2025
This thesis addresses the social challenges of large-scale agile transformations in organisations. While agile methods have proven effective in small teams, extending these practices across entire organisations remains a significant challenge. Expected benefits, such as increased speed and collaboration, are often not realised due to “people challenges” such as resistance to change, scepticism, and insufficient training – issues deeply embedded in organisational culture.
To tackle these challenges, the thesis is structured into three chapters comprising six essays. Chapter I conceptualises large-scale agile transformations from a socio-perspective, framing them as wicked problems. Chapter II develops and designs the Agile Transformation Canvas, a visual inquiry tool designed to support the collaborative and non-linear exploration of wicked problems, specifically addressing the social challenges of scaling agile within organisations. Chapter III extends Chapter II by digitalising the tool, incorporating systems thinking to further account for the wickedness of scaling agile.
By focusing on the cultural and social dimensions of large-scale agile transformations, this research offers both practical tools and theoretical insights to guide organisations in overcoming these challenges, making valuable contributions to both research and practice.
In recent decades, there has been growing interest in location-based services using Global Satellite Navigation Systems (GNSS) such as the Global Positioning System (GPS) or Galileo. These systems require a direct line of sight to the satellites to operate. Although we spend most of our time indoors, there is no standard solution for tracking people or assets in indoor environments. This is mainly because existing Indoor Tracking Systems (ITS) are complex to deploy or offer low accuracy under real-life conditions.
In this thesis, we present five papers divided into three chapters. The first chapter reviews the literature and proposes a unified conceptual model to classify and compare the existing ITS.
In the second chapter, we propose solutions to reduce infrastructure costs while improving the accuracy of ITS. To achieve this, we rely on an inertial-based ITS, accumulating errors over time and leading to drifting trajectories. We propose novel error correction algorithms complemented by fixed Bluetooth Low Energy (BLE) beacons positioned at strategic locations. Our algorithms use a collaborative approach, enabling mobile devices to correct their location estimates by opportunistically exchanging data in a peer-to-peer manner.
The third chapter addresses the challenges of devising, evaluating, and fine-tuning tracking algorithms. Our aim is to speed up research and bring transparency to experiments to guarantee their reproducibility. To achieve this, we propose MobiXIM, a novel framework that aims to standardise the processes for building tracking algorithms. We aim to further research and innovation in ITS by providing open access to all our experimental data.
Health-related data (HRD) is generated in the clinical setting through the use of healthcare information systems by practitioners, and in the personal setting, through the use of digital services. Although HRD has many benefits in the advancement of healthcare, they are considered highly sensitive. This thesis explores and addresses multiple aspects of HRD privacy.
First, we design, implement, and evaluate an efficient and privacy-preserving protocol for collaborative training of decision tree models on distributed biomedical datasets. Our protocol achieves a good balance between model accuracy, efficiency, and privacy, making it suitable for use in the healthcare setting.
Second, we examine shadow HRD: HRD generated and/or processed by individuals by using general-purpose digital tools outside of a professional healthcare information system. These can be overlooked when enforcing data protection laws pertaining to HRD, as they are difficult to detect. We identify and categorize a broad variety of user behaviors that lead to the creation of shadow HRD. We also analyze the privacy policies of popular service providers, and show that although some of them do treat shadow HRD as sensitive data, many do not even acknowledge their collection through their service.
Third, we assess the prevalence of shadow HRD-creating behaviors, users' awareness and concerns with respect to shadow HRD, and the relevant privacy-utility trade-offs. We find that users deem that the benefits of using general-purpose tools for managing their health outweigh the privacy risks to their health data. Furthermore, users rarely resort to privacy protection measures when doing so. This highlights the need for better protections at the service providers' and legal levels.