happier together: integrating a wellness application into a social network site
DESCRIPTION
What are the benefits and drawbacks of integrating health and wellness interventions into existing online social network websites? In this paper, we report on a case study of deploying the Three Good Things positive psychology exercise as a Facebook application. Our experience shows that embedding a wellness intervention in an existing social website is a viable option. In particular, we find adherence rates on par with or better than many other Internet-based wellness interventions. We also gained insights about users’ privacy and audience concerns that inform the design of social network-based wellness applications. Participants did not want all of their entries to be shared with all their Facebook friends, both because they did not want others to know some things and because they did not want to clutter others’ newsfeeds. Users found it compelling, however, to interact with their friends around some “Good Things” they had posted.TRANSCRIPT
Happier Together: Integrating a Wellness Application Into a Social Network Site Sean Munson, Debra Lauterbach, Mark Newman, Paul Resnick School of Information, University of Michigan
UbiFit (Consolvo et al)
Fish’n’Steps (Lin et al)
Shakra (Anderson et al)
(Some of the) bene-its of social+web interventions
SOCIAL SUPPORT & SOCIAL PRESSURE. PEER HELPER THEORY. Get better by helping others. AVAILABLE RIGHT NOW. 24/7 information and support. SCALABILITY.
Challenges with social, standalone interventions
ADHERENCE as low as 1%. Sharing with PEOPLE WHOSE OPINIONS PARTICIPANTS DON’T CARE ABOUT.
PARTICIPANTS ARE ALREADY ON THESE SITES. 50% of Facebook users visit every day. SO ARE THE PEOPLE THEY CARE ABOUT. Friends, family, acquaintances, coworkers.
Daily mile, fit bit posts Nancy Smith
Nancy Smith
Nancy Smith
Jane Doeherty
Jane Doeherty
also see Khaled, Barr, Noble, Biddle 2006
Some questions
Does sharing and interacting with existing friends affect user retention?
Are people comfortable sharing all their wellness
application activity with all their existing social network friends? What features should be offered for controlling the visibility of activity?
Does building structured applications, tailored to a
specific wellness activity, offer benefits over repurposing generic features of the Facebook platform (e.g. groups)?
Study overview
1. App vs. Groups: Compare use of existing Facebook groups for an intervention with a purpose-built application (inspired by observation of Facebook groups).
2. App: 1. Explore preferences and behavior for sharing
through interviews and use logs. 2. Within case study of app, vary features and
defaults and see effects on retention and use.
The Intervention: Three Good Things
Seligman, M; Steen, T; Park, N; Peterson, C. (2005). “Positive Psychology Progress,”
American Psychologist 60(5), 410-421.
Existing Facebook Groups
The 3GT Application
apps.facebook.com/threegoodthings
Paul has not posted any good things for 3 days. Would you like to nudge him?
Different features and defaults
REMINDERS
48 hours & 72 hours
SHARING DEFAULT
Share on newsfeed by default Private by default
None
5
Use & Results
3GT App participants
Recruited through Facebook ads, Facebook application directory, posts elsewhere online, and invites from other 3GT users. Signups 20 July 2009– 21 February 2010 No compensation to participate; $20 for interview. Demographic questionnaire at signup.
PARTICIPANTS
n Signed up: 190 Active: 55 posted at ≥twice, at least a week
apart Interviewed: 6 people who stopped
participating lost to follow-up.
demographics Age: 36.9 years
Gender: 7 men, 48 women
Use comparisons
GROUPS 3GT APP
Average Good ings / User / Day
Good ings with Reasons
0.38 & 0.47 0.83
<1% 80%
n
nactive 55
190 78 & 144
7 & 10
3GT: Sharing
posted to newsfeed 21% 40% visible to friends in 3GT 23% 45% private 56% 14%
3GT: Sharing
!
Private Default Newsfeed Default
Participants
Private Public in 3GT Public
% o
f pos
ts
100%
80%
60% 40%
20%
0%
NO IMPACT on post frequency or retention.
AUDIENCE ISSUES. More public posts should meet a “higher standard.” Fear of “cluttering” or “spamming” with mundane posts. (An issue of weak+strong ties?)
“Mostly when I make things private, it’s more because I think they’d be boring or insignificant to my friends, not because they’re actually things I wouldn’t want my friends to know about. I just don’t want to clog up their Facebook with it…. A lot of the people I’m friends with wince about having games and other non-status update things all over their pages. And so I don’t want to get winced about.”
3GT: Sharing
PRIVACY ISSUES. Collapsed contexts. Didn’t want to share with all friends. Not all participants felt “Private” was sufficiently private.
AUDIENCE ISSUES. More public posts should meet a “higher standard.” Fear of “cluttering” or “spamming” with mundane posts. (An issue of weak+strong ties?)
“I like the fact that I can choose whether things are private or public. Because if they were all public, some of them I wouldn’t write, because I thought they weren’t significant enough to sort of fill up others’ Facebook pages with.”
3GT: Sharing
PRIVACY ISSUES. Collapsed contexts. Didn’t want to share with all friends. Not all participants felt “Private” was sufficiently private.
AUDIENCE ISSUES. More public posts should meet a “higher standard.” Fear of “cluttering” or “spamming” with mundane posts. (An issue of weak+strong ties?)
“I’m more cognizant of cluttering other peoples’ feeds than some of my friends.”
3GT: Sharing
PRIVACY ISSUES. Collapsed contexts. Didn’t want to share with all friends. Not all participants felt “Private” was sufficiently private.
3GT: Sharing
DESIRE FOR SOCIAL EXPERIENCE
Of the 55 active participants… 24 invited friends 25 looked at friend profiles
Of 4188 pageviews… 403 were of a friend’s 3GT profile
257 were of timeline of all friends’ GTs
“I got a TON of comments…. Lots of people said they liked that, and they responded to that and congratulated me… so yeah, people do definitely comment on them when they are created from Facebook and publicized [in newsfeeds].
“It would have been cool to have somebody reacting to, like you said, the sort of social interaction over the content of the posts that I’ve done… To have some of these things – “oh, I see you posted something”, or just some reaction. Because sometimes it feels like you’re out there, putting stuff out in the world and you’re not getting any feedback, you know?”
3GT: Sharing
DESIRE FOR SOCIAL EXPERIENCE
Of the 55 active participants… 24 invited friends 25 looked at friend profiles
Of 4188 pageviews… 403 were of a friend’s 3GT profile
257 were of timeline of all friends’ GTs
3GT: Reminders
System Generated Reminders
NO IMPACT on post frequency or retention.
TOO SUBTLE? … BUT JUST RIGHT FOR SOME. “I like the part that it sends me a note when I forget. I really like that! Having it remind me when I’ve forgotten is really cool.”
“I haven’t…at least not that I’ve noticed….” [checks history] “Oh - So I did get some. … But I need something like an email.”
User-User Reminders Paul has not posted any good things for 3 days. Would you like to nudge him?
STRONG AVERSION TO SENDING. 14 sent by 7 participants.
“No!... No, it’s not my job.” “[I might send if I know that someone is] seriously combating depression, or it’s something that they’re really serious about and want to be doing, and they want me to help them get that done.”
“I don’t really like Nudge functions because they don’t seem very personal. I’d rather go to their Wall and leave a sentence that was specifically from me.”
Design Implications
Design implications
Integration a wellness intervention into Facebook is viable, but best practices need more work. Including intervention-specific user interface structure (e.g. reasons prompt) is beneficial. Subtle reminders not effective for everyone. We do not know if more assertive reminders would have helped or hurt.
Design implications
Adding social features to an individual exercise can be beneficial, but not as a replacement to private participation. Relying on Facebook’s built-in social interactions and graph is not ideal. People wanted more control & less broadcast. Interventions need to address both privacy and audience issues.
Future Work
Future work
Improve the 3GT experience to improve retention. Ability to make GT public to all users of 3GT app?
Wellness outcomes over time. Compare wellness outcomes for purely private
online app to the 3GT app on Facebook.
thanks!
Sean Munson [email protected] @smunson Debra Lauterbach [email protected] @debweb Mark Newman [email protected] @nooom Paul Resnick [email protected] @presnick
swellness.projects.si.umich.edu is project was supported by a UM-Rackham Research Grant.
10
Preliminary Wellness Outcomes
Start 1 week
CES-D 0-60, lower better
SHI 20-100, higher better
-7.8
1 Month
4.3 7.0
-6.2
54.2
24.6
n=32, p<0.001 n=11, p<0.05
n=11, p=0.05 n=32, p<0.001