skip to main content
10.1145/3613905.3650944acmconferencesArticle/Chapter ViewAbstractPublication PageschiConference Proceedingsconference-collections
Work in Progress

LCBuddy: Towards a Smartphone-based Self-Assessment Tool for Postpartum Patients With Breast Pain

Published: 11 May 2024 Publication History

Abstract

Telehealth has significantly enhanced various medical sectors, notably in postpartum care, by increasing breastfeeding rates and reducing postpartum depression. However, issues in patient management and triage, particularly in high-demand telehealth lactation consultations, lead to LC burnout, unnecessary costs and diagnostic delays. To address these challenges, this study introduces a pain assessment tool for telehealth lactation consultations, enhancing patient-provider communication through momentary assessment and AI mediation. It features a user interface with image quality assessment and condition classification algorithms, aiding remote diagnosis and triage. The tool guides patients and uses a severity-based feedback system, helping LCs prioritize cases. This method boosts tele-lactation service efficiency, streamlines LC workload, and serves as a model for specialized healthcare triaging. Future work includes refining the feedback system and evaluating the tool in clinical settings to standardize symptom severity grading and estimate its impact, potentially improving expert patient triaging in remote healthcare settings.

Supplemental Material

MP4 File - Video Preview
Video Preview

References

[1]
Phil Adams, Elizabeth L Murnane, Michael Elfenbein, Elaine Wethington, and Geri Gay. 2017. Supporting the self-management of chronic pain conditions with tailored momentary self-assessments. In Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems. 1065–1077.
[2]
Molly R Altman, Selina A Mohammed, Meghan K Eagen-Torkko, Ira Kantrowitz-Gordon, and Amelia R Gavin. 2023. Losing Connection: Experiences of Virtual Pregnancy and Postpartum Care During the COVID-19 Pandemic. The Journal of Perinatal & Neonatal Nursing 37, 1 (2023), 44–49.
[3]
Erica H Anstey, Martha Coulter, Cecilia M Jevitt, Kay M Perrin, Sharon Dabrow, Lynne B Klasko-Foster, and Ellen M Daley. 2018. Lactation consultants’ perceived barriers to providing professional breastfeeding support. Journal of Human Lactation 34, 1 (2018), 51–67.
[4]
Madeline Balaam, Rob Comber, Ed Jenkins, Selina Sutton, and Andrew Garbett. 2015. Feedfinder. Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems (2015). https://doi.org/10.1145/2702123.2702328
[5]
Pamela Berens, Anne Eglash, Michele Malloy, Alison M Steube, and Academy of Breastfeeding Medicine. 2016. ABM clinical protocol# 26: persistent pain with breastfeeding. Breastfeeding Medicine 11, 2 (2016), 46–53.
[6]
Lynn Bickley and Peter G Szilagyi. 2012. Bates’ guide to physical examination and history-taking. Lippincott Williams & Wilkins.
[7]
Cari A Bogulski, Nalin Payakachat, Sarah J Rhoads, Rebecca D Jones, Hannah C McCoy, Leah C Dawson, and Hari Eswaran. 2023. A comparison of audio-only and audio-visual tele-lactation consultation services: A mixed methods approach. Journal of Human Lactation 39, 1 (2023), 93–106.
[8]
Elaine Burns, Jenny Fenwick, Athena Sheehan, and Virginia Schmied. 2013. Mining for liquid gold: midwifery language and practices associated with early breastfeeding support. Maternal & child nutrition 9, 1 (2013), 57–73.
[9]
Deborah W Busch, Kathleen Logan, and Ashley Wilkinson. 2014. Clinical practice breastfeeding recommendations for primary care: applying a tri-core breastfeeding conceptual model. Journal of Pediatric Health Care 28, 6 (2014), 486–496.
[10]
Anne Fayma Lopes Chaves, Layna Nascimento Holanda Vitoriano, Francisca Liliana Pinheiro Borges, Rita Dorotéa Alves Melo, Mariana Gonçalves de Oliveira, and Ana Carolina Maria Araújo Chagas Costa Lima. 2020. Percepção das mulheres que receberam consultoria em amamentação. Enfermagem em Foco 10, 5 (May 2020). https://doi.org/10.21675/2357-707x.2019.v10.n5.2519
[11]
Chen Chen, Ella T Lifset, Yichen Han, Arkajyoti Roy, Michael Hogarth, Alison A Moore, Emilia Farcas, and Nadir Weibel. 2023. Screen or No Screen? Lessons Learnt from a Real-World Deployment Study of Using Voice Assistants With and Without Touchscreen for Older Adults. In Proceedings of the 25th International ACM SIGACCESS Conference on Computers and Accessibility. 1–21.
[12]
Dorothy Cilenti, Alisahah Jackson, Natalie D Hernandez, Lindsey Yates, Sarah Verbiest, J Lloyd Michener, and Brian C Castrucci. 2024. The Practical Playbook III: Working Together to Improve Maternal Health. Oxford University Press.
[13]
Jessica De Souza, Cinthia Calsinski, Kristina Chamberlain, Franceli Cibrian, and Edward Jay Wang. 2023. Investigating interactive methods in remote chestfeeding support for lactation consulting professionals in Brazil. Frontiers in Digital Health 5 (2023).
[14]
Annemarie DeLeo and Sadie Geraghty. 2017. iMidwife: midwifery students’ use of smartphone technology as a mediated educational tool in clinical environments. Contemporary Nurse 54, 4-5 (Dec. 2017), 522–531. https://doi.org/10.1080/10376178.2017.1416305
[15]
Jill R Demirci and Debra L Bogen. 2017. An ecological momentary assessment of primiparous women’s breastfeeding behavior and problems from birth to 8 weeks. Journal of Human Lactation 33, 2 (2017), 285–295.
[16]
Jill R Demirci and Debra L Bogen. 2017. Feasibility and acceptability of a mobile app in an ecological momentary assessment of early breastfeeding. Maternal & child nutrition 13, 3 (2017), e12342.
[17]
Helen Donovan, Anthony Welch, and Moira Williamson. 2021. Reported levels of exhaustion by the graduate nurse midwife and their perceived potential for unsafe practice: a phenomenological study of Australian double degree nurse midwives. Workplace Health & Safety 69, 2 (2021), 73–80.
[18]
Luisa Dörflinger, Michael Nissen, Katharina Jäger, Markus Wirth, Adriana Titzmann, Constanza Pontones, Peter Fasching, Matthias W Beckmann, Stefan Gradl, and Björn M Eskofier. 2021. Digital Maternity Records: Motivation, Acceptance, Requirements, Usability and Prototype Evaluation of an Interface for Physicians and Midwives. In Proceedings of Mensch und Computer 2021. 204–209.
[19]
Pamela Douglas. 2022. Re-thinking lactation-related nipple pain and damage. Women’s Health 18 (2022), 17455057221087865.
[20]
Brady E. Hamilton, Joyce A. Martin, and Michelle J.K. Osterman. 2022. Births: Provisional data for 2021. Vital Statistics Rapid Release 20 (May 2022), 11. https://doi.org/10.15620/cdc:116027
[21]
Julia Feinstein, Eric J Slora, and Henry H Bernstein. 2021. Telehealth can promote breastfeeding during the COVID-19 pandemic. NEJM Catalyst Innovations in Care Delivery 2, 2 (2021).
[22]
Hamish SF Fraser and Joaquin Blaya. 2010. Implementing medical information systems in developing countries, what works and what doesn’t. In AMIA Annual Symposium Proceedings, Vol. 2010. American Medical Informatics Association, 232.
[23]
Anna Galle, Aline Semaan, Elise Huysmans, Constance Audet, Anteneh Asefa, Therese Delvaux, Bosede Bukola Afolabi, Alison Marie El Ayadi, and Lenka Benova. 2021. A double-edged sword—telemedicine for maternal care during COVID-19: findings from a global mixed-methods study of healthcare providers. BMJ global health 6, 2 (2021), e004575.
[24]
Águeda Gómez-Cambronero, Sven Casteleyn, and Adriana Mira Pastor. 2021. Horizon: Resilience–Design of a Serious Game for Ecological Momentary Intervention for Depression. In Extended Abstracts of the 2021 Annual Symposium on Computer-Human Interaction in Play. 236–241.
[25]
Tracy G Harwood and Tony Garry. 2003. An overview of content analysis. The marketing review 3, 4 (2003), 479–498.
[26]
María Alejandra Hincapié, Juan Carlos Gallego, Andrés Gempeler, Jorge Arturo Piñeros, Daniela Nasner, and María Fernanda Escobar. 2020. Implementation and usefulness of telemedicine during the COVID-19 pandemic: a scoping review. Journal of primary care & community health 11 (2020), 2150132720980612.
[27]
Pat Hoddinott, Jane Britten, and Roisin Pill. 2010. Why do interventions work in some places and not others: a breastfeeding support group trial. Social science & medicine 70, 5 (2010), 769–778.
[28]
Yu-Ning Huang, Siyan Zhao, Michael L Rivera, Jason I Hong, and Robert E Kraut. 2021. Predicting well-being using short ecological momentary audio recordings. In Extended abstracts of the 2021 CHI conference on human factors in computing systems. 1–7.
[29]
IBLCE. 2022. Current statistics on worldwide IBCLCs. Technical Report. https://iblce.org/about-iblce/current-statistics-on-worldwide-ibclcs/
[30]
Stephen Intille, Caitlin Haynes, Dharam Maniar, Aditya Ponnada, and Justin Manjourides. 2016. μ EMA: Microinteraction-based ecological momentary assessment (EMA) using a smartwatch. In Proceedings of the 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing. 1124–1128.
[31]
Shannon B Juengst, Kristin M Graham, I Wayan Pulantara, Michael McCue, Ellen M Whyte, Brad E Dicianno, Bambang Parmanto, Patricia M Arenth, Elizabeth RD Skidmore, and Amy K Wagner. 2015. Pilot feasibility of an mHealth system for conducting ecological momentary assessment of mood-related symptoms following traumatic brain injury. Brain injury 29, 11 (2015), 1351–1361.
[32]
Naveena Karusala, Shirley Yan, and Richard Anderson. 2023. Unsettling Care Infrastructures: From the Individual to the Structural in a Digital Maternal and Child Health Intervention. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. 1–16.
[33]
Naveena Karusala, Shirley Yan, Nupoor Rajkumar, and Richard Anderson. 2023. Speculating with Care: Worker-centered Perspectives on Scale in a Chat-based Health Information Service. Proceedings of the ACM on Human-Computer Interaction 7, CSCW2 (2023), 1–26.
[34]
Adina R Kern-Goldberger and Sindhu K Srinivas. 2022. Obstetrical telehealth and virtual care practices during the COVID-19 pandemic. Clinical Obstetrics and Gynecology 65, 1 (2022), 148.
[35]
Tamar Krishnamurti, Hyagriv N Simhan, and Sonya Borrero. 2020. Competing demands in postpartum care: a national survey of US providers’ priorities and practice. BMC Health Services Research 20 (2020), 1–10.
[36]
Thai V Le, Hernan Galperin, and Dorian Traube. 2023. The impact of digital competence on telehealth utilization. Health Policy and Technology 12, 1 (2023), 100724.
[37]
Victor Minichiello, Rosalie Aroni, and Terrence Neville Hays. 2008. In-depth interviewing: Principles, techniques, analysis. Pearson Education Australia.
[38]
Sabrina Movitz, Rachel Mayer Ediger, Alison Dingwall, and Yvonne Butler Tobah. 2023. Telehealth For Equitable Obstetric Care: Addressing Gaps For Patients, Providers, and Payers. Telehealth and Medicine Today 8, 5 (2023).
[39]
Maryam Mustafa, Amna Batool, Beenish Fatima, Fareeda Nawaz, Kentaro Toyama, and Agha Ali Raza. 2020. Patriarchy, maternal health and spiritual healing: Designing maternal health interventions in Pakistan. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. 1–13.
[40]
Vanessa O Oguamanam, Natalie Hernandez, Rasheeta Chandler, Dominique Guillaume, Kai Mckeever, Morgan Allen, Sabreen Mohammed, and Andrea G Parker. 2023. An Intersectional Look at Use of and Satisfaction with Digital Mental Health Platforms: A Survey of Perinatal Black Women. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. 1–20.
[41]
Serwaa S Omowale, Andrea Casas, Yu-Hsuan Lai, Sarah A Sanders, Ashley V Hill, Meredith L Wallace, Stephen L Rathbun, Tiffany L Gary-Webb, Lora E Burke, Esa M Davis, 2021. Trends in stress throughout pregnancy and postpartum period during the COVID-19 pandemic: longitudinal study using ecological momentary assessment and data from the Postpartum Mothers Mobile Study. JMIR Mental Health 8, 9 (2021), e30422.
[42]
Sanjay Patel and Shveta Patel. 2016. The Effectiveness of Lactation Consultants and Lactation Counselors on Breastfeeding Outcomes. Journal of Human Lactation 32, 3 (Aug. 2016), 530–541. https://doi.org/10.1177/0890334415618668
[43]
Farhat Tasnim Progga, Avanthika Senthil Kumar, and Sabirat Rubya. 2023. Understanding the Online Social Support Dynamics for Postpartum Depression. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. 1–17.
[44]
Kristin N Ray, Jill R Demirci, Lori Uscher-Pines, and Debra L Bogen. 2019. Geographic access to international board-certified lactation consultants in Pennsylvania. Journal of Human Lactation 35, 1 (2019), 90–99.
[45]
Saul Shiffman, Arthur A Stone, and Michael R Hufford. 2008. Ecological momentary assessment. Annu. Rev. Clin. Psychol. 4 (2008), 1–32.
[46]
Kymeng Tang, Kathrin Gerling, Luc Geurts, and Katta Spiel. 2021. Understanding the role of technology to support breastfeeding. Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems (2021). https://doi.org/10.1145/3411764.3445247
[47]
Kymeng Tang, Kathrin Gerling, Vero Vanden Abeele, Luc Geurts, and Maria Aufheimer. 2023. Playful Reflection: Impact of Gamification on a Virtual Reality Simulation of Breastfeeding. In Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems. 1–13.
[48]
Nadia Tripp, Kirsten Hainey, Anthony Liu, Alison Poulton, Michael Peek, Jinman Kim, and Ralph Nanan. 2014. An emerging model of maternity care: Smartphone, midwife, doctor?Women and Birth 27, 1 (March 2014), 64–67. https://doi.org/10.1016/j.wombi.2013.11.001
[49]
Kailas Vodrahalli, Roxana Daneshjou, Roberto A Novoa, Albert Chiou, Justin M Ko, and James Zou. 2020. TrueImage: a machine learning algorithm to improve the quality of telehealth photos. In BIOCOMPUTING 2021: Proceedings of the Pacific Symposium. World Scientific, 220–231.
[50]
Chelsea-Joy Wardle, Mitchell Green, Christine Wanjiru Mburu, and Melissa Densmore. 2018. Exploring co-design with breastfeeding mothers. Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (2018). https://doi.org/10.1145/3173574.3174056
[51]
Deepika Yadav, Prerna Malik, Kirti Dabas, and Pushpendra Singh. 2019. Feedpal: Understanding Opportunities for Chatbots in Breastfeeding Education of Women in India. Proceedings of the ACM on Human-Computer Interaction 3, CSCW (Nov. 2019), 1–30. https://doi.org/10.1145/3359272

Index Terms

  1. LCBuddy: Towards a Smartphone-based Self-Assessment Tool for Postpartum Patients With Breast Pain

      Recommendations

      Comments

      Information & Contributors

      Information

      Published In

      cover image ACM Conferences
      CHI EA '24: Extended Abstracts of the CHI Conference on Human Factors in Computing Systems
      May 2024
      4761 pages
      ISBN:9798400703317
      DOI:10.1145/3613905
      Permission to make digital or hard copies of part or all 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 third-party components of this work must be honored. For all other uses, contact the Owner/Author.

      Sponsors

      Publisher

      Association for Computing Machinery

      New York, NY, United States

      Publication History

      Published: 11 May 2024

      Check for updates

      Author Tags

      1. Remote healthcare
      2. breast pain assessment
      3. breastfeeding support
      4. digital health systems
      5. telehealth

      Qualifiers

      • Work in progress
      • Research
      • Refereed limited

      Conference

      CHI '24

      Acceptance Rates

      Overall Acceptance Rate 6,164 of 23,696 submissions, 26%

      Upcoming Conference

      CHI 2025
      ACM CHI Conference on Human Factors in Computing Systems
      April 26 - May 1, 2025
      Yokohama , Japan

      Contributors

      Other Metrics

      Bibliometrics & Citations

      Bibliometrics

      Article Metrics

      • 0
        Total Citations
      • 284
        Total Downloads
      • Downloads (Last 12 months)284
      • Downloads (Last 6 weeks)52
      Reflects downloads up to 16 Feb 2025

      Other Metrics

      Citations

      View Options

      Login options

      View options

      PDF

      View or Download as a PDF file.

      PDF

      eReader

      View online with eReader.

      eReader

      Full Text

      View this article in Full Text.

      Full Text

      HTML Format

      View this article in HTML Format.

      HTML Format

      Figures

      Tables

      Media

      Share

      Share

      Share this Publication link

      Share on social media