Healthy Sleep Behaviors Eun Kyoung Choe, University of Washington - - PowerPoint PPT Presentation

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Healthy Sleep Behaviors Eun Kyoung Choe, University of Washington - - PowerPoint PPT Presentation

Opportunities for Computing Technologies to Support Healthy Sleep Behaviors Eun Kyoung Choe, University of Washington Sunny Consolvo, Intel Labs Seattle Nathaniel F. Watson, University of Washington, Harborview Medical Center Julie A.


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Opportunities for Computing Technologies to Support

Healthy Sleep Behaviors

Eun Kyoung Choe, University of Washington Sunny Consolvo, Intel Labs Seattle Nathaniel F. Watson, University of Washington, Harborview Medical Center Julie A. Kientz, University of Washington

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21% 14% 25% 33%

8 to less than 9 hours Less than 6 hours 6 to less than 7 hours 7 to less than 8 hours

Number of Hours Slept per Night (Weekdays)

Only 21% of U.S. people sleep the recommended 8 hours

(2011 Sleep in America Poll) 6%

9 hours or more

Mean (# of hours) = 6h 55m

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Why Sleep?

(Only Easier!)

Source: www.sleepfoundation.org

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Sleep is associated with health risks

Diabetes, heart disease, obesity, and shorter life spans Alertness, memory, and cognitive function Fatal car accidents due to driver drowsiness A contributor to overall unhappiness

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Our goal Explore opportunities for HCI in the domain of sleep

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Study Procedure Contextual Inquiry Online Survey Interview Design Framework Literature Review

Formative work to identify design gaps

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Literature Review

tracking sleep waking and sleep aids social applications

1

2 3

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tracking sleep

1

waking and sleep aids

2

social applications

3

Fitbit Actigraph Zeo Sleepcycle Clocky White Noise Zeo Sleepcycle BioBrite BuddyClock (Kim et al.) Reverse Alarm Clock (Ozenc et al.) Network Alarm Clock (Schmidt et al.)

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Opportunities for Innovation

people’s needs and current practices in regard to sleep design implications of technologies used in a bedroom the effectiveness & acceptability of in-home sleep sensing

There is limited discussion in existing literature about…

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Study Procedure Contextual Inquiry Online Survey Interviews Design Framework Literature Review

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Contextual Inquiry Interviews

  • 16 people
  • Interested in sleep technology
  • Had experience with sleep

disorders (insomnia, narcolepsy, parasomnia, sleep apnea, etc.)

Online Survey

  • 230 people—female (57.8%) male (41.7%)
  • 34 Questions with a mix of open-

ended, multiple choice, and Likert type

  • Helped define design requirements for

technologies to support sleep Four sleep experts Learned about

  • Good sleep hygiene
  • Treatments
  • Existing sleep technologies
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Results

Sleep hygiene Sleep disruptors Sleep aids/ waking methods Sleep-related health goals Attitudes toward technology

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Sleep Hygiene

Recommendations for better sleep

Keep a consistent wake time and amount each day, 7 days per week If you do not fall asleep within 15 minutes of going to bed, get out of bed and engage in a quiet activity

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Sleep disruptors

Young Children Other Family Presence of Sleep Partner Loud Noises Temperature Work / School Worries / Fears

106 (46.1%) 101 (43.9%) 94 (40.9%) 80 (34.8%) 57 (24.8%) 44 (19.1%) 21 (9.1%) Response Count (multiple answers allowed)

Commitments and Stressors Environmental Factors

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Mental Exercise White Noise Medications Other Music Presence of Sleep Partner Physical Activity Temperature

Factors helping people sleep

Response Count (multiple answers allowed) 102 (44.3%) 91 (39.6%) 74 (32.2%) 55 (23.9%) 44 (19.1%) 40 (17.4%) 40 (17.4%) 34 (14.8%)

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Strategies for waking

Others use multiple alarm clocks to ensure that they would get out of bed

[on success of dawn simulator]: “I think it was just something

about waking up more gradually just felt more natural, like I’ve been rested as opposed to just like being jarred awake by a loud noise.”

gradual vs. abrupt

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User goals for sleep

Improving the consistency of sleep Becoming a morning person Breaking bad habits Becoming better educated on good sleep habits

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Attitudes toward technologies

“A non-intrusive and low-cost system which can

automatically capture sleep data and then display

results over time.” “Minimal effort on my part. I wouldn’t do something that takes a significant amount

  • f time or thought, especially in the morning.”
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Sleep Technology 
 Design Framework

Descriptive Prescriptive

Gaps

Framework

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Goal Feature Source Technology Platform Stakeholder Input Mechanism

Six Dimensions

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Goal

Diagnosis Treatment Monitoring Waking Sleep inducing

Feature

Awareness Tracking Persuasive Education Social Entertainment

Source

Sleep medicine community Peer-reviewed literature Other literature Popular media Folk wisdom None

Technology Platform

Wearable Stand-alone Mobile Web PC/laptop Ubiquitous computing

Stakeholder With sleep

disorders Without sleep disorders Indirect stakeholders Sleep clinicians Sleep researchers

Input Mechanism

Manual input by user Automatic entry by sensors None

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Goal

Diagnosis Treatment Monitoring Waking Sleep inducing

Feature

Awareness Tracking Persuasive Education Social Entertainment

Source

Sleep medicine community Peer-reviewed literature Other literature Popular media Folk wisdom None

Technology Platform

Wearable Stand-alone Mobile Web PC/laptop Ubiquitous computing

Stakeholder With sleep

disorders Without sleep disorders Indirect stakeholders Sleep clinicians Sleep researchers

Input Mechanism

Manual input by user Automatic entry by sensors None

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Feature

Awareness Tracking Persuasive Education Social Entertainment

Source

Sleep medicine community Peer-reviewed literature Other literature Popular media Folk wisdom None

Technology Platform

Wearable Stand-alone Mobile Web PC/laptop Ubiquitous computing

Stakeholder With sleep

disorders Without sleep disorders Indirect stakeholders Sleep clinicians Sleep researchers

Input Mechanism

Manual input by user Automatic entry by sensors None

Goal

Diagnosis Treatment Monitoring Waking Sleep inducing

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Zeo Personal Sleep Coach

Source: Zeo Website

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Goal

Diagnosis Treatment Monitoring Waking Sleep inducing

Feature

Awareness Tracking Persuasive Education Social Entertainment

Source

Sleep medicine community Peer-reviewed literature Other literature Popular media Folk wisdom None

Technology Platform

Wearable Stand-alone Mobile Web PC/laptop Ubiquitous computing

Stakeholder With sleep

disorders Without sleep disorders Indirect stakeholders Sleep clinicians Sleep researchers

Input Mechanism

Manual input by user Automatic entry by sensors None Monitoring Monitoring Waking aking Education Education Tracking racking Peer Peer-r

  • reviewed

eviewed literatur literature Stand-alone Stand-alone Wearable earable Web eb Without sleep ithout sleep disor disorders ders Automatic Automatic entry by entry by sensors sensors Manual input Manual input by user by user

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Goal

Diagnosis Treatment Monitoring Waking Sleep inducing

Feature

Awareness Tracking Persuasion Education Social Entertainment

Source

Sleep medicine community Peer-reviewed literature Other literature Popular media Folk wisdom None

Technology Platform

Wearable Stand-alone Mobile Web PC/laptop Ubiquitous computing

Stakeholder With sleep

disorders Without sleep disorders Indirect stakeholders Sleep clinicians Sleep researchers

Input Mechanism

Manual input by user Automatic entry by sensors None

Gaps

Diagnosis Diagnosis Treatment eatment Persuasive Persuasive Education Education Sleep medicine Sleep medicine community community Ubiquitous Ubiquitous computing computing Automatic Automatic entry by entry by sensors sensors With sleep ith sleep disor disorders ders Sleep Sleep clinicians clinicians Sleep Sleep resear esearchers chers

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Considerations & Opportunities

Tracking sleep trends over time is important There exists tensions between technology and sleep

Technology: not a cure for every sleep problem

Long-term, automatic in-home sleep sensing solution Cultural differences can lead to different solutions HCI community can make a meaningful impact

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Questions: eunky@uw.edu

Acknowledgments

Co-authors, Study participants, CHI reviewers,

Sajanee Halko, Dawn Sakaguchi, Jacqueline Holmes, Andrey Maslov, Amanda Fonville, and Amanda Ahn

Sunny Consolvo Nate Watson Julie Kientz

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Appendix

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Sleep Diary

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Sleep Data

  • Hours of sleep
  • Time it took to fall asleep
  • Amount of time awake
  • Actual sleep time / Total time in bed
  • Number of awakenings
  • Sleep quality

How would you rate last night’s sleep quality? 1) Very bad 2) Fairly bad 3) Fairly good 4) Very good Numbers Subjective

Guesstimate

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Persuasive strategies

Motivation Goal Setting and Commitment Self-monitoring Increasing Information Awareness Social Aspect Summary Feedback Rewards and Incentives Suggestion

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Actigraphy

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Actigraphy

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fitbit

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ZEO personal sleep coach

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SleepCycle

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BioBrite Sunrise Alarm

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Clocky

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White Noise Generator

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Reverse Alarm Clock

Ozenc, Jeong, Brommer, Shih, Au, Zimmerman DPPI 2007

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BuddyClock

Kim, Kientz, Patel, Abowd CSCW 2008