Health promotion as activism: building community capacity to effect social change
Abstract
As HCI researchers have designed tools to promote wellness, disease has often been approached as a general problem. In contrast, public health research argues for an activist approach focused on how certain groups disproportionately experience disease and eliminating these disparities. Taking this activist stance, we examine how technology can reduce health inequalities by disrupting power relationships and helping communities pursue social change. We discuss our tool, Community Mosaic (CM), which allows individuals to share their healthy eating ideas with one another as a means of advocating behavior change. Our results characterize how CM helped facilitate activism (i.e., collective efforts to counter local challenges to healthy living) and shift users' attitudes regarding their role as advocates for health. We contribute to the field of HCI by using our findings to present a set of recommendations for future research focused on designing and evaluating health promotion tools using an activist lens.
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Beyond nutritional assessments, technology can be used to share advice and feedback on healthy eating between users.
“Beyond nutritional assessments, technology can be used to share advice and feedback on healthy eating between users [27].”
From Factors related to sustained use of a free mobile app for dietary self-monitoring with photography and peer feedback: retrospective cohort study (2014) · cites this paper as [27]
Engaging in giving ratings for a long time might require an existing community or formation of stronger ties between users.
“However, engaging in this activity for a long time might require an existing community or formation of stronger ties between users [27].”
From Factors related to sustained use of a free mobile app for dietary self-monitoring with photography and peer feedback: retrospective cohort study (2014) · cites this paper as [27]
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LeFevre, C., Panicker, A., Vallabhaneni, S., Dinesh, N., Modi, F., Siek, K. A., & Chung, C.-F. (2023) · ACM Conference on Computer Supported Cooperative Work (CSCW) · doi:10.1145/3584931.3606980 · Cited by 8 · see citing works
Zhang, Z., Han, T., Swystun, J., Sakamoto, Y., & Irani, P. (2020) · International Conference on Pervasive Computing Technologies for Healthcare · doi:10.1145/3421937.3421974 · Cited by 8 · see citing works
“This Is Shared Work:” Negotiating Boundaries in a Social Service Intermediary Organization
Asad, M., & Dantec, C. A. L. (2019) · Media and Communication · doi:10.17645/mac.v7i3.2171 · Cited by 8 · see citing works
Caring for Reproductive Justice: Design in Response to Adversity
Lusi, B., Petterson, A., Thiruvenkatanathan, K. P., Krawczyk, M., Tseng, E., Reime, L., Balaam, M., Siek, K. A., & Zaga, C. (2024) · ACM Conference on Computer Supported Cooperative Work (CSCW) · doi:10.1145/3678884.3681832 · Cited by 7 · see citing works
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Ha, S. W., Nurain, N., Agapie, E., & Chung, C.-F. (2025) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3706598.3713183 · Cited by 6 · see citing works
Enhancing Reentry Support Programs Through Digital Literacy Integration
Gautam, A., Gandhi, K., & Sendejo, J. (2024) · Designing Interactive Systems Conference · doi:10.1145/3643834.3660730 · Cited by 6 · see citing works
Cui, W., Li, Y., Ma, Y., Zhang, L., & Ren, X. (2021) · International Symposium of Chinese CHI (Chinese CHI) · doi:10.1145/3490355.3490365 · Cited by 5 · see citing works
Design and Evaluation of Online and Mobile Applications for Stress Management and Healthy Eating
Kaipainen, K. (2014) · Tampere University Institutional Repository (Tampere University) · Cited by 4 · see citing works
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Boyer, K., & Wood, I. (2022) · Culture Health & Sexuality · doi:10.1080/13691058.2022.2154386 · Cited by 2 · see citing works
Exploring Digital Communication Needs of Local Communities and Self-organized Collectives
Raheb, K. E., Vlachokyriakos, V., Roussou, M., Olivier, P. L., Bartindale, T., & Garbett, A. (2023) · Proceedings of the ACM on Human-Computer Interaction · doi:10.1145/3604255 · Cited by 1 · see citing works
Everyday life innovation potential
Madsen, J. Ø. (2014) · Participatory Design Conference · doi:10.1145/2662155.2662249
Exploring a novel design to support healthy eating
Zhang, Z. (2020)
Political Activism and Technology
Daffalla, A., & Bardas, A. G. (2023) · Springer eBooks · doi:10.1007/978-3-031-42637-7_2
Platforming Digital Community Health
Chen, A. Z. (2026) · ACM Interactive Health Conference · doi:10.1145/3786579.3801799
- Authors
- Parker, A., Kantroo, V., Lee, H. R., Osornio, M., Sharma, M., & Grinter, R.
- Affiliations
- Georgia Institute of Technology (US)
- Nokia R& D, Sunnyvale, California, United States
- Indiana University Bloomington (US)
- Venue
- Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
- Publisher
- ACM
- Published
- 2012-05-05
- Pages
- 99-108
- OpenAlex
- W2172195869
- Cited by
- 84
- References
- 38
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 11 · 2021: 8 · 2020: 6 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 3 · 2015: 7 · 2014: 12 · 2013: 5 · 2012: 1
- FWCI
- 5.62
- Type
- conference paper
- Language
- en
- Open access
- closed
- Locations
- CHI Conference on Human Factors in Computing Systems (publishedVersion)
- Funders
- Ford Foundation
- Microsoft Research
- Topics
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Keywords
- health promotion, activism, health disparities, healthy eating, behavior change, social change, power relations, community sharing, user attitudes
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