bump2bump: Designing and Evaluating Technology to Promote Maternal Wellbeing in the Transition to Motherhood

The notion of wellbeing is synonymous with feeling competent, supported and satisfied with one’s life. Understanding how to sustain one’s own wellbeing is important at times of significant life change. The transition to motherhood is characterised by major emotional and physiological changes, which can impact on maternal subjective wellbeing and affect pregnancy outcomes. While Human Computer Interaction (HCI) has begun to address some of the challenges in the prevention and treatment of affective disorders in vulnerable perinatal groups, approaches that promote holistic maternal wellbeing in the low-risk majority have received less attention. This thesis draws on the multidisciplinary legacy of digital intervention development, utilising best practice from eHealth and HCI. Six studies using quantitative and qualitative methods were conducted. Study 1 was a systematic, interdisciplinary literature review, which proposed an integrated framework of factors involved in the successful development and evaluation of digital perinatal wellbeing resources. Study 2 used qualitative methods to explore the contextualised usage of digital resources by perinatal women. Studies 3, 4 and 5 involved the iterative development and formative evaluation of a prototype (bump2bump). Study 6 used mixed methods to explore the longitudinal, in-the-wild usage of bump2bump by a group of women as they became mothers. This thesis contributes to current discourse in HCI on how technology might be used positively and presents recommendations regarding the development and use of digital resources in first time pregnancy. Digital resources are increasingly relied upon when community services are lacking, and usage of such resources is particularly nuanced at the transition to motherhood. Design features that support users’ trust in content, facilitate face-to-face interaction with local similar others, and provide brief, practical information were found to be most important in meeting user needs. These findings can be used to inform the development and evaluation of digital perinatal wellbeing resources

Enhancing Questionnaire Design Through Participant Engagement to Improve the Outputs of Evaluation.

Questionnaires are habitual choices for many user experience evaluators, providing a well-recognised and accepted, fast and cost effective method of collecting and analysing data. However, despite frequent and widespread use in evaluation, reliance on questionnaires can be problematic. Satisficing, acquiescence bias and straight lining are common response biases associated with questionnaires, typically resulting in suboptimal responses and provision of poor quality data. These problems can relate to a lack of engagement with evaluation tasks, yet there is a lack of previous research that has attempted to alleviate these limitations by making questionnaires more fun or enjoyable to enhance participant engagement. This research seeks to address whether ‘user evaluation questionnaires can be designed to be engaging to improve optimal responding. The aim of this research is to investigate if response quality can be improved through enhancing questionnaire design both to reduce common response biases and to maintain participant engagement. The evaluation context for this study was provided by MIXER, an interactive, narrative-based application for intercultural sensitivity learning, used and evaluated by 9-11 year old children in the classroom context. A series of Participatory Design studies with children investigated engagement and optimal responding with questionnaires. These initial studies informed the design of a series of questionnaires created in the form of three workbooks that were used to evaluate MIXER with over 400 children. 3 A mixed methods approach was used to evaluate the questionnaires. Results demonstrate that by making questionnaire completion more enjoyable data quality is improved. Response biases are reduced, quantitative data are more complete and qualitative responses are more verbose and meaningful compared to standard questionnaires. Further, children reported that completing the questionnaires was a fun and enjoyable activity that they would wish to repeat in the future. As a discipline in its own right, evaluation is under-investigated. Similarly user evaluation is not evaluated with a lack of papers considering this issue in this millennium. Thus, this research provides a significant contribution to the field of evaluation, highlighting that the outputs of user evaluation with questionnaires are improved when participant engagement informs questionnaire design. The result is a more positive evaluation experience for participants and in return a higher standard of data provision for evaluators and R&D teams