{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T07:34:31Z","timestamp":1782372871680,"version":"3.54.5"},"reference-count":101,"publisher":"Association for Computing Machinery (ACM)","issue":"CSCW","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.acm.org\/publications\/policies\/copyright_policy#Background"}],"funder":[{"name":"Royalty Research Fund","award":["A118704"],"award-info":[{"award-number":["A118704"]}]}],"content-domain":{"domain":["dl.acm.org"],"crossmark-restriction":true},"short-container-title":["Proc. ACM Hum.-Comput. Interact."],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>Personal informatics systems for supporting health largely grew out of a \"self\"-centric orientation: self-tracking, self-reflection, self-knowledge, self-experimentation, self-improvement. Health management, however, even when self-driven, is inherently social and depends on a person's direct relationships and broader sociocultural contexts, as an emerging line of research is coming to recognize, study, and support. This is particularly true in the case of mental health. In this paper, we engage with individuals managing the serious mental illness bipolar disorder and members of their support circles to (a) identify key social relations and the roles they play in condition management, (b) characterize patients' complex interactions with these relations (e.g., positive or negative, direct or peripheral, steady or unstable), and (c) understand how personal informatics mediates these recovery relations. Based on these insights, we offer a model of this social ecology, along with design implications for personal informatics systems that are sensitive to these interpersonal contexts.<\/jats:p>","DOI":"10.1145\/3274396","type":"journal-article","created":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T21:21:27Z","timestamp":1541107287000},"page":"1-27","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":185,"title":["Personal Informatics in Interpersonal Contexts"],"prefix":"10.1145","volume":"2","author":[{"given":"Elizabeth L.","family":"Murnane","sequence":"first","affiliation":[{"name":"Stanford University, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara G.","family":"Walker","sequence":"additional","affiliation":[{"name":"University of Colorado Boulder, Boulder, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beck","family":"Tench","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Voida","sequence":"additional","affiliation":[{"name":"University of Colorado, Boulder, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Snyder","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"320","published-online":{"date-parts":[[2018,11]]},"reference":[{"key":"e_1_2_1_1_1","volume-title":"Nature","volume":"547","author":"Althoff Tim","year":"2017","unstructured":"Tim Althoff, Rok Sosivc, Jennifer L. Hicks, Abby C. King, Scott L. Delp, and Jure Leskovec. 2017. Large-scale physical activity data reveal worldwide activity inequality. Nature , Vol. 547 (July 2017), 336."},{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/17538150802457562"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.11.1517"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1145\/1357054.1357336"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1145\/2470654.2481364"},{"key":"e_1_2_1_6_1","volume-title":"Designing Healthcare That Works","author":"Bardram Jakob E","unstructured":"Jakob E Bardram and Mads M Frost. 2017. Double-loop health technology: enabling socio-technical design of personal health technology in clinical practice. In Designing Healthcare That Works . Elsevier, 167--186."},{"key":"e_1_2_1_8_1","volume-title":"Redefining vernacular literacies in the age of Web 2.0. Applied linguistics","author":"Barton David","year":"2012","unstructured":"David Barton and Carmen KM Lee. 2012. Redefining vernacular literacies in the age of Web 2.0. Applied linguistics , Vol. 33, 3 (2012), 282--298."},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008757115404"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1145\/3025453.3025923"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1108\/JHOM-01-2016-0004"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocv118"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2958.2002.tb00807.x"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/10518-046"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.5210\/fm.v16i5.3493"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1145\/2468356.2468791"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166389"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1145\/3025453.3025747"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1145\/2818048.2819926"},{"key":"e_1_2_1_21_1","volume-title":"Understanding people in context: The ecological perspective in counseling","author":"Cook Ellen P","unstructured":"Ellen P Cook. 2015. Understanding people in context: The ecological perspective in counseling .John Wiley & Sons."},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371205700804"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijhcs.2010.06.005"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1145\/1978942.1979280"},{"key":"e_1_2_1_25_1","volume-title":"Ann Marie Hughes, et almbox","author":"Egglestone Stefan Rennick","year":"2009","unstructured":"Stefan Rennick Egglestone, Lesley Axelrod, Thomas Nind, Ruth Turk, Anna Wilkinson, Jane Burridge, Geraldine Fitzpatrick, Sue Mawson, Zoe Robertson, Ann Marie Hughes, et almbox. 2009. A design framework for a home-based stroke rehabilitation system: Identifying the key components. In Pervasive Computing Technologies for Healthcare . IEEE, 1--8."},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1145\/2598510.2598558"},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1145\/2493432.2493433"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.1145\/2675133.2675135"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1145\/2750858.2804250"},{"key":"e_1_2_1_30_1","volume-title":"Proceedings of the First European Conference on Design","volume":"4","author":"Fitzpatrick Geraldine","year":"2011","unstructured":"Geraldine Fitzpatrick. 2011. New challenges for health IT--Design fit for life. In Proceedings of the First European Conference on Design, Vol. 4. 121--135."},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10606-012-9168-0"},{"key":"e_1_2_1_32_1","volume-title":"Interpersonal and social rhythm therapy: an intervention addressing rhythm dysregulation in bipolar disorder. Dialogues in clinical neuroscience","author":"Frank Ellen","year":"2007","unstructured":"Ellen Frank, Holly A Swartz, and Elaine Boland. 2007. Interpersonal and social rhythm therapy: an intervention addressing rhythm dysregulation in bipolar disorder. Dialogues in clinical neuroscience , Vol. 9, 3 (2007), 325."},{"key":"e_1_2_1_33_1","doi-asserted-by":"publisher","DOI":"10.1145\/1247660.1247670"},{"key":"e_1_2_1_34_1","doi-asserted-by":"publisher","DOI":"10.1145\/2493432.2493507"},{"key":"e_1_2_1_35_1","volume-title":"Stigma: Notes on a spoiled identity. Jenkins, JH & Carpenter","author":"Goffman Erving","year":"1963","unstructured":"Erving Goffman. 1963. Stigma: Notes on a spoiled identity. Jenkins, JH & Carpenter (1963)."},{"key":"e_1_2_1_36_1","volume-title":"Manic-depressive illness: bipolar disorders and recurrent depression","author":"Goodwin Frederick K","unstructured":"Frederick K Goodwin and Kay Redfield Jamison. 2007. Manic-depressive illness: bipolar disorders and recurrent depression. Vol. 1. Oxford University Press."},{"key":"e_1_2_1_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00779-014-0829-5"},{"key":"e_1_2_1_38_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511606632.023"},{"key":"e_1_2_1_39_1","doi-asserted-by":"publisher","DOI":"10.1145\/2493432.2493495"},{"key":"e_1_2_1_40_1","doi-asserted-by":"publisher","DOI":"10.1109\/CTS.2010.5478507"},{"key":"e_1_2_1_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/0270467610385893"},{"key":"e_1_2_1_42_1","doi-asserted-by":"publisher","DOI":"10.1145\/2675133.2675164"},{"key":"e_1_2_1_43_1","volume-title":"Cognition in the Wild","author":"Hutchins Edwin","unstructured":"Edwin Hutchins. 1995. Cognition in the Wild .MIT press."},{"key":"e_1_2_1_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11126-010-9125-3"},{"key":"e_1_2_1_45_1","doi-asserted-by":"publisher","DOI":"10.1521\/psyc.2008.71.2.123"},{"key":"e_1_2_1_46_1","doi-asserted-by":"publisher","DOI":"10.1145\/2675133.2675252"},{"key":"e_1_2_1_47_1","doi-asserted-by":"publisher","DOI":"10.1145\/3025453.3025826"},{"key":"e_1_2_1_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/00131746-200007000-00004"},{"key":"e_1_2_1_49_1","volume-title":"Designing socially embedded technologies in the real-world","author":"Kaziunas Elizabeth","unstructured":"Elizabeth Kaziunas and Mark S Ackerman. 2015. Designing for lived health: A practice-based approach for person-centered health information technologies. In Designing socially embedded technologies in the real-world. Springer, 357--381."},{"key":"e_1_2_1_50_1","doi-asserted-by":"publisher","unstructured":"Elizabeth Kaziunas Mark S Ackerman Silvia Lindtner and Joyce M Lee. 2017. Caring through Data: Attending to the Social and Emotional Experiences of Health Datafication.. In CSCW. 2260--2272. 10.1145\/2998181.2998303","DOI":"10.1145\/2998181.2998303"},{"key":"e_1_2_1_51_1","doi-asserted-by":"publisher","DOI":"10.1145\/3025453.3025750"},{"key":"e_1_2_1_52_1","doi-asserted-by":"publisher","DOI":"10.1080\/1369118X.2016.1153126"},{"key":"e_1_2_1_53_1","doi-asserted-by":"publisher","DOI":"10.55612\/s-5002-029-006"},{"key":"e_1_2_1_54_1","volume-title":"Psychiatric and medical comorbidities of bipolar disorder. Psychosomatic medicine","author":"Krishnan KR","year":"2005","unstructured":"KR Krishnan. 2005. Psychiatric and medical comorbidities of bipolar disorder. Psychosomatic medicine , Vol. 67, 1 (2005), 1--8."},{"key":"e_1_2_1_55_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v63n0206"},{"key":"e_1_2_1_56_1","doi-asserted-by":"publisher","DOI":"10.1080\/00107530.1996.10746951"},{"key":"e_1_2_1_57_1","doi-asserted-by":"publisher","DOI":"10.1145\/1753326.1753409"},{"key":"e_1_2_1_58_1","doi-asserted-by":"publisher","DOI":"10.1145\/2901790.2901866"},{"key":"e_1_2_1_59_1","volume-title":"Measuring mental illness stigma. Schizophrenia bulletin","author":"Link Bruce G","year":"2004","unstructured":"Bruce G Link, Lawrence H Yang, Jo C Phelan, and Pamela Y Collins. 2004. Measuring mental illness stigma. Schizophrenia bulletin , Vol. 30, 3 (2004), 511."},{"key":"e_1_2_1_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/0165-0327(94)90104-X"},{"key":"e_1_2_1_61_1","doi-asserted-by":"publisher","DOI":"10.1109\/ACCESS.2018.2793844"},{"key":"e_1_2_1_62_1","doi-asserted-by":"publisher","DOI":"10.1080\/09581596.2013.794931"},{"key":"e_1_2_1_63_1","doi-asserted-by":"publisher","DOI":"10.1145\/2686612.2686623"},{"key":"e_1_2_1_64_1","doi-asserted-by":"crossref","unstructured":"Deborah Lupton. 2015. Lively data social fitness and biovalue: The intersections of health self-tracking and social media. (2015).","DOI":"10.2139\/ssrn.2666324"},{"key":"e_1_2_1_65_1","doi-asserted-by":"publisher","DOI":"10.1109\/PerComW.2012.6197507"},{"key":"e_1_2_1_66_1","doi-asserted-by":"publisher","DOI":"10.1145\/1978942.1978988"},{"key":"e_1_2_1_67_1","doi-asserted-by":"crossref","unstructured":"Thomas W Malone Robert Laubacher and Chrysanthos Dellarocas. 2009. Harnessing crowds: Mapping the genome of collective intelligence. (2009).","DOI":"10.2139\/ssrn.1381502"},{"key":"e_1_2_1_68_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191116656794"},{"key":"e_1_2_1_69_1","doi-asserted-by":"publisher","DOI":"10.1080\/07370024.2017.1294983"},{"key":"e_1_2_1_70_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chb.2017.05.009"},{"key":"e_1_2_1_71_1","doi-asserted-by":"publisher","DOI":"10.1145\/2785830.2785866"},{"key":"e_1_2_1_72_1","volume-title":"et almbox","author":"Miklowitz David J","year":"2007","unstructured":"David J Miklowitz, Michael W Otto, Ellen Frank, Noreen A Reilly-Harrington, Stephen R Wisniewski, Jane N Kogan, Andrew A Nierenberg, Joseph R Calabrese, Lauren B Marangell, Laszlo Gyulai, et almbox. 2007. Psychosocial treatments for bipolar depression: a 1-year randomized trial from the Systematic Treatment Enhancement Program. Archives of general psychiatry , Vol. 64, 4 (2007), 419--426."},{"key":"e_1_2_1_73_1","doi-asserted-by":"publisher","DOI":"10.1145\/2556288.2557190"},{"key":"e_1_2_1_74_1","doi-asserted-by":"publisher","DOI":"10.1145\/3173574.3174224"},{"key":"e_1_2_1_75_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2792"},{"key":"e_1_2_1_76_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocv165"},{"key":"e_1_2_1_77_1","doi-asserted-by":"publisher","DOI":"10.1145\/2800835.2800943"},{"key":"e_1_2_1_78_1","volume-title":"Science","volume":"274","author":"Murray Christopher JL","year":"1996","unstructured":"Christopher JL Murray and Alan D Lopez. 1996. Evidence-based health policy--lessons from the Global Burden of Disease Study. Science , Vol. 274, 5288 (1996), 740--743."},{"key":"e_1_2_1_79_1","doi-asserted-by":"publisher","DOI":"10.5555\/3033089"},{"key":"e_1_2_1_80_1","volume-title":"DC","author":"National Alliance on Mental Illness (NAMI). 2016.","year":"2016","unstructured":"National Alliance on Mental Illness (NAMI). 2016. Mental Health By the Numbers. Washington, DC (2016)."},{"key":"e_1_2_1_81_1","unstructured":"National Research Council. 2006. Improving the quality of health care for mental and substance-use conditions. Quality Chasm Series (2006)."},{"key":"e_1_2_1_82_1","doi-asserted-by":"publisher","DOI":"10.1080\/10447318.2015.1067498"},{"key":"e_1_2_1_83_1","doi-asserted-by":"publisher","DOI":"10.1145\/3173574.3173905"},{"key":"e_1_2_1_84_1","doi-asserted-by":"publisher","DOI":"10.1080\/20476965.2017.1390060"},{"key":"e_1_2_1_85_1","doi-asserted-by":"publisher","unstructured":"Laura R Pina Sang-Wha Sien Teresa Ward Jason C Yip Sean A Munson James Fogarty and Julie A Kientz. 2017. From Personal Informatics to Family Informatics: Understanding Family Practices around Health Monitoring.. In CSCW. 2300--2315. 10.1145\/2998181.2998362","DOI":"10.1145\/2998181.2998362"},{"key":"e_1_2_1_86_1","doi-asserted-by":"publisher","DOI":"10.1080\/18387357.2016.1243014"},{"key":"e_1_2_1_87_1","doi-asserted-by":"publisher","DOI":"10.1145\/3025453.3025804"},{"key":"e_1_2_1_88_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10606-005-9010-z"},{"key":"e_1_2_1_90_1","doi-asserted-by":"publisher","DOI":"10.5555\/3019322"},{"key":"e_1_2_1_91_1","doi-asserted-by":"publisher","DOI":"10.1057\/jit.2016.5"},{"key":"e_1_2_1_92_1","doi-asserted-by":"publisher","DOI":"10.1145\/2556288.2557039"},{"key":"e_1_2_1_93_1","volume-title":"Beyond Personal Informatics CHI Workshop","author":"Rost Mattias","year":"2015","unstructured":"Mattias Rost, John Rooksby, and Claire McCallum. 2015. FITtogether: An `Average' Activity Tracker. Beyond Personal Informatics CHI Workshop (2015)."},{"key":"e_1_2_1_94_1","doi-asserted-by":"publisher","DOI":"10.1145\/2998181.2998276"},{"key":"e_1_2_1_95_1","doi-asserted-by":"publisher","DOI":"10.1145\/2207676.2208526"},{"key":"e_1_2_1_96_1","volume-title":"Institutional ecology,translations' and boundary objects: Amateurs and professionals in Berkeley's Museum of Vertebrate Zoology","author":"Star Susan Leigh","year":"1907","unstructured":"Susan Leigh Star and James R Griesemer. 1989. Institutional ecology,translations' and boundary objects: Amateurs and professionals in Berkeley's Museum of Vertebrate Zoology, 1907--39. Social studies of science , Vol. 19, 3 (1989), 387--420."},{"key":"e_1_2_1_97_1","unstructured":"Jarrett R Takayama. 2010. Ecological systems theory of Asian American mental health service seeking. (2010)."},{"key":"e_1_2_1_98_1","doi-asserted-by":"publisher","DOI":"10.1197\/jamia.M2025"},{"key":"e_1_2_1_99_1","doi-asserted-by":"publisher","DOI":"10.1145\/2494091.2494111"},{"key":"e_1_2_1_100_1","doi-asserted-by":"publisher","DOI":"10.1145\/1254960.1254984"},{"key":"e_1_2_1_101_1","volume-title":"Sensemaking in organizations","author":"Weick Karl E","unstructured":"Karl E Weick. 1995. Sensemaking in organizations . Vol. 3. Sage."},{"key":"e_1_2_1_102_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-5395(97)00080-0"},{"key":"e_1_2_1_103_1","volume-title":"Science","volume":"316","author":"Wuchty Stefan","year":"2007","unstructured":"Stefan Wuchty, Benjamin F Jones, and Brian Uzzi. 2007. The increasing dominance of teams in production of knowledge. Science , Vol. 316, 5827 (2007), 1036--1039."},{"key":"e_1_2_1_104_1","volume-title":"AMIA Annual Symposium Proceedings","volume":"2016","author":"Zhu Haining","year":"2016","unstructured":"Haining Zhu, Joanna Colgan, Madhu Reddy, and Eun Kyoung Choe. 2016. Sharing patient-generated data in clinical practices: an interview study. In AMIA Annual Symposium Proceedings, Vol. 2016. 1303."}],"container-title":["Proceedings of the ACM on Human-Computer Interaction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3274396","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dl.acm.org\/doi\/pdf\/10.1145\/3274396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:44:35Z","timestamp":1750207475000},"score":1,"resource":{"primary":{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3274396"}},"subtitle":["Towards the Design of Technology that Supports the Social Ecologies of Long-Term Mental Health Management"],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":101,"journal-issue":{"issue":"CSCW","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1145\/3274396"],"URL":"https:\/\/doi.org\/10.1145\/3274396","relation":{},"ISSN":["2573-0142"],"issn-type":[{"value":"2573-0142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11]]},"assertion":[{"value":"2018-11-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}