Abstract
Self-monitoring with diaries is one way to identify stress causing events and the respective personal reactions. Considering the broad distribution of smartphones over the past decade, an interactive stress diary application (app) was developed. Diary entries are linked to changes in the appearance of an avatar to support regular usage behavior through vicarious reinforcement.
To investigate the effectiveness of this interactive feature on actual user behavior, 55 young adults randomly received one of two versions of the self-monitoring app, one with vicarious reinforcement (experimental group) and one with no changes in the avatar (control group). After a four week test interval, participants were asked for feedback. Moreover, participants filled out standardized psychometric questionnaires measuring the subjective stress level, occurrence of daily hassles, quality of sleep, and physical symptoms.
Diary entries were correlated with the scores of the respective standardized psychometric questionnaires, indicating convergent validity of the diary categories. A significant increase of missing diary entries over time was found for the control group only. In line with this finding, participants of the experimental group stated that watching the avatar’s change over time was fun. These results are a first step towards more interactive stress-related self-monitoring tools to improve quality of life.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kanfer FH, Gaelick-Buys L (1991) Self-management methods. In: Kanfer FH, Goldstein AP (eds) Helping people change. A textbook of methods, pp 305–360. Allyn and Bacon, Boston
Kanfer FH (1970) Self-regulation: research, issues and speculations. In: Neuringer C, Michael JL (eds) Behavior modification in clinical psychology. Appleton-Century-Crofts, New York, pp 178–220
Abraham C, Michie S (2008) A taxonomy of behavior change techniques used in interventions. Health Psychol 27:379–387 Official Journal of the Division of Health Psychology, American Psychological Association
Bandura A (1998) Health promotion from the perspective of social cognitive theory. Psychol Health 13:623–649
Breton ER, Fuemmeler BF, Abroms LC (2011) Weight loss-there is an app for that! But does it adhere to evidence-informed practices? Transl Behav Med 1:523–529
Sharp DB, Allman-Farinelli M (2014) Feasibility and validity of mobile phones to assess dietary intake. Nutrition 30:1257–1266
Hundert AS, Huguet A, McGrath PJ, Stinson JN, Wheaton M (2014) Commercially available mobile phone headache diary apps: a systematic review. JMIR mHealth uHealth 2:e36
Mattson DC (2016) Usability evaluation of the digital anger thermometer app. Health Inf J 23:234–245
Smedberg Å, Sandmark H (2012) Design of a mobile phone app prototype for reflections on perceived stress. In: eTELEMED 2012: the fourth international conference on eHEALTH, telemedecine, and social medicine, pp 243–248. IARIA
Kanner AD, Coyne JC, Schaefer C, Lazarus RS (1981) Comparison of two modes of stress measurement: daily hassles and uplifts versus major life events. J Behav Med 4:1–39
Folkman S, Lazarus RS, Dunkel-Schetter C, DeLongis A, Gruen RJ (1986) Dynamics of a stressful encounter. Cognitive appraisal, coping, and encounter outcomes. J Pers Soc Psychol 50:992–1003
Cohen S, Hoberman HM (1983) Positive events and social supports as buffers of life change stress. J Appl Soc Pyschol 13:99–125
Brantley PJ, Waggoner CD, Jones GN, Rappaport NB (1987) A daily stress inventory: development, reliability, and validity. J Behav Med 10:61–74
Traue HC, Hrabal V, Kosarz P (2000) Alltagsbelastungsfragebogen (ABF): Zur inneren Konsistenz, Validierung und Stressdiagnostik mit dem deutschsprachigen Daily Stress Inventory. Verhaltenstherapie und Verhaltensmedizin 21:15–38
Buysse DJ, Reynolds CF III, Monk TH, Berman SR, Kupfer DJ (1989) The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 28:193–213
Bandura A (2001) Social cognitive theory of mass communication. Media Psychol 3:265–299
Bandura A, Ross D, Ross SA (1963) Vicarious reinforcement and imitative learning. J Abnorm Soc Psychol 67:601–607
Seaborn K, Fels DI (2015) Gamification in theory and action: a survey. Int J Hum Comput Stud 74:14–31
Parks P, Cruz R, Ahn SJ (2014) Don’t hurt my avatar: the use and potential of digital self-representation in risk communication. Int J Robots Educ Art 4:10–20
Hswen Y, Murti V, Vormawor AA, Bhattacharjee R, Naslund JA (2013) Virtual avatars, gaming, and social media: designing a mobile health app to help children choose healthier food options. J Mob Technol Med 2:8–14
Burigat S, Chittaro L (2014) Designing a mobile persuasive application to encourage reduction of users’ exposure to cell phone RF emissions. In: Hutchison D, Kanade T, Kittler J, Kleinberg JM, Kobsa A, Mattern F, Mitchell JC, Naor M, Nierstrasz O, Pandu Rangan C et al (eds) Persuasive technology, vol 8462, pp 13–24. Springer International Publishing, Cham
Lin JJ, Mamykina L, Lindtner S, Delajoux G, Strub HB (2006) Fish‘n’Steps: encouraging physical activity with an interactive computer game. In: Dourish P (ed) Proceedings of the 8th international conference on ubiquitous computing, vol. 4206, pp 261–278. Springer, Berlin, Heidelberg
Lister C, West JH, Cannon B, Sax T, Brodegard D (2014) Just a fad? Gamification in health and fitness apps. JMIR Serious Games 2:e9
Hoffmann A, Christmann CA, Bleser G (2017) Gamification in stress management apps. A critical app review. JMIR Serious Games 5:e13
Fox J, Bailenson J, Binney J (2009) Virtual experiences, physical behaviors. the effect of presence on imitation of an eating avatar. Pres Teleoper Virtual Environ. 18:294–303
Byrne S, Gay G, Pollack JP, Gonzales A, Retelny D, Lee T, Wansink B (2012) Caring for mobile phone-based virtual pets can influence youth eating behaviors. J Child Media 6:83–99
Agudo A (2018) Measuring intake of fruit and vegetables. http://www.who.int/dietphysicalactivity/publications/f&v_intake_measurement.pdf. Accessed 17 Apr 2018
Christmann CA, Zolynski G, Hoffmann A, Bleser G (2017) Effective visualization of long term health data to support behavior change. In: Duffy VG. (ed) Proceedings of the Digital human modeling. Applications in health, safety, ergonomics, and risk management: ergonomics and design: 8th international conference, DHM 2017, held as part of HCI International 2017, Vancouver, BC, Canada, 9–14 July 2017, pp 237–247. Springer, Cham
DeLongis A, Folkman S, Lazarus RS (1998) The impact of daily stress on health and mood: psychological and social resources as mediators. J Pers Soc Psychol 54(3):486–495
Lu L (1991) Daily hassles and mental health: a longitudinal study. Br J Psychol 82:441–447
Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, Hazen N, Herman J, Katz ES, Kheirandish-Gozal L, Neubauer DN, O’Donnell AE, Ohayon M, Peever J, Rawding R, Sachdeva RC, Setters B, Vitiello MV, Ware JC, Adams Hillard PJ (2015) National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep. Health 1(1):40–43
Christmann CA, Hoffmann A, Zolynski G, Bleser G (2017) Stress management apps with regard to emotion-focused coping and behavior change techniques: a content analysis. JMIR Mhealth Uhealth 5(2):e22
Christmann CA, Hoffmann A, Zolynski G, Bleser G (2018) Stress-Mentor: linking gamification and behavior change theory in a stress management application, In: Stephanidis C (ed) HCII posters 2018, CCIS, vol 851. Springer, Cham
Acknowledgements
Special thanks are due to Ann-Kathrin Beck, Nesibe Elibol and Stefanie Scülfort for supporting the data collection. The junior research group wearHEALTH is funded by the Federal Ministry of Education and Research (Bundesministerium für Bildung und Forschung, BMBF, reference number: 16SV7115).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Christmann, C.A., Zolynski, G., Hoffmann, A., Bleser, G. (2019). Towards More Interactive Stress-Related Self-monitoring Tools to Improve Quality of Life. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-96098-2_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-96097-5
Online ISBN: 978-3-319-96098-2
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)