10th EAI International Conference on Pervasive Computing Technologies for Healthcare

Research Article

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

  • @INPROCEEDINGS{10.4108/eai.16-5-2016.2263336,
        author={Gabriela Marcu and Nadia Dowshen and Shuvadittya Saha and Ressa Sarreal and Nazanin Andalibi},
        title={TreatYoSelf: Empathy-driven behavioral intervention for marginalized youth living with HIV},
        proceedings={10th EAI International Conference on Pervasive Computing Technologies for Healthcare},
        publisher={ACM},
        proceedings_a={PERVASIVEHEALTH},
        year={2016},
        month={6},
        keywords={behavior change participatory design behavioral intervention technologies ecological momentary intervention hiv},
        doi={10.4108/eai.16-5-2016.2263336}
    }
    
  • Gabriela Marcu
    Nadia Dowshen
    Shuvadittya Saha
    Ressa Sarreal
    Nazanin Andalibi
    Year: 2016
    TreatYoSelf: Empathy-driven behavioral intervention for marginalized youth living with HIV
    PERVASIVEHEALTH
    EAI
    DOI: 10.4108/eai.16-5-2016.2263336
Gabriela Marcu1,*, Nadia Dowshen2, Shuvadittya Saha1, Ressa Sarreal3, Nazanin Andalibi1
  • 1: Drexel University
  • 2: Children's Hospital of Philadelphia
  • 3: University of Maryland, Baltimore County
*Contact email: gmarcu@drexel.edu

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.