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CSCW Conf Comput Support Coop Work. 2016 Feb 27;2016:770-786. doi: 10.1145/2818048.2819926.

Boundary Negotiating Artifacts in Personal Informatics: Patient-Provider Collaboration with Patient-Generated Data.

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Human Centered Design & Engineering, DUB Group, University of Washington.
Family Medicine, DUB Group, University of Washington.
Division of Gastroenterology, DUB Group, University of Washington.
Computer Science & Engineering, DUB Group, University of Washington.


Patient-generated data is increasingly common in chronic disease care management. Smartphone applications and wearable sensors help patients more easily collect health information. However, current commercial tools often do not effectively support patients and providers in collaboration surrounding these data. This paper examines patient expectations and current collaboration practices around patient-generated data. We survey 211 patients, interview 18 patients, and re-analyze a dataset of 21 provider interviews. We find that collaboration occurs in every stage of self-tracking and that patients and providers create boundary negotiating artifacts to support the collaboration. Building upon current practices with patient-generated data, we use these theories of patient and provider collaboration to analyze misunderstandings and privacy concerns as well as identify opportunities to better support these collaborations. We reflect on the social nature of patient-provider collaboration to suggest future development of the stage-based model of personal informatics and the theory of boundary negotiating artifacts.


ACM Classification Keywords: H.5.m. Information interfaces and presentation (e.g; HCI): Miscellaneous; Personal informatics; boundary negotiating artifacts; chronic disease management; patient-generated data; patient-provider collaboration; self-tracking

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