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T2 Coach: A Qualitative Study of an Automated Health Coach for Diabetes Self-Management. T2教练:糖尿病自我管理自动化健康教练的定性研究。
Pub Date : 2025-04-01 Epub Date: 2025-04-25 DOI: 10.1145/3706598.3714404
Elliot G Mitchell, Pooja Desai, Arlene Smaldone, Andrea Cassells, Jonathan N Tobin, David Albers, Matthew Levine, Lena Mamykina

Computational intelligence is increasingly common in interactive systems in many domains, including health. Health coaching with conversational agents (CA) can reach wide populations, but the level of computational intelligence needed for a positive coaching experience is unclear. We conducted a study with sixteen individuals with diabetes and prediabetes who used a CA for health coaching, T2 Coach. Qualitative interviews revealed that participants saw T2 Coach as reliable in helping them stay on track with self-management, appreciated the flexibility in choosing personally meaningful goals and engaging on their own terms, and felt it provided encouragement and even compared it favorably with human coaches. However, they also noted that coaching experience could be improved with more fluid conversations, more tailoring to their personal preferences and lifestyles, and more sensitivity to specific contexts, all of which require more computational intelligence. We discuss implications and design directions for more intelligent coaching CA in health.

计算智能在包括健康在内的许多领域的交互系统中越来越普遍。使用会话代理(CA)的健康指导可以覆盖广泛的人群,但积极的指导体验所需的计算智能水平尚不清楚。我们对16名糖尿病和前驱糖尿病患者进行了一项研究,他们使用CA进行健康指导,T2教练。定性访谈显示,参与者认为T2教练在帮助他们保持自我管理方面是可靠的,他们欣赏T2教练在选择个人有意义的目标和按照自己的方式参与方面的灵活性,并认为它提供了鼓励,甚至将其与人类教练进行了比较。然而,他们也指出,教练体验可以通过更流畅的对话、更适合他们的个人偏好和生活方式、对特定环境更敏感来改善,所有这些都需要更多的计算智能。我们讨论了更智能的指导CA在健康方面的影响和设计方向。
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引用次数: 0
LLM Powered Text Entry Decoding and Flexible Typing on Smartphones. LLM动力文本输入解码和智能手机上的灵活打字。
Pub Date : 2025-04-01 Epub Date: 2025-04-25 DOI: 10.1145/3706598.3714314
Yan Ma, I V Ramakrishnan, Dan Zhang, Xiaojun Bi

Large language models (LLMs) have shown exceptional performance in various language-related tasks. However, their application in keyboard decoding, which involves converting input signals (e.g. taps and gestures) into text, remains underexplored. This paper presents a fine-tuned FLAN-T5 model for decoding. It achieves 93.1% top-1 accuracy on user-drawn gestures, outperforming the widely adopted SHARK 2 decoder, and 95.4% on real-word tap typing data. In particular, our decoder supports Flexible Typing, allowing users to enter a word with taps, gestures, multi-stroke gestures, and tap-gesture combinations. User study results show that Flexible Typing is beneficial and well-received by participants, where 35.9% of words were entered using word gestures, 29.0% with taps, 6.1% with multi-stroke gestures, and the remaining 29.0% using tap-gestures. Our investigation suggests that the LLM-based decoder improves decoding accuracy over existing word gesture decoders while enabling the Flexible Typing method, which enhances the overall typing experience and accommodates diverse user preferences.

大型语言模型(llm)在各种与语言相关的任务中表现出优异的性能。然而,它们在键盘解码中的应用,包括将输入信号(如轻敲和手势)转换为文本,仍有待探索。本文提出了一种微调的FLAN-T5解码模型。它在用户绘制的手势上达到了93.1%的top-1准确率,超过了广泛采用的SHARK 2解码器,在真实的敲击输入数据上达到了95.4%。特别是,我们的解码器支持灵活输入,允许用户通过轻击、手势、多笔划手势和轻击手势组合输入单词。用户研究结果表明,灵活输入是有益的,并且受到参与者的欢迎,其中35.9%的单词使用单词手势输入,29.0%使用轻击,6.1%使用多笔划手势输入,其余29.0%使用轻击手势输入。我们的研究表明,基于llm的解码器比现有的单词手势解码器提高了解码精度,同时支持灵活输入方法,从而增强了整体输入体验并适应不同的用户偏好。
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引用次数: 0
Inaccessible and Deceptive: Examining Experiences of Deceptive Design with People Who Use Visual Accessibility Technology. 不可访问和欺骗性:使用视觉可访问性技术的人对欺骗性设计的体验。
Aaleyah Lewis, Jesse J Martinez, Maitraye Das, James Fogarty

Deceptive design patterns manipulate people into actions to which they would otherwise object. Despite growing research on deceptive design patterns, limited research examines their interplay with accessibility and visual accessibility technology (e.g., screen readers, screen magnification, braille displays). We present an interview and diary study with 16 people who use visual accessibility technology to better understand experiences with accessibility and deceptive design. We report participant experiences with six deceptive design patterns, including designs that are intentionally deceptive and designs where participants describe accessibility barriers unintentionally manifesting as deceptive, together with direct and indirect consequences of deceptive patterns. We discuss intent versus impact in accessibility and deceptive design, how access barriers exacerbate harms of deceptive design patterns, and impacts of deceptive design from a perspective of consequence-based accessibility. We propose that accessibility tools could help address deceptive design patterns by offering higher-level feedback to well-intentioned designers.

欺骗性的设计模式操纵人们做出他们本来会反对的行为。尽管对欺骗性设计模式的研究越来越多,但有限的研究考察了它们与可访问性和视觉可访问性技术(例如,屏幕阅读器,屏幕放大,盲文显示)的相互作用。我们对16位使用视觉辅助技术的人进行了采访和日记研究,以更好地理解可访问性和欺骗性设计的体验。我们报告了参与者对六种欺骗性设计模式的体验,包括故意欺骗性的设计和参与者描述无障碍障碍无意中表现为欺骗性的设计,以及欺骗性模式的直接和间接后果。我们从基于结果的可访问性的角度讨论了可访问性和欺骗性设计中的意图与影响、访问障碍如何加剧欺骗性设计模式的危害以及欺骗性设计的影响。我们建议可访问性工具可以通过向善意的设计师提供更高层次的反馈来帮助解决欺骗性的设计模式。
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引用次数: 0
Cultivating Computational Thinking and Social Play among Neurodiverse Preschoolers in Inclusive Classrooms. 在包容性课堂中培养神经多样性学龄前儿童的计算思维和社会游戏。
Maitraye Das, Megan Tran, Amanda Chih-Han Ong, Julie A Kientz, Heather Feldner

Computational thinking (CT) is regarded as a fundamental twenty-first century skill and has been implemented in many early childhood education curriculum. Yet, the needs of neurodivergent children have remained largely overlooked in the extensive research and technologies built to foster CT among children. To address this, we investigated how to support neurodiverse (i.e., groups involving neurodivergent and neurotypical) preschoolers aged 3-5 in learning CT concepts. Grounded in interviews with six teachers, we deployed an age-appropriate, programmable robot called KIBO in two preschool classrooms involving 12 neurodivergent and 17 neurotypical children for eight weeks. Using interaction analysis, we illustrate how neurodivergent children found enjoyment in assembling KIBO and learned to code with it while engaging in cooperative and competitive play with neurotypical peers and the adults. Through this, we discuss accessible adaptations needed to enhance CT among neurodivergent preschoolers and ways to reimagine technology-mediated social play for them.

计算思维(CT)被认为是21世纪的一项基本技能,并已在许多幼儿教育课程中实施。然而,神经分化儿童的需求在很大程度上被广泛的研究和技术所忽视,以促进儿童CT的发展。为了解决这个问题,我们研究了如何支持3-5岁的神经多样性(即包括神经分化和神经典型的群体)学龄前儿童学习CT概念。在采访了6位老师的基础上,我们在两个学前班的教室里部署了一个适合年龄的可编程机器人KIBO,让12名神经发散型儿童和17名神经正常型儿童参与了8周的学习。通过相互作用分析,我们说明了神经分化儿童如何在与神经正常的同龄人和成年人进行合作和竞争游戏时,发现组装KIBO的乐趣,并学会用它编码。通过这一点,我们讨论了在神经分化学龄前儿童中增强CT所需的可获得的适应性,以及为他们重新想象技术介导的社会游戏的方法。
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引用次数: 0
CardioAI: A Multimodal AI-based System to Support Symptom Monitoring and Risk Prediction of Cancer Treatment-Induced Cardiotoxicity. CardioAI:一个基于人工智能的多模式系统,支持癌症治疗引起的心脏毒性的症状监测和风险预测。
Pub Date : 2025-01-01 Epub Date: 2025-04-25 DOI: 10.1145/3706598.3714272
Siyi Wu, Weidan Cao, Shihan Fu, Bingsheng Yao, Ziqi Yang, Changchang Yin, Varun Mishra, Daniel Addison, Ping Zhang, Dakuo Wang

Despite recent advances in cancer treatments that prolong patients' lives, treatment-induced cardiotoxicity (i.e., the various heart damages caused by cancer treatments) emerges as one major side effect. The clinical decision-making process of cardiotoxicity is challenging, as early symptoms may happen in non-clinical settings and are too subtle to be noticed until life-threatening events occur at a later stage; clinicians already have a high workload focusing on the cancer treatment, no additional effort to spare on the cardiotoxicity side effect. Our project starts with a participatory design study with 11 clinicians to understand their decision-making practices and their feedback on an initial design of an AI-based decision-support system. Based on their feedback, we then propose a multimodal AI system, CardioAI, that can integrate wearables data and voice assistant data to model a patient's cardiotoxicity risk to support clinicians' decision-making. We conclude our paper with a small-scale heuristic evaluation with four experts and the discussion of future design considerations.

尽管癌症治疗的最新进展延长了患者的生命,但治疗引起的心脏毒性(即癌症治疗引起的各种心脏损伤)成为一个主要的副作用。心脏毒性的临床决策过程具有挑战性,因为早期症状可能发生在非临床环境中,并且过于微妙,直到后期发生危及生命的事件才会被注意到;临床医生已经有很高的工作量集中在癌症治疗上,没有额外的精力在心脏毒性副作用上。我们的项目从一项参与式设计研究开始,有11名临床医生参与,以了解他们的决策实践和他们对基于人工智能的决策支持系统初始设计的反馈。根据他们的反馈,我们提出了一个多模式人工智能系统,CardioAI,它可以整合可穿戴设备数据和语音助手数据来模拟患者的心脏毒性风险,以支持临床医生的决策。我们以四名专家的小规模启发式评估和对未来设计考虑的讨论来结束我们的论文。
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引用次数: 0
Tracking and its Potential for Older Adults with Memory Concerns. 跟踪及其对有记忆问题的老年人的潜力。
Amelia Short, Norman Makoto Su, Ruipu Hu, Eun Kyoung Choe, Hernisa Kacorri, Margaret Danilovich, David E Conroy, Shannon Jette, Beth Barnett, Amanda Lazar

Much research on older people with memory concerns is focused on tracking and informed by the priorities of others. In this paper, we seek to understand the potential that people with memory concerns see in tracking. We conducted interviews with 29 participants with concerns about their memory and engaged in an affective writing approach. We find a range of potentials that can be traced to how participants are already self-tracking. Emotions associated with these potentials vary: from acceptance to resistance, and positive anticipation to aversion. Participants are emotionally motivated to foreclose possibilities in some instances and keep them open in others. While individual and unique, potential is structured by forces that include individual routines, relationships with others, and macro-level institutions and cultural contexts. We reflect on these findings in the context of research on self-tracking with older adults, designing with ambiguity, and forces that structure the experience of living with memory concerns.

许多关于老年人记忆问题的研究都集中在追踪和了解他人的优先事项上。在这篇论文中,我们试图理解有记忆问题的人在跟踪中看到的潜力。我们对29名参与者进行了采访,他们担心自己的记忆力,并采用了情感写作方法。我们发现了一系列的潜力,这些潜力可以追溯到参与者是如何自我跟踪的。与这些潜能相关的情绪各不相同:从接受到抵制,从积极期待到厌恶。参与者在情感上受到激励,在某些情况下排除可能性,在其他情况下保持开放。虽然是个体的和独特的,但潜力是由包括个人惯例、与他人的关系、宏观层面的制度和文化背景在内的力量构成的。我们对这些发现进行了反思,研究对象包括老年人的自我跟踪、模糊设计以及与记忆有关的生活体验的结构。
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引用次数: 0
Beyond Omakase: Designing Shared Control for Navigation Robots with Blind People. Beyond Omakase:为盲人导航机器人设计共享控制。
Rie Kamikubo, Seita Kayukawa, Yuka Kaniwa, Allan Wang, Hernisa Kacorri, Hironobu Takagi, Chieko Asakawa

Autonomous navigation robots can increase the independence of blind people but often limit user control-following what is called in Japanese an "omakase" approach where decisions are left to the robot. This research investigates ways to enhance user control in social robot navigation, based on two studies conducted with blind participants. The first study, involving structured interviews (N=14), identified crowded spaces as key areas with significant social challenges. The second study (N=13) explored navigation tasks with an autonomous robot in these environments and identified design strategies across different modes of autonomy. Participants preferred an active role, termed the "boss" mode, where they managed crowd interactions, while the "monitor" mode helped them assess the environment, negotiate movements, and interact with the robot. These findings highlight the importance of shared control and user involvement for blind users, offering valuable insights for designing future social navigation robots.

自主导航机器人可以增加盲人的独立性,但往往限制了用户的控制——遵循日语中所谓的“omakase”方法,将决策留给机器人。本研究以两项盲人研究为基础,探讨了增强社交机器人导航中用户控制的方法。第一项研究涉及结构化访谈(N=14),将拥挤的空间确定为具有重大社会挑战的关键区域。第二项研究(N=13)探讨了自主机器人在这些环境中的导航任务,并确定了不同自主模式下的设计策略。参与者更喜欢积极的角色,被称为“老板”模式,在那里他们管理人群的互动,而“监控”模式帮助他们评估环境,协商运动,并与机器人互动。这些发现强调了共享控制和用户参与对盲人用户的重要性,为设计未来的社交导航机器人提供了有价值的见解。
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引用次数: 0
Surfacing Technology Routines While Studying Videoconferencing Among Older Adults with Cognitive Concerns. 在研究有认知问题的老年人的视频会议时,显示技术惯例。
Ruipu Hu, Amanda Lazar

HCI research increasingly focuses on everyday life to inform technology design for older adults. Routines, a key aspect of everyday life, have been studied to contextualize technology use. Our work brings attention to understanding of routines around videoconferencing technology among older adults with cognitive concerns. We conducted a week-long study involving observations, interviews, and a modified diary study with six older adults with cognitive concerns who videoconference at least once a week. Our analysis revealed how routines helped people adapt to videoconferencing constraints, how participants navigated disruptions to their videoconferencing routines, and the kinds of routines that were more challenging to manage when faced disruptions. In the discussion, we describe why routines are particularly important to study and support for people with cognitive concerns, the importance of studying older adults' routines to support technology use in HCI, and methods that can enrich HCI research by uncovering insights into routines.

HCI研究越来越关注日常生活,为老年人的技术设计提供信息。例程,日常生活的一个关键方面,已经研究情境化技术的使用。我们的工作引起了对有认知问题的老年人对视频会议技术的日常理解的关注。我们进行了一项为期一周的研究,包括观察、访谈和修改后的日记研究,研究对象是6名有认知问题的老年人,他们每周至少进行一次视频会议。我们的分析揭示了惯例如何帮助人们适应视频会议的限制,参与者如何在他们的视频会议惯例中导航中断,以及当面临中断时更难以管理的惯例。在讨论中,我们描述了为什么常规对于研究和支持有认知问题的人特别重要,研究老年人的常规对于支持HCI中技术使用的重要性,以及通过揭示对常规的见解来丰富HCI研究的方法。
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引用次数: 0
Understanding Older Adults' (Dis)Engagement with Design Materials. 了解老年人对设计材料的(不)参与。
Alisha Pradhan, Ben Jelen, Ramprabu Thangaraj, Katie A Siek, Shannon Jette, Amanda Lazar

Design workshops are a popular approach to include older adults in the technology design process. However, formative design sessions with older adults have had unexpected outcomes such as the non-use of traditional design materials like craft-based prototyping supplies or disengagement from design activities. Analyzing the engagement of 32 older adults across two design workshops, this paper sheds insights on some of these outcomes. Contributing to a growing body of HCI research on understanding older adults' participation in design, we provide an understanding of how design materials can shape older adults' engagement in formative design activities. Our discussion furthers research on understanding who older adults design for and why, argues for a different understanding of creative expression, and offers considerations for choosing design materials.

设计工作坊是一种让老年人参与技术设计过程的流行方法。然而,与老年人的形成性设计会议产生了意想不到的结果,例如不使用传统的设计材料,如基于工艺的原型材料或脱离设计活动。本文分析了32位老年人在两个设计研讨会上的参与情况,揭示了其中一些结果。为理解老年人参与设计的HCI研究做出贡献,我们提供了对设计材料如何影响老年人参与形成性设计活动的理解。我们的讨论进一步研究了老年人为谁设计以及为什么设计,论证了对创造性表达的不同理解,并提供了选择设计材料的考虑。
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引用次数: 0
Autoethnographic Insights from Neurodivergent GAI "Power Users". 来自神经发散型GAI“高级用户”的自我民族志见解。
Kate Glazko, JunHyeok Cha, Aaleyah Lewis, Ben Kosa, Brianna L Wimer, Andrew Zheng, Yiwei Zheng, Jennifer Mankoff

Generative AI (AI) has become ubiquitous in both daily and professional life, with emerging research demonstrating its potential as a tool for accessibility. Neurodivergent people, often left out by existing accessibility technologies, develop their own ways of navigating normative expectations. GAI offers new opportunities for access, but it is important to understand how neurodivergent "power users"-successful early adopters-engage with it and the challenges they face. Further, we must understand how marginalization and intersectional identities influence their interactions with GAI. Our autoethnography, enhanced by privacy-preserving GAI-based diaries and interviews, reveals the intricacies of using GAI to navigate normative environments and expectations. Our findings demonstrate how GAI can both support and complicate tasks like code-switching, emotional regulation, and accessing information. We show that GAI can help neurodivergent users to reclaim their agency in systems that diminish their autonomy and self-determination. However, challenges such as balancing authentic self-expression with societal conformity, alongside other risks, create barriers to realizing GAI's full potential for accessibility.

生成式人工智能(AI)在日常生活和职业生活中无处不在,新兴研究表明,它有潜力成为一种可访问性工具。神经发散型的人经常被现有的无障碍技术所忽视,他们发展出自己的方式来驾驭规范的期望。GAI为访问提供了新的机会,但重要的是要了解神经分化的“高级用户”(成功的早期采用者)如何参与GAI以及他们面临的挑战。此外,我们必须了解边缘化和交叉身份如何影响他们与GAI的互动。我们的自我民族志,通过保护隐私的基于GAI的日记和访谈,揭示了使用GAI来导航规范环境和期望的复杂性。我们的研究结果表明,GAI既可以支持也可以使代码转换、情绪调节和获取信息等任务复杂化。我们表明,GAI可以帮助神经发散型用户在削弱其自主性和自决权的系统中重新获得他们的代理。然而,平衡真实的自我表达与社会一致性等挑战,以及其他风险,为实现GAI的全部可访问性潜力创造了障碍。
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引用次数: 0
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