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Designing Technology for less literate people with diabetes in Punjab, Pakistan / KEHKASHAN ZEB

Swansea University Author: KEHKASHAN ZEB

DOI (Published version): 10.23889/SUthesis.66118

Abstract

Digital health uses information communication technology to provide healthcare services ef-fectively. This research uses Human-Computer Interaction methodologies such as participatory design and iterative prototype evaluation to effectively design technology for people in the rural areas of Punjab,...

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Published: Swansea, Wales, UK 2024
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Jones, Matt ; Pearson, Jennifer
URI: https://cronfa.swan.ac.uk/Record/cronfa66118
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first_indexed 2024-04-22T11:03:19Z
last_indexed 2024-04-22T11:03:19Z
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spelling v2 66118 2024-04-22 Designing Technology for less literate people with diabetes in Punjab, Pakistan d7cbcc9b5b68aed57c4e6a91e427bc23 KEHKASHAN ZEB KEHKASHAN ZEB true false 2024-04-22 Digital health uses information communication technology to provide healthcare services ef-fectively. This research uses Human-Computer Interaction methodologies such as participatory design and iterative prototype evaluation to effectively design technology for people in the rural areas of Punjab, Pakistan.Many participants in this PhD research have a low literacy level, making it challenging for them to obtain the knowledge necessary to manage their common chronic health conditions, such as diabetes. The remoteness of these participants, the lack of transport, and the internet inaccessibility only exacerbate this healthcare self-management. The research focused on designing an Interactive Voice Response system using participatory design methodologies.Interactive Voice Response (IVR) is an accessible method of transmitting knowledge because it allows voice-based interaction. To assist illiterate populations in managing chronic health conditions, hierarchical IVR systems are currently being developed and pose the challenge of navigating a large amount of information with hierarchy. Therefore, using a phone number-specific profile, this project iteratively develops a dynamic IVR that adapts information presen-ted to people with diabetes to compensate for some of their challenges in healthcare support. Multiple design studies and deployments are conducted to validate the IVR system.The IVR system was designed iteratively using Participatory Design (PD) to explore users’ pref-erences. Although PD originated in Scandinavia, it poses several challenges since it assumes literacy and a cultural mindset associated with the Global North. Hence, it is necessary to adopt democratic, patient-centred, iterative participatory approaches to develop a comprehensive understanding of PD in a diverse and challenging environment, including both urban and rural contexts. Several PD techniques were used, including Wizard of Context, Narrative Scoping with Personas, an interactive framework that used videos, pictures and audio, and iterative PD.After deploying the IVR system using servers built on the Asterisk platform, the system’s usefulness for keeping people with diabetes informed about their condition and better managing their condition was demonstrated by gathering qualitative and quantitative data. E-Thesis Swansea, Wales, UK Computer Science, Human Computer Interaction, ICT for Development, Participatory Design 27 2 2024 2024-02-27 10.23889/SUthesis.66118 COLLEGE NANME COLLEGE CODE Swansea University Jones, Matt ; Pearson, Jennifer Doctoral Ph.D 2024-04-22T12:12:50.8596253 2024-04-22T11:59:44.5760476 Faculty of Science and Engineering School of Mathematics and Computer Science - Computer Science KEHKASHAN ZEB 1 66118__30106__2f9125c1d619408d942dd5dbca9aa40f.pdf Zeb_Kehkashan_PhD_Thesis_Final_Redacted_Signature.pdf 2024-04-22T12:12:11.5008497 Output 17853371 application/pdf E-Thesis – open access true Copyright: The Author, Kehkashan Zeb, 2024. true eng
title Designing Technology for less literate people with diabetes in Punjab, Pakistan
spellingShingle Designing Technology for less literate people with diabetes in Punjab, Pakistan
KEHKASHAN ZEB
title_short Designing Technology for less literate people with diabetes in Punjab, Pakistan
title_full Designing Technology for less literate people with diabetes in Punjab, Pakistan
title_fullStr Designing Technology for less literate people with diabetes in Punjab, Pakistan
title_full_unstemmed Designing Technology for less literate people with diabetes in Punjab, Pakistan
title_sort Designing Technology for less literate people with diabetes in Punjab, Pakistan
author_id_str_mv d7cbcc9b5b68aed57c4e6a91e427bc23
author_id_fullname_str_mv d7cbcc9b5b68aed57c4e6a91e427bc23_***_KEHKASHAN ZEB
author KEHKASHAN ZEB
author2 KEHKASHAN ZEB
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publishDate 2024
institution Swansea University
doi_str_mv 10.23889/SUthesis.66118
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hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Mathematics and Computer Science - Computer Science{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Mathematics and Computer Science - Computer Science
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description Digital health uses information communication technology to provide healthcare services ef-fectively. This research uses Human-Computer Interaction methodologies such as participatory design and iterative prototype evaluation to effectively design technology for people in the rural areas of Punjab, Pakistan.Many participants in this PhD research have a low literacy level, making it challenging for them to obtain the knowledge necessary to manage their common chronic health conditions, such as diabetes. The remoteness of these participants, the lack of transport, and the internet inaccessibility only exacerbate this healthcare self-management. The research focused on designing an Interactive Voice Response system using participatory design methodologies.Interactive Voice Response (IVR) is an accessible method of transmitting knowledge because it allows voice-based interaction. To assist illiterate populations in managing chronic health conditions, hierarchical IVR systems are currently being developed and pose the challenge of navigating a large amount of information with hierarchy. Therefore, using a phone number-specific profile, this project iteratively develops a dynamic IVR that adapts information presen-ted to people with diabetes to compensate for some of their challenges in healthcare support. Multiple design studies and deployments are conducted to validate the IVR system.The IVR system was designed iteratively using Participatory Design (PD) to explore users’ pref-erences. Although PD originated in Scandinavia, it poses several challenges since it assumes literacy and a cultural mindset associated with the Global North. Hence, it is necessary to adopt democratic, patient-centred, iterative participatory approaches to develop a comprehensive understanding of PD in a diverse and challenging environment, including both urban and rural contexts. Several PD techniques were used, including Wizard of Context, Narrative Scoping with Personas, an interactive framework that used videos, pictures and audio, and iterative PD.After deploying the IVR system using servers built on the Asterisk platform, the system’s usefulness for keeping people with diabetes informed about their condition and better managing their condition was demonstrated by gathering qualitative and quantitative data.
published_date 2024-02-27T12:12:48Z
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