Kelly Mack

Kelly Mack, Megan Hofmann, Udaya Lakshmi et al.

The NIH 3D Print Exchange is a public and open source repository for primarily 3D printable medical device designs with contributions from expert-amateur makers, engineers from industry and academia, and clinicians. In response to the COVID-19 pandemic, a collection was formed to foster submissions of low-cost, local manufacture of personal protective equipment (Personal Protective Equipment (PPE)). We systematically evaluated the 623 submissions in this collection to understand: what makers contributed, how they were made, who made them, and key characteristics of their designs. Our analysis reveals an immediate design convergence to derivatives of a few initial designs affiliated with NIH partners (e.g., universities, the Veteran's Health Administration, America Makes) and major for-profit groups (e.g., Prusa). The NIH worked to review safe and effective designs but was quickly overloaded by derivative works. We found that the vast majority were never reviewed (81.3%) while 10.4% of those reviewed were deemed safe for clinical (5.6%) or community use (4.8%). Our work contributes insights into: the outcomes of distributed, community-based, medical making; features the community accepted as "safe" making; and how platforms can support regulated maker activities in high-risk domains (e.g., healthcare).

Tanusree Sharma, Yu-Yun Tseng, Lotus Zhang et al.

Blind and low vision (BLV) individuals use Generative AI (GenAI) tools to interpret and manage visual content in their daily lives. While such tools can enhance the accessibility of visual content and so enable greater user independence, they also introduce complex challenges around visual privacy. In this paper, we investigate the current practices and future design preferences of blind and low vision individuals through an interview study with 21 participants. Our findings reveal a range of current practices with GenAI that balance privacy, efficiency, and emotional agency, with users accounting for privacy risks across six key scenarios, such as self-presentation, indoor/outdoor spatial privacy, social sharing, and handling professional content. Our findings reveal design preferences, including on-device processing, zero-retention guarantees, sensitive content redaction, privacy-aware appearance indicators, and multimodal tactile mirrored interaction methods. We conclude with actionable design recommendations to support user-centered visual privacy through GenAI, expanding the notion of privacy and responsible handling of others data.

Momona Yamagami, Kelly Mack, Jennifer Mankoff et al.

Many individuals with disabilities and/or chronic conditions (da/cc) experience symptoms that may require intermittent or on-going medical care. However, healthcare is an often-overlooked domain for accessibility work, where access needs associated with temporary and long-term disability must be addressed to increase the utility of physical and digital interactions with healthcare workers and spaces. Our work focuses on a specific domain of healthcare often used by individuals with da/cc: physical therapy (PT). Through a twelve-person interview study, we examined how people's access to PT for their da/cc is hampered by social (e.g., physically visiting a PT clinic) and physiological (e.g., chronic pain) barriers, and how technology could improve PT access. In-person PT is often inaccessible to our participants due to lack of transportation and insufficient insurance coverage. As such, many of our participants relied on at-home PT to manage their da/cc symptoms and work towards PT goals. Participants felt that PT barriers, such as having particularly bad symptoms or feeling short on time, could be addressed with well-designed technology that flexibly adapts to the person's dynamically changing needs while supporting their PT goals. We introduce core design principles (adaptability, movement tracking, community building) and tensions (insurance) to consider when developing technology to support PT access. Rethinking da/cc access to PT from a lens that includes social and physiological barriers presents opportunities to integrate accessibility and adaptability into PT technology.

Kelly Mack, Emma McDonnell, Dhruv Jain et al.

Accessibility research has grown substantially in the past few decades, yet there has been no literature review of the field. To understand current and historical trends, we created and analyzed a dataset of accessibility papers appearing at CHI and ASSETS since ASSETS' founding in 1994. We qualitatively coded areas of focus and methodological decisions for the past 10 years (2010-2019, N=506 papers), and analyzed paper counts and keywords over the full 26 years (N=836 papers). Our findings highlight areas that have received disproportionate attention and those that are underserved--for example, over 43% of papers in the past 10 years are on accessibility for blind and low vision people. We also capture common study characteristics, such as the roles of disabled and nondisabled participants as well as sample sizes (e.g., a median of 13 for participant groups with disabilities and older adults). We close by critically reflecting on gaps in the literature and offering guidance for future work in the field.

Kelly Mack, Danielle Bragg, Meredith Ringel Morris et al.

Social media platforms support the sharing of written text, video, and audio. All of these formats may be inaccessible to people who are deaf or hard of hearing (DHH), particularly those who primarily communicate via sign language, people who we call Deaf signers. We study how Deaf signers engage with social platforms, focusing on how they share content and the barriers they face. We employ a mixed-methods approach involving seven in-depth interviews and a survey of a larger population (n = 60). We find that Deaf signers share the most in written English, despite their desire to share in sign language. We further identify key areas of difficulty in consuming content (e.g., lack of captions for spoken content in videos) and producing content (e.g., captioning signed videos, signing into a phone camera) on social media platforms. Our results both provide novel insights into social media use by Deaf signers and reinforce prior findings on DHH communication more generally, while revealing potential ways to make social media platforms more accessible to Deaf signers.

Kelly Mack, John Lee, Kevin Chang et al.

In traditional usability studies, researchers talk to users of tools to understand their needs and challenges. Insights gained via such interviews offer context, detail, and background. Due to costs in time and money, we are beginning to see a new form of tool interrogation that prioritizes scale, cost, and breadth by utilizing existing data from online forums. In this case study, we set out to apply this method of using online forum data to a specific issue---challenges that users face with Excel spreadsheets. Spreadsheets are a versatile and powerful processing tool if used properly. However, with versatility and power come errors, from both users and the software, which make using spreadsheets less effective. By scraping posts from the website Reddit, we collected a dataset of questions and complaints about Excel. Specifically, we explored and characterized the issues users were facing with spreadsheet software in general, and in particular, as resulting from a large amount of data in their spreadsheets. We discuss the implications of our findings on the design of next-generation spreadsheet software.