ESR1 - Caterina Maidhof

ESR photo
Caterina Maidhof
Research project
Perceptions of personal privacy in different users regarding health monitoring technologies
About the project

This project seeks to identify differently perceived dimensions and degrees of personal privacy by potential users of a broad range of health monitoring technologies (e.g., video-based, audio-based, sensor-based). Perceptions of privacy are analysed technology-specifically, while as well considering user group-specific needs and requirements in diverse contexts. Potential users of such technology can be of the entire lifespan; however, this project mainly targets older and frail persons, who have experiences with chronic illnesses and care. The here resulting graduations of privacy can be elaborated and then appropriately concerned by respective stakeholders.

Start date: April 2021

Expected end date: March 2024

Progress of the project

Privacy and acceptance perceptions for video-based AAL systems have been investigated through a multi-stage empirical approach. The first stage examined privacy perceptions in daily life, highlighting its multi-dimensional nature, including informational and psychological aspects. Privacy concerns varied depending on the entity involved, with personal entities like healthcare providers viewed as less intrusive than impersonal ones such as insurers. Technology-related privacy violations, particularly involving nudity, were seen as more negative than human-related violations, stressing the need for privacy-by-design principles. 


The second stage investigated acceptance of video-based AAL across different contexts, finding higher acceptance for household activities and lower for intimate ones. Benefits like faster emergency responses and increased safety were most valued, while concerns about surveillance and data misuse emerged as major barriers. Technological factors (e.g., data storage) and user characteristics (e.g., age, technical affinity) influenced acceptance. 

In the third stage, a privacy-informed acceptance model integrated privacy calculus and technology acceptance theories. Results showed perceived benefits strongly drove acceptance, while privacy concerns had a moderate negative impact. Activity-specific privacy needs shaped preferences for data handling, emphasizing the importance of privacy-utility trade-offs. 

The final stage simulated decision-making, revealing preferences for less recognisable images to ensure bodily privacy and granting data access to emergency services over relatives. Medium data storage durations were favoured, with local storage slightly preferred. Two user groups emerged with differing preferences but similar overall acceptance, underlining the need for customizable privacy settings. 

Overall, the work offers practical recommendations for designing privacy-enhancing, user-centred video-based AAL technologies, benefiting developers, legal researchers, and healthcare planners to meet technical, legal, user, and societal needs.

Scientific publications

Don’t You Worry ’bout a Thing? Identification and Quantification of Relevant Privacy Parameters Within the Acceptance of AAL Technology

Caterina Maidhof, Julia Offermann, Martina Ziefle

In: Maciaszek, L.A., Mulvenna, M.D., Ziefle, M. (eds) Information and Communication Technologies for Ageing Well and e-Health. ICT4AWE ICT4AWE 2021 2022. Communications in Computer and Information Science, vol 1856. Springer, Cham.

About the ESR

Caterina received a MSc in Applied Cognitive Psychology from Utrecht University in 2020. In her Master Thesis she investigated the potential of personal speech alerts for automotive settings. She holds a BSc in Communication from the University of Southern Switzerland (2018). 

Contact information

Caterina Maidhof
Chair of Communication Science

Institute of Language and communication studies
Human-Computer Interaction Center
RWTH Aachen University 
Campus Boulevard 57
52074 Aachen
Germany 

Email address: maidhof@comm.rwth-aachen.de