Information Practices of Young Users in the Context of Health Tracking Technologies

Use of health tracking devices by Digital Natives has drawn the attention of the health tracking technology industry. Despite that, it is not clear how those technologies really work for them in their life contexts, and more study is needed to understand how they interact with the large amount of information generated by these technologies. My study borrowed the Savolainen model of everyday information practice as a theoretical lens to focus on life contexts around the use of health tracking technologies. The data was collected qualitatively, through semi-structured interviews with nine college students. In the findings, information practices, personal life contextual factors, and technology enablement are identified. In evolving relationships among these factors, how information affordance was offered was discussed. Many information practices still relied on manual means, as reflected by life contexts.Master of Science in Information Scienc

Inscribing Gender: A Duoethnographic Examination of Gendered Values and Practices in Fitness Tracker Design

Using fitness trackers to generate and collect quantifiable data is a widespread practice aimed at better understanding one’s health and body. The intentional design of fitness trackers as genderless or universal is predicated on masculinist design values and assumptions and does not result in “neutral” artifacts. Instead, ignoring gender in the design of fitness tracking devices marks a dangerous ongoing inattention to the needs, desires, lives, and life chances of women, as well as transgender and gender non-conforming persons. We utilize duoethnography, a methodology emphasizing personal narrative and dialogue, as a tool that promotes feminist reflexivity in the design and study of fitness tracking technologies. Using the Jawbone UP3 as our object of study, we present findings that illustrate the gendered physical and interface design features and discuss how these features reproduce narrow understandings of gender, health, and lived experiences

Self-tracking modes: reflexive self-monitoring and data practices

The concept of ‘self-tracking’ (also referred to as life-logging, the quantified self, personal analytics and personal informatics) has recently begun to emerge in discussions of ways in which people can voluntarily monitor and record specific features of their lives, often using digital technologies. There is evidence that the personal data that are derived from individuals engaging in such reflexive self-monitoring are now beginning to be used by actors, agencies and organisations beyond the personal and privatised realm. Self-tracking rationales and sites are proliferating as part of a ‘function creep’ of the technology and ethos of self-tracking. The detail offered by these data on individuals and the growing commodification and commercial value of digital data have led government, managerial and commercial enterprises to explore ways of appropriating self-tracking for their own purposes. In some contexts people are encouraged, ‘nudged’, obliged or coerced into using digital devices to produce personal data which are then used by others. This paper examines these issues, outlining five modes of self-tracking that have emerged: private, communal, pushed, imposed and exploited. The analysis draws upon theoretical perspectives on concepts of selfhood, citizenship, biopolitics and data practices and assemblages in discussing the wider sociocultural implications of the emergence and development of these modes of self-tracking

Exploring entertainment medicine and professionalization of self-care : interview study among doctors on the potential effects of digital self-tracking

Background: Nowadays, digital self-tracking devices offer a plethora of possibilities to both healthy and chronically ill users who want to closely examine their body. This study suggests that self-tracking in a private setting will lead to shifting understandings in professional care. To provide more insight into these shifts, this paper seeks to lay bare the promises and challenges of self-tracking while staying close to the everyday professional experience of the physician. Objective: The aim of this study was to (1) offer an analysis of how medical doctors evaluate self-tracking methods in their practice and (2) explore the anticipated shifts that digital self-care will bring about in relation to our findings and those of other studies. Methods: A total of 12 in-depth semistructured interviews with general practitioners (GPs) and cardiologists were conducted in Flanders, Belgium, from November 2015 to November 2016. Thematic analysis was applied to examine the transcripts in an iterative process. Results: Four major themes arose in our body of data: (1) the patient as health manager, (2) health obsession and medicalization, (3) information management, and (4) shifting roles of the doctors and impact on the health care organization. Our research findings show a nuanced understanding of the potentials and pitfalls of different forms of self-tracking. The necessity of contextualization of self-tracking data and a professionalization of self-care through digital devices come to the fore as important overarching concepts. Conclusions: This interview study with Belgian doctors examines the potentials and challenges of self-monitoring while focusing on the everyday professional experience of the physician. The dialogue between our dataset and the existing literature affords a fine-grained image of digital self-care and its current meaning in a medical-professional landscape

The Quantified Relationship

The growth of self-tracking and personal surveillance has given rise to the Quantified Self movement. Members of this movement seek to enhance their personal well-being, productivity, and self-actualization through the tracking and gamification of personal data. The technologies that make this possible can also track and gamify aspects of our interpersonal, romantic relationships. Several authors have begun to challenge the ethical and normative implications of this development. In this article, we build upon this work to provide a detailed ethical analysis of the Quantified Relationship. We identify eight core objections to the QR and subject them to critical scrutiny. We argue that although critics raise legitimate concerns, there are ways in which tracking technologies can be used to support and facilitate good relationships. We thus adopt a stance of cautious openness toward this technology and advocate the development of a research agenda for the positive use of QR technologies

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

Embodied knowledge across self-tracking practices. Rethinking body through the bioknowledge

Our smartphones are becoming an entanglement of health-related apps. This ongoing paper tries to investigate how the smartphone carries the body into data flows that are embodied in self-tracking practices aimed to the self-knowledge. The theoretical-interpretative framework draws on the turn to practice, the embodiment and embodied knowledge; new relational materialism, with particular reference to the feminist onto-epistemology of Barad; and a sociomaterial perspective on the medical field as relates to self-tracking practices. We present the user's experience of a privileged witness in order to investigate how her Smartphone becomes a digital space by which body comes to matter. This empirical example tries to capture the process of embodiment by which the knowledge inscribed in the app is situated in everyday practices.The apps suggest a certain knowledge, that is reconfigured by humans using and/or not using some functions and options. This knowledge becomes a biomedical knowledge since it emerges across the tensions between the personal and tacit knowledge about how the biology of life works and, at the same time, the medical knowledge that is inscribed in the app.The paper is constructed around two concerns: (1) how the body learns “to be affected” through the material entanglements between humans and apps, and (2) how self-tracking technologies are engaged in the process of embodied knowledge

Exercise as Labour: Quantified Self and the Transformation of Exercise into Labour

The recent increase in the use of digital self-tracking devices has given rise to a range of relations to the self often discussed as quantified self (QS). In popular and academic discourse, this development has been discussed variously as a form of narcissistic self-involvement, an advanced expression of panoptical self-surveillance and a potential new dawn for e-health. This article proposes a previously un-theorised consequence of this large-scale observation and analysis of human behaviour; that exercise activity is in the process of being reconfigured as labour. QS will be briefly introduced, and reflected on, subsequently considering some of its key aspects in relation to how these have so far been interpreted and analysed in academic literature. Secondly, the analysis of scholars of “digital labour” and “immaterial labour” will be considered, which will be discussed in relation to what its analysis of the transformations of work in contemporary advanced capitalism can offer to an interpretation of the promotion and management of the self-tracking of exercise activities. Building on this analysis, it will be proposed that a thermodynamic model of the exploitation of potential energy underlies the interest that corporations have shown in self-tracking and that “gamification” and the promotion of an entrepreneurial selfhood is the ideological frame that informs the strategy through which labour value is extracted without payment. Finally, the potential theoretical and political consequences of these insights will be considered

Is big brother watching you? Responding to tagging and tracking in dementia care

The increased availability of assistive technologies, particularly tagging and tracking technology, raises questions for occupational therapists working in dementia care. As experts in environmental adaptation to support participation, occupational therapists need to be clear about what technologies are available to address wandering behaviour, how emerging technologies will be used in their practice, and how they will proactively respond to the ethical issues involved in these technologies. Their use within ethical, person-centred practice will ensure that big brother is not watching, but rather supporting independent functioning in the person’s own home