Using mobile technology to guide people through self-experimentation to investigate health questions is a feasible and promising approach to advancing personalized health.
Diagnostic self-tracking, the recording of personal information to diagnose or manage a health condition, is a common practice, especially for people with chronic conditions. Unfortunately, many who attempt diagnostic self-tracking have trouble accomplishing their goals. People often lack knowledge and skills needed to design and conduct scientifically rigorous experiments, and current tools provide little support. To address these shortcomings and explore opportunities for diagnostic self-tracking, we designed, developed, and evaluated a mobile app that applies a self-experimentation framework to support patients suffering from irritable bowel syndrome (IBS) in identifying their personal food triggers. TummyTrials aids a person in designing, executing, and analyzing self-experiments to evaluate whether a specific food triggers their symptoms. We examined the feasibility of this approach in a field study with 15 IBS patients, finding that participants could use the tool to reliably undergo a self-experiment. However, we also discovered an underlying tension between scientific validity and the lived experience of self-experimentation. We discuss challenges of applying clinical research methods in everyday life, motivating a need for the design of self-experimentation systems to balance rigor with the uncertainties of everyday life.
Input is a significant problem for wearable systems, particularly for head mounted virtual and augmented reality displays. Existing input techniques either lack expressive power or may not be socially acceptable. As an alternative, thumb-to-finger touches present a promising input mechanism that is subtle yet capable of complex interactions. We present DigiTouch, a reconfigurable glove-based input device that enables thumb-to-finger touch interaction by sensing continuous touch position and pressure. Our novel sensing technique improves the reliability of continuous touch tracking and estimating pressure on resistive fabric interfaces. We demonstrate DigiTouch’s utility by enabling a set of easily reachable and reconfigurable widgets such as buttons and sliders. Since DigiTouch senses continuous touch position, widget layouts can be customized according to user preferences and application needs. As an example of a real-world application of this reconfigurable input device, we examine a split-QWERTY keyboard layout mapped to the user’s fingers. We evaluate DigiTouch for text entry using a multi-session study. With our continuous sensing method, users reliably learned to type and achieved a mean typing speed of 16.0 words per minute at the end of ten 20-minute sessions, an improvement over similar wearable touch systems.
Although self-tracking offers potential for a more complete, accurate, and longer-term understanding of personal health, many people struggle with or fail to achieve their goals for health-related self-tracking. This paper investigates how to address challenges that result from current self-tracking tools leaving a person's goals for their data unstated and lacking explicit support. We examine supporting people and health providers in expressing and pursuing their tracking-related goals via goal-directed self-tracking, a novel method to represent relationships between tracking goals and underlying data. Informed by a reanalysis of data from a prior study of migraine tracking goals, we created a paper prototype to explore whether and how goal-directed self-tracking could address current disconnects between the goals people have for data in their chronic condition management and the tools they use to support such goals. We examined this prototype in interviews with 14 people with migraine and 5 health providers. Our findings indicate the potential for scaffolding goal-directed self-tracking to: 1) elicit different types and hierarchies of management and tracking goals; 2) help people prepare for all stages of self-tracking towards a specific goal; and 3) contribute additional expertise in patient-provider collaboration. Based on our findings, we present implications for the design of tools that explicitly represent and support an individual's specific self-tracking goals.
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