ABSTRACT
Many countries developed and deployed contact tracing apps to reduce the spread of the COVID-19 coronavirus. Prior research explored people's intent to install these apps, which is necessary to ensure effectiveness. However, adopting contact tracing apps is not enough on its own, and much less is known about how people actually use these apps. Exploring app use can help us identify additional failures or risk points in the app life cycle. In this study, we conducted 13 semi-structured interviews with young adult users of Belgium's contact-tracing app, Coronalert. The interviews were conducted approximately a year after the onset of the COVID-19 pandemic. Our findings offer potential design directions for addressing issues identified in prior work - such as methods for maintaining long-term use and better integrating with the local health systems - and offer insight into existing design tensions such as the trade-off between maintaining users' privacy (by minimizing the personal data collected) and users' desire to have more information about an exposure incident. We distill from our results and the results of prior work a framework of people's decision points in contact-tracing app use that can serve to motivate careful design of future contact tracing technology. © 2023 Owner/Author.
ABSTRACT
Workers from a variety of industries rapidly shifted to remote work at the onset of the COVID-19 pandemic. While existing work has examined the impact of this shift on office workers, little work has examined how shifting from in-person to online work affected workers in the informal labor sector. We examine the impact of shifting from in-person to online-only work on a particularly marginalized group of workers: sex workers. Through 34 qualitative interviews with sex workers from seven countries in the Global North, we examine how a shift to online-only sex work impacted: (1) working conditions, (2) risks and protective behaviors, and (3) labor rewards. We find that online work offers benefits to sex workers' financial and physical well-being. However, online-only work introduces new and greater digital and mental health risks as a result of the need to be publicly visible on more platforms and to share more explicit content. From our findings we propose design and platform governance suggestions for digital sex workers and for informal workers more broadly, particularly those who create and sell digital content. © 2022 Owner/Author.
ABSTRACT
COVID-19 exposure-notification apps have struggled to gain adoption. Existing literature posits as potential causes of this low adoption: privacy concerns, insufficient data transparency, and the type of appeal - collective- vs. individual-good - used to frame the app. As policy guidance suggests using tailored advertising to evaluate the effects of these factors, we present the first field study of COVID-19 contact tracing apps with a randomized, control trial of 14 different advertisements for CovidDefense, Louisiana's COVID-19 exposure-notification app. We find that all three hypothesized factors - privacy, data transparency, and appeals framing - relate to app adoption, even when controlling for age, gender, and community density. Our results offer (1) the first field evidence supporting the use of collective-good appeals, (2) nuanced findings regarding the efficacy of data and privacy transparency, the effects of which are moderated by appeal framing and potential users' demographics, and (3) field-evidence-based guidance for future efforts to encourage pro-social health technology adoption. © 2022 ACM.
ABSTRACT
Numerous information-Tracking solutions have been implemented worldwide to fight the COVID-19 pandemic. While prior work has heavily explored the factors affecting people's willingness to adopt contact-Tracing solutions, which inform people when they have been exposed to someone positive for COVID-19, numerous countries have implemented other information-Tracking solutions that use more data and more sensitive data than these commonly studied contact-Tracing apps. In this work, we build on existing work focused on contact-Tracing apps to explore adoption and design considerations for six representative information-Tracking solutions for COVID-19, which differ in their goals and in the types of information they collect. To do so, we conducted semi-structured interviews with 44 participants to investigate the factors that influence their willingness to adopt these solutions. We find four main categories of influences on participants' willingness to adopt such solutions: individual benefits of the solution, societal benefits of the solution, functionality concern, and digital safety (e.g., security and privacy) concerns. Further, we enumerate the factors that inform participants' evaluations of these categories. Based on our findings, we make recommendations for the future design of information-Tracking solutions and discuss how different factors may balance against benefits in future crisis situations. © 2022 ACM.