Reflective Healthcare Systems: micro-Cycle of Self-Reflection to empower users

Data collection and reflection are considered an integrated process in Personal Informatics to help users take action towards changing behaviour. Facilitating the collection and visualization of large data sets has been a major technical challenge to guarantee meaningful and effortless information to users. However this focus results in a passive involvement of users in these stages, creating distance between the user and their data, thus hindering proper understanding of people’s current behaviours. Designing for active participation may aid users in forming a closer bond to data. Going beyond the support of visualization of performance data, this paper introduces ESTHER 1.3 as an approach to facilitate active mini cycles of self-reflection (mCR) by means of in-situ self-reporting mechanisms. ESTHER 1.3 is presented as an implementation of this mini cycles in the context of physical activity and knowledge workers. A field study evaluation of 23 days with 5 users shows the opportunities of the mini cycles to engage people in deeper reflection and to support them to perform better-informed actions, as well as the challenges in the implementation of mCR elements for a specific context.