Sharing Personal Reflections on Health Locally

  • Andrea GrimesEmail author
Part of the Computer Supported Cooperative Work book series (CSCW)


Researchers are becoming increasingly interested in developing systems that help people live healthier lifestyles. Little attention has been paid, however, to how technology can address the significant health disparities in populations such as low-income African Americans. To address this research gap, I designed EatWell specifically for residents in low-income African American communities in Atlanta, GA. EatWell is a system for cell phones that lets people share how they have tried to eat healthfully with individuals in their local neighborhoods. In this chapter, I discuss the characteristics of the community that was created as people shared their personal stories and reflections in EatWell. Specifically, I describe the users themselves (the who), the context of use (the where), the kind of content people created (the what), and the way in which they interacted with the content (the how). Finally, I discuss the implications of designing health applications for people in local contexts, a class of systems that I call deeply local health applications.


Cell Phone Health Disparity Experiential Knowledge African American Community Community Empowerment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Consumer Electronics Association (2005) Handheld Content: Measuring Usage and Subscription Service Opportunities. see
  2. Ahye B, Devine C & Odoms-Young A (2006) Values expressed through intergenerational family food and nutrition management systems among African American women. Family & Community Health 29(1): 5–16Google Scholar
  3. Airhihenbuwa CO & Kumanyika S (1996) Cultural aspects of african american eating patterns. Ethnicity & Health 1(3): 245–260CrossRefGoogle Scholar
  4. Anderson I, Maitland J, Sherwood S et al. (2007) Shakra: tracking and sharing daily activity levels with unaugmented mobile phones. Mob. Netw. Appl. 12(2-3): 185-199. DOI=  10.1007/s11036-007-0011-7
  5. Black AR, Cook JL, McBride Murray V M et al. (2005) Ties that bind: implications of social support for rural, partnered African American women’s health functioning. Women’s Health Issues 15(5): 216–223CrossRefGoogle Scholar
  6. Campbell MK, Honess-Morreale L, Farrell, D et al. (1999) A tailored multimedia nutrition education pilot program for low-income women receiving food assistance. Health Education Research 14(2): 257–267CrossRefGoogle Scholar
  7. Chesla, C. A., L. Fisher, et al. (2004) Family and disease management in African-American patients with type 2 diabetes. Diabetes Care 27(12): 2850–2855CrossRefGoogle Scholar
  8. Consolvo S, Everitt K, Smith I et al. (2006) Design Requirements for Technologies that Encourage Physical Activity. In: Grinter R, Rodden T, Aoki, R et al. (eds) Proceedings of CHI 2006, 457–466. ACM, New York. DOI=  10.1145/1124772.1124840
  9. Fitzgibbon ML, Stolley MR, Ganschow P et al. (2005) Results of a faith-based weight loss intervention for black women. Journal of the National Medical Association 97(10): 1393–1402Google Scholar
  10. Grimes A, Bednar M, Bolter JD et al. (2008). EatWell: Sharing nutrition-related memories in a low-income community. CSCW’08, 87-96. ACM, New York. DOI=   10.1145/1460563.1460579
  11. Grimes A & Grinter R (2007) Designing Persuasion: Health Technology for Low-Income African American Communities. Persuasive Technology (2007): 24–35.Google Scholar
  12. Horowitz CR, Tuzzio L, Rojas M et al. (2004) How do urban African Americans and latinos view the influence of diet on hypertension. Journal of Health Care for the Poor and Underserved 15(4): 631–644CrossRefGoogle Scholar
  13. Johnson GJ & Ambrose PJ (2006) Neo-tribes: the power and potential of online communities in health care. Communications of the ACM 49(1): 107-113. DOI=  10.1145/1107458.1107463
  14. Karanja N, Stevens VJ, Hollis JF et al. (2002) Steps to soulful living (steps): a weight loss program for African-American women. Ethnicity & Disease 12: 363–371Google Scholar
  15. Kreuter MW & Haughton LT (2006) Integrating culture into health information for African American women. American Behavioral Scientist 49(6): 794–811CrossRefGoogle Scholar
  16. Kreuter MW & McClure SM (2004) The role of culture in health communication. Annual Review of Public Health 25: 439–455CrossRefGoogle Scholar
  17. Kreuter MW, Skinner CS, Stegar May K et al. (2004) Responses to behaviorally vs culturally tailored cancer communication among African American women. American Journal of Health Behavior 28(3): 195–207Google Scholar
  18. Kreuter MW, Steger-May K, Bobra S et al. (2003) Sociocultural characteristics and responses to cancer education materials among African American women. Cancer Control 10(5): 69–80Google Scholar
  19. Kummervold PE, Gammon D, Bergvik T et al. (2002) Social support in a wired world: use of online mental health forums in Norway. Nordic Journal of Psychiatry 56(1): 59–65CrossRefGoogle Scholar
  20. Leimeister JM & Krcmar H (2005) Evaluation of a systematic design for a virtual patient community. Journal of Computer-Mediated Communication 10(4), article 6Google Scholar
  21. Maloney-Krichmar D & Preece J (2005) A multilevel analysis of sociability, usability, and community dynamics in an online health community. ACM Trans. Comput.-Hum. Interact. 12(2): 201–232. DOI=  10.1145/1067860.1067864
  22. Morland K, Wing S, Roux AD et al. (2001) Neighborhood characteristics associated with the location of food stores and food service places. American Journal of Preventive Medicine 22(1): 23–29CrossRefGoogle Scholar
  23. Plowden KO & Thompson LS (2002) Sociological perspectives of black American health disparity: implications for social policy. Policy, Politics, & Nursing Practice 3(4): 325–332CrossRefGoogle Scholar
  24. Rodgers S & Chen W (2005) Internet community group participation: psychosocial benefits for women with breast cancer. Journal of Computer-Mediated Communication 10(4)Google Scholar
  25. Salem DA, Bogat GA & Reid C (1997) Mutual help goes on-line. Journal of Community Psychology 25(2): 189–207CrossRefGoogle Scholar
  26. Toscos T, Faber A, Connelly K et al. (2008) Encouraging physical activity in teens: can technology help reduce barriers to physical activity in adolescent girls? In: Proceedings of Pervasive Health’08, 218–221Google Scholar
  27. Triandis HC (1995) Individualism & collectivism. Westview Press, BoulderGoogle Scholar

Copyright information

© Springer-Verlag London 2009

Authors and Affiliations

  1. 1.School of Interactive Computing, Georgia Institute of TechnologyAtlantaUSA

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