HCMay 20
Understanding Perspectives of Patients, Caregivers and Clinicians towards Emerging Collaborative-decision Making TechnologiesRay-Yuan Chung, Athena Ortega, Zixuan Xu et al.
In pediatrics, patients, caregivers, and clinicians share responsibility for health decisions, but limited collaboration can undermine outcomes. We conducted a qualitative study examining decision-makers perceptions toward collaborative decision-making technologies, including interactive dashboards, VR simulators, and AI voice assistants. Findings reveal differences in user opinions across groups and indicate technology acceptance is linked to users trust of these technologies. Technology developers and researchers need to explore design and implementation strategies that build and facilitate trust or appropriate distrust between users and these novel technologies before these tools can effectively support collaborative decision-making.
HCMar 26
Co-designing for the Triad: Design Considerations for Collaborative Decision-Making Technologies in Pediatric Chronic CareRay-Yuan Chung, Jaime Snyder, Zixuan Xu et al.
In pediatric chronic care, the triadic relationship among patients, caregivers, and healthcare providers introduces unique challenges for youth in managing their conditions. Diverging values, roles, and asymmetrical situational awareness across decision-maker groups often hinder collaboration and affect health outcomes, highlighting the need to support collaborative decision-making. We conducted co-design workshops with 6 youth with chronic kidney disease, 6 caregivers, and 7 healthcare providers to explore how digital technologies can be designed to support collaborative decision-making. Findings identify barriers across all levels of situational awareness, ranging from individual cognitive and emotional constraints, misaligned mental models, to relational conflicts regarding care goals. We propose design implications that support continuous decision-making practice, align mental models, balance caregiver support and youth autonomy development, and surface potential care challenges. This work advances the design of collaborative decision-making technologies that promote shared understanding and empower families in pediatric chronic care.
CYApr 16, 2025
From job titles to jawlines: Using context voids to study generative AI systemsShahan Ali Memon, Soham De, Sungha Kang et al. · cmu
In this paper, we introduce a speculative design methodology for studying the behavior of generative AI systems, framing design as a mode of inquiry. We propose bridging seemingly unrelated domains to generate intentional context voids, using these tasks as probes to elicit AI model behavior. We demonstrate this through a case study: probing the ChatGPT system (GPT-4 and DALL-E) to generate headshots from professional Curricula Vitae (CVs). In contrast to traditional ways, our approach assesses system behavior under conditions of radical uncertainty -- when forced to invent entire swaths of missing context -- revealing subtle stereotypes and value-laden assumptions. We qualitatively analyze how the system interprets identity and competence markers from CVs, translating them into visual portraits despite the missing context (i.e. physical descriptors). We show that within this context void, the AI system generates biased representations, potentially relying on stereotypical associations or blatant hallucinations.