Self-monitoring Practices, Attitudes, and Needs of Individuals with Bipolar Disorder: Implications for the Design of Technologies to Manage Mental Health

Objective To understand self-monitoring strategies used independently of clinical treatment by individuals with bipolar disorder (BD), in order to recommend technology design principles to support mental health management. Materials and Methods Participants with BD (N = 552) were recruited through the Depression and Bipolar Support Alliance, the International Bipolar Foundation, and WeSearchTogether.org to complete a survey of closed- and open-ended questions. In this study, we focus on descriptive results and qualitative analyses. Results Individuals reported primarily self-monitoring items related to their bipolar disorder (mood, sleep, finances, exercise, and social interactions), with an increasing trend towards the use of digital tracking methods observed. Most participants reported having positive experiences with technology-based tracking because it enables self-reflection and agency regarding health management and also enhances lines of communication with treatment teams. Reported challenges stem from poor usability or difficulty interpreting self-tracked data. Discussion Two major implications for technology-based self-monitoring emerged from our results. First, technologies can be designed to be more condition-oriented, intuitive, and proactive. Second, more automated forms of digital symptom tracking and intervention are desired, and our results suggest the feasibility of detecting and predicting emotional states from patterns of technology usage. However, we also uncovered tension points, namely that technology designed to support mental health can also be a disruptor. Conclusion This study provides increased understanding of self-monitoring practices, attitudes, and needs of individuals with bipolar disorder. This knowledge bears implications for clinical researchers and practitioners seeking insight into how individuals independently self-manage their condition as well as for researchers designing monitoring technologies to support mental health management

Principles in Patterns (PiP) : User Acceptance Testing of Course and Class Approval Online Pilot (C-CAP)

The PiP Evaluation Plan documents four distinct evaluative strands, the first of which entails an evaluation of the PiP system pilot (WP7:37 – Systems & tool evaluation). Phase 1 of this evaluative strand focused on the heuristic evaluation of the PiP Course and Class Approval Online Pilot system (C-CAP) and was completed in December 2011. Phase 2 of the evaluation is broadly concerned with "user acceptance testing". This entails exploring the extent to which C-CAP functionality meets users' expectations within specific curriculum design tasks, as well as eliciting data on C-CAP's overall usability and its ability to support academics in improving the quality of curricula. The general evaluative approach adopted therefore employs a combination of standard Human-Computer Interaction (HCI) approaches and specially designed data collection instruments, including protocol analysis, stimulated recall and pre- and post-test questionnaire instruments. This brief report summarises the methodology deployed, presents the results of the evaluation and discusses their implications for the further development of C-CAP

Enabling Micro-level Demand-Side Grid Flexiblity in Resource Constrained Environments

The increased penetration of uncertain and variable renewable energy presents various resource and operational electric grid challenges. Micro-level (household and small commercial) demand-side grid flexibility could be a cost-effective strategy to integrate high penetrations of wind and solar energy, but literature and field deployments exploring the necessary information and communication technologies (ICTs) are scant. This paper presents an exploratory framework for enabling information driven grid flexibility through the Internet of Things (IoT), and a proof-of-concept wireless sensor gateway (FlexBox) to collect the necessary parameters for adequately monitoring and actuating the micro-level demand-side. In the summer of 2015, thirty sensor gateways were deployed in the city of Managua (Nicaragua) to develop a baseline for a near future small-scale demand response pilot implementation. FlexBox field data has begun shedding light on relationships between ambient temperature and load energy consumption, load and building envelope energy efficiency challenges, latency communication network challenges, and opportunities to engage existing demand-side user behavioral patterns. Information driven grid flexibility strategies present great opportunity to develop new technologies, system architectures, and implementation approaches that can easily scale across regions, incomes, and levels of development

Conceptualizing human resilience in the face of the global epidemiology of cyber attacks

Computer security is a complex global phenomenon where different populations interact, and the infection of one person creates risk for another. Given the dynamics and scope of cyber campaigns, studies of local resilience without reference to global populations are inadequate. In this paper we describe a set of minimal requirements for implementing a global epidemiological infrastructure to understand and respond to large-scale computer security outbreaks. We enumerate the relevant dimensions, the applicable measurement tools, and define a systematic approach to evaluate cyber security resilience. From the experience in conceptualizing and designing a cross-national coordinated phishing resilience evaluation we describe the cultural, logistic, and regulatory challenges to this proposed public health approach to global computer assault resilience. We conclude that mechanisms for systematic evaluations of global attacks and the resilience against those attacks exist. Coordinated global science is needed to address organised global ecrime

Culture and e-commerce: An exploration of the perceptions and attitudes of Egyptian internet users

This paper examines the perceptions and attitudes that Egyptian users hold towards electronic shopping sites. Internet sites are globally available, opening up huge potential markets for online retailers. However, it remains unclear whether sites designed for the US or European markets will be acceptable in other cultures. This paper describes an exploratory card sorting study conducted with Egyptian consumers. The study was designed to examine the e-commerce interface features that are most salient to this user group and to explore how these relate to user intentions to engage in internet shopping. The results support the role of site familiarity in predicting purchase intentions within this cultural setting

The Double-edged Sword: A Mixed Methods Study of the Interplay between Bipolar Disorder and Technology Use

Human behavior is increasingly reflected or acted out through technology. This is of particular salience when it comes to changes in behavior associated with serious mental illnesses including schizophrenia and bipolar disorder. Early detection is crucial for these conditions but presently very challenging to achieve. Potentially, characteristics of these conditions\u27 traits and symptoms, at both idiosyncratic and collective levels, may be detectable through technology use patterns. In bipolar disorder specifically, initial evidence associates changes in mood with changes in technology-mediated communication patterns. However much less is known about how people with bipolar disorder use technology more generally in their lives, how they view their technology use in relation to their illness, and, perhaps most crucially, the causal relationship (if any exists) between their technology use and their disease. To address these uncertainties, we conducted a survey of people with bipolar disorder (N = 84). Our results indicate that technology use varies markedly with changes in mood and that technology use broadly may have potential as an early warning signal of mood episodes. We also find that technology for many of these participants is a double-edged sword: acting as both a culprit that can trigger or exacerbate symptoms as well as a support mechanism for recovery. These findings have implications for the design of both early warning systems and technology-mediated interventions

Reducing Hardships: Student Motivations, Educational Workflows, and Technology Choices in Academic Settings

Objective – This study examines The University of Manitoba student attitudes toward technology’s role in University study spaces and in their own educational workflows. Methods - A series of semi-structured group interviews were conducted with current undergraduate and graduate students at The University of Manitoba. Three group interviews were conducted with questions about individual technology and space use while studying in the library, and three group interviews were conducted with questions about group collaboration using technologies and tools in group study spaces. Transcripts were coded iteratively and separately by the researchers, analyzed for interrater reliability, categorized, and reviewed using axial coding to identify major themes. Through continued examination of these themes, a single theory emerged. Results - The participants expressed a strong need for independence and feelings of control over their workflows, technological tools, and environments. They discussed how interpersonal concerns and anxieties motivated their workflow choices and acknowledged the (often conflicting) motivational forces of personal necessity and personal preference. When examining the motivations behind the selection of technologies and work practices, it became clear that the respondents make technology and workflow decisions in an attempt to minimize their experience of perceived hardships. These perceived hardships could be social, emotional, educational, environmental, or temporal in nature, and the weight of any one hardship on decision making varied according to the individual. Conclusions - Libraries should be aware of this foundational user motivation and make choices accordingly - identifying and minimizing hardships whenever possible, unless they are necessary to achieve learning or service-specific goals. Additional research is required to help articulate the nuances experienced by particular student demographics. Librarians and future researchers should also consider investigating the potential disconnect between librarian and user attitudes toward technology, the prioritization of user-centered decision-making, and whether or not systematically disadvantaged social groups have different attitudes toward technology and its place in library spaces and academic work.https://journal.lib.uoguelph.ca/index.php/perj/article/view/545

Varying the texture: a study of art, learning and multimedia

Art Explorer is an innovative multimedia system being designed and developed within the Institute of Educational Technology, at The Open University. Based on an analogy to dreams, Art Explorer is structured into several episodes. Each episode is designed to help beginning students of Art History foster personal constructs about paintings and develop a richer understanding of how their perceptions of paintings work. This discussion focuses on the pedagogic rationale motivating Art Explorer's development and is structured around two strands of a design story. First, it highlights the research behind the design. The reported research is about learners' problems - most specifically about the varying conceptual, perceptual and affective challenges learners face as they begin to study Art History. But, more broadly, it is about the problems faced by learners as they begin academic study and seek to engage with the knowledge and methods of discipline experts. Secondly, and it is argued, as a second pedagogic priority, the spotlight shifts to multimedia. The discussion tracks design decisions that aim both to exploit the potential of the medium and to match pre-identified learner needs. The ingredients of Art Explorer are described to illustrate some of the rich potential of the medium for negotiating understanding between teacher and learner

The Evaluation of Route Guidance Systems

BACKGROUND We were commissioned by the Transport and Road Research Laboratory to: "collaborate with the German government and their representatives who are responsible for conducting the LISB trial in Berlin in order to produce an agreed methodology, which is acceptable in both Germany and the UK, for assessing the automatic route guidance systems which will be provided in Berlin and London." The brief suggested a number of aspects to be included, and required detailed proposals, timescales and costs for implementation in London. 1.1.2 The background to the brief lies in decisions to introduce pilot automatic route guidance systems in the two cities. The principles of the systems are similar, and have been described in detail elsewhere (Jeffery, 1987). In brief, they involve : (i) a central computer which retains information on a specified road network, which is updated using real time information from the equipment users; (ii) infra red beacons at selected junctions which transmit information to equipped vehicles and receive information from those vehicles; (iii) in-vehicle equipment which includes a dead-reckoning system for position finding, a device for requesting guidance and specifying the destination, a micro-computer which selects the optimal route, and a display which indicates when a turn is required on the main network, and the compass direction and distance to the final destination; iv) transmission from the equipped vehicles of origin, requested destination, links used since passing the last beacon and, for each link, the time of entry and departure and time spent delayed. It is this travel time information which is used to update the central computer's knowledge of the best routes. (Continues..