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TreatYoSelf: empathy-driven behavioral intervention for marginalized youth living with HIV

Published: 16 May 2016 Publication History

Abstract

Behavioral intervention technologies are well suited to addressing health behavior such as medication adherence, but only if successfully integrated into a user's daily life. Little is known about how to design such technologies to be adoptable, adaptable, useful, and feasible in everyday life. We report on the design process for TreatYoSelf, a smartphone application designed to improve medication adherence among youth living with HIV through reminders and positive reinforcement. Using participatory design, our aim was to understand factors related to adoption and acceptance of behavioral intervention technology as part of daily life. Two challenges of living with HIV led to an empathy-driven approach in our design process: (1) HIV is a stigmatized condition, which (2) disproportionately affects the marginalized populations of young African American men who have sex with men and transgender women. We discuss five empathy-driven design strategies: positive and nonjudgmental tone; minimal, avatar-based gamification; motivational and corny messages; nondisclosure through neutral signifiers; and social support through camaraderie. Our approach enabled us to identify and work through factors, often related to stigma and marginalization, which would lead to rejection of TreatYoSelf use in daily life.

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Cited By

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  • (2023)Challenges and Opportunities for Interactive Technology to Support Parents of HIV-Positive Children in Ethiopia in the Disclosure ProcessProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580756(1-17)Online publication date: 19-Apr-2023
  • (2022)The Challenge of (Non-)Disclosure: Exploring the Lived Experience of Ethiopian Adolescents with HIV and Their Attitudes Toward TechnologyProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3502132(1-19)Online publication date: 29-Apr-2022
  • (2021)Not Another Medication Adherence AppProceedings of the ACM on Human-Computer Interaction10.1145/34341714:CSCW3(1-28)Online publication date: 5-Jan-2021
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      Published In

      cover image Guide Proceedings
      PervasiveHealth '16: Proceedings of the 10th EAI International Conference on Pervasive Computing Technologies for Healthcare
      May 2016
      339 pages
      ISBN:9781631900518

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      ICST (Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering)

      Brussels, Belgium

      Publication History

      Published: 16 May 2016

      Author Tags

      1. HIV
      2. behavior change
      3. behavioral intervention technologies
      4. ecological momentary intervention
      5. participatory design

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      • (2023)Challenges and Opportunities for Interactive Technology to Support Parents of HIV-Positive Children in Ethiopia in the Disclosure ProcessProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580756(1-17)Online publication date: 19-Apr-2023
      • (2022)The Challenge of (Non-)Disclosure: Exploring the Lived Experience of Ethiopian Adolescents with HIV and Their Attitudes Toward TechnologyProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3502132(1-19)Online publication date: 29-Apr-2022
      • (2021)Not Another Medication Adherence AppProceedings of the ACM on Human-Computer Interaction10.1145/34341714:CSCW3(1-28)Online publication date: 5-Jan-2021
      • (2020)Designing Trans TechnologyProceedings of the 2020 CHI Conference on Human Factors in Computing Systems10.1145/3313831.3376669(1-13)Online publication date: 21-Apr-2020
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      • (2019)Emotion and Experience in Negotiating HIV-Related Digital ResourcesProceedings of the 2019 CHI Conference on Human Factors in Computing Systems10.1145/3290605.3300829(1-14)Online publication date: 2-May-2019
      • (2018)Conducting Research with Stigmatized PopulationsCompanion of the 2018 ACM Conference on Computer Supported Cooperative Work and Social Computing10.1145/3272973.3273003(385-392)Online publication date: 30-Oct-2018
      • (2018)BounceProceedings of the 12th EAI International Conference on Pervasive Computing Technologies for Healthcare10.1145/3240925.3240927(25-34)Online publication date: 21-May-2018
      • (2018)Defining Through ExpansionProceedings of the 2018 CHI Conference on Human Factors in Computing Systems10.1145/3173574.3174131(1-13)Online publication date: 21-Apr-2018
      • (2018)The Role of Reflection and Context in Medication Adherence Tracking for People Living with HIVExtended Abstracts of the 2018 CHI Conference on Human Factors in Computing Systems10.1145/3170427.3188631(1-6)Online publication date: 20-Apr-2018
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