Movatterモバイル変換


[0]ホーム

URL:


Skip to main content

Advertisement

Springer Nature Link
Log in

Co-creating a Digital Symptom Tracker: An App as a Boundary Object in the Context of Pediatric Care

  • Conference paper
  • First Online:

Abstract

The rise of digital health has provided new opportunities for patients to be more actively involved in their health and wellbeing. Despite the increased use of mobile health apps, there is still a lack of research on patient self-monitoring, and few studies have focused on children with chronic diseases and their parents. In this study, we draw from a case of the design of a mobile application – a symptom tracker – to continuously monitor children with periodic fever and the theoretical concept of boundary objects, to understand the role of digital artifacts in current healthcare practice. The research approach is qualitative, building on interview data with parents and experiences from the co-design process involving researchers, physicians, and other key stakeholders. The aim of the paper is to contribute with a better understanding of how an app for tracking children’s fever (a symptom tracker) can support the pediatricians as well as the parents and their children during the treatment process. The research question is:In what ways can a symptom tracker increase stakeholder involvement and how may this affect their relationship boundaries and collaborations? Our findings suggest that the symptom tracker can be seen as a boundary object that binds the children, parents, and pediatricians treating them by connecting the app to the context of both the patients and healthcare practice. We argue that such an object (symptom tracker) can function as external support and, thereby, an essential part of the treatment process.

This is a preview of subscription content,log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
¥17,985 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
JPY 3498
Price includes VAT (Japan)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
JPY 11439
Price includes VAT (Japan)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
JPY 14299
Price includes VAT (Japan)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide -see info
Hardcover Book
JPY 14299
Price includes VAT (Japan)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide -see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Similar content being viewed by others

References

  1. Piwek, L., Ellis, D.A., Andrews, S., Joinson, A.: The rise of consumer health wearables: promises and barriers. PLoS Med.13(2), e1001953 (2016)

    Article  Google Scholar 

  2. Vallo Hult, H., Hansson, A., Svensson, L., Gellerstedt, M.: Flipped healthcare for better or worse. Health Informatics J.25(3), 587–597 (2019)

    Article  Google Scholar 

  3. Óskarsdóttir, M., Islind, A.S., August, E., Arnardóttir, E.S., Patou, F., Maier, A.: Importance of getting enough sleep and daily activity data to assess variability: longitudinal observaational study. JMIR Form. Res. (2022)

    Google Scholar 

  4. Islind, A.S., Lindroth, T., Lundin, J., Steineck, G.: Shift in translations: data work with patient-generated health data in clinical practice. Health Informatics J.25(3), 577–586 (2019)

    Article  Google Scholar 

  5. Gui, X., Chen, Y.: Making healthcare infrastructure work: unpacking the infrastructuring work of individuals. In: Proc. Proceedings of CHI 2019, Glasgow, Scotland, UK2019, pp. 1–14 (2019)

    Google Scholar 

  6. Islind, A.S., Vallo Hult, H., Johansson, V., Angenete, E., Gellerstedt, M.: Invisible work meets visible work: infrastructuring from the perspective of patients and healthcare professionals. Proc. HICSS, January 5–8 (2021)

    Google Scholar 

  7. Norström, L., Islind, A.S., Vallo Hult, H.: Balancing the social media seesaw in public sector: a sociomaterial perspective. IRIS Selected Papers of the Information Systems Research Seminar in Scandinavia (8) (2017)

    Google Scholar 

  8. Vallo Hult, H., Islind, A.S., Norström, L.: Reconfiguring professionalism in digital work. Systems, Signs and Actions12, 1–17 (2021)

    Google Scholar 

  9. Romanow, D., Cho, S., Straub, D.: Editor’s comments: riding the wave: past trends and future directions for health IT research, MIS Quarterly36(3), III-A18 (2012)

    Google Scholar 

  10. Gellerstedt, M.: The digitalization of health care paves the way for improved quality of life? J. Syst. Cybern. Inf.14(5), 1–10 (2016)

    Google Scholar 

  11. Dadgar, M., Joshi, K.D.: The role of information and communication technology in self-management of chronic diseases: an empirical investigation through value sensitive design. J. Assoc. Inf. Syst.19(2), 2 (2018)

    Google Scholar 

  12. Vallo Hult, H.: Digital Work: Coping with Contradictions in Changing Healthcare. University West (2021)

    Google Scholar 

  13. Islind, A.S., et al.: Individualized blended care for patients with colorectal cancer: the patient’s view on informational support. Support. Care Cancer29(6), 3061–3067 (2020).https://doi.org/10.1007/s00520-020-05810-5

    Article  Google Scholar 

  14. Islind, A.S.: Platformization: Co-Designing Digital Platforms in Practice. University West (2018)

    Google Scholar 

  15. Terlouw, G., Kuipers, D., Veldmeijer, L., van’t Veer, J., Prins, J., Pierie, J.-P.: Boundary objects as dialogical learning accelerators for social change in design for health: systematic review. JMIR Hum. Factors9(1), e31167 (2022)

    Google Scholar 

  16. Erikainen, S., Pickersgill, M., Cunningham-Burley, S., Chan, S.: Patienthood and participation in the digital era. Digit. Health5, 2055207619845546 (2019)

    Google Scholar 

  17. Lupton, D.: The digitally engaged patient: self-monitoring and self-care in the digital health era. Soc. Theory Health11(3), 256–270 (2013)

    Article  Google Scholar 

  18. Davidson, E., Baird, A., Prince, K.: Opening the envelope of health care information systems research. Inf. Organ.28(3), 140–151 (2018)

    Article  Google Scholar 

  19. https://www.misqresearchcurations.org/blog/2018/6/20/health-information-technology

  20. Bossen, C., Pine, K.H., Cabitza, F., Ellingsen, G., Piras, E.M.: Data work in healthcare: an Introduction. Health Informatics J.25(3), 465–474 (2019)

    Article  Google Scholar 

  21. Peyroteo, M., Ferreira, I.A., Elvas, L.B., Ferreira, J.C., Lapão, L.V.: Remote monitoring systems for patients with chronic diseases in primary health care: systematic review. JMIR Mhealth Uhealth9(12), e28285 (2021)

    Article  Google Scholar 

  22. Gilani, S.M., Tanvy, A., Pasha, M.F., Thanzami, V.: Professional and peer social support-oriented mhealth app: a platform for adolescents with depressive symptomatology. In: Proc. Hawaii International Conference on System Sciences (HICSS) (2022)

    Google Scholar 

  23. Lancaster, K., et al.: The Use and Effects of Electronic Health Tools for Patient Self-Monitoring and Reporting of Outcomes Following Medication Use: Systematic Review. J. Med. Internet. Res.20(12), e294 (2018)

    Article  Google Scholar 

  24. Légaré, F., et al.: Interventions for increasing the use of shared decision making by healthcare professionals. Cochrane Database Syst. Rev. (7) (2018)

    Google Scholar 

  25. van Dael, J., Gillespie, A., Neves, A.L., Darzi, A.: Patient–clinician communication research for 21st century health care. Br. J. Gen. Pract.72(715), 52–53 (2022)

    Article  Google Scholar 

  26. Joshi, S.G., Bratteteig, T.: Designing for prolonged mastery. On involving old people in participatory design. Scand. J. Inf. Syst.28(1) (2016)

    Google Scholar 

  27. Kensing, F., Greenbaum, J.: Heritage: Having a Say’: ‘Routledge International Handbook of Participatory Design (Routledge), pp. 41–56 (2012)

    Google Scholar 

  28. Vallo Hult, H., Islind, A.S., Master Östlund, C., Holmgren, D., Wekell, P.: Sociotechnical co-design with general pediatricians: ripple effects through collaboration in action. Proc. AMCIS, Salt Lake City, UT, USA (2020)

    Google Scholar 

  29. Islind, A.S., Lundh Snis, U.: From co-design to co-care: designing a collaborative practice in care. Systems, Signs and Actions11(1), 1–24 (2018)

    Google Scholar 

  30. Tan, S.S.L., Goonawardene, N.: Internet health information seeking and the patient-physician relationship: a systematic review. J. Med. Internet Res.19(1), e9 (2017)

    Article  Google Scholar 

  31. Ahluwalia, S., Murray, E., Stevenson, F., Kerr, C., Burns, J.: 'A heartbeat moment’: qualitative study of GP views of patients bringing health information from the internet to a consultation. Br. J. Gen. Pract.60(571), 88–94 (2010)

    Article  Google Scholar 

  32. Van Den Broek, E., Sergeeva, A., Huysman, M.: “Every little thing makes us think of cancer”: how patient access to medical records influences role relations (2018)

    Google Scholar 

  33. Bartel, C.A., Garud, R.: Narrative knowledge in action: adaptive abduction as a mechanism for knowledge creation and exchange in organizations. The Blackwell Handbook of Organizational Learning and Knowledge Management 324–342 (2003)

    Google Scholar 

  34. Bechky, B.A.: Sharing meaning across occupational communities: the transformation of understanding on a production floor. Organ. Sci.14(3), 312–330 (2003)

    Article  Google Scholar 

  35. Boland, R.J., Tenkasi, R.V.: Perspective making and perspective taking in communities of knowing. Organ. Sci.6(4), 350–372 (1995)

    Article  Google Scholar 

  36. Carlile, P.R.: A pragmatic view of knowledge and boundaries: boundary objects in new product development. Organ. Sci.13(4), 442–455 (2002)

    Article  Google Scholar 

  37. Carlile, P.R.: Transferring, translating, and transforming: an integrative framework for managing knowledge across boundaries. Organ. Sci.15(5), 555–568 (2004)

    Article  Google Scholar 

  38. Levina, N.: Collaborating on multiparty information systems development projects: a collective reflection-in-action view. Inf. Syst. Res.16(2), 109–130 (2005)

    Article  Google Scholar 

  39. Nicolini, D., Mengis, J., Swan, J.: Understanding the role of objects in cross-disciplinary collaboration. Organ. Sci.23(3), 612–629 (2012)

    Article  Google Scholar 

  40. Pawlowski, S.D., Robey, D.: Bridging user organizations: knowledge brokering and the work of information technology professionals. MIS Q.: Manag. Inf. Syst.28(4), 645–672 (2004)

    Article  Google Scholar 

  41. Star, S.L., Griesemer, J.R.: Institutional ecology, ‘translations’ and boundary objects: amateurs and professionals in Berkeley’s museum of vertebrate zoology, 1907–39. Soc. Stud. Sci.19, 387–420 (1989)

    Article  Google Scholar 

  42. Islind, A.S., Lindroth, T., Lundin, J., Steineck, G.: Co-designing a digital platform with boundary objects: bringing together heterogeneous users in healthcare. Health Technol.9(4), 425–438 (2019).https://doi.org/10.1007/s12553-019-00332-5

    Article  Google Scholar 

  43. Boland Jr, R.J., Tenkasi, R.V.J.O.s.: Perspective making and perspective taking in communities of knowing. Organ. Sci.6(4), 350–372 (1995)

    Google Scholar 

  44. Islind, A.S., Lundh Snis, U.: Learning in home care: a digital artifact as a designated boundary object-in-use. J. Workplace Learn.29(7/8), 577–587 (2017)

    Google Scholar 

  45. Akkerman, S.F., Bakker, A.: Boundary crossing and boundary objects. Rev. Educ. Res.81(2), 132–169 (2011)

    Article  Google Scholar 

  46. Pawlowski, S.D., Robey, D.: Bridging user organizations: knowledge brokering and the work of information technology professionals. MIS Quarterly, 645–672 (2004)

    Google Scholar 

  47. Swan, J., Bresnen, M., Newell, S., Robertson, M.: The object of knowledge: the role of objects in biomedical innovation. Hum. Relat.60(12), 1809–1837 (2007)

    Article  Google Scholar 

  48. Koskinen, K.U.: Metaphoric boundary objects as co-ordinating mechanisms in the knowledge sharing of innovation processes. Eur. J. Innov. Manag.8(3), 323–335 (2005)

    Article  Google Scholar 

  49. Henderson, K.: Flexibile sketches and inflexible data bases: visual communication, conscription devices, and boundary objects in design engineering. Sci. Technol. Human Values16, 448–473 (1991)

    Article  Google Scholar 

  50. Lutters, W.G., Ackerman, M.S.: Achieving safety: a field study of boundary objects in aircraft technical support. Book Achieving Safety: A Field Study of Boundary Objects in Aircraft Technical Support, pp. 266–275 (2002)

    Google Scholar 

  51. Winter, S.J., Butler, B.S.: Creating bigger problems: grand challenges as boundary objects and the legitimacy of the information systems field. J. Inf. Technol.26(2), 99–108 (2011)

    Article  Google Scholar 

  52. Malinverni, L., Valero, C., Schaper, M.M., de la Cruz, I.G.: Educational robotics as a boundary object: towards a research agenda. Int. J. Child-Comput. Interact.29, 100305 (2021)

    Article  Google Scholar 

  53. Berg, M., Bowker, G.: The multiple bodies of the medical record. Sociol. Q.38(3), 513–537 (1997)

    Article  Google Scholar 

  54. Ewenstein, B., Whyte, J.: Knowledge practices in design: the role of visual representations as epistemic objects’, Organ. Stud. (2009)

    Google Scholar 

  55. Dalsgaard, P., Halskov, K., Basballe, D.A.: Emergent boundary objects and boundary zones in collaborative design research projects. In: Book Emergent Boundary Objects and Boundary Zones in Collaborative Design Research Projects (ACM), pp. 745–754 (2014)

    Google Scholar 

  56. Star, S.L.: This is not a boundary object: Reflections on the origin of a concept. Sci. Technol. Human Values35(5), 601–617 (2010)

    Article  Google Scholar 

  57. Nandhakumar, J., Panourgias, N.S., Scarbrough, H.: From knowing it to “getting it”: envisioning practices in computer games development. Inf. Syst. Res.24(4), 933–955 (2013)

    Article  Google Scholar 

  58. Graneheim, U.H., Lundman, B.: Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ. Today24(2), 105–112 (2004)

    Article  Google Scholar 

  59. Wekell, P., Karlsson, A., Berg, S., Fasth, A.: Review of autoinflammatory diseases, with a special focus on periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis syndrome. Acta Paediatr.105(10), 1140–1151 (2016)

    Article  Google Scholar 

  60. Rydenman, K., Berg, S., Karlsson-Bengtsson, A., Fasth, A., Wekell, P.: PFAPA-syndrom–en viktig differential-diagnos hos barn med återkommande feberepisoder [PFAPA syndrome – An important differential diagnosis in children with recurrent fever], Lakartidningen, 116:FP9U (2019)

    Google Scholar 

  61. Vallo Hult, H., Islind, A.S., Wekell, P., Rydenman, K.: Decreased memory bias via a mobile application: a symptom tracker to monitor children’s periodic fever. Stud. Health Technol. Inform. (2022)

    Google Scholar 

  62. Myers, M.D.: Qualitative Research in Business and Management. SAGE (2013)

    Google Scholar 

  63. Wenger, E.: Communities of practice and social learning systems. Organization7(2), 225–246 (2000)

    Article MathSciNet  Google Scholar 

  64. Kimbler, K.: App store strategies for service providers. In: Book App Store Strategies for Service Providers, pp. 1–5. IEEE (2010)

    Google Scholar 

  65. Kimble, C., Grenier, C., Goglio-Primard, K.: Innovation and knowledge sharing across professional boundaries: political interplay between boundary objects and brokers. Int. J. Inf. Manage.30(5), 437–444 (2010)

    Article  Google Scholar 

  66. Fischer, G.: External and shareable artifacts as opportunities for social creativity in communities of interest. In: Book External and Shareable Artifacts as Opportunities for Social Creativity in Communities of Interest, Citeseer, (2001)

    Google Scholar 

  67. Brown, J.S., Druguid, P.: Organizational learning and communities-of-practice: towards a unified view of working, learning and innovation. Organ. Sci.2, 40–57 (1991)

    Article  Google Scholar 

  68. Cook, S.D.N., Brown, J.S.: Bridging epistemologies: the generative dance between organizational knowledge and organizational knowing. Organ. Sci.10(4), 381–400 (1999)

    Article  Google Scholar 

  69. Akkerman, S.F., Bakker, A.: Learning at the boundary: an introduction. Int. J. Educ. Res.50(1), 1–5 (2011)

    Article  Google Scholar 

  70. Fitzpatrick, G., Ellingsen, G.: A review of 25 years of CSCW research in healthcare: contributions, challenges and future agendas. Computer Supported Cooperative Work: CSCW: An International Journal22(4–6), 609–665 (2013)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Computer Science, Reykjavik University, Reykjavik, Iceland

    Anna Sigridur Islind

  2. School of Business, Economics and IT, University West, Trollhattan, Sweden

    Helena Vallo Hult

  3. NU Hospital Group, Trollhattan, Sweden

    Helena Vallo Hult, Karin Rydenman & Per Wekell

  4. University of Gothenburg, Gothenburg, Sweden

    Per Wekell

Authors
  1. Anna Sigridur Islind

    You can also search for this author inPubMed Google Scholar

  2. Helena Vallo Hult

    You can also search for this author inPubMed Google Scholar

  3. Karin Rydenman

    You can also search for this author inPubMed Google Scholar

  4. Per Wekell

    You can also search for this author inPubMed Google Scholar

Corresponding author

Correspondence toAnna Sigridur Islind.

Editor information

Editors and Affiliations

  1. Royal Holloway University of London, London, UK

    Amany Elbanna

  2. University of Maynooth, Maynooth, Ireland

    Shane McLoughlin

  3. Swansea University, Swansea, UK

    Yogesh K. Dwivedi

  4. University of Maynooth, Maynooth, Kildare, Ireland

    Brian Donnellan

  5. University of Nottingham, Nottingham, UK

    David Wastell

Rights and permissions

Copyright information

© 2022 IFIP International Federation for Information Processing

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Islind, A.S., Hult, H.V., Rydenman, K., Wekell, P. (2022). Co-creating a Digital Symptom Tracker: An App as a Boundary Object in the Context of Pediatric Care. In: Elbanna, A., McLoughlin, S., Dwivedi, Y.K., Donnellan, B., Wastell, D. (eds) Co-creating for Context in the Transfer and Diffusion of IT. TDIT 2022. IFIP Advances in Information and Communication Technology, vol 660. Springer, Cham. https://doi.org/10.1007/978-3-031-17968-6_5

Download citation

Publish with us

Societies and partnerships

Access this chapter

Subscribe and save

Springer+ Basic
¥17,985 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
JPY 3498
Price includes VAT (Japan)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
JPY 11439
Price includes VAT (Japan)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
JPY 14299
Price includes VAT (Japan)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide -see info
Hardcover Book
JPY 14299
Price includes VAT (Japan)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide -see info

Tax calculation will be finalised at checkout

Purchases are for personal use only


[8]ページ先頭

©2009-2025 Movatter.jp