Confidence & Control: Examining Adolescent Preferences for Technologies that Promote Wellness

Our work contributes to the growing body of CSCW research examining how technology can encourage wellness. In a 10-week participatory design study, we examined how technology can help teens overcome intra-personal and social barriers to healthy eating and positive relationships (the wellness topics of greatest interest to our participants). Our findings revealed teens' desire for expressive technology that helps them initiate dialogue, negotiate conflicts, and restrict communication with family, and their desired degree of engagement with tools promoting healthy eating (passively to actively involved in behavior change). Our analysis further yielded crosscutting themes: the importance of examining issues of self-efficacy, locus of control, and socio-ecological context in the design of health technology. We use our findings to contribute new directions for CSCW research: developing a nuanced perspective on the psychology of change, designing for varying levels of self-efficacy and locus of control, and problematizing the persuasive technology research agenda.

[1]  Gregory D. Abowd,et al.  Mediated parent-child contact in work-separated families , 2011, CHI.

[2]  Ellen Yi-Luen Do,et al.  Grocery hunter: a fun mobile game for children to combat obesity , 2011, Tangible and Embedded Interaction.

[3]  Elaine Wethington,et al.  "A lot of sacrifices:" work-family spillover and the food choice coping strategies of low-wage employed parents. , 2006, Social science & medicine.

[4]  K. Glanz,et al.  Health behavior and health education : theory, research, and practice , 1991 .

[5]  Regan L. Mandryk,et al.  The design and evaluation of a classroom exergame , 2013, Gamification.

[6]  A Steptoe,et al.  Locus of control and health behaviour revisited: a multivariate analysis of young adults from 18 countries. , 2001, British journal of psychology.

[7]  Andrea Grimes Parker,et al.  I am what i eat: identity & critical thinking in an online health forum for kids , 2013, CHI.

[8]  Madeline E. Smith,et al.  Going to college and staying connected: communication between college freshmen and their parents , 2012, CSCW.

[9]  J. Karski [Health promotion]. , 1993, Wiadomosci lekarskie.

[10]  B Stanton,et al.  Perceived parental monitoring and health risk behaviors among urban low-income African-American children and adolescents. , 2000, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

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

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

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

[14]  Desney S. Tan,et al.  Toward technologies that support family reflections on health , 2009, GROUP.

[15]  Barbara Williams,et al.  Increasing Evidence-Based Workplace Health Promotion Best Practices in Small and Low-Wage Companies, Mason County, Washington, 2009 , 2012, Preventing chronic disease.

[16]  H. Lefcourt,et al.  Research With the Locus of Control Construct , 1981 .

[17]  Karolin Papst Beyond Barbie And Mortal Kombat New Perspectives On Gender And Gaming , 2016 .

[18]  A. Barak,et al.  The therapeutic value of adolescents' blogging about social-emotional difficulties. , 2013, Psychological services.

[19]  Andrew D. Miller,et al.  The place for ubiquitous computing in schools: lessons learned from a school-based intervention for youth physical activity , 2011, UbiComp '11.

[20]  Joanne C. Carey,et al.  Effect on Behavior Problems of Teen Online Problem-Solving for Adolescent Traumatic Brain Injury , 2011, Pediatrics.

[21]  Christian Dindler,et al.  Understanding teenagers' motivation in participatory design , 2013, Int. J. Child Comput. Interact..

[22]  Judy Robertson,et al.  Understanding exergame users' physical activity, motivation and behavior over time , 2013, CHI.

[23]  Barbara Strudler Wallston,et al.  6 – HEALTH LOCUS OF CONTROL SCALES1 , 1981 .

[24]  Silvia Lindtner,et al.  Fish'n'Steps: Encouraging Physical Activity with an Interactive Computer Game , 2006, UbiComp.

[25]  堀毛 裕子,et al.  Health Locus of Control Scalesの検討--日本語版作成の試み , 1988 .

[26]  Andrew D. Miller,et al.  StepStream: a school-based pervasive social fitness system for everyday adolescent health , 2014, CHI.

[27]  H. Lefcourt Locus of control: Current trends in theory and research , 1976 .

[28]  P D Bright,et al.  Ameliorating parent-adolescent conflict with problem-solving communication training. , 1981, Journal of behavior therapy and experimental psychiatry.

[29]  C. Ogden,et al.  Prevalence of Obesity Among Children and Adolescents: United States, Trends 1963-1965 Through 2007-2008 , 2010 .

[30]  L. Kramer,et al.  The Essential Ingredients of Successful Sibling Relationships: An Emerging Framework for Advancing Theory and Practice , 2010 .

[31]  C. Achterberg,et al.  Review of self-efficacy and locus of control for nutrition- and health-related behavior. , 1997, Journal of the American Dietetic Association.

[32]  Andrew D. Miller,et al.  Design strategies for youth-focused pervasive social health games , 2013, 2013 7th International Conference on Pervasive Computing Technologies for Healthcare and Workshops.

[33]  H. Wechsler,et al.  Guidelines for school health programs to promote lifelong healthy eating. , 1996, The Journal of school health.

[34]  Dan Morris,et al.  SuperBreak: using interactivity to enhance ergonomic typing breaks , 2008, CHI.

[35]  L. Steinberg We Know Some Things: Parent-Adolescent Relationships in Retrospect and Prospect. , 2001 .

[36]  Jeffrey R. Harris,et al.  Stakeholder Perspectives on Workplace Health Promotion: A Qualitative Study of Midsized Employers in Low-Wage Industries , 2012, American journal of health promotion : AJHP.

[37]  John McGeary,et al.  Delay discounting, locus of control, and cognitive impulsiveness independently predict tobacco dependence treatment outcomes in a highly dependent, lower socioeconomic group of smokers. , 2012, The American journal on addictions.

[38]  Russell M. Viner,et al.  Health promotion , 2005, BMJ : British Medical Journal.

[39]  Robert N. Singer,et al.  Changing Attributions with an Attribution Training Technique Related to Basketball Dribbling , 1997 .

[40]  Allison Druin,et al.  Technology probes: inspiring design for and with families , 2003, CHI '03.

[41]  Yasmin B. Kafai,et al.  Beyond Barbie and Mortal Kombat: New Perspectives on Gender and Gaming , 2008 .

[42]  Andy Dearden,et al.  Engaging teenagers productively in service design , 2013, Int. J. Child Comput. Interact..

[43]  Anselm L. Strauss,et al.  Basics of qualitative research : techniques and procedures for developing grounded theory , 1998 .

[44]  William G. Griswold,et al.  Usability and Feasibility of PmEB: A Mobile Phone Application for Monitoring Real Time Caloric Balance , 2006, 2006 Pervasive Health Conference and Workshops.

[45]  Katie A. Siek,et al.  Snack Buddy: Supporting Healthy Snacking in Low Socioeconomic Status Families , 2015, CSCW.

[46]  Lena Mamykina,et al.  MAHI: investigation of social scaffolding for reflective thinking in diabetes management , 2008, CHI.

[47]  Deborah Lupton,et al.  Self-tracking cultures: towards a sociology of personal informatics , 2014, OZCHI.

[48]  D. Stokols Translating Social Ecological Theory into Guidelines for Community Health Promotion , 1996, American journal of health promotion : AJHP.

[49]  B. Cobb,et al.  Parental monitoring: association with adolescents' risk behaviors. , 2001, Pediatrics.

[50]  S. Kumanyika,et al.  Targeting Interventions for Ethnic Minority and Low-Income Populations , 2006, The Future of children.