection on public awareness and discourse. Chi 2013: 3461--3470.
[40]
Nina Valkanova, Robert Walter, Andrew Vande Moere, and Jörg Müller. 2014. MyPosition: sparking civic discourse by a public interactive poll visualization. Proceedings of the 17th ACM conference on Computer supported cooperative work & social computing - CSCW '14: 1323--1332.
[41]
Neil D Weinstein, Susan J Blalock, and Neil D Weinstein. 2002. The Precaution Adoption Process Model. Emerging theories in health promotion practice and research: 16--39.
[42]
Thomas A Wills. 1981. Downward comparison principles in social psychology. Psychological Bulletin 90, 2: 245.
[43]
Seng Juong Wong, Greg A. Robertson, Katie L. Connor, Richard R. Brady, and Alexander M. Wood. 2015. Smartphone apps for orthopaedic sports medicine - a smart move? BMC Sports Science, Medicine and Rehabilitation 7, 1: 23.
[44]
Joanne V Wood, Shelley E Taylor, and Rosemary R Lichtman. 1985. Social Comparison in Adjustment to Breast Cancer. Journal of Personality and Social Psychology 49, 5: 1169--1183.

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      cover image ACM Other conferences
      NordiCHI '18: Proceedings of the 10th Nordic Conference on Human-Computer Interaction
      September 2018
      1002 pages
      ISBN:9781450364379
      DOI:10.1145/3240167
      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].

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      New York, NY, United States

      Publication History

      Published: 29 September 2018

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      Author Tags

      1. behavior change
      2. design
      3. health
      4. healthcare professionals
      5. persuasive technology
      6. social comparison

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      NordiCHI'18
      NordiCHI'18: Nordic Conference on Human-Computer Interaction
      September 29 - October 3, 2018
      Oslo, Norway

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      NordiCHI '18 Paper Acceptance Rate 59 of 240 submissions, 25%;
      Overall Acceptance Rate 379 of 1,572 submissions, 24%

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      View all
      • (2025)Computational persuasion technologies, explainability, and ethical-legal implications: A systematic literature reviewComputers in Human Behavior Reports10.1016/j.chbr.2024.10057717(100577)Online publication date: Mar-2025
      • (2024)Designing for Personalization in Personal Informatics: Barriers and Pragmatic Approaches from the Perspectives of Designers, Developers, and Product ManagersProceedings of the 2024 ACM Designing Interactive Systems Conference10.1145/3643834.3661622(584-596)Online publication date: 1-Jul-2024
      • (2024)Predicting early user churn in a public digital weight loss interventionProceedings of the 2024 CHI Conference on Human Factors in Computing Systems10.1145/3613904.3642321(1-16)Online publication date: 11-May-2024
      • (2020)MyStrengths, a Strengths-Focused Mobile Health Tool: Participatory Design and DevelopmentJMIR Formative Research10.2196/180494:7(e18049)Online publication date: 24-Jul-2020
      • (2020)Emerging personalization elements in health service deliveryProceedings of the 23rd International Conference on Academic Mindtrek10.1145/3377290.3377295(37-44)Online publication date: 29-Jan-2020

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