DeepStress: Supporting Stressful Context Sensemaking in Personal Informatics Systems Using a Quasi-experimental Approach

Mental Health Apps & Online Support CommunitiesSleep & Stress MonitoringPsychiatrists & PsychotherapistsCommunity Health WorkersAthletes & Fitness Enthusiasts

Title of the Paper

DeepStress: Supporting Stressful Context Sensemaking in Personal Informatics Systems Using a Quasi-experimental Approach

Paper Information

  • Subject Area: Personal informatics systems and mental health, aiding users in managing daily stress through causal analysis.
  • Keywords: Personal informatics systems, mental health, quasi-experimental methods, causality, data-driven reflection.

Research Background and Problem

  • Identified Problems or Challenges:

    • While personal informatics (PI) systems guide users in deriving insights from self-monitoring data, they remain limited in helping users understand causal relationships.
    • The complexity of data and biases from external confounding factors may lead to erroneous conclusions when analyses are solely based on correlations.
    • Although self-experimentation methods are rigorous, they are challenging to implement in daily life.
    • There is a lack of PI systems that apply quasi-experimental methods to assist in causal analysis.
  • Importance of the Problem:

    • Clearer causal analysis can help users take effective, long-term stress management actions based on data, thereby improving mental health.
  • Research Motivation and Related Work:

    • Literature and preliminary interviews reveal that users need more intuitive and accurate identification of contexts affecting stress.
    • Quasi-experimental methods are considered a practical and scientifically valid solution for controlling external confounding factors.

Solution

  • Proposed Method or Solution:

    • Design the DeepStress system, which helps analyze context-related causal relationships with stress based on six weeks of users' self-collected data.
    • Employ matching techniques from quasi-experimental methods to balance confounding variables between treatment and control groups for causal analysis.
  • Innovations:

    • Utilize quasi-experimental methods to infer causal relationships from observational user data without the need for strict randomized experiments.
    • Introduce a two-stage causal analysis to not only determine whether a context is related to stress but also explore other factors within the given context that might influence stress.
  • Implementation Steps and Key Techniques:

    1. Data Collection: Participants use a mobile app to record stress, activities, locations, social environments, etc., through the experience sampling method.
    2. Causal Analysis Method: Perform context matching using Coarsened Exact Matching (CEM) to balance confounding variables.
    3. System Features:
      • Historical Stress Data Navigation: Users can view calendars and charts to revisit past records.
      • Causal Relationship Results Display: Visualizations and explanations directly inform users about stress-related causal contexts.
      • Support for Planning and Action: Demonstrates how to regulate stress within specific contexts.

Research Outcomes

  • Specific Outcomes:

    • DeepStress was proven to help users review historical data, identify stress-related contexts, and understand causal relationships.
    • Users improved their behavior planning and took targeted actions for stress management through the system.
    • The study revealed users' cognitive processes and challenges in dealing with causal relationships.
  • Advantages Over Existing Solutions:

    • Compared to systems relying solely on correlation analysis, DeepStress is more scientifically robust in causal inference.
    • The system enhances users' understanding of complex relationships between contexts, rather than focusing on isolated single contexts.
  • Experimental or Evaluation Results:

    • In-depth user studies showed a user experience score of 74.1 for DeepStress, indicating good usability in supporting causal relationship exploration.
    • Users independently generated interpretations through the system, enhancing their understanding of results and better planning their daily lives.
  • Limitations and Future Directions:

    • Challenges in recording fine-grained contexts: Providing more detailed options or supporting user annotations may improve accuracy.
    • Data demands and burden: Automating data collection or customizing data collection scopes could reduce user burden.
    • Limitations of full-sample matching: Exploring other quasi-experimental methods or extending to groups with diverse backgrounds.
    • Future research directions include comparing systems based on causal analysis with other PI systems to evaluate their relative advantages.

Acknowledgments

  • This research was supported by the Korean government (MSIT) as part of the development project for biological and medical technologies.

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https://hci.top/en/papers/chi/147710/2024

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DOI: https://doi.org/10.1145/3613904.3642766
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CHI
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2024
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Mental Health Apps & Online Support Communities, Sleep & Stress Monitoring
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Psychiatrists & Psychotherapists, Community Health Workers, Athletes & Fitness Enthusiasts
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