{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T19:59:46Z","timestamp":1776110386867,"version":"3.50.1"},"reference-count":80,"publisher":"Association for Computing Machinery (ACM)","issue":"CSCW2","license":[{"start":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T00:00:00Z","timestamp":1634083200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.acm.org\/publications\/policies\/copyright_policy#Background"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01LM012813"],"award-info":[{"award-number":["R01LM012813"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dl.acm.org"],"crossmark-restriction":true},"short-container-title":["Proc. ACM Hum.-Comput. Interact."],"published-print":{"date-parts":[[2021,10,13]]},"abstract":"<jats:p>People with multiple chronic conditions (MCC) need support to understand and articulate how their personal values relate to their health and health care. We developed three prototypes for supporting reflection on values and health and tested them in a qualitative study involving 12 people with MCC. We identified benefits and limitations to building on how patients prepare for visits with clinicians; revealed varying levels of comfort with deep, exploratory reflection involving a facilitator; and found that reflection oriented toward the future could elicit hopeful attitudes and plans for change, while reflection on the past elicited strong resistance. We translated these findings into design guidelines for supporting collaborative reflection on values and health. We also discussed these findings in relation to previous literature on designing for reflection in three areas: shifting between self-guided and facilitator-guided reflection, balancing between outcome-oriented and exploratory reflection, and exploring temporality in reflection.<\/jats:p>","DOI":"10.1145\/3476040","type":"journal-article","created":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T02:39:17Z","timestamp":1634611157000},"page":"1-39","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":28,"title":["Supporting Collaborative Reflection on Personal Values and Health"],"prefix":"10.1145","volume":"5","author":[{"given":"Andrew B.L.","family":"Berry","sequence":"first","affiliation":[{"name":"Northwestern University, Chicago, IL, USA"}]},{"given":"Catherine Y.","family":"Lim","sequence":"additional","affiliation":[{"name":"98point6, Seattle, WA, USA"}]},{"given":"Calvin A.","family":"Liang","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}]},{"given":"Andrea L.","family":"Hartzler","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}]},{"given":"Tad","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Northeastern University, Boston, MA, USA"}]},{"given":"Dawn M.","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Facebook, Seattle, WA, USA"}]},{"given":"Zo\u00eb A.","family":"Bermet","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA"}]},{"given":"James D.","family":"Ralston","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA"}]}],"member":"320","published-online":{"date-parts":[[2021,10,18]]},"reference":[{"key":"e_1_2_1_1_1","doi-asserted-by":"publisher","DOI":"10.1109\/HICSS.2014.327"},{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10606-018--9309--1"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1145\/2559206.2578873"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1145\/2702123.2702234"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1145\/2598510.2598598"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1643"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.4"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1145\/2395131.2395139"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1145\/3134658"},{"key":"e_1_2_1_10_1","volume-title":"Annual Symposium proceedings. AMIA Symposium","volume":"2017","author":"Berry Andrew B. L.","year":"2017","unstructured":"Andrew B. L. Berry, Catherine Lim, Andrea L. Hartzler, Tad Hirsch, Evette Ludman, Edward H. Wagner, and James D. Ralston. 2017b. Eliciting Values of Patients with Multiple Chronic Conditions: Evaluation of a Patient-centered Framework. AMIA... Annual Symposium proceedings. AMIA Symposium, Vol. 2017 (2017), 430--439. https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29854107"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.19.2469"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.14.1775"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.15.1909"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.34.8.737"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1145\/3154862.3154881"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/bf00989485"},{"key":"e_1_2_1_17_1","unstructured":"Juliet M Corbin and Anselm Strauss. 1988. Unending work and care: Managing chronic illness at home. Jossey-Bass."},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.1984.tb01401.x"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/07370024.2017.1324787"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1145\/1979742.1979594"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1145\/3290607.3313059"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1145\/3064663.3064714"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/07370024.2015.1093422"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1145\/2598510.2598558"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1145\/2750858.2804250"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.984"},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1017\/cbo9780511618031.036"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijhcs.2009.09.004"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1145\/1952222.1952269"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/978--94-007--7844--3_4"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.1145\/985921.985947"},{"key":"e_1_2_1_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2016.11.003"},{"key":"e_1_2_1_33_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2352"},{"key":"e_1_2_1_34_1","doi-asserted-by":"publisher","DOI":"10.7146\/aahcc.v1i1.21315"},{"key":"e_1_2_1_35_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483384436"},{"key":"e_1_2_1_36_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2003.21132.x"},{"key":"e_1_2_1_37_1","doi-asserted-by":"publisher","DOI":"10.1145\/3313831.3376750"},{"key":"e_1_2_1_38_1","doi-asserted-by":"publisher","DOI":"10.1145\/3329189.3329239"},{"key":"e_1_2_1_39_1","doi-asserted-by":"publisher","DOI":"10.1145\/2858036.2858470"},{"key":"e_1_2_1_40_1","doi-asserted-by":"publisher","DOI":"10.1145\/3173574.3174005"},{"key":"e_1_2_1_41_1","doi-asserted-by":"publisher","DOI":"10.1145\/2470654.2466137"},{"key":"e_1_2_1_42_1","doi-asserted-by":"publisher","DOI":"10.1162\/desi_a_00354"},{"key":"e_1_2_1_43_1","first-page":"67","article-title":"Health and treatment priorities of older patients and their general practitioners: a cross-sectional study","volume":"19","author":"Junius-Walker Ulrike","year":"2011","unstructured":"Ulrike Junius-Walker, Dagmar Stolberg, Patricia Steinke, Gudrun Theile, Eva Hummers-Pradier, and Marie-Luise Dierks. 2011. Health and treatment priorities of older patients and their general practitioners: a cross-sectional study. Quality in Primary Care, Vol. 19, 2 (2011), 67--76.","journal-title":"Quality in Primary Care"},{"key":"e_1_2_1_44_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.11.2668"},{"key":"e_1_2_1_45_1","doi-asserted-by":"publisher","DOI":"10.1145\/2470654.2466467"},{"key":"e_1_2_1_46_1","doi-asserted-by":"publisher","DOI":"10.1145\/3214273"},{"key":"e_1_2_1_47_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2018.01.170167"},{"key":"e_1_2_1_48_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749--6632.2011.06316.x"},{"key":"e_1_2_1_49_1","doi-asserted-by":"publisher","DOI":"10.1145\/1518701.1518875"},{"key":"e_1_2_1_50_1","doi-asserted-by":"publisher","DOI":"10.1145\/1753326.1753409"},{"key":"e_1_2_1_51_1","doi-asserted-by":"publisher","DOI":"10.1145\/2901790.2901866"},{"key":"e_1_2_1_52_1","doi-asserted-by":"publisher","DOI":"10.1145\/3290605.3300885"},{"key":"e_1_2_1_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-017--4154--3"},{"key":"e_1_2_1_54_1","doi-asserted-by":"publisher","DOI":"10.1145\/2405716.2405729"},{"key":"e_1_2_1_55_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15324796abm2601_01"},{"key":"e_1_2_1_56_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650--200111000-00008"},{"key":"e_1_2_1_57_1","doi-asserted-by":"publisher","DOI":"10.1145\/1520340.1520716"},{"key":"e_1_2_1_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15437"},{"key":"e_1_2_1_59_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14027"},{"key":"e_1_2_1_60_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00779-012-0591--5"},{"key":"e_1_2_1_61_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00779-012-0590--6"},{"key":"e_1_2_1_62_1","doi-asserted-by":"publisher","DOI":"10.1145\/2468356.2468715"},{"key":"e_1_2_1_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2020.103572"},{"key":"e_1_2_1_64_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00779-012-0561-y"},{"key":"e_1_2_1_65_1","doi-asserted-by":"publisher","DOI":"10.1145\/2556288.2557039"},{"key":"e_1_2_1_66_1","doi-asserted-by":"publisher","DOI":"10.1145\/3290605.3300543"},{"key":"e_1_2_1_67_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.0.0115"},{"key":"e_1_2_1_68_1","doi-asserted-by":"publisher","DOI":"10.1145\/2818048.2819999"},{"key":"e_1_2_1_69_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525--1497.2005.0175.x"},{"key":"e_1_2_1_70_1","volume-title":"Journal of General Internal Medicine","author":"Staiger Thomas O","unstructured":"Thomas O Staiger, Jeffrey G Jarvik, Richard A Deyo, Brook Martin, and Clarence H Braddock III. 2003. Patient-Physician Agreement as a Predictor of Outcomes in Patients with Back Pain. In Journal of General Internal Medicine, Vol. 18. Blackwell Publishing Inc., Malden, MA USA, 233--234."},{"key":"e_1_2_1_71_1","doi-asserted-by":"publisher","DOI":"10.1145\/2207676.2208394"},{"key":"e_1_2_1_72_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.4235"},{"key":"e_1_2_1_73_1","doi-asserted-by":"publisher","DOI":"10.1007\/978--94-011--2630--4"},{"key":"e_1_2_1_74_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001032"},{"key":"e_1_2_1_75_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocy052"},{"key":"e_1_2_1_76_1","volume-title":"Priority setting in general practice: health priorities of older patients differ from treatment priorities of their physicians. Croatian medical journal","author":"Voigt Isabel","year":"2010","unstructured":"Isabel Voigt, Jennifer Wrede, Heike Diederichs-Egidi, Marie-Luise Dierks, and Ulrike Junius-Walker. 2010. Priority setting in general practice: health priorities of older patients differ from treatment priorities of their physicians. Croatian medical journal, Vol. 51, 6 (2010), 483--492."},{"key":"e_1_2_1_77_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003--4819--127--12--199712150-00008"},{"key":"e_1_2_1_78_1","doi-asserted-by":"publisher","DOI":"10.1145\/2132176.2132180"},{"key":"e_1_2_1_79_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-009--1232--1"},{"key":"e_1_2_1_80_1","volume-title":"Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0","author":"\u00dcst\u00fcn T Bedirhan","unstructured":"T Bedirhan \u00dcst\u00fcn, Nenad Kostanjsek, Somnath Chatterji, and J\u00fcrgen Rehm. 2010. Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0. World Health Organization."}],"container-title":["Proceedings of the ACM on Human-Computer Interaction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3476040","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/dl.acm.org\/doi\/pdf\/10.1145\/3476040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T04:57:18Z","timestamp":1752469038000},"score":1,"resource":{"primary":{"URL":"https:\/\/dl.acm.org\/doi\/10.1145\/3476040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,13]]},"references-count":80,"journal-issue":{"issue":"CSCW2","published-print":{"date-parts":[[2021,10,13]]}},"alternative-id":["10.1145\/3476040"],"URL":"https:\/\/doi.org\/10.1145\/3476040","relation":{},"ISSN":["2573-0142"],"issn-type":[{"value":"2573-0142","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,13]]},"assertion":[{"value":"2021-10-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}