mHealth for Maternal Mental Health: Everyday Wisdom in Ethical Design
Open accessAbstract
Health and wellbeing applications increasingly raise ethical issues for design. User-centred and participatory design approaches, while grounded in everyday wisdom, cannot be expected to address ethical reflection consistently, as multiple value systems come into play. We explore the potential of phronesis, a concept from Aristotelian virtue ethics, for mHealth design. Phronesis describes wisdom and judgment garnered from practical experience of specific situations in context. Applied phronesis contributes everyday wisdom to challenging issues for vulnerable target users. Drawing on research into mHealth technologies for psychological wellbeing, we explore how phronesis can inform ethical design. Using a case study on an app for self-reporting symptoms of depression during pregnancy, we present a framework for incorporating a phronetic approach into design, involving: (a) a wide feedback net to capture phronetic input early in design; (b) observing the order of feedback, which directly affects value priorities in design; (c) ethical pluralism recognising different coexisting value systems; (d) acknowledging subjectivity in the disclosure and recognition of individual researcher and participant values. We offer insights into how a phronetic approach can contribute everyday wisdom to designing mHealth technologies to help designers foster the values that promote human flourishing.
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Stigma attached to mental health, limitations imposed by medical aid, and a genuine need for privacy, security, and trust from possible users could be reasons why maternal mental health is not experiencing similar growth as other digital MCH initiatives.
“However, Blandford et al [103] highlighted the important fact that we need to consider that the stigma still attached to mental health; the limitations imposed by medical aid (for those who have it); and a genuine need for privacy, security, and trust from the possible users of such apps could all be reasons why this area of MCH is not experiencing similar growth as compared with other digital MCH”
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Self-citation
- Authors
- Barry, M., Doherty, K., Marcano Belisario, J., Car, J., Morrison, C., & Doherty, G.
- Affiliations
- Trinity College Dublin (IE)
- Imperial College London, London, United Kingdom
- Imperial College London (GB)
- Venue
- Proceedings of the 2017 CHI Conference on Human Factors in Computing Systems
- Publisher
- ACM
- Published
- 2017-05-02
- Pages
- 2708-2756
- OpenAlex
- W2611667142
- Cited by
- 57
- References
- 79
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 5 · 2023: 5 · 2022: 10 · 2021: 5 · 2020: 9 · 2019: 8 · 2018: 4 · 2017: 1
- FWCI
- 41.18
- Type
- conference paper
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- CHI Conference on Human Factors in Computing Systems (publishedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- Spiral (Imperial College London) (submittedVersion)
- Funders
- Science Foundation Ireland (Grant 12/CE/I2267)
- National Institute for Health Research (Imperial Biomedical Research Centre)
- Irish Research Council (Government of Ireland Postdoctoral Award)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Keywords
- mobile health, maternal mental health, practical wisdom, Aristotelian virtue ethics, ethical design, moral pluralism, user-centered design, participatory design, pregnancy, eudaimonia, researcher values, value priorities
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