Proposing a Context-informed Layer-based Framework: Incorporating Context into Designing mHealth Technology for Fatigue Management

Owing to the multi-factorial nature of fatigue, leveraging context to effectively monitor and intervene with fatigue symptoms presents a significant challenge. This paper aimed to understand how to incorporate context into designing mHealth systems for fatigue management. We conducted a two-week field study with 20 fatigue-vulnerable individuals using an activity-tracking sensor and self-reporting. We conducted data-prompted interviews to explore phenomena about participants’ fatigue experiences. Findings show a heterogeneous relationship between context and fatigue, which can be attributed to the phenomena that: (1) participants were influenced by multiple fatigue-inducing factors for different durations; (2) broad contexts moderated participants’ perceptions and coping strategies in response to local contexts; (3) the predictability and repetition of activities influenced participants’ fatigue perception and coping strategies. We propose a context-informed layer-based framework integrating these phenomena and discuss implications for designing fatigue management tools informed by our framework.