Chia-Fang Chung
Elena Agapie
Sean A. Munson
ABSTRACT
Many people appropriate social media and online communities in their pursuit of personal health goals, such as healthy eating or increased physical activity. However, people struggle with impression management, and with reaching the right audiences when they share health information on these platforms. Instagram, a popular photo-based social media platform, has attracted many people who post and share their food photos. We aim to inform the design of tools to support healthy behaviors by understanding how people appropriate Instagram to track and share food data, the benefits they obtain from doing so, and the challenges they encounter. We interviewed 16 women who consistently record and share what they eat on Instagram. Participants tracked to support themselves and others in their pursuit of healthy eating goals. They sought social support for their own tracking and healthy behaviors and strove to provide that support for others. People adapted their personal tracking practices to better receive and give this support. Applying these results to the design of health tracking tools has the potential to help people better access social support.
- Mark Ackerman. 2009. The Intellectual Challenge of CSCW: The Gap Between Social Requirements and Technical Feasibility. International Journal of Human Computer interaction 24, July 2014: 37--4 http://doi.org/10.1207/S15327051HCI1523Google Scholar
- Phil Adams, Eric PS Baumer, and Geri Gay. 2014. Staccato Social Support in Mobile Health Applications. Proceedings of the SIGCHI conference on Human Factors in Computing Systems (CHI 2014): 653--662. http://doi.org/10.1145/2556288.2557297 Google ScholarDigital Library
- Nazanin Andalibi, Pinar Ozturk, and Andrea Forte. Sensitive Self-disclosures, Responses, and Social Support on Instagram: the Case of #Depression. Proceedings of the ACM Conference on Computer Supported Cooperative Work (CSCW 2017). http://doi.org/10.1145/2998181.2998243 Google ScholarDigital Library
- Lenore Arab, Deborah Estrin, Donnie H Kim, Jeff Burke, and Jeff Goldman. 2011. Feasibility Testing of an Automated Image-Capture Method to Aid Dietary Recall. European Journal of Clinical Nutrition 65, 10: 1156--1162. http://doi.org/10.1038/ejcn.2011.75Google ScholarCross Ref
- Eric PS Baumer, Sherri J Katz, Jill E Freeman, Phil Adams, Amy L Gonzales, John Pollak, Daniela Retelny, Jeff Niederdeppe, Christine M Olson, and Geri K Gay. 2012. Prescriptive Persuasion and Open-Ended Social Awareness: Expanding the Design Space of Mobile Health. Proceedings of the ACM Conference on Computer Supported Cooperative Work (CSCW 2012): 475--484. http://doi.org/10.1145/2145204.2145279 Google ScholarDigital Library
- G Bird and P C Elwood. 1983. The Dietary Intakes of Subjects Estimated From Photographs Compared with a Weighed Record. Human nutrition. Applied nutrition 37, 6: 470--473. http://europepmc.org/abstract/MED/6662734Google Scholar
- Stevie Chancellor, Zhiyuan Lin, Erica L Goodman, Stephanie Zerwas, and Munmun De Choudhury. 2016. Quantifying and Predicting Mental Illness Severity in Online Pro-Eating Disorder Communities. Proceedings of the ACM Conference on Computer-Supported Cooperative Work and Social Computing (CSCW 2016): 1171--1184.http://doi.org/10.1145/2818048.2819973 Google ScholarDigital Library
- Stevie Chancellor, Tanushree Mitra, and Munmun De Choudhury. 2016. Recovery Amid Pro-Anorexia: Analysis of Recovery in Social Media. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2016): 2111--2123. http://doi.org/10.1145/2858036.2858246 Google ScholarDigital Library
- Stevie Chancellor, Jessica Annette Pater, Trustin Clear, Eric Gilbert, and Munmun De Choudhury. 2016. # thyghgapp: Instagram Content Moderation and Lexical Variation in Pro-Eating Disorder Communities. Proceedings of the ACM Conference on Computer-Supported Cooperative Work & Social Computing (CSCW 2016): 1201--1213. http://doi.org/10.1145/2818048.2819963 Google ScholarDigital Library
- Munmun De Choudhury, Emre Kiciman, Mark Dredze, Glen Coppersmith, and Mrinal Kumar. 2016. Discovering Shifts to Suicidal Ideation from Mental Health Content in Social Media. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2016): 2098--2110. http://doi.org/10.1145/2858036.2858207 Google ScholarDigital Library
- Munmun De Choudhury, Sanket Sharma, and Emre Kiciman. 2016. Characterizing Dietary Choices, Nutrition, and Language in Food Deserts via Social Media. Proceedings of the ACM Conference on Computer-Supported Cooperative Work & Social Computing (CSCW 2016): 1157--1170. http://doi.org/10.1145/2818048.2819956 Google ScholarDigital Library
- Chia-Fang Chung, Kristin Dew, Allison Cole, Jasmine Zia, James Fogarty, Julie A Kientz, and Sean A Munson. 2016. Boundary Negotiating Artifacts in Personal Informatics: Patient-Provider Collaboration with Patient-Generated Data. Proceedings of the ACM Conference on Computer-Supported Cooperative Work & Social Computing (CSCW 2016): 770--786. http://doi.org/10.1145/2818048.2819926 Google ScholarDigital Library
- Andrea Civan-Hartzler, David W McDonald, Chris Powell, Meredith M Skeels, Marlee Mukai, and Wanda Pratt. 2010. Bringing the Field into Focus: User-centered Design of a Patient Expertise Locator. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2010): 1675--1684. http://doi.org/10.1145/1753326.1753577 Google ScholarDigital Library
- Sunny Consolvo, Katherine Everitt, Ian Smith, and James A Landay. 2006. Design Requirements for Technologies that Encourage Physical Activity. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2006): 457--466. http://doi.org/10.1145/1124772.1124840 Google ScholarDigital Library
- Sunny Consolvo, Predrag Klasnja, David W McDonald, and James A Landay. 2012. Designing for Healthy Lifestyles: Design Considerations for Mobile Technologies to Encourage Consumer Health and Wellness. Foundations and Trends in Human--Computer Interaction 6, 3--4: 167--315. http://doi.org/10.1561/1100000040Google ScholarDigital Library
- Felicia Cordeiro, Elizabeth Bales, Erin Cherry, and James Fogarty. 2015. Rethinking the Mobile Food Journal. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2015): 3207--3216. http://doi.org/10.1145/2702123.2702154 Google ScholarDigital Library
- Felicia Cordeiro, Daniel A Epstein, Edison Thomaz, Cordeiro, Elizabeth Bales, Arvind K Jagannathan, Gregory D Abowd, and James Fogarty. 2015. Barriers and Negative Nudges: Exploring Challenges in Food Journaling. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2015): 1159--1162. http://doi.org/10.1145/2702123.2702155 Google ScholarDigital Library
- Daniel A Epstein, Bradley H Jacobson, Elizabeth Bales, David W McDonald, and Sean A Munson. 2015. From "nobody cares" to "way to go!": A Design Framework for Social Sharing in Personal Informatics. Proceedings of the ACM Conference on Computer Supported Cooperative Work & Social Computing (CSCW 2015): 1622--1636. http://doi.org/10.1145/2675133.2675135 Google ScholarDigital Library
- Daniel A Epstein, Jennifer H Kang, Laura R Pina, James Fogarty, and Sean A Munson. 2016. Reconsidering the Device in the Drawer: Lapses as a Design Opportunity in Personal Informatics. Proceedings of the 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp 2016): 829--840. http://doi.org/10.1145/2971648.2971656 Google ScholarDigital Library
- Daniel A Epstein, Felicia Cordeiro, James Fogarty, Gary Hsieh, and Sean A Munson. 2016. Crumbs: Lightweight Daily Food Challenges to Promote Engagement and Mindfulness. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2016): 5632--5644. http://doi.org/10.1145/2858036.2858044 Google ScholarDigital Library
- Daniel A Epstein, An Ping, James Fogarty, and Sean A Munson. 2015. A Lived Informatics Model of Personal Informatics. Proceedings of the 2015 ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp 2015): 731--742. http://doi.org/10.1145/2750858.2804250 Google ScholarDigital Library
- Susannah Fox and M Duggan. 2013. Health online 2013. Health: 1--55. Retrieved from http://www.pewinternet.org/~/media/Files/Reports/PIP_HealthOnline.pdfGoogle Scholar
- Andrea Grimes, Martin Bednar, Jay D Bolter, and Rebecca E Grinter. 2008. EatWell: Sharing Nutrition-related Memories in a Low-income Community. Proceedings of the ACM Conference on Computer Supported Cooperative Work (CSCW 2008): 87--96. http://doi.org/10.1145/1460563.1460579 Google ScholarDigital Library
- Andrea Grimes and Richard Harper. 2008. Celebratory Technology?: New Directions for Food Research in HCI. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2008): 467--476. http://doi.org/10.1145/1357054.1357130 Google ScholarDigital Library
- Andrea Grimes, Desney Tan, and Dan Morris. 2009. Toward Technologies that Support Family Reflections on Health. Proceedings of the ACM 2009 International Conference on Supporting Group Work (Group 2009): 311--320. https://doi.org/10.1145/1531674.1531721Google ScholarDigital Library
- Andrea Hartzler and Wanda Pratt. 2011. Managing the Personal Side of Health: How Patient Expertise Differs From the Expertise of Clinicians. Journal of Medical Internet Research 13, 3. http://doi.org/10.2196/jmir.1728 Google ScholarCross Ref
- Jina Huh and Mark S Ackerman. 2012. Collaborative Help in Chronic Disease Management. Proceedings of the ACM conference on Computer Supported Cooperative Work (CSCW 2012): 853. http://doi.org/10.1145/2145204.2145331 Google ScholarDigital Library
- Jina Huh, Leslie S Liu, Tina Neogi, Kori Inkpen, and Wanda Pratt. 2014. Health Vlogs as Social Support for Chronic Illness Management. ACM Transactions on Computer-Human Interaction (TOCHI) 21, 4: 23. http://doi.org/10.1145/2630067Google ScholarDigital Library
- Ian Li, Anind Dey, and Jodi Forlizzi. 2010. A Stage-Based Model of Personal Informatics Systems. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2010): 557--566. http://doi.org/10.1145/1753326.1753409 Google ScholarDigital Library
- Ian Li, Anind Dey, and Jodi Forlizzi. 2011. Understanding My Data, Myself: Supporting Self-Reflection with Ubicomp Technologies. Proceedings of the 13th International Conference on Ubiquitous computing (UbiComp 2011): 405--414. http://doi.org/10.1145/2030112.2030166 Google ScholarDigital Library
- Victor Li, David W McDonald, Elizabeth V Eikey, Jessica Sweeney, Janessa Escajeda, Guarav Dubey, Kaitlin Riley, Erika S Poole, and Eric B Hekler. 2014. Losing it Online: Characterizing Participation in an Online Weight Loss Community. Proceedings of the 18th International Conference on Supporting Group Work (Group 2014): 35--45. http://doi.org/10.1145/2660398.2660416 Google ScholarDigital Library
- James J Lin, Lena Mamykina, Silvia Lindtner, Gregory Delajoux, and Henry B Strub. 2006. Fish-n-Steps: Encouraging Physical Activity with an Interactive Computer Game. Proceedings of the 2006 International Conference on Ubiquitous computing (UbiComp 2006): 261--278. http://doi.org/10.1007/11853565_16 Google ScholarDigital Library
- Leslie S Liu, Jina Huh, Tina Neogi, Kori Inkpen, and Wanda Pratt. 2013. Health Vlogger-Viewer Interaction in Chronic Illness Management. Proceedings of the SIGCHI Conference on Human factors in Computing Systems (CHI 2013): 49--58. http://doi.org/10.1145/2470654.2470663 Google ScholarDigital Library
- Diane Maloney-Krichmar and Jenny Preece. 2005. A Multilevel Analysis of Sociability, Usability, and Community Dynamics in an Online Health Community. ACM Transactions on Computer-Human Interaction (TOCHI) 12, 2: 201--232. http://doi.org/10.1145/1067860.1067864 Google ScholarDigital Library
- Lena Mamykina, Elizabeth Mynatt, Patricia Davidson, and Daniel Greenblatt. 2008. MAHI: Investigation of Social Scaffolding for Reflective Thinking in Diabetes Management. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2008): 477--486. http://doi.org/10.1145/1357054.1357131 Google ScholarDigital Library
- Yelena Mejova, Sofiane Abbar, and Hamed Haddadi. 2016. Fetishizing Food in Digital Age: #foodporn Around the World. Tenth International AAAI Conference on Web and Social Media (ICWSM 2016).Google Scholar
- Hannah K Menefee, Morgan J Thompson, Thomas M Guterbock, Ishan C Williams, and Rupa S Valdez. 2016. Mechanisms of Communicating Health Information Through Facebook: Implications for Consumer Health Information Technology Design. Journal of Medical Internet Research 18, 8. http://doi.org/10.2196/jmir.5949Google ScholarCross Ref
- Anders K Munk, Andreas Birkbak, and Morten K Petersen. 2016.(Re-) Appropriating Instagram for Social Research: Three Methods for Studying Obesogenic Environments. Proceedings of the 7th 2016 International Conference on Social Media & Society: 19. https://doi.org/10.1145/2930971.2930991Google ScholarDigital Library
- Sean A Munson, Hasan Cavusoglu, Larry Frisch, and Sidney Fels. 2013. Sociotechnical Challenges and Progress in Using Social Media for Health. Journal of Medical Internet Research 15, 10: 1--14. http://doi.org/10.2196/jmir.2792 Google ScholarCross Ref
- Sean A Munson, Erin Krupka, Caroline Richardson, and Paul Resnick. 2015. Effects of Public Commitments and Accountability in a Technology-Supported Physical Activity Intervention. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2015), 1135--1144. http://doi.org/10.1145/2702123.2702524 Google ScholarDigital Library
- Sean A Munson, Debra Lauterbach, Mark W Newman, and Paul Resnick. 2010. Happier Together: Integrating a Wellness Application into a Social Network Site. In International Conference on Persuasive Technology (PERSUASIVE 2010): 27--39. http://doi.org/10.1007/978--3--642--13226--1_5Google ScholarCross Ref
- Michael Nelson, M Atkinson, and S Darbyshire. 1996. Food Photography II: Use of Food Photographs for Estimating Portion Size and the Nutrient Content of Meals. The British Journal of Nutrition 76, 1: 31--49. http://doi.org/10.1079/BJN19960007Google ScholarCross Ref
- Mark W Newman, Debra Lauterbach, Sean A Munson, Paul Resnick, and Margaret E Morris. 2011. "It's not that I don't have problems, I'm just not putting them on Facebook": Challenges and Opportunities in Using Online Social Networks for Health. Proceedings of the ACM Conference on Computer Supported Cooperative Work (CSCW 2011): 341--350. http://doi.org/10.1145/1958824.1958876 Google ScholarDigital Library
- Andrea Grimes Parker. 2014. Reflection-Through-Performance: Personal Implications of Documenting Health Behaviors for the Collective. Personal and Ubiquitous Computing 18, 7: 1737--1752. http://doi.org/10.1007/s00779-014-0780--5Google ScholarCross Ref
- Jessica Pater, Oliver Haimson, Nazanin Andalibi, and Elizabeth D Mynatt. 2016. "Hunger Hurts but Starving Works": Characterzing the Presentation of Eating Disorders Online. Proceedings of the ACM Conference on Computer-Supported Cooperative Work & Social Computing (CSCW 2016): 1185--1200. http://doi.org/10.1145/2818048.2820030 Google ScholarDigital Library
- Josée Poirier and Nathan K Cobb. 2012. Social Influence as a Driver of Engagement in a Web-based Health Intervention. Journal of Medical Internet Research 14, 1: 1--9. http://doi.org/10.2196/jmir.1957Google ScholarCross Ref
- Instagram Press. 600 Million and Counting. http://blog.instagram.com/post/154506585127/161215--600millionGoogle Scholar
- Caroline R Richardson, Lorraine R Buis, Adrienne W. Janney, David E Goodrich, Ananda Sen, Michael L Hess, Kathleen S Mehari, Laurie A Fortlage1, Paul J Resnick, Brian J Zikmund-Fisher, Victor J Strecher, and John D Piette. An Online Community Improves Adherence in an Internet-Mediated Walking Program. Part 1: Results of a Randomized Controlled Trial. Journal of Medical Internet Research 12, 4: e41. http://doi.org/10.2196/jmir.1338Google Scholar
- John Rooksby, Mattias Rost, Alistair Morrison, and Matthew Chalmers Chalmers. 2014. Personal Tracking as Lived Informatics. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (CHI 2014): 1163--1172. http://doi.org/10.1145/2556288.2557039 Google ScholarDigital Library
- Chris Schaefbauer, Danish Kahn, Amy Le, Garrett Sczechowski, and Katie Siek. 2015. Snack Buddy: Supporting Healthy Snacking in Low Socioeconomic Status Families. Proceedings of the ACM Conference on Computer Supported Cooperative Work & Social Computing (CSCW 2015): 1045--1057. http://doi.org/10.1145/2675133.2675180 Google ScholarDigital Library
- Edison Thomaz, Aman Parnami, Irfan Essa, and Gregory D Abowd. 2013. Feasibility of Identifying Eating Moments from First-Person Images Leveraging Human Computation. Proceedings of the 4th International SenseCam & Pervasive Imaging Conference: 26--33. http://doi.org/10.1145/2526667.2526672 Google ScholarDigital Library
- Tammy Toscos, Anne Faber, Shunying An, and Mona Praful Gandhi. 2006. Chick Clique: Persuasive Technology to Motivate Teenage Girls to Exercise. CHI '06 Extended Abstracts on Human Factors in Computing Systems 31, 3: 1873--1878. http://doi.org/10.1145/1125451.1125805Google ScholarDigital Library
- Paul Wicks, Michael Massagli, Jeana Frost, Catherine Brownstein, Sally Okun, Timothy Vaughan, Richard Bradley, and James Heywood. 2010. Sharing Health Data for Better Outcomes on Patientslikeme. Journal of Medical Internet Research 12, 2: 1--12. http://doi.org/10.2196/jmir.1549 Google ScholarCross Ref
- Mary H Wilde and Suzanne Garvin. 2007. A Concept Analysis of Self-monitoring. Journal of Advanced Nursing 57, 3: 339--350. http://doi.org/10.1111/j.1365--2648.2006.04089.xGoogle ScholarCross Ref
- Lydia Zepeda and David Deal. 2008. Think before You Eat: Photographic Food Diaries ss Intervention Tools to Change Dietary Decision Making and Attitudes. International Journal of Consumer Studies 32, 6: 692--698. http://doi.org/10.1111/j.1470--6431.2008.00725.xGoogle ScholarCross Ref
Index Terms
- When Personal Tracking Becomes Social: Examining the Use of Instagram for Healthy Eating
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