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Measuring the Impact of Social Support and Common Dyadic Coping on Couple’s Dyadic Management of Type II Diabetes by a Novel Ambulatory Assessment Application for the Open Source Behavioral Intervention Platform MobileCoach

English title Measuring the Impact of Social Support and Common Dyadic Coping on Couple’s Dyadic Management of Type II Diabetes by a Novel Ambulatory Assessment Application for the Open Source Behavioral Intervention Platform MobileCoach
Applicant Scholz Urte
Number 166348
Funding scheme Interdisciplinary projects
Research institution Sozialpsychologie Psychologisches Institut Universität Zürich
Institution of higher education University of Zurich - ZH
Main discipline Psychology
Start/End 01.03.2017 - 31.12.2021
Approved amount 632'308.00
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All Disciplines (2)

Discipline
Psychology
Information Technology

Keywords (7)

dyadic illness management; ambulatory assessment application; social support; experience sampling; MobileCoach; Type II diabetes; communal dyadic coping

Lay Summary (German)

Lead
Diabetes mellitus Typ II geht mit einem strengen Krankheitsmanagement im Alltag einher. Oft wird dies mit Hilfe von PartnerInnen im Rahmen von sozialer Unterstützung oder dyadischem Coping durchgeführt. In diesem Projekt wird mit Hilfe einer Mobilapplikation der Beitrag von sozialer Unterstützung und dyadischem Coping hinsichtlich Diabetesmanagements im Alltag von Paaren untersucht.
Lay summary

Inhalt und Ziel des Forschungsprojekts

Diabetes mellitus Typ II ist eine häufig auftretende chronische Krankheit. Für ein effektives Krankheitsmanagement müssen sich PatientInnen an medizinische Empfehlungen für gesunde Ernährung, körperliche Aktivität und Medikamentenadhärenz halten. Das Krankheitsmanagement wird meistens mit dem Partner /der Partnerin geteilt. Soziale Unterstützung durch den/die Partner/in und dyadisches Coping, also gemeinsame Bewältigung, beeinflussen beide das Gesundheitsverhalten sowie das Wohlbefinden von DiabetespatientInnen. Allerdings ist unklar, welches der beiden Konzepte den grössten Vorteil für das Gesundheitsverhalten und das Wohlbefinden beim dyadischen Gesundheitsmanagement chronischer Krankheiten hat. Desweiteren wurden soziale Unterstützung und dyadisches Coping bis anhin vor allem via Selbstbericht von Personen gemessen. Es sind mehr objektive Masse dieser Konstrukte gefordert, um Probleme von Selbstberichtmassen zu umgehen.

Das Ziel ist, systematisch die einzelnen Beiträge von sozialer Unterstützung und dyadischem Coping auf Gesundheitsverhaltensweisen, die im Diabetesmanagement relevant sind (z.B. körperliche Aktivität, gesunde Ernährung, Medikamentenadhärenz) und Wohlbefinden von Diabetes Typ II PatientInnen und deren PartnerInnen zu untersuchen. Zudem soll eine Applikation für Smartphones für die Open Source Plattform MobileCoach entwickelt werden, welche die objektive Untersuchung von den in diesem Projekt untersuchten Faktoren und Verhaltensweisen im Alltag von Paaren ermöglicht.

Wissenschaftlicher und gesellschaftlicher Kontext

Soziale Beziehungen scheinen förderlich für die Gesundheit, aber bisher ist zu wenig gut untersucht, woran dies liegt. Das vorliegende Projekt wird einen Beitrag zum besseren Verständnis der zugrundeliegenden Prozesse leisten, so dass diese Erkenntnisse als Grundlage von effektiven Interventionen dienen können.

Direct link to Lay Summary Last update: 17.01.2017

Responsible applicant and co-applicants

Employees

Publications

Publication
Towards Real-Time Multimodal Emotion Recognition among Couples
Boateng George (2020), Towards Real-Time Multimodal Emotion Recognition among Couples, in ICMI '20: INTERNATIONAL CONFERENCE ON MULTIMODAL INTERACTION, Virtual Event NetherlandsACM, New York.
Towards a wearable system for assessing couples' dyadic interactions in daily life
Boateng George (2020), Towards a wearable system for assessing couples' dyadic interactions in daily life, in UbiComp/ISWC '20: 2020 ACM International Joint Conference on Pervasive and Ubiquitous Computing and , Virtual Event MexicoACM, New York.
Emotion Capture among Real Couples in Everyday Life. Momentary Emotion Elicitation
Boateng Georg, Lüscher Janina, Scholz Urte, Kowatsch Tobias (2020), Emotion Capture among Real Couples in Everyday Life. Momentary Emotion Elicitation, Open Access Paper, Online.
Emotion Elicitation and Capture among Real Couples in the Lab
Boateng George, Sels Laura, Kuppens Peter, Lüscher Janina, Scholz Urte, Kowatsch Tobias (2020), Emotion Elicitation and Capture among Real Couples in the Lab, Open Access Paper, Online.
Social Support and Common Dyadic Coping in Couples' Dyadic Management of Type II Diabetes: Protocol for an Ambulatory Assessment Application
Lüscher Janina, Kowatsch Tobias, Boateng George, Santhanam Prabhakaran, Bodenmann Guy, Scholz Urte (2019), Social Support and Common Dyadic Coping in Couples' Dyadic Management of Type II Diabetes: Protocol for an Ambulatory Assessment Application, in JMIR Research Protocols, 8(10), e13685-e13685.
VADLite: an open-source lightweight system for real-time voice activity detection on smartwatches
Boateng George, Santhanam Prabhakaran, Lüscher Janina, Scholz Urte, Kowatsch Tobias (2019), VADLite: an open-source lightweight system for real-time voice activity detection on smartwatches, in UbiComp '19: The 2019 ACM International Joint Conference on Pervasive and Ubiquitous Computing, London United KingdomACM, London.
Poster: DyMand -- An Open-Source Mobile and Wearable System for Assessing Couples' Dyadic Management of Chronic Diseases
Boateng George, Santhanam Prabhakaran, Lüscher Janina, Scholz Urte, Kowatsch Tobias (2019), Poster: DyMand -- An Open-Source Mobile and Wearable System for Assessing Couples' Dyadic Management of Chronic Diseases, in MobiCom '19: The 25th Annual International Conference on Mobile Computing and Networking, Los Cabos MexicoACM, Los Cabos, Mexico.

Collaboration

Group / person Country
Types of collaboration
Prof. Dr. Matthias Mehl, University of Arizona, Department of Psychology United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Dr. Gertraud Stadler, Charite - Universitätsmedizin Berlin Germany (Europe)
- in-depth/constructive exchanges on approaches, methods or results
Prof. Dr. Lisa Marsch, Dartmouth Psychiatric Research Center,Center for Technology&Behavioral Health United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
- Publication
Professor David Kotz, Department of Computer Science United States of America (North America)
- in-depth/constructive exchanges on approaches, methods or results
Prof. Dr. med. Edouard Battegay, University Hospital Zurich, Department of Internal Medicine Switzerland (Europe)
- in-depth/constructive exchanges on approaches, methods or results

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Research colloquium at Prof. Nina Knoll’s lab, Free University of Berlin Individual talk Dyadic Management of Type II Diabetes: preliminary audio recording data 15.12.2021 Berlin, Germany Pauly Theresa;
ACM International Conference on Multimodal Interaction 2021 Talk given at a conference “You made me feel this way”: Investigating Partners’ Influence in Predicting Emotions in Couples’ Conflict Interactions using Speech Data 18.10.2021 Online, Canada Boateng Georg;
Invited Talk at the Zentrum für Psychosoziale Medizin, Universitätsklinikum Heidelberg, Germany Individual talk Gesünder durch soziale Bindung? Soziale Austauschprozesse und Gesundheitsverhalten 22.06.2021 Heidelberg, Germany Scholz Urte;
Invited Talk at the Colloqium of the Department of Health Sciences and Medicine, University of Lucerne, Switzerland Individual talk Is everything better together? The role of others in health behavior change 25.05.2021 University of Lucerne, Switzerland Scholz Urte;
Team seminar of the Chair of Information Management, Department of Management, Technology, and Economics, ETHZ Individual talk Dyadic Management of type II diabetes mellitus 05.05.2021 Zurich, Switzerland Boateng Georg;
Invited Talk at the online-conference«Chronisch krank in der digitalen Welt» Individual talk Gesundheitspsychologische Ansätze der digitalen Gesundheitsförderung 13.01.2021 Online Conference, Switzerland Scholz Urte;
Talk at the research colloqium, Department of Psychology, UZH Individual talk Under the microscope: Everyday processes linking social ties to health 20.11.2020 Zurich, Switzerland Pauly Theresa;
Invited talk at the Volkshochschule Zürich in cooperation with the Zentrum für Gerontologie Zürich Individual talk Gemeinsam gesund und wohl bis ins hohe Alter? 10.11.2020 Zurich, Switzerland Scholz Urte;
ACM International Conference on Multimodal Interaction 2020 Talk given at a conference Emotion Elicitation and Capture among Real Couples in the Lab 25.10.2020 Online, Netherlands Boateng Georg;
ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp 2020) Talk given at a conference Emotion Capture among Real Couples in Everyday Life 12.09.2020 Online, Mexico Boateng Georg;
ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp 2020) Talk given at a conference Towards a wearable system for assessing couples' dyadic interactions in daily life 12.09.2020 Online, Mexico Boateng Georg;
Team retreat of the Chair of Information Management, Department of Management, Technology, and Economics, ETHZ Individual talk Dyadic Management of type II diabetes mellitus 01.09.2020 Zurich, Switzerland Boateng Georg;
Invited talk at the Zentrum für Integrative Medizin, Kantonsspital St. Gallen Individual talk Das eigene (Gesundheits-)Verhalten ändern – wie kann es klappen? Einsichten aus der Gesundheitspsychologie 12.08.2020 St. Gallen, Switzerland Scholz Urte;
Seminar “Ambulatory assessment methods to assess health in daily life”, UZH Individual talk Dyadic Management of Type II Diabetes: its theoretical background, novelty and design 25.02.2020 Zurich, Switzerland Lüscher Janina;
Invited talk at the Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai Individual talk It’s Complicated: Couples’ Change Of Health-relevant Behaviors 08.01.2020 New York City, United States of America Scholz Urte;
Invited talk at the Department of Sport Sciences and Sports of the Friedrich-Alexander University Individual talk Die Rolle sozialer Austauschprozesse für die körperliche Aktivität und andere Gesundheitsverhaltensweisen 13.12.2019 Erlangen, Germany Scholz Urte;
Invited talk at the Department of Psychology of the University of Basel Individual talk Benefits and pitfalls of social relationships for health-relevant behaviors 15.11.2019 Basel, Switzerland Scholz Urte;
Team retreat of the Chair of Information Management, Department of Management, Technology, and Economics, ETHZ Individual talk Dyadic Management of type II diabetes mellitus 01.11.2019 Sachseln, Switzerland Boateng Georg;
Heidelberg Laureate Forum 2019 Talk given at a conference Towards a wearable system for assessing couples' dyadic interactions in daily life 21.09.2019 Heidelberg, Germany Boateng Georg;
ACM International Joint Conference on Pervasive and Ubiquitous Computing (UbiComp 2019) Talk given at a conference VADLite: An Open-Source Lightweight System for Real-Time Voice Activity Detection on Smartwatches 11.09.2019 London, Great Britain and Northern Ireland Boateng Georg;
iSWEST workshop “Transforming Healthcare in Africa through Technology” at the University of Ghana Individual talk Dyadic Management of type II diabetes mellitus 01.07.2019 Legon, Ghana Boateng Georg;
14th International Conference on Design Science Research in Information Systems and Technology (DESRIST) Talk given at a conference DyMand: An Open-Source Mobile and Wearable System for Assessing Couples’ Dyadic Management of Chronic Diseases 04.06.2019 Worcester, MA, United States of America Scholz Urte; Santhanam Prabhakaran; Boateng Georg; Lüscher Janina;
Invited talk at the Department of Sport Sciences of the Universität des Saarlandes Individual talk Social ties and health: The benefits (and dangers) of social processes in health behavior change 23.05.2019 Saarbrücken, Germany Scholz Urte;
Invited talk at Prof. Christiane Hoppmann’s lab, University of British Columbia Individual talk Dyadic Management of Type II Diabetes 17.05.2019 Vancouver, Canada Lüscher Janina;
Doctoral seminar of the Chair of Operations Management, Institute of Technology Management, University of St.Gallen Individual talk Dyadic Management of type II diabetes mellitus 06.05.2019 Filzbach, Switzerland Boateng Georg;
Seminar “Ambulatory assessment methods to assess health in daily life”, UZH Individual talk Dyadic Management of Type II Diabetes: its theoretical background, novelty and design 22.04.2019 Zurich, Switzerland Lüscher Janina;
Invited talk at the Department of Psychology of the University of Minnesota Individual talk It’s Complicated: Couples’ Change Of Health-relevant Behaviors 15.02.2019 Minneapolis, United States of America Scholz Urte;
Team retreat of the Chair Applied Social and Health Psychology Individual talk Dyadic Management of Type II Diabetes 16.01.2019 Zurich, Switzerland Lüscher Janina;
32nd Annual Conference on Neural Information Processing Systems (NeurIPS) Talk given at a conference Multimodal Affect Detection among Couples for Diabetes Management, Poster presented at the Black in AI Workshop 07.12.2018 Montreal, Canada Scholz Urte; Lüscher Janina; Santhanam Prabhakaran; Boateng Georg;
Seminar “Measurement and Intervention Methods of Health Behavior”, UZH Individual talk Dyadic Management of type II diabetes mellitus: its theoretical background, novelty and design 15.11.2018 Zurich, Switzerland Lüscher Janina;
Team retreat of the Chair of Information Management, Dept of Management, Technology, and Economics, ETHZ Individual talk Dyadic Management of type II diabetes mellitus 05.09.2018 Bever GR, Switzerland Boateng Georg;
Team retreat of the Chair Applied Social and Health Psychology, UZH Individual talk Dyadic Management of type II diabetes mellitus 29.08.2018 Kappel am Albis, Switzerland Lüscher Janina;
Research colloquium of the Chair of Applied Social and Health Psychology, UZH Individual talk Dyadic Management of type II diabetes mellitus 21.02.2018 Zurich, Switzerland Lüscher Janina;
Seminar “Measurement and Intervention Methods of Health Behavior”, UZH Individual talk Dyadic Management of type II diabetes mellitus: its theoretical background, novelty and design 06.12.2017 Zurich, Switzerland Lüscher Janina;
Peer Mentoring Group Real Life Health Mesurement of the University of Zurich 2017 Talk given at a conference Measuring the Impact of social support and common dyadic coping on couple’s dyadic management of Type II Diabetes by a Novel Ambulatory Assessment Application for the Open Source Behavioral Intervention Platform MobileCoach 25.09.2017 Zürich, Switzerland Lüscher Janina;
Peer mentoring group “Real Life Health Measurement” of the Graduate Campus, UZH Individual talk Dyadic Management of type II diabetes mellitus 01.09.2017 Zurich, Switzerland Lüscher Janina;


Knowledge transfer events

Communication with the public

Communication Title Media Place Year
Talks/events/exhibitions 12. Deutschschweizer Diabetikertag German-speaking Switzerland 2021
Media relations: print media, online media Diabetes: Wie man mit der richtigen Behandlung gut leben kann proSana 50plus German-speaking Switzerland 2021
New media (web, blogs, podcasts, news feeds etc.) Kraft aus Beziehungen schöpfen s’Heftpflaster German-speaking Switzerland 2021
Media relations: print media, online media Partnerschaft und Diabetes: Gemeinsam gesund leben djournal German-speaking Switzerland 2021

Use-inspired outputs

Associated projects

Number Title Start Funding scheme
162724 Changing Personality Traits: Testing the Efficacy of a Mobile Technology-Based Intervention 01.03.2016 Interdisciplinary projects
196405 Predicting the endorsement of preventive behaviors in the context of the Corona virus pandemic: Examining temporal dynamics and the role of risk communication 01.06.2020 Special Call on Coronaviruses
192420 What is needed for a strong and lasting intimate relationship? The impact of stress and dyadic coping across a decade 01.05.2020 Project funding
197471 Time and Ties: Dynamic modelling of temporal patterns in dyadic health behaviour change 01.08.2021 Project funding
192438 Developing a Taxonomy of Dyadic Behavior Change Techniques 01.05.2021 Project funding

Abstract

Theoretical background: Diabetes mellitus Type II is a common chronic disease. To manage blood glucose levels patients need to follow medical recommendations for healthy eating, physical activity, and medication adherence in their everyday life. Illness management is mainly shared with partners or spouses and may involve social support and common dyadic coping (CDC). Received social support and common dyadic coping have been identified as having implications for people’s health behavior and well-being. Visible received support, however, may also be negatively related to people’s well-being. Thus, the concept of invisible social support was introduced recently: that is, support provided that occurs outside of the awareness of the recipient or that is not encoded as support. So far, however, it is unknown which of these concepts (visible, invisible support, CDC) displays the most beneficial associations with health behavior and well-being when considered together in the context of illness management in couples. Furthermore, measurement of support and CDC in people’s everyday lives is usually by self-report only. Thus, more objective operationalisations of these constructs might solve common problems connected to self-report. Therefore, a mobile application that utilize objective sensor data in combination with self-reports need to be developed.Aim of the project: The aims of this proposed project are to systematically investigate the unique contributions of visible and invisible social support and CDC on health behaviors involved in diabetes management (e.g., physical activity, eating, medication adherence) and well-being of diabetes Type II patients and their partners. And to develop an ambulatory assessment application for smartphones for the open source behavioral intervention platform MobileCoach (AAMC) that allows the objective assessment of the core study constructs and outcomes in couples’ everyday lives.Design: In order to address these aims, the proposed study comprises two phases of data collection. The first phase is an experience sampling phase in daily life of N = 180 diabetes Type II patients and their partners. For this assessment phase, a novel ambulatory assessment application as an open source extension of the existing MobileCoach platform will be developed by applying design science research. The second phase is an observational study in the lab.Method: During the experience sampling phase participating couples will wear a mobile phone on their hip for seven consecutive days. The newly developed AAMC will capture couple’s conversations by random audio recordings of five minutes per hour using the smartphone’s microphones. Directly afterwards, participants will be prompted to answer very few questions on social support and CDC experienced in the past five minutes matching the audio recording. These data allow the (semi-)objective assessment of invisible support and CDC. At the same time, the newly developed AAMC will be able to recognize affect based on prosodic, spectral and sentiment analyses. This will help to deepen our understanding of when support and CDC is particularly effective. Finally, the AAMC will integrate the measurement of accelerometer data from the smartphone sensor. Dietary behavior and medication adherence will be assessed daily in end-of-day diaries. The observational study will examine visible and invisible support and CDC by analyzing couples’ videotaped discussions about diabetes-related concerns. The second phase complements the experience sampling sequence, in that the former will be an observation of naturalistic behavior in couples’ everyday lives and will thus not be able to capture a full discussion about diabetes-related concerns.Significance of the planned research: For further research and practice, it is crucial to identify the impact of social support and CDC on couple’s dyadic management of diabetes Type II in daily life. So far, visible and invisible support and CDC have not been analyzed together in daily life of couples coping with a chronic illness. It is thus unknown which of these concepts displays the most beneficial associations with health behaviors and well-being. Furthermore, the newly developed AAMC will make a key contribution with regard to the objective operationalisations of invisible support, CDC and physical activity. The automatic recognition of affect in speech will further our understanding of the conditions in which support and CDC are most effective. The results of the proposed project will provide a sound basis for the theory- and evidence-based development of dyadic interventions to change health behavior in the context of couple’s dyadic illness management.
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