5.7HCMay 13
"It became a self-fulfilling prophecy": How Lived Experiences are Entangled with AI Predictions in Menstrual Cycle Tracking AppsWendy Zhou, Pelin Karaturhan, Alexandra Weilenmann et al.
In menstrual cycle tracking apps (MCTAs), AI-based predictions and insights have become increasingly popular. These features enable users to receive personalized information about their bodies and mental states. However, there is currently little research on how these predictive AI features and explanations affect users' lived experiences. This paper examines human-AI entanglement in MCTAs through 14 semi-structured user interviews and a group autoethnography. These methods uncover the processes leading to this phenomenon. Our results reveal that: (1) users understand their lived experiences in light of AI predictions, although these predictions can be faulty due to imperfect logging practices, (2) the user interface features and AI explanations do not support awareness or critical engagement with this entanglement and meaning-making, and (3) non-normative MCTA users report a sense of isolation in this entangled interaction. Based on our findings, we propose design implications for predictive AI features and explanations.
4.0HCJun 24
Designing Trustworthy LLM-based Wellbeing Recommendation through Controllable InteractionAlan Said, Alexandra Weilenmann
Large language models (LLMs) are increasingly used to generate personalized guidance in wellbeing contexts such as physical activity, stress management, and mental health support, enabling fluent and context-aware interaction but relying on largely implicit mechanisms that shape how recommendations are expressed and adapted. We argue that this reliance on implicit adaptation through prompting and alignment limits control over guidance, responsibility framing, and user influence, which is particularly problematic in wellbeing settings where recommendations affect users' actions and long-term outcomes. We propose a system-level perspective in which conversational behavior is structured through explicit interaction constraints, including guidance strategies, explanation styles, degrees of directness, and mechanisms for user control. Building on prior work on tangible recommendations, we show how these constraints address key challenges in wellbeing-oriented recommendation, namely trust calibration, intent alignment, and consequence awareness. We outline a modular architecture for controllable LLM-based recommendation and discuss how different configurations can be systematically designed and evaluated in relation to user-centered outcomes such as self-efficacy, perceived agency, and appropriate reliance. This paper contributes a system-level framework for designing LLM-based recommender systems that are adaptive while remaining transparent, controllable, and aligned with human wellbeing.