Staccato social support in mobile health applications

Social support plays an important role in health systems. While significant work has explored the role of social support in CMC environments, less analysis has considered social support in mobile health systems. This paper describes socially supportive messages in VERA, a mobile application for sharing health decisions and behaviors. The short and bursty interactions in social awareness streams [36] afford a particular style of social support, for which we offer the label staccato social support. Results indicate that, in comparison to previous work, staccato social support is characterized by a greater prevalence of esteem support, which builds respect and confidence. We further note the presence of 'following up', a positive behavior that contributes to supportive interactions, likely via social pressure and accountability [7,38]. These findings suggest design recommendations to developers of mobile social support systems and contribute to understanding technologically mediated social support for health.

[1]  Jillian P. Fry,et al.  Periodic Prompts and Reminders in Health Promotion and Health Behavior Interventions: Systematic Review , 2009, Journal of medical Internet research.

[2]  Ming Liu,et al.  An analysis of social support exchanges in online HIV/AIDS self-help groups , 2009, Comput. Hum. Behav..

[3]  K. Mickelson Seeking social support: Parents in electronic support groups , 1997 .

[4]  Mor Naaman,et al.  Is it really about me?: message content in social awareness streams , 2010, CSCW '10.

[5]  Timothy W. Finin,et al.  Why we twitter: understanding microblogging usage and communities , 2007, WebKDD/SNA-KDD '07.

[6]  David Gefen,et al.  Psychological Barriers: Lurker and Poster Motivation and Behavior in Online Communities , 2006, Commun. Assoc. Inf. Syst..

[7]  Jennifer Preece,et al.  The top five reasons for lurking: improving community experiences for everyone , 2004, Comput. Hum. Behav..

[8]  W. Pratt,et al.  Managing the Personal Side of Health: How Patient Expertise Differs from the Expertise of Clinicians , 2011, Journal of medical Internet research.

[9]  Deborah F Tate,et al.  Weight loss social support in 140 characters or less: use of an online social network in a remotely delivered weight loss intervention , 2013, Translational behavioral medicine.

[10]  Jean Harvey-Berino,et al.  Minimal in-person support as an adjunct to internet obesity treatment , 2007, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[11]  Brandon Brown,et al.  Reflecting on health: a system for students to monitor diet and exercise , 2006, CHI EA '06.

[12]  Carla M Bann,et al.  Tailored text messaging intervention for HIV adherence: a proof-of-concept study. , 2013, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[13]  B. Burleson,et al.  Communication of social support: Messages, interactions, relationships, and community. , 1997 .

[14]  John P. Pollak,et al.  PAM: a photographic affect meter for frequent, in situ measurement of affect , 2011, CHI.

[15]  S. Dickerson,et al.  Women's use of the Internet: what nurses need to know. , 2006, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[16]  Cheryl Koopman,et al.  Effects of supportive‐expressive group therapy on survival of patients with metastatic breast cancer , 2007, Cancer.

[17]  David J. Atkin,et al.  Communication Technology and Society: Audience Adoption and Uses , 2002 .

[18]  Nicole Letourneau,et al.  Impact of online support for youth with asthma and allergies: pilot study. , 2012, Journal of pediatric nursing.

[19]  B. Fjeldsoe,et al.  Behavior change interventions delivered by mobile telephone short-message service. , 2009, American journal of preventive medicine.

[20]  L. Donelle,et al.  Social support and online postpartum depression discussion groups: a content analysis. , 2012, Patient education and counseling.

[21]  Eric Baumer,et al.  Prescriptive persuasion and open-ended social awareness: expanding the design space of mobile health , 2012, CSCW.

[22]  J. Suhr,et al.  Controllability of Stressful Events and Satisfaction With Spouse Support Behaviors , 1992 .

[23]  David W. McDonald,et al.  Activity sensing in the wild: a field trial of ubifit garden , 2008, CHI.

[24]  Timothy W. Finin,et al.  Why We Twitter: An Analysis of a Microblogging Community , 2009, WebKDD/SNA-KDD.

[25]  Danah Boyd,et al.  I tweet honestly, I tweet passionately: Twitter users, context collapse, and the imagined audience , 2011, New Media Soc..

[26]  Geri Gay,et al.  The laptop and the lecture: The effects of multitasking in learning environments , 2003, J. Comput. High. Educ..

[27]  Roger Burrows,et al.  Medicine on the line? Computer‐mediated social support and advice for people with diabetes , 2002 .

[28]  Stephen S. Intille,et al.  A new research challenge: persuasive technology to motivate healthy aging , 2004, IEEE Transactions on Information Technology in Biomedicine.

[29]  Rebecca E. Grinter,et al.  EatWell: sharing nutrition-related memories in a low-income community , 2008, CSCW.

[30]  Kannan Sethuraman,et al.  SMS text messaging improves outpatient attendance. , 2006, Australian health review : a publication of the Australian Hospital Association.

[31]  James A. Landay,et al.  Design requirements for technologies that encourage physical activity , 2006, CHI.

[32]  J. L. Bender,et al.  Seeking Support on Facebook: A Content Analysis of Breast Cancer Groups , 2011, Journal of medical Internet research.

[33]  Phoebe Sengers,et al.  Fit4life: the design of a persuasive technology promoting healthy behavior and ideal weight , 2011, CHI.

[34]  Gwyn McClelland Survivors , 1891, The Hospital.

[35]  Benjamin H. Gottlieb,et al.  Social support measurement and intervention: A guide for health and social scientists. , 2000 .

[36]  D. Moskowitz,et al.  Ecological momentary assessment: what it is and why it is a method of the future in clinical psychopharmacology. , 2006, Journal of psychiatry & neuroscience : JPN.

[37]  Thomas N. Bradbury,et al.  Social Support in Marriage , 1996 .

[38]  Debra Lauterbach,et al.  It's not that i don't have problems, i'm just not putting them on facebook: challenges and opportunities in using online social networks for health , 2011, CSCW.

[39]  Kay Connelly,et al.  Encouraging physical activity in teens Can technology help reduce barriers to physical activity in adolescent girls , 2008, Pervasive 2008.

[40]  N. Coulson,et al.  Social support in cyberspace: a content analysis of communication within a Huntington's disease online support group. , 2007, Patient education and counseling.

[41]  Bonnie A. Nardi,et al.  Interaction and outeraction: instant messaging in action , 2000, CSCW '00.

[42]  Tammy Toscos,et al.  Encouraging physical activity in teens Can technology help reduce barriers to physical activity in adolescent girls? , 2008, 2008 Second International Conference on Pervasive Computing Technologies for Healthcare.

[43]  Hye Jin Yoon,et al.  Social and Psychological Determinants of Levels of Engagement With an Online Breast Cancer Support Group: Posters, Lurkers, and Nonusers , 2012, Journal of health communication.

[44]  S. Duck,et al.  Everyday communicative contexts for social support. , 1994 .

[45]  F. Griffiths,et al.  Why Are Health Care Interventions Delivered Over the Internet? A Systematic Review of the Published Literature , 2006, Journal of medical Internet research.

[46]  S. Shiffman,et al.  Capturing momentary, self-report data: A proposal for reporting guidelines , 2002, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[47]  W. Hardeman,et al.  Family involvement in weight control, weight maintenance and weight-loss interventions: a systematic review of randomised trials , 2003, International Journal of Obesity.

[48]  Vincent R. Waldron,et al.  Communication of social support in computer-mediated groups for people with disabilities. , 1999, Health communication.

[49]  Matthew Chalmers,et al.  Designing for peer involvement in weight management , 2011, CHI.

[50]  A. Joinson Self‐disclosure in computer‐mediated communication: The role of self‐awareness and visual anonymity , 2001 .

[51]  Amy Trentham-Dietz,et al.  Social networks and quality of life among female long‐term colorectal cancer survivors , 2003, Cancer.

[52]  A. Winzelberg The analysis of an electronic support group for individuals with eating disorders , 1997 .

[53]  M. Lim,et al.  SMS STI: A Review of the Uses of Mobile Phone Text Messaging in Sexual Health , 2008, International journal of STD & AIDS.

[54]  Shelley E. Taylor,et al.  Cultural Differences in the Impact of Social Support on Psychological and Biological Stress Responses , 2007, Psychological science.