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The DECENT Toolkit to Support Design of User Engagement of Mobile Health Technologies from a Practice Theory Perspective

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Co-creating for Context in the Transfer and Diffusion of IT (TDIT 2022)

Abstract

User engagement is critical for the successful adoption and use of mobile health apps, but it is also influenced by a variety of factors that are not always easily accessible or quantified by designers in practice. The goal of this paper is to facilitate the application of activity theory and the communicative ecological framework to uncover various socio-cultural contexts for user engagement designs using the Design Process Engagement Enhancement System (DECENT) toolkit. The DECENT toolkit is an innovative theory-based design tool and associated method that includes socio-cultural filtration and a socio-cultural checklist that are augmented in the phases of the user-centered design model. This paper presents a set of consolidating concepts to guide future design practice which broaden designers’ knowledge of mobile health app designs for user engagement. Finally, to fully explain and design for user engagement in mobile health, an integrated approach incorporating a variety of technological and socio-cultural factors is presented.

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References

  1. Doherty, K., Doherty, G.: Engagement in HCI: conception, theory, and measurement. ACM Comput. Surv. (CSUR) 51(5), 1–39 (2018)

    Article  Google Scholar 

  2. Hingle, M., Patrick, H.: There are thousands of apps for that: navigating mobile technology for nutrition education and behavior. J. Nutr. Educ. Behav. 48(3), 213–218 (2016)

    Article  Google Scholar 

  3. Tang, J., Abraham, C., Stamp, E., Greaves, C.: How can weight-loss app designers best engage and support users? A qualitative investigation. Br. J. Health. Psychol. 20(1), 151–171 (2015)

    Article  Google Scholar 

  4. Ikwunne, T., Hederman, L., Wall, P.J.: Design processes for user engagement with mobile health: a systematic review. Int. J. Adv. Comput. Sci. Appl. 13(2), 291–303 (2022)

    Google Scholar 

  5. Ikwunne, T., Hederman, L., Wall, P.J.: Understanding user engagement in information and communications technology for development: an exploratory study. In: Stephanidis, C., Marcus, A., Rosenzweig, E., Rau, P.-L.P., Moallem, A., Rauterberg, M. (eds.) HCII 2020. LNCS, vol. 12423, pp. 710–721. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-60114-0_46

    Chapter  Google Scholar 

  6. Brodie, R.J., Hollebeek, L.D., Jurić, B., Ilić, A.: Customer engagement: conceptual domain, fundamental propositions, and implications for research. J. Serv. Res. 14(3), 252–271 (2011)

    Article  Google Scholar 

  7. Brodie, R.J., Ilic, A., Juric, B., Hollebeek, L.: Consumer engagement in a virtual brand community: an exploratory analysis. J. Bus. Res. 66(1), 105–114 (2013)

    Article  Google Scholar 

  8. Hollebeek, L.: Exploring customer brand engagement: definition and themes. J. Strateg. Mark. 19(7), 555–573 (2011)

    Article  Google Scholar 

  9. Böhm, A.K., Jensen, M.L., Sørensen, M.R., Stargardt, T.: Real-world evidence of user engagement with mobile health for diabetes management: longitudinal observational study. JMIR Mhealth Uhealth 8(11), e22212 (2020)

    Article  Google Scholar 

  10. Grady, A., Yoong, S., Sutherland, R., Lee, H., Nathan, N., Wolfenden, L.: Improving the public health impact of eHealth and mHealth interventions. Australian and New Zealand Journal of Public Health 42(2), 118–119 (2018). https://doi.org/10.1111/1753-6405.12771

    Article  Google Scholar 

  11. Machado, G.C., et al.: Smartphone apps for the self-management of low back pain: a systematic review. Best Pract. Res. Clin. Rheumatol. 30(6), 1098–1109 (2016)

    Article  Google Scholar 

  12. Ono, M.M.: Emergent strategies for designing new products facing cultural diversity, within the globalisation context. In: 2nd conference on innovative research in management, Stockholm (2002)

    Google Scholar 

  13. Shen, S.T., Woolley, M., Prior, S.: Towards culture-centred design. Interact. Comput. 18(4), 820–852 (2006)

    Article  Google Scholar 

  14. Hofstede, G.: Cultures and Organizations: Software of the Mind. McGraw-Hill, New York (1991)

    Google Scholar 

  15. De Angeli, A., Kyriakoullis, L.: Globalisation vs. localisation in e-commerce: cultural-aware interaction design. In: Proceedings of the working conference on Advanced visual interfaces, pp. 250–253 (2006)

    Google Scholar 

  16. Honold, P.: Learning how to use a cellular phone: comparison between German and Chinese users. Tech. Commun. 46(2), 196–205 (1999)

    Google Scholar 

  17. Sonderegger, A., Sauer, J.: The influence of socio-cultural background and product value in usability testing. Appl. Ergon. 44(3), 341–349 (2013)

    Article  Google Scholar 

  18. Ikwunne, T., Hederman, L., Wall, P.J.: Theoretical perspectives towards culture-centered user engagement design for mobile health in the global south. In: Future Technologies Conference (2022)

    Google Scholar 

  19. Cowley, B., Charles, D., Black, M., Hickey, R.: Toward an understanding of flow in video games. Comput. Entertain. (CIE) 6(2), 1–27 (2008)

    Article  Google Scholar 

  20. Seddon, K., Skinner, N.C., Postlethwaite, K.C.: Creating a model to examine motivation for sustained engagement in online communities. Educ. Inf. Technol. 13(1), 17–34 (2008)

    Article  Google Scholar 

  21. O’Brien, H.L., Toms, E.G.: What is user engagement? A conceptual framework for defining user engagement with technology. J. Am. Soc. Inform. Sci. Technol. 59(6), 938–955 (2008)

    Article  Google Scholar 

  22. Sidner, C.L., Lee, C., Kidd, C.D., Lesh, N., Rich, C.: Explorations in engagement for humans and robots. Artif. Intell. 166(1–2), 140–164 (2005)

    Article  Google Scholar 

  23. Davis, F.D.: A technology acceptance model for empirically testing new end-user information systems: theory and results. Doctoral dissertation, Massachusetts Institute of Technology (1985)

    Google Scholar 

  24. Venkatesh, M., Davis, D.: User acceptance of information technology: Toward a unified view. MIS Quarterly 27(3), 425 (2003). https://doi.org/10.2307/30036540

    Article  Google Scholar 

  25. Short, C., Rebar, A., Plotnikoff, R., Vandelanotte, C.: Designing engaging online behaviour change interventions: a proposed model of user engagement (2015)

    Google Scholar 

  26. Ludden, G.D., Van Rompay, T.J., Kelders, S.M., van Gemert-Pijnen, J.E.: How to increase reach and adherence of web-based interventions: a design research viewpoint. J. Med. Internet Res. 17(7), e4201 (2015)

    Article  Google Scholar 

  27. Engeström, Y., Miettinen, R., Punamäki, R., (eds.): Perspectives on Activity Theory. Cambridge University Press, Cambridge (1999)

    Google Scholar 

  28. Frambach, J.M., Driessen, E.W., van der Vleuten, C.P.M.: Using activity theory to study cultural complexity in medical education. Perspect. Med. Educ. 3(3), 190–203 (2014). https://doi.org/10.1007/s40037-014-0114-3

    Article  Google Scholar 

  29. Altheide, D.L.: An ecology of communication: toward a mapping of the effective environment. Sociol. Q. 35(4), 665–683 (1994)

    Article  Google Scholar 

  30. Bichler, M.: Design science in information systems research. Wirtschaftsinformatik 48(2), 133–135 (2006). https://doi.org/10.1007/s11576-006-0028-8

    Article  Google Scholar 

  31. Peffers, K., Tuunanen, T., Rothenberger, M.A., Chatterjee, S.: A design science research methodology for information systems research. J. Manag. Inf. Syst. 24(3), 45–77 (2007)

    Article  Google Scholar 

  32. Roussou, M., Katifori, A., Pujol, L., Vayanou, M., Rennick-Egglestone, S.J.: A life of their own: museum visitor personas penetrating the design lifecycle of a mobile experience. In: CHI’13 Extended Abstracts on Human Factors in Computing Systems, pp. 547–552 (2013)

    Google Scholar 

  33. Cooper, A., Reimann, R.M.: About Face 2.0. Wiley Publishing, Indianapolis (2002)

    Google Scholar 

  34. Grudin, J., Pruitt, J.: Personas, participatory design and product development: an infrastructure for engagement. In: Proceedings of the Participatory Design Conference, pp. 144e161. ACM Press (2002)

    Google Scholar 

  35. Ma, J., LeRouge, C.: Introducing user profiles and personas into information systems development. In: Proceedings of the Americas Conference on Information Systems. AIS (2007)

    Google Scholar 

  36. Chapman, C.N., Milham, R.P.: The personas’ new clothes: methodological and practical arguments against a popular method. Proc. Hum. Factors Ergon. Soc. Annu. Meet. 50(5), 634–636 (2006). https://doi.org/10.1177/154193120605000503

    Article  Google Scholar 

  37. Miaskiewicz, T., Kozar, K.A.: Personas and user-centered design: how can personas benefit product design processes? Des. Stud. 32(5), 417–430 (2011)

    Article  Google Scholar 

  38. Dourish, P.: What we talk about when we talk about context. Pers. Ubiquit. Comput. 8(1), 19–30 (2004)

    Article  Google Scholar 

  39. Foth, M., Hearn, G.: Networked individualism of urban residents: discovering the communicative ecology in inner-city apartment buildings. Inf. Commun. Soc. 10(5), 749–772 (2007)

    Article  Google Scholar 

  40. Lee, D.Y.: Interaction of cultures through Design’Cross-Cultural Design (CCD) learning model: the development and implementation of CCD design education in South Korean higher education. Doctoral dissertation, University of London, Goldsmiths (2016)

    Google Scholar 

Download references

Acknowledgments

This research was conducted with the financial support of Science Foundation Ireland under Grant Agreement No. Grant 18/CRT/6222 at the ADAPT SFI Research Centre at Trinity College Dublin. The ADAPT SFI Centre for Digital Content Technology is funded by Science Foundation Ireland through the SFI Research Centres Programme and is co-funded under the European Regional Development Fund (ERDF) through Grant #13/RC/2106_P2.

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Correspondence to Tochukwu Ikwunne .

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Ikwunne, T., Hederman, L., Wall, P.J. (2022). The DECENT Toolkit to Support Design of User Engagement of Mobile Health Technologies from a Practice Theory Perspective. In: Elbanna, A., McLoughlin, S., Dwivedi, Y.K., Donnellan, B., Wastell, D. (eds) Co-creating for Context in the Transfer and Diffusion of IT. TDIT 2022. IFIP Advances in Information and Communication Technology, vol 660. Springer, Cham. https://doi.org/10.1007/978-3-031-17968-6_6

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  • DOI: https://doi.org/10.1007/978-3-031-17968-6_6

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