{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T17:22:24Z","timestamp":1760548944976,"version":"3.41.0"},"reference-count":22,"publisher":"Association for Computing Machinery (ACM)","issue":"3","license":[{"start":{"date-parts":[[2010,5,1]],"date-time":"2010-05-01T00:00:00Z","timestamp":1272672000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.acm.org\/publications\/policies\/copyright_policy#Background"}],"content-domain":{"domain":["dl.acm.org"],"crossmark-restriction":true},"short-container-title":["interactions"],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:p>Editor's Note: Improving healthcare is a wicked problem [1]. Healthcare's many stakeholders can't agree on a solution, because they don't agree on the problem. They come to the discussion from different points of view, with different frames. Wicked problems can be \"solved\" only by reframing, by providing a new way of understanding the problem that stakeholders can share [1]. This article describes a growing trend: framing health in terms of well-being and broadening healthcare to include self-management. Self-management reframes patients as designers, an example of a shift also occurring in design practice---reframing users as designers. The article concludes with thoughts on what these changes may mean when designing for health.---Hugh Dubberly<\/jats:p>","DOI":"10.1145\/1744161.1744175","type":"journal-article","created":{"date-parts":[[2010,5,11]],"date-time":"2010-05-11T12:46:45Z","timestamp":1273582005000},"page":"56-63","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":16,"title":["Reframing health to embrace design of our own well-being"],"prefix":"10.1145","volume":"17","author":[{"given":"Hugh","family":"Dubberly","sequence":"first","affiliation":[{"name":"Dubberly Design Office"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajiv","family":"Mehta","sequence":"additional","affiliation":[{"name":"Zume Life"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelley","family":"Evenson","sequence":"additional","affiliation":[{"name":"Carnegie Mellon University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Pangaro","sequence":"additional","affiliation":[{"name":"CyberneticLifestyles.com"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"320","published-online":{"date-parts":[[2010,5]]},"reference":[{"key":"e_1_2_1_1_1","first-page":"390","article-title":"On the Planning Crisis: Systems Analysis of the 'First and Second Generation","volume":"8","author":"Rittel H.","year":"1972","journal-title":"Bedrifts \u00d8konomen."},{"key":"e_1_2_1_2_1","unstructured":"Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference New York 19--22 June 1946. http:\/\/www.who.int\/about\/definition\/en\/print.html\/  Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference New York 19--22 June 1946. http:\/\/www.who.int\/about\/definition\/en\/print.html\/"},{"key":"e_1_2_1_3_1","unstructured":"Workplace stress and autonomy over tasks affect health. See: Ferrie J. ed. Work Stress and Health: The Whitehall II Study published by Public and Commercial Services Union on behalf of Council of Civil Service Unions\/Cabinet Office London 2004.  Workplace stress and autonomy over tasks affect health. See: Ferrie J. ed. Work Stress and Health: The Whitehall II Study published by Public and Commercial Services Union on behalf of Council of Civil Service Unions\/Cabinet Office London 2004."},{"key":"e_1_2_1_4_1","unstructured":"Social policy affects health in many ways. Health has several prerequisites including clean air and water food and shelter physical and financial security and education. In the early 20th century water and sewage treatment hugely improved public health; likewise laws regulating toxins pollution and safety also improved public health. Administering vaccines has all but eliminated some diseases such as polio and smallpox. More recently tobacco smoking has declined. See: \"Beyond Health Care: New Directions to a Healthier America \" Recommendations from the Robert Wood Johnson Foundation Commission to Build a Healthier America 2009.  Social policy affects health in many ways. Health has several prerequisites including clean air and water food and shelter physical and financial security and education. In the early 20th century water and sewage treatment hugely improved public health; likewise laws regulating toxins pollution and safety also improved public health. Administering vaccines has all but eliminated some diseases such as polio and smallpox. More recently tobacco smoking has declined. See: \"Beyond Health Care: New Directions to a Healthier America \" Recommendations from the Robert Wood Johnson Foundation Commission to Build a Healthier America 2009."},{"volume-title":"International Conference on Health Promotion. \"The Ottawa Charter for Health Promotion.\" World Health Organization","year":"1986","author":"First","key":"e_1_2_1_5_1"},{"key":"e_1_2_1_7_1","unstructured":"American Heart Association. \"Statistics You Need to Know.\" http:\/\/www.american-heart.org\/presenter.jhtml?identifier=107\/  American Heart Association. \"Statistics You Need to Know.\" http:\/\/www.american-heart.org\/presenter.jhtml?identifier=107\/"},{"key":"e_1_2_1_8_1","article-title":"Bringing the 'Social' to Epidemiology: S. Leonard Syme, Ph.D","author":"Mills K.","year":"2006","journal-title":"U.C. Berkeley Public Health Magazine"},{"volume-title":"London: Tavistock","year":"1973","author":"Foucault M.","key":"e_1_2_1_9_1"},{"volume-title":"CA: Sun Microsystems","year":"2002","author":"Geoghegan M.","key":"e_1_2_1_10_1"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph6020492"},{"key":"e_1_2_1_12_1","first-page":"3","article-title":"Exploring Healthcare: A project between Carnegie Mellon's School of Design, Continuum, and Mayo Clinic","volume":"1","author":"Evenson S.","year":"2010","journal-title":"Touchpoint: The journal of service design."},{"key":"e_1_2_1_13_1","unstructured":"Mehta R. \"A Billion Little Experiments \" November 2009. Available from http:\/\/www.zumelife.com\/pdf\/ A Billion Little Experiments.pdf  Mehta R. \"A Billion Little Experiments \" November 2009. Available from http:\/\/www.zumelife.com\/pdf\/ A Billion Little Experiments.pdf"},{"key":"e_1_2_1_14_1","unstructured":"Haig S. \"Can Turmeric Relieve Pain? One Doctor's Opinion.\" Time 13 July 2009.  Haig S. \"Can Turmeric Relieve Pain? One Doctor's Opinion.\" Time 13 July 2009."},{"key":"e_1_2_1_15_1","unstructured":"Deloitte Center for Health Solutions. \"Deloitte's 2009 Survey of U. S. Health Consumers: Key Findings and Strategic Implications.\" March 17 2009. http:\/\/www.deloitte.com\/assets\/Dcom-UnitedStates\/LocalAssets\/Documents\/us_chs_2009SurveyHealthConsumers_March2009.pdf\/  Deloitte Center for Health Solutions. \"Deloitte's 2009 Survey of U. S. Health Consumers: Key Findings and Strategic Implications.\" March 17 2009. http:\/\/www.deloitte.com\/assets\/Dcom-UnitedStates\/LocalAssets\/Documents\/us_chs_2009SurveyHealthConsumers_March2009.pdf\/"},{"key":"e_1_2_1_16_1","unstructured":"Henry J. Kaiser Family Foundation. \"Kaiser Health Tracking Poll.\" July 2009. http:\/\/www.kff.org\/kaiserpolls\/upload\/7945.pdf\/  Henry J. Kaiser Family Foundation. \"Kaiser Health Tracking Poll.\" July 2009. http:\/\/www.kff.org\/kaiserpolls\/upload\/7945.pdf\/"},{"key":"e_1_2_1_17_1","unstructured":"The Stanford Cardiac Rehabilitation Program (SCRP) has shown that nurses working as health-coaches (helping patients set goals and change behavior) significantly reduce rates of repeat heart attacks. The SCRP has also shown that involving patients in peer group activities helps motivate change.  The Stanford Cardiac Rehabilitation Program (SCRP) has shown that nurses working as health-coaches (helping patients set goals and change behavior) significantly reduce rates of repeat heart attacks. The SCRP has also shown that involving patients in peer group activities helps motivate change."},{"key":"e_1_2_1_18_1","unstructured":"Health-related social networks include: curetogether.com dailystrength.org ehealth-forum.com healthchapter.com imedex.com inspire.com mdjunction.com medhelp.org organizedwisdom.com patientslikeme.com sugarstats.com trusera.com wegohealth.com wellescent.com and wellsphere.com.  Health-related social networks include: curetogether.com dailystrength.org ehealth-forum.com healthchapter.com imedex.com inspire.com mdjunction.com medhelp.org organizedwisdom.com patientslikeme.com sugarstats.com trusera.com wegohealth.com wellescent.com and wellsphere.com."},{"key":"e_1_2_1_19_1","unstructured":"Social networks with a health component include: experienceproject.com people-jam.com nikeplus.com.  Social networks with a health component include: experienceproject.com people-jam.com nikeplus.com."},{"key":"e_1_2_1_20_1","unstructured":"Wolf G. \"Know Thyself: Tracking Every Facet of Life from Sleep to Mood to Pain 24\/7\/365 \" Wired 17.07 (2009)  Wolf G. \"Know Thyself: Tracking Every Facet of Life from Sleep to Mood to Pain 24\/7\/365 \" Wired 17.07 (2009)"},{"key":"e_1_2_1_21_1","unstructured":"Shadforth I. Personal communications.  Shadforth I. Personal communications."},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1145\/1390085.1390092"},{"key":"e_1_2_1_23_1","unstructured":"Giroux H. \"Rethinking Education as the Practice of Freedom: Paulo Freire and the Promise of Critical Pedagogy \" Truthout January 3 2010. http:\/\/www.truthout.org\/10309_Giroux_Freire  Giroux H. \"Rethinking Education as the Practice of Freedom: Paulo Freire and the Promise of Critical Pedagogy \" Truthout January 3 2010. http:\/\/www.truthout.org\/10309_Giroux_Freire"}],"container-title":["Interactions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/1744161.1744175","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dl.acm.org\/doi\/pdf\/10.1145\/1744161.1744175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T12:45:31Z","timestamp":1750250731000},"score":1,"resource":{"primary":{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/1744161.1744175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,5]]}},"alternative-id":["10.1145\/1744161.1744175"],"URL":"https:\/\/doi.org\/10.1145\/1744161.1744175","relation":{},"ISSN":["1072-5520","1558-3449"],"issn-type":[{"type":"print","value":"1072-5520"},{"type":"electronic","value":"1558-3449"}],"subject":[],"published":{"date-parts":[[2010,5]]},"assertion":[{"value":"2010-05-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}