=Paper=
{{Paper
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|storemode=property
|title=Towards a Mobile Application to Create Sedentary Awareness
|pdfUrl=https://ceur-ws.org/Vol-722/paper3.pdf
|volume=Vol-722
}}
==Towards a Mobile Application to Create Sedentary Awareness==
https://ceur-ws.org/Vol-722/paper3.pdf
Towards a Mobile Application to Create Sedentary
Awareness
Gijs Geleijnse, Aart van Halteren and Jan Diekhoff
Philips Research
Eindhoven, The Netherlands
gijs.geleijnse@philips.com , aart.van.halteren@philips.com
ABSTRACT successful persuasive strategies to establish an increased
Prolonged sitting time is a potential health risk, not only for amount of physical activity.
people with an inactive lifestyle, but also for those who do
meet the recommended amount of physical activity. In this Recent medical literature reports that not only an inactive
paper, we evaluate SitCoach, a mobile application to nudge lifestyle may lead to adverse health effects, but also
people from their seats. The application is targeted to office sedentary behavior itself is harmful. Prolonged sitting time
workers. SitCoach monitors physical activity and sedentary is also dangerous for people who meet the WHO guidelines
behavior to provide timely feedback by means of of 30 minutes of physical activity per day [4,12]. The
suggesting sitting breaks. A pilot experiment with a group reduction of sedentary behavior is hence identified as a
of 8 users learned that the general awareness of the target behavior that contributes to a healthy lifestyle.
importance of sitting breaks is low. Combined with the Support to create awareness of one’s sedentary behavior
belief that the ability to take sitting breaks is highly may be beneficial. However, as Owen et al. state in [12],
dependent on external factors, a strategy of proposing break “given the recent recognition of this phenomenon of too
reminders may not be the most successful for this target much sitting, there are not yet any recommended clinical
group. Future work should focus on raising awareness of guidelines. Commonsense might suggest that it may be
the problem and providing insights into personal sitting prudent to try to minimize prolonged sitting with 5 minute
behavior. breaks every hour”.
Author Keywords In this paper, we describe SitCoach, a mobile application
Sitting time, mobile persuasion, sedentary awareness, that assists the user to create sedentary awareness and to
physical activity. have regular sitting breaks. Such an application can be
combined with additional physical activity promotion
ACM Classification Keywords features. To the best of our knowledge, SitCoach is the first
H5.m. Information interfaces and presentation (e.g., HCI): prototype mobile application aimed to reduce sitting time.
Miscellaneous. Using SitCoach, the goal is to collect insights into
INTRODUCTION possibilities to influence people’s sitting behavior using a
In the past years, a substantial amount of research has been mobile device.
devoted to physical activity promotion through mobile SitCoach targets office workers, a group which is often also
devices. Using the accelerometer embedded in a mobile assisted by break reminder applications on their PCs. Such
phone or in a dedicated device, the energy expenditure of applications are developed to prevent their users from
the user can be estimated. The user may receive feedback repetitive strain injuries. Although such applications show
on his past physical activity level in minutes or burned to be successful in reducing complaints [7], they may not
calories. always be pleasant to use [10]. Morris et al. [10] introduced
Several strategies have been explored to influence the SuperBreak, which stimulates break compliance for
user’s behavior and promote higher physical activity levels. computer usage. Instead of the usual breaks offered by
Most notably, the usage of virtual rewards [1,2], social software packages such as XWrits and WorkRave,
support [3,9] and goal setting [8] have shown to be SuperBreak offers the possibility to make the break time
more productive. By offering the user the possibility to
interact with the PC through gestures during the break,
break compliance is promoted and the productivity during
the break time is increased. Hence, although SuperBreak
may increase break compliance for computer work, it does
Copyright © 2011 for the individual papers by the papers' authors. not target a reduction in sitting time. Moreover, neither of
Copying permitted only for private and academic purposes. This volume the computer packages support break compliance during
is published and copyrighted by the editors of PINC2011." other sedentary time, e.g. during meetings or while reading.
After describing the SitCoach application in the next
chapter, we present a first pilot user experiment to assess
the usability of the application. Through a locus of control
questionnaire and by means of a semi-structured interview,
we gather additional insights on opportunities and
techniques to promote sitting break compliance.
INTRODUCING SITCOACH
SitCoach is an iPhone application that measures physical
activity by means of the built-in accelerometer. The
application records active time and sitting time at a
granularity of one minute.
To fight sitting time and inspire people to take a break once
in a while, the SitCoach reminds users after a configurable
number of in-active minutes via visual, acoustic and tactile
messages. Users set their goals in terms of maximum
number of consecutive sitting minutes and number of active
minutes per day.
Identifying Sitting Time
Using the built-in accelerometer in the smart phone, the
user’s activity is classified in an active and inactive state.
Every second a measurement of the phone’s x, y and z Figure 1. SitCoach main screen.
positioning is taken by the accelerometer. These three
values are compared with the previous measurement. When A FIRST USER EVALUATION
the difference for x,y or z exceeds 0.3 the accelerometer To assess the usability and user acceptance of the
recognizes a movement. The 0.3 was determined application, SitCoach has been evaluated with users. This
empirically: it is low enough to pick up the walking evaluation also provides insights into the participants’
movement of the user without getting a false reading from current sitting behavior and their awareness of the
other possible movements like a small turn with the chair harmfulness of sedentary behavior. The goal of the study is
while sitting. to identify future directions for persuasive applications
targeting sedentary awareness.
To distinguish walking from other smaller movements like
a small turn or just standing up from a chair the movement In the study, the participants are provided with an iPhone
will be monitored over a certain interval of time. An with the SitCoach application and are invited to use the
empirically determined value of 5 seconds proved to be application throughout a day at the office. At the end of the
sufficient. day, a semi-structured interview is conducted, to discuss
experiences. Moreover, the participants are questioned
Creating Sedentary Awareness about current sitting break habits and the awareness of the
To motivate users to become more active, the application importance of such breaks is assessed. Apart from the
stores the number of active minutes per day for each of the interview, two questionnaires were handed to the
users. This provides a social nudge for users to see how participants: one focusing on the utilitarian and hedonic
others are doing and to comply with the social norm. qualities of the application [5,6] and a second one focusing
When it is time to take a break, SitCoach emits a tactile on the locus of control that people perceive with respect to
(vibration) and an acoustic warning. Users can override the possibilities to reduce their sitting time [13].
acoustic warning. A visual indicator at the main screen Participants
shows when a user is moving, giving the user immediate Eight participants (four females) were invited to participate
feedback about their current behavior. Figure 1 provides a in the experiment, during one working day. All participants
screenshot of the main screen of SitCoach. The green circle were knowledge workers with high computer dependability.
indicates that the application has detect that the user is
Procedure and Design
currently moving and hence the number of active minutes is
increasing while in this state. In the state displayed in the The participants were scheduled on a day they described as
figure, the user is nine inactive minutes away from a break a typical office day. Per participant, a day was selected
reminder. However, if the user is active for a period equal without having appointments outside the office during
to the actual time of the sitting break, the break timer will working hours.
be reset.
In the morning after arriving at the office, the participants
received a fully charged iPhone 3G. SitCoach was the only which is installed by default. The others have disabled it.
application installed, apart from the standard software. The For a mobile application to create sedentary awareness, the
participants were instructed not to use the phone for other perceived control over the sitting breaks should remain with
purposes. No SIM card was installed, limiting the the user.
functionalities of the phone.
The interviews showed that the phone vibration to signal
During the intake meeting, the participants were explained break alerts was appreciated as it is discrete and easy to
the functionality of the applications and guided through the ignore when needed, for example during meetings. On the
features and settings. The standard break timer was set to other hand, the buzzing signal was experienced to be
60 minutes, prompting for a 5 minute break. The standard distracting: “When I am working, I don’t want to be
activity goal was set to 50 minutes. The participants were disturbed”.
free to change the settings throughout the day.
The Locus of Control questionnaire revealed that six out of
Around 4 o’clock in the afternoon, the participants were eight participants scored low on the internality dimension
interviewed based on a list of pre-defined questions on their (scores < 18 on a range from 6 to 36), while the other
sitting behavior, sedentary awareness and the SitCoach scored moderate (18 ≤ score ≤ 24). This implies that the
application. Moreover, the two questionnaires were handed. office workers participating in the study believe that they
have little control over their sitting behavior. With overall
The Attrakdiff2 questionnaire was presented to assess both
higher scores on the powerful others dimension, it is
the pragmatic and hedonic qualities of SitCoach [5,6]. His
believed that others (colleagues, managers) strongly
scores on both qualities are important for the prolonged
determine the participants’ sitting behavior.
usage of a product. Specifically, the questionnaire measures
perceived pragmatic quality, hedonic quality identification The Attrakdiff2 questionnaire results show favorable scores
(i.e. does the product contribute to the user’s identity in a on the pragmatic dimension, implying that the participants
social context?), hedonic quality stimulation (i.e., does the are generally positive about the interaction with the
product help to develop skills or knowledge) and SitCoach application. No remarks were made about any
attractiveness (is the product good, bad or ugly?). Each of inaccuracies of the application. This suggests that the
those four categories contains seven word-pairs on a seven current implementation is well usable to distinguish sitting
point semantic-differential scale (e.g. discouraging vs. time from active time. Lower scores were reported on the
motivating, complicated vs. simple). hedonic dimensions, most notably on attractiveness.
To assess the perceived locus of control to influence one’s Table 1. Users’ responses to the locus of control questionnaire.
sitting behavior, a locus of control questionnaire was
Participant Internality Powerful Chance
assessed [13]. The commonly used questionnaire,
others externality
developed by Wallton et al., is adapted for sitting behavior.
externality
The questionnaire measures whether the control over the
sitting behavior is determined internally (i.e. self-control; Person 1 Moderate Moderate Low
example statement: If I take care of myself, I can avoid long
Person 2 Moderate High Moderate
sitting periods), by others (e.g. Whenever I feel I sit too
much and too long, I should consult a trained professional.) Person 3 Low High Moderate
or by chance (e.g. No matter what I do, I 'm likely to have
Person 4 Low High Moderate
long sitting periods).
Results Person 5 Low Moderate Moderate
All participants indicated that they were not aware of the Person 6 Low Moderate Low
harmfulness of sedentary behavior itself. When taking a Person 7 Low High Low
break and getting up from their desk, the participants did so
because they were aware of the adverse effects of Person 8 Low High High
prolonged computer usage and the healthfulness of physical Some of the participants reported battery problems with the
activity. Half of the participants reported to be unhappy smart phone. Although the participants received a fully
with the amount of sitting time during a day in the office. charged phone, the battery time was not enough for the
Suitable moments to take a sitting break are in between application to run for the whole working day. Hence, in
tasks and when feeling less concentrated. The time spent future work, solutions should be researched that take the
during such breaks is not seen as productive. energy consumption of the phone into account when
The lack of control is seen as the largest source of running such accelerometer-based applications.
annoyance with PC break applications. Only one of the The functionality to share the activity minutes on FaceBook
participants is using an RSI prevention program on the PC, or other social media was not well received. Similar to the
findings of Munson et al. [11], participants did not feel the Avrahami, D., Froehlich, J.E., LeGrand, L., Libby, R.,
need to bother their social network with such details. Mosher, K., & Landay, J.A., “Flowers or a Robot Army?
Encouraging Awareness & Activity with Personal,
Table 2. Users’ responses to the AttrakDif2 questionnaire.
Mobile Displays,” Proc of UbiComp 2008, 54-63.
Ppn Pragmatic Hedonic Hedonic Attractive 3. Fujiki, Y (2010). iPhone as a Physical
Quality Quality Quality ness Activity Measurement Platform. In Proceedings of the
Identification Stimulatio 2010 ACM Conference on Human Factors in Computing
n Systems (CHI).
1 High Moderate High Moderate 4. Hamilton, M.T., Healy, G.N., Dunstan, D.W.,
2 High Low Low Low Zderic, T.W., and Owen, N. (2008). Too little exercise
and too much sitting: Inactivity physiology and the need
3 Moderate Moderate Moderate Low for new recommendations on sedentary behavior. Current
4 Low Moderate Moderate Low Cardiovascular Risk Reports 2(4), 292-298.
5. Hassenzahl, M. (2006) Hedonic, emotional and
5 High High Moderate Moderate
experiental perspectives on product quality. In Ghaoui, C.
6 High High High Low (ed) Encyclopedia of Human-Computer Interaction.
Hershey: Idea group, 226-272.
7 High Moderate High Low
6. Hassenzahl, M. (2010) Attrakdiff. Retrieved
8 High Moderate High Moderate August 11th 2010 from
http://www.attrakdiff.de/en/AttrakDiff-/What-is-
AttrakDiff/Scientific-Background.
CONCLUSION AND FUTURE WORK
In this paper, we presented an application to assist people to 7. Heuvel, S.G. van den, Looze, M de, Hildebrandt,
control their sitting behavior. The mobile application V.H., and The, K.H (2003). Effects of software programs
combines feedback on physical activity with insights on the stimulating regular breaks and exercises on work-related
user’s sitting periods. SitCoach was developed to gain neck and upper-limb disorders. Scand J Work Environ
insights into people’s awareness of their sedentary behavior Health 29(2):106–116.
and the user acceptance of a break reminder application. 8. Lacroix, J., Saini, P., Holmes, R. (2008). The
relationship between goal difficulty and performance in
With SitCoach, we have created an application that detects the context of Physical Activity. In: MobileHCI’08.
sitting time with fair accuracy. However, the users involved
in the trial showed not to be in the right stage of change to 9. Lin, J; Mamykina, L; Lindtner, S; Delajoux, G;
be responsive to the strategies applied in SitCoach. Strub, HB. (2006). “Fish’n’Steps: Encouraging Physical
Persuasive strategies to stimulate the user to take sitting Activity with an Interactive Computer Game,” UbiComp
breaks are likely to be more successful after having 2006.
established awareness of the adverse health effects of sitting 10. Morris, D., Bernheim Brush, A.J. and Meyers, B.R
behavior. This can be done by first providing insights in (2008). SuperBreak: Using Interactivity to Enhance
one’ sitting behavior and subsequently suggesting Ergonomic Typing Breaks. Presented at CHI 2008.
opportunities to reduce sitting time. For users who are
11. Munson, S., Lauterbach, D., Newman, M.W.,
aware of the problem and the adverse effects of their
Resnick, P. (2010). Happier Together: Integrating a
behavior, the triggers applied in SitCoach may be revisited.
Wellness Application into a Social Networking Site.
ACKNOWLEDGMENTS PERSUASIVE 2010.
This work was funded by the European Commission, within 12. Owen, N., Bauman A., and Brown, W. (2009).
the framework of the ARTEMIS JU SP8 SMARCOS Too much sitting: a novel and important predictor of
project – 100249 - (http://smarcos-project.eu). chronic disease risk? British Journal of Sports Medicine
42(2).
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