Aino Ahtinen

Empowering Citizens for Well-being and Chronic Disease Management With Wellness Diary

Chronic conditions closely related to lifestyles are the major cause of disability and death in the developed world. Behavior change is the key to managing well-being and preventing and managing chronic diseases. Wellness diary (WD) is a mobile application designed to support citizens in learning about their behavior, and both making and maintaining behavior changes. WD has been found acceptable, useful, and suitable for long-term use as a part of an intervention. When used independently, however, it does not seem to have enough engaging and motivating features to support adoption and long-term commitment. The main improvement needs identified based on a review of WD-related studies were: personalization of the application to individual needs, increasing motivation during early use, maintaining motivation, and aiding in relapse recovery in long-term use. We present concepts to improve the personalization of WD as well as improvements to the feedback and interpretation of the self-observation data. We also present usage models on how this type of mobile application could be utilized.

Let's all get up and walk to the North Pole: design and evaluation of a mobile wellness application

Mobile wellness applications can motivate people to exercise more because of their ubiquitous presence and suitable technological possibilities. Wellness applications utilize several factors that can increase physical activity levels of users, e.g., data tracking, social sharing and playfulness. We describe the design and evaluation of a mobile-phone based wellness application addressing social sharing and playfulness. In our user study with 37 participants we focus on presentation of physical activity data as a virtual trip on a map-based game world. The findings reveal design implications that support users to be motivated in doing the physical exercise, including setting departure and destination places and viewing up-to-date progress between them. The virtual trip was considered an understandable, concrete and interesting analogy. The familiarity of the map of the home country as the game world was liked because it added concreteness and understandability to the achievements.

User experiences of mobile wellness applications in health promotion: User study of Wellness Diary, Mobile Coach and SelfRelax

An ever-increasing number of people are affected by lifestyle-related health risks, such as overweight, physical inactivity and stress. An ongoing Nuadu trial studies the user acceptance and effectiveness of technologies in supporting the wellness management of working-age citizens. The technologies consist of different Web, mobile and wearable solutions. In this paper, we present the user experience results of three mobile wellness applications: the Wellness Diary, Mobile Coach and SelfRelax. We studied their usefulness, perceived usability, usage habits and motivational factors gathered during the first phase of the trial. The data were collected with user experience questionnaires and interviews, as well as actual usage logs from mobile applications. The findings indicate that the usage habits change during the usage period of more than two months towards more practical ways of use. The results also point out several aspects to be considered when developing future wellness applications for long-term use. These are, e.g. adaptability, versatility, guidance and usability.

Tracking Outdoor Sports --- User Experience Perspective

In this paper, the potential role of a sport tracking application is examined in the context of supporting tracking outdoor sporting activities. A user study with 28 participants was conducted to study the usage habits and user experiences evoked. The application consists of a mobile tracking tool and a related web service. It collects and stores workout data such as the route, speed and time, and compiles a training diary that can be viewed in many ways during the exercise and afterwards. Data can be uploaded into a web service for further analysis or for sharing it with others. The results show high interest in tracking outdoor sports with a mobile phone application --- the participants used the application during almost all exercise sessions and stated that they would continue using the application after the study. Sharing data was not perceived as valuable, although some usage scenarios for social sharing arose.

Personal health technologies in employee health promotion: usage activity, usefulness, and health-related outcomes in a 1-year randomized controlled trial.

Background Common risk factors such as obesity, poor nutrition, physical inactivity, stress, and sleep deprivation threaten the wellness and work ability of employees. Personal health technologies may help improve engagement in health promotion programs and maintenance of their effect. Objective This study investigated personal health technologies in supporting employee health promotion targeting multiple behavioral health risks. We studied the relations of usage activity to demographic and physiological characteristics, health-related outcomes (weight, aerobic fitness, blood pressure and cholesterol), and the perceived usefulness of technologies in wellness management. Methods We conducted a subgroup analysis of the technology group (114 subjects, 33 males, average age 45 years, average BMI 27.1 kg/m2) of a 3-arm randomized controlled trial (N=352). The trial was organized to study the efficacy of a face-to-face group intervention supported by technologies, including Web services, mobile applications, and personal monitoring devices. Technology usage was investigated based on log files and questionnaires. The associations between sustained usage of Web and mobile technologies and demographic and physiological characteristics were analyzed by comparing the baseline data of sustained and non-sustained users. The associations between sustained usage and changes in health-related outcomes were studied by repeated analysis of variance, using data measured by baseline and end questionnaires, and anthropometric and laboratory measurements. The experienced usability, usefulness, motivation, and barriers to using technologies were investigated by 4 questionnaires and 2 interviews. Results 111 subjects (97.4%) used technologies at some point of the study, and 33 (29.9%) were classified as sustained users of Web or mobile technologies. Simple technologies, weight scales and pedometer, attracted the most users. The sustained users were slightly older 47 years (95% CI 44 to 49) versus 44 years (95% CI 42 to 45), P=.034 and had poorer aerobic fitness at baseline (mean difference in maximal metabolic equivalent 1.0, 95% Cl 0.39 to 1.39; P=.013) than non-sustained users. They succeeded better in weight management: their weight decreased -1.2 kg (95% CI -2.38 to -0.01) versus +0.6 kg (95% CI -0.095 to 1.27), P=.006; body fat percentage -0.9%-units (95% CI -1.64 to -0.09) versus +0.3%-units (95% CI -0.28 to 0.73), P=.014; and waist circumference -1.4 cm (95% CI -2.60 to -0.20) versus +0.7 cm (95% CI -0.21 to 1.66), P=.01. They also participated in intervention meetings more actively: median 4 meetings (interquartile range; IQR 4–5) versus 4 meetings (IQR 3–4), P=.009. The key factors in usefulness were: simplicity, integration into daily life, and clear feedback on progress. Conclusions Despite active initial usage, less than 30% of subjects continued using Web or mobile technologies throughout the study. Sustained users achieved better weight-related outcomes than non-sustained users. High non-usage attrition and modest outcomes cast doubt on the potential of technologies to support interventions.

Design of mobile wellness applications: identifying cross-cultural factors

This paper explores the design of mobile applications for supporting wellness activities. A cross-cultural user study was conducted in India and Finland. 16 participants used a technology probe (a mobile application called Wellness Diary) for the duration of two weeks. The focus of the study was to identify design factors that need to be considered when designing culturally sensitive mobile wellness applications. The findings are based on the subjective user experience reported by the participants, data collected with the technology probe, and ideas and needs of the participants that surfaced during the study. Results show that both cultural and environmental factors affect the needs towards the wellness application and usage of it. Differences were identified, for example, in how users defined wellness, what wellness concerns they had, attitudes towards setting goals, and how built and natural environments affected wellness activities.

Personal health promotion through personalized health technologies — Nuadu experience

Poor lifestyles — overweight, unhealthy diet, physical inactivity, sleep deprivation, and stress — are significant risk factors to chronic illnesses, which cause majority of the health care costs. Hence, behavioral change towards healthy lifestyles is one of the keys to health care cost containment. Personal health systems (PHS) offer tools to support behavioral change. As health risks, personal needs and preferences vary from an individual to another, personalization of the PHS is needed. In Nuadu project we have developed a PHS integrating several different personal health technologies. This system was studied in a large (N=354) randomized controlled trial where employees with several health risks participated in a health promotion program. The study will finish in June 2009. User feedback and technology usage logs reveal that especially simple mobile technologies were actively used during the program. However, usage models varied between individuals and time, and there was a significant number of both active users and non-users. The results emphasize that “one size” does not fit all, and instead of individual “killer applications”, PHS with different personalizable and interoperable options should be developed. In addition, screening and profiling methods should be developed to identify those users who would best accept and benefit from technology-supported health promotion. Successful technologies combine high usability and conceptual simplicity to clear and perceivable added value for the end users.

Animated Transitions for Adaptive Small Size Mobile Menus

This paper explores how the user interface of a mobile device could support human perception and conception of changes in its environment. Animated transition effects may hold potential for visualizing changes in the resources available for the user through the context-aware user interface. Four different transition types are investigated. Each transition represents a different approach for visualizing changes in UI. The transitions are evaluated with 40 test subjects, half in India and half in Europe. Statistical analysis of the results indicates that animated transition effects have a clear positive effect on perception and conception of change.

Developing a mobile reporting system for road maintenance: user research perspective

Mobile telecommunication technology with enhanced connectivity and multimedia features offers new possibilities to develop field tools for mobile workers. In this paper we present a study on developing a mobile tool for road maintenance workers by applying user centric design process, and discuss the challenges of the environment for both the process and the outcome

Mobile photo browsing with pipelines and spatial cues

Local memory in mobile devices increases rapidly. Simultaneously, new content creation devices, such as digital cameras, are embedded. As a consequence, the amount of locally stored content is bound to increase in huge numbers. In order to provide support for end-users in managing this ever-growing pile of content, new means of accessing, organizing, and enjoying the content are needed. We investigate techniques that may be used to display more information, especially visual content, on the mobile device screen at once, as well as accessing the content with ease. We focus on visual interaction, with a media manager as a target application. We present the design factors and a prototype application running on a mobile phone. We show that it is feasible to include spatial cues in the design of mobile user interfaces, and report an initial usability study with very encouraging results.