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Designing and Evaluating Behaviour Change Technologies for and in the Real World

Designing and Evaluating Behaviour Change Technologies for and in the Real World

Talk given at the World Usability Day 2016 event in Tallinn, Estonia

Evangelos Karapanos

November 10, 2016
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  1. 1979 Apple II Designing for Usability 1979 VisiCalc - “killer

    app” for Apple II 1981 IBM XT/AT 1980s
  2. 1200 steps Diabetic patients skip their insulin medication 25% of

    the time 25,000 people a year go blind 
 Hundreds of thousands lose limbs, every year, for something that's solvable.
  3. 1200 steps Physical Activity Over 80% of the world's adolescent

    population is insufficiently physically active. Insufficient PA is a key risk factor for noncommunicable diseases (NCDs) such as cardiovascular diseases, cancer and diabetes.
  4. 1200 steps NC (chronic) diseases account for 40% of mortality

    cases and 75% of health care costs worldwide. Estimated increase of 42% by 2023.
  5. 1200 steps From cure to prevention Gordon Brown: ”NHS [National

    Health Service] of the future [being] one of patient power, with patients engaged and taking control over their own health and healthcare".
  6. The simple acts of measuring one's target behavior and comparing

    it to an external standard or goal can result in lasting improvements to that behavior. Self-monitoring
  7. 256 users downloaded Habito over the course of 10 months

    none of these users were recruited or rewarded towards usage
  8. stages of behavior change questionnaire understanding how different stages of

    ‘readiness’ impacted adoption precontemplation currently have no intention of being active contemplation not active but intend to be soon preparation trying, but not regularly active action regularly active, but for less than 6 months maintenance regularly active for 6 months or more
  9. precontemplation 5 of 36, 14% contemplation preparation action maintenance 14

    of 26, 54% 19 of 33, 58% 7 of 24, 29% 4 of 19, 21% Readiness for use: motivation and adoption
  10. Usage sessions historical information was only accessed in 30% of

    all usage sessions even more, 87% of these concerned an ongoing day
  11. Glances sessions in which users open and close Habito with

    no additional actions or inputs 57%, 5 sec Review Engage 22%,12 sec 21%,45 sec sessions with at least one additional actions and last up to 22 seconds sessions with at least one additional actions and last more than 22 seconds Usage sessions
  12. participants were more likely to initiate a new walk when

    seeing a low number of steps in the last hour
  13. participants were more likely to initiate a new walk when

    seeing a low number of steps in the last hour Participants who saw they walked 10 min or less over the past hour had a 77% chance of starting a new walk in the next 5 min
  14. Dual process theory System 1 - automatic mind (intuition) System

    2 - rational mind (analytical reasoning)
  15. Hidden costs of self-monitoring While self-monitoring led to short-term increase

    in steps, it also lead to a decrease in enjoyment of walking Etkin (2015)
  16. Question what your assumptions are, about how people will use

    your product Thank you Evangelos Karapanos