scholarly journals Self-Tracking Health Over Time: From the Use of Instagram to Perform Optimal Health to the Protective Shield of the Digital Detox

2020 ◽  
Vol 6 (3) ◽  
pp. 205630512094069
Author(s):  
Rachael Kent

Instagram and self-tracking technologies enable multiple ways to perform and represent the body and health. No research has yet explored how self-tracking technologies and self-representations of health identity on social media, in particular Instagram, influence health “sharing” online and individual health management offline. To enable a thorough investigation of how self-tracking mediations of identity construction work in practice, through a textual and thematic analysis of empirical ethnographic data from online content, reflexive diaries and semi-structured interviews with 14 participants, this research examines the use of these converged technologies to share health-related data on Instagram in the performance of optimal health identities. Participants identified pressures that arose from this continual performative identity of being a healthy role model under persistent self- and community surveillance, which also led to the development of powerful compulsions to use these technologies to document and share many aspects of health and lifestyle. Over time, the participants attempted to disengage and detox either temporarily or permanently from Instagram, to enable a protective shield from the pervasive, normalized surveillance and community practices. Most interestingly, even when they removed these technologies and platforms from their daily lives, participants still felt neglectful to their devices, to themselves, and to their communities online in their abstinence and resistance to perform optimal health practices.

Author(s):  
Naoko Horikoshi ◽  
Masaharu Maeda ◽  
Hajime Iwasa ◽  
Maho Momoi ◽  
Yuichi Oikawa ◽  
...  

ABSTRACT The Fukushima Daiichi Nuclear Power Station accident in 2011 produced over 100000 evacuees. In order to deal with an increased need of mental health care, brief, transdiagnostic Telephonic Interventions (TI) have been provided for those at risk of different mental health problems identified based on results of the Mental Health and Lifestyle Survey (MHLS). This study aimed to examine usefulness of TI with focusing on evacuees’ subjective estimation assessed in individual follow-up interviews. The sample comprised 484 persons who had been evacuated from 13 municipalities in Fukushima Prefecture to 8 safer regions in and out of Fukushima. We conducted semi-structured interviews for participants receiving TI (intervention group) and those not receiving TI despite being identified as high risk (non-intervention group). The intervention group was older, had a higher proportion of self-reported mental illness, and higher unemployment compared with the non-intervention group. The satisfaction proportion of those who underwent TI was as high as 74.6%. Satisfaction was significantly associated with advance knowledge of TI availability (OR = 3.00, 95% CI: 1.59‐5.64), and advice on health-related practices (OR = 2.15, 95% CI: 1.12‐4.13). Thus, TI is considered to be feasible and useful for public health management practices in major disasters.


2022 ◽  
pp. 026461962110673
Author(s):  
May Britt Frøysa Lyngroth ◽  
Frøydis Gammelsæter

The aim of this study was to explore what persons with visual impairment (VI) experienced as stressful in their daily lives and their experiences with using mindfulness training (MT) to cope with stressful situations. In order to explore this we conducted semi-structured interviews with six persons with VI after finishing an 8-week MT course. Systematic text condensation was used to analyze the interviews. This qualitative study found that the participants described three main areas of stress: (1) lack of access to information, (2) social expectations, and (3) navigating the body through one’s surroundings. The participants’ experiences with using MT to cope with stressful situations resulted in emotion-based and problem-based strategies: (1) breathing anchor, (2) awareness of and reflection upon thoughts and feelings, (3) most things are doable, (4) tackling the situation in a new way, and (5) haste makes waste. Our respondents described using MT for coping with stressful situations in all the three main areas of stress. Based upon this study we propose that there is good reason to offer MT as stress management for persons with VI, but further study is required to confirm the health-promoting benefits of MT for this group.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S442-S442
Author(s):  
Yong K Choi ◽  
Hilaire J Thompson ◽  
George Demiris

Abstract Current tools for health management such as personal health records (PHR), mobile applications, and wearable devices rely on conventional interfaces such as keyboard and mouse with screens for reading information. More recently, Internet-of-things (IoT) voice-activated smart speakers and embedded Artificial Intelligence (AI) assistants have emerged that may provide an effective user interaction platform to support healthy aging, creating a hands-free, conversational way to access and share health related data. We conducted an exploratory study with nineteen older adults (65+) who chose to evaluate a smart speaker for a 2-month as part of a larger IoT feasibility study. Three interview sessions were conducted to gather attitudes towards this technology. Participants provided feedback on future improvements or desirable features for health maintenance. A content analysis was performed to extract common themes. In general, participants expressed a positive experience with the voice interface and discussed its potential as an integral tool for their home health management. Based on these findings, we propose a voice interaction smart home platform to support healthy aging. This platform provides an intuitive voice user interface to execute commands to access, record, and query data from IoT sensors, a PHR and a hospital EHR. For example, the voice interaction platform will help individuals to dynamically explore their own health data thus eliminating manual and tedious searching of PHR data. We demonstrate how this platform can potentially improve usability issues including difficulties navigating charts and entering or retrieving health data using conventional interfaces. Finally, we highlight ethical and technical considerations.


2021 ◽  
Author(s):  
Katharina Pilgrim ◽  
Sabine Bohnet-Joschko

BACKGROUND Health self-tracking is perceived as evidence-based approach to optimize health and well-being for personal self-improvement by lifestyle changes. At the same time user-generated health-related data can be of particular value for (health care) research. As longitudinal data, they can provide evidence for developing better and new medications, diagnosing rare diseases faster, or treating chronic diseases. OBJECTIVE The paper strives to expand the body of knowledge on influential motives of a voluntary data donation among German health self-trackers. At the same time, the study adds to the research on the effectiveness of digital nudges among health self-trackers. METHODS A digital experiment was implemented in an online questionnaire via graphical manipulation of the tracking app Runtastics’ interface. 5 independent groups were each questioned about the likelihood of donating their tracked data for research. We employed 4 different digital forced-choice nudges generated from literature on motives for self-tracking, for data donation and data sharing. Thus, the 4 test groups each received a quid pro quo, including two different egoistic, one pseudo-prosocial, and one prosocial benefit, while the control group received no benefit for data donation. RESULTS A sample of N=919 was generated with 68% women and 32% men. The 5 test groups are evenly divided by about 20%. A statistical group comparison shows that men are significantly more likely (P=.037) with a small effect size (r=.21) to donate their self-tracked data for research if a prosocial added value is offered (in this case: making a contribution to society) compared to the control group without countervalue. Selfish or pseudo-prosocial countervalues had no significant effect on willingness to donate health data. CONCLUSIONS While surveys regularly reveal an 80 to 95% willingness to donate data on average in the population, our results show that only 41% of health self-trackers would donate their self-collected health data to research. While selfish motives do not significantly influence willingness to donate, linking data donation to added societal value could increase the likelihood to donate among male self-trackers significantly by 15.5%. Thus, prosocial motives promote willingness to donate data among health self-trackers and should be emphasized in campaign designs for health data donation. The implementation of forced-choice framing nudged within tracking apps presented in a pop-up window can add to the accessibility of user-generated health-related data for research.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S978-S978
Author(s):  
Carolyn L Turturro ◽  
Rosalie Otters ◽  
Zeferin Turturro

Abstract Homelessness is a critical social problem for this nation. It takes a tremendous toll on individuals and families who live without stable shelter, adequate food, and personal security, as well as strains the societal resources. The mean age of death for people experiencing homelessness has been reported to be age 50, far less than the 76 years that is the average for Arkansas. This study investigates the sociodemographic, behavioral and health-related data of 331 adults experiencing homelessness in Central Arkansas. Data was collected by structured interviews during recent homeless counts. Participants ranged in age from 18 to 70, with quartiles established for ages 18-35, 36-45, 46-55 and 56 –70. Sociodemographic comparisons of the groups included education, income, months homeless, work and veteran status, behavioral variables included alcohol use and drug abuse, whereas health-related comparisons included reported diabetes, heart disease, diabetes, high blood pressure, heart disease, problems with hearing, vision, walking as well as mental health including anxiety and depression; in addition, medication procurement and available assistance from family and friends were compared. Preliminary results suggest significant differences, as well as some similarities, among the four age quartiles. Analyses are on-going.


2010 ◽  
Vol 1 (3) ◽  
pp. 49-68 ◽  
Author(s):  
James L. Wilson ◽  
Christopher J. Mansfield

More than a trillion dollars of public money is spent annually on health care in the United States. In order to inform policymakers, health advocacy groups, tax-paying constituents, and beneficiaries, it would be useful to present and analyze health outcome and health-related data at the U.S. congressional district level. Presently, health event data are not reported at this political unit; however, recent interest and advances in areal interpolation techniques are beginning to transcend the inherent limitations imposed by legacy data collection and analyses systems. In this paper, the authors use the dasymetric approach to illustrate how this areal interpolation technique can be used to transfer county-level mortality rate data from several causes of death to the U.S. congressional district level. The study’s primary goal is to promote areal interpolation techniques in the absence of a systematic and comprehensive national program for geocoding health events.


Author(s):  
Georgina E. Sellyn ◽  
Alan R. Tang ◽  
Shilin Zhao ◽  
Madeleine Sherburn ◽  
Rachel Pellegrino ◽  
...  

OBJECTIVEThe authors’ previously published work validated the Chiari Health Index for Pediatrics (CHIP), a new instrument for measuring health-related quality of life (HRQOL) for pediatric Chiari malformation type I (CM-I) patients. In this study, the authors further evaluated the CHIP to assess HRQOL changes over time and correlate changes in HRQOL to changes in symptomatology and radiological factors in CM-I patients who undergo surgical intervention. Strong HRQOL evaluation instruments are currently lacking for pediatric CM-I patients, creating the need for a standardized HRQOL instrument for this patient population. This study serves as the first analysis of the CHIP instrument’s effectiveness in measuring short-term HRQOL changes in pediatric CM-I patients and can be a useful tool in future CM-I HRQOL studies.METHODSThe authors evaluated prospectively collected CHIP scores and clinical factors of surgical intervention in patients younger than 18 years. To be included, patients completed a baseline CHIP captured during the preoperative visit, and at least 1 follow-up CHIP administered postoperatively. CHIP has 2 domains (physical and psychosocial) comprising 4 components, the 3 physical components of pain frequency, pain severity, and nonpain symptoms, and a single psychosocial component. Each CHIP category is scored on a scale, with 0 indicating absent and 1 indicating present, with higher scores indicating better HRQOL. Wilcoxon paired tests, Spearman correlations, and linear regression models were used to evaluate and correlate HRQOL, symptomatology, and radiographic factors.RESULTSSixty-three patients made up the analysis cohort (92% Caucasian, 52% female, mean age 11.8 years, average follow-up time 15.4 months). Dural augmentation was performed in 92% of patients. Of the 63 patients, 48 reported preoperative symptoms and 42 had a preoperative syrinx. From baseline, overall CHIP scores significantly improved over time (from 0.71 to 0.78, p < 0.001). Significant improvement in CHIP scores was seen in patients presenting at baseline with neck/back pain (p = 0.015) and headaches (p < 0.001) and in patients with extremity numbness trending at p = 0.064. Patients with syringomyelia were found to have improvement in CHIP scores over time (0.75 to 0.82, p < 0.001), as well as significant improvement in all 4 components. Additionally, improved CHIP scores were found to be significantly associated with age in patients with cervical (p = 0.009) or thoracic (p = 0.011) syrinxes.CONCLUSIONSThe study data show that the CHIP is an effective instrument for measuring HRQOL over time. Additionally, the CHIP was found to be significantly correlated to changes in symptomatology, a finding indicating that this instrument is a clinically valuable tool for the management of CM-I.


2015 ◽  
Author(s):  
William E. Hammond ◽  
Vivian L. West ◽  
David Borland ◽  
Igor Akushevich ◽  
Eugenia M. Heinz

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