Author(s):

  • C. Calvignac

Abstract:

The article is based on the sociological analysis of 20 semi-structured interviews conducted with French sleep physicians during the spring of 2021. These interviews were meant to define the part played by quantified self technologies dedicated to sleep management in the course of the consultation and clinical examination and to reflect on the therapeutic implications of their use. We asked the physicians how they dealt with patients’ self-monitoring practices and how they made sense of such a data within the framework of a care pathway. First, we review the reliability of these technologies as perceived by our 20 key witnesses. We report on the main concerns expressed about them. We then look at the different ways of managing these connected patients and making the most of their self-tracking data. We will also discuss the issues related to the advent and installation of these self-tracking practices, in terms of standardization of behaviors, therapeutic education and redistribution of responsibilities.

Documentation:

https://doi.org/10.1016/j.msom.2023.01.216

References:
  • S.F. Green et al.A systematic review of the validity of non-invasive sleep-measuring devices in mid-to-late life adults: future utility for Alzheimer’s disease researchSleep Med Rev(2022)
  • Cahour B., Licoppe C. Confrontations aux traces de son activité. Rev Anthropol Connaissances…
  • A. Mathieu-Fritz et al.Les dispositifs d’autosurveillance du diabète et les transformations du « travail du patient ». Les nouvelles formes de temporalités, de réflexivité et de connaissance de soi liées à l’expérience de la maladie chroniqueRev Anthropol Connaissances(2017)
  • R.G. SimpsonRelationships between self-help health organizations and professional health care providersHealth Soc Care Community(1996)
  • B. Fiore-Gartland et al.Communication, mediation, and the expectations of data: Data valences across health and wellness communitiesInt J Commun(2015)
  • M. Pantzar et al.Living the metrics: self-tracking and situated objectivityDigital Health(2017)
  • A. Fiske et al.The double-edged sword of digital self-care: physician perspectives from Northern GermanySoc Sci Med(2020)
  • K. Gabriels et al.Exploring entertainment medicine and professionalization of self-care: interview study among doctors on the potential effects of digital self-trackingJ Med Internet Res(2018)
  • C. CalvignacLe design des dispositifs d’automesure du sommeil. Une redistribution sociotechnique des responsabilités individuelles et collectivestic&société(2022)
  • C. CalvignacTraductions sociotechniques des principes axiologiques du quantified self. Analyse d’un corpus de brevets US dédiés à la mesure et à la gestion du sommeilReseaux(2021)
  • E. Dagiral et al.Le Quantified Self en question(s). Un état des lieux des travaux de sciences sociales consacrés à l’automesure des individusReseaux(2019)
  • M. Ruckenstein et al.Beyond the quantified self: thematic exploration of a dataistic paradigmNew Media Soc(2017)
  • O’Neill C., Nansen B. Sleep mode: mobile apps and the optimisation of sleep-wake rhythms. First Monday 2019;24(6). June…