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      A post-phenomenological analysis of using menstruation tracking apps for the management of premenstrual syndrome

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          Abstract

          Objectives

          Menstruation tracking digital applications (MTA) are a popular technology, yet there is a lacuna of research on how women use this technology for the management of PMS. Theoretical frameworks for understanding users’ experiences are also underdeveloped in this nascent field. The objectives of the study were therefore twofold, to propose a theoretical framework for understanding women's use of MTA and apply it to the analysis of users’ experiences in the management of PMS.

          Method

          A novel theoretical framework was proposed, informed by post-phenomenology, postfeminist healthism, feminist new materialism and digital health technologies as public pedagogy. This framework focuses analytic attention on affective relationships between subjectivity, bodily sensations, digital technology, and discourse. It was used to structure the analysis of five in-depth timeline interviews with women in Aotearoa New Zealand who experienced benefits from using MTA to manage PMS symptoms.

          Results

          Three pedagogical relationships were identified: a pedagogy of empowerment, where users learnt to control, predict and manage their PMS symptoms in line with healthism; a pedagogy of appreciation, where users learnt to understand their menstruating bodies as amazing, a valued part of them, and awe-inspiring that radically overturned past internalised stigma; and an ‘untrustworthy teacher’ who eroded this affirmative learning through inaccuracy, positioning users in dis-preferred categories, or being ‘creepy’.

          Conclusions

          MTA offers huge possibilities for challenging menstrual stigma that need to be nurtured, developed, and protected; and there are benefits for analysing MTA within wider scholarship on postfeminist healthism.

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          Most cited references57

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          The digitally engaged patient: Self-monitoring and self-care in the digital health era

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            Healthism and the medicalization of everyday life.

            This article considers some implications of the new health consciousness and movements--holistic health and self-care--for the definition of and solution to problems related to "health." Healthism represents a particular way of viewing the health problem, and is characteristic of the new health consciousness and movements. It can best be understood as a form of medicalization, meaning that it still retains key medical notions. Like medicine, healthism situates the problem of health and disease at the level of the individual. Solutions are formulated at that level as well. To the extent that healthism shapes popular beliefs, we will continue to have a non-political, and therefore, ultimately ineffective conception and strategy of health promotion. Further, by elevating health to a super value, a metaphor for all that is good in life, healthism reinforces the privatization of the struggle for generalized well-being.
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              Quantifying the body: monitoring and measuring health in the age of mHealth technologies

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                Author and article information

                Journal
                Digit Health
                Digit Health
                DHJ
                spdhj
                Digital Health
                SAGE Publications (Sage UK: London, England )
                2055-2076
                13 December 2022
                Jan-Dec 2022
                : 8
                : 20552076221144199
                Affiliations
                [1-20552076221144199]School of Psychology, Massey University, Wellington, New Zealand
                Author notes
                [*]Sarah Riley, School of Psychology, Massey University, P.O. Box 756, Wellington 6140, New Zealand. Email: s.riley@ 123456massey.ac.nz
                Author information
                https://orcid.org/0000-0001-6712-6976
                Article
                10.1177_20552076221144199
                10.1177/20552076221144199
                9756356
                8b41ca37-23dd-4d2d-84db-bd29f7af030c
                © The Author(s) 2022

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License ( https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 3 May 2022
                : 21 November 2022
                Categories
                Original Research
                Custom metadata
                ts19
                January-December 2022

                digital health,menstrual tracking,period tracking apps,personal informatics,premenstrual syndrome,post-phenomenology,postfeminism,healthism,postfeminist healthism,user experience

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