Steps, Choices and Moral Accounting: Observations from a Step-Counting Campaign in the Workplace

Sedentary work is a contributing factor to growing obesity levels worldwide. Research shows that step-counters can offer a way to motivate greater physical mobility. We present an in-situ study of a nation-wide workplace step-counting campaign. Our findings show that in the context of the workplace steps are a socially negotiated quantity and that participation in the campaign has an impact on those who volunteer to participate and those who opt-out. We highlight that specific health promotion initiatives do not operate in a vacuum, but are experienced as one out of many efforts offered to the employees. Using a social ecology lens we illustrate how conceptualizing a step-counting campaign as a health promotion rather than a behavior change effort can have implications for what is construed as success.

[1]  Thomas Zimmermann,et al.  Persuasive technology in the real world: a study of long-term use of activity sensing devices for fitness , 2014, CHI.

[2]  Matthew Chalmers,et al.  Personal tracking as lived informatics , 2014, CHI.

[3]  Emily Troshynski,et al.  Accountabilities of presence: reframing location-based systems , 2008, CHI.

[4]  Susanne Rosthøj,et al.  Sedentary work--associations between five-year changes in occupational sitting time and body mass index. , 2015, Preventive medicine.

[5]  Wanda Pratt,et al.  How to evaluate technologies for health behavior change in HCI research , 2011, CHI.

[6]  D. White,et al.  Evaluating evidence and making judgements of study quality: Loss of evidence and risks to policy and practice decisions , 2001 .

[7]  Julie Maitland,et al.  Towards negotiation as a framework for health promoting technology , 2011, SIGH.

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

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

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

[11]  K. Patrick,et al.  A Text Message–Based Intervention for Weight Loss: Randomized Controlled Trial , 2009, Journal of medical Internet research.

[12]  R. Emerson,et al.  Writing Ethnographic Fieldnotes , 1995 .

[13]  K. Tones,et al.  Health Promotion: Planning and Strategies , 2004 .

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

[15]  Alessandro Soro,et al.  Exploring Physical Activities in an Employer-Sponsored Health Program , 2015, CHI Extended Abstracts.

[16]  Helena Tobiasson,et al.  Still at the office: designing for physical movement-inclusion during office work , 2014, IHC.

[17]  Ashraf Khalil,et al.  Harnessing social dynamics through persuasive technology to promote healthier lifestyle , 2013, Comput. Hum. Behav..

[18]  Bryan Bollinger,et al.  BYOB: How Bringing Your Own Shopping Bags Leads to Treating Yourself and the Environment , 2015 .

[19]  Sara Eriksén,et al.  Designing for accountability , 2002, NordiCHI '02.

[20]  Sean A. Munson,et al.  Effects of Public Commitments and Accountability in a Technology-Supported Physical Activity Intervention , 2015, CHI.

[21]  C. Tudor-Locke,et al.  How Many Steps/Day Are Enough? , 2004, Sports medicine.

[22]  Sean A. Munson,et al.  Pervasive, persuasive health: Some challenges , 2012, 2012 6th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth) and Workshops.

[23]  Catrine Tudor-Locke,et al.  How Many Steps/Day Are Enough? Preliminary Pedometer Indices for Public Health , 2004 .

[24]  I. Olkin,et al.  Using pedometers to increase physical activity and improve health: a systematic review. , 2007, JAMA.

[25]  N. Selwyn Apart from technology: understanding people’s non-use of information and communication technologies in everyday life , 2003 .

[26]  Pernille Bjørn,et al.  Unforeseen Challenges - Adopting Wearable Health Data Tracking Devices to Reduce Health Insurance Costs in Organizations , 2015, HCI.

[27]  Monica M. C. Schraefel,et al.  Wellth Creation: Using Computer Science to Support Proactive Health , 2014, Computer.

[28]  Vijay Rajanna,et al.  Step up life: a context aware health assistant , 2014, HealthGIS '14.

[29]  Mark Johnson How moral psychology changes moral theory. , 1996 .

[30]  David Parker,et al.  Limber: exploring motivation in a workplace exergame , 2013, CSCW '13.

[31]  David E. Goodrich,et al.  Evaluating Active U: an internet-mediated physical activity program , 2009, BMC public health.

[32]  Paul Dourish,et al.  Beyond the user: use and non-use in HCI , 2009, OZCHI.

[33]  Alan Borning,et al.  Fine-grained sharing of sensed physical activity: a value sensitive approach , 2013, UbiComp.

[34]  Erin L. Krupka,et al.  Implementation and evaluation of an incentivized Internet-mediated walking program for obese adults , 2013, Translational behavioral medicine.

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

[36]  Andrew D. Miller,et al.  The work of play: supporting a pervasive health behavior change intervention for us middle school students , 2012, CSCW '12.

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

[38]  David W. McDonald,et al.  Designing for Healthy Lifestyles: Design Considerations for Mobile Technologies to Encourage Consumer Health and Wellness , 2014, Found. Trends Hum. Comput. Interact..

[39]  Catrine Tudor-Locke,et al.  Health benefits of a pedometer-based physical activity intervention in sedentary workers. , 2004, Preventive medicine.

[40]  Jonna Häkkilä,et al.  Let's all get up and walk to the North Pole: design and evaluation of a mobile wellness application , 2010, NordiCHI.

[41]  Jodi Forlizzi,et al.  Mining behavioral economics to design persuasive technology for healthy choices , 2011, CHI.

[42]  Sean A. Munson,et al.  Exploring goal-setting, rewards, self-monitoring, and sharing to motivate physical activity , 2012, 2012 6th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth) and Workshops.