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The healthcare sector's digital transformation necessitates the involvement of stakeholders through participation and co-creation processes. This study aims to investigate the understanding and implementation of participation and co-creation in the development of hybrid interaction technologies in healthcare. Eight interdisciplinary research projects were examined through semi-structured group interviews with 49 participants from academia, industry, and the application field. The interviews focused on participants' perspectives on project goals, user groups, access to the field, methods of participation and co-creation, and user motivation. The results highlight the diverse understandings of participation and co-creation, with some perceiving them as research-driven and others as already embedded in user- centered design. The projects emphasized user needs but often excluded stakeholders from collaborative decision-making. Challenges in achieving continuous involvement and co-decision were acknowledged. The findings underscore the need for reflexive practice and evaluation of participation and co-creation throughout the development process, as well as further research on participation across projects. By addressing these challenges and embracing participatory approaches, digital health applications can better address ethical concerns, build trust, and increase acceptance and adoption in the healthcare sector.
User-centered and Participatory Design approaches have become widespread within HCI, also when designing digital media for older adults. These methodologies are seen as crucial to adapt technology design to older people's needs and increase their acceptance of digital technology. Nevertheless, it is often difficult to reach a diverse group of older people, for instance, people with limited technology skills, limited mobility, or cognitive issues. In addition, gerontologists criticized lately how older people's participation unfolds in technology design projects, e.g. that people are pushed into the role of users. Little is known about the motivations and needs of older adults regarding their participation in HCI research. To close this gap, we conducted an online survey (N=46) and semi-structured interviews (N=8) focusing on motivations, willingness and experiences regarding participation. Results show that people are generally willing to participate due to interest in the topic, learning new things and social bonding. However, despite the conceptions within HCI that long-term engagement is crucial within participatory design, older people in the study preferred less commitment and more open formats.
Despite the higher uptake of digital media also in older age groups, there are still challenges for people of high ages and with cognitive or motoric problems, which prevent them from learning and using devices like smartphones or tablets. Tangible user interfaces provide an opportunity to connect these people to social media, thereby increasing their digital participation in society and reducing loneliness. In this paper, we discuss the challenges of intergenerational communication and research the opportunities affiliated with tangible technologies to overcome technology barriers for adults of high ages. We present a hybrid system for social media interactions between young smartphone users and their old relatives, who do not use mobile technologies. The system consists of a tangible user interface designed specifically for old adults that connects to a standard mobile messenger service. TAMI was designed in a user-centered process to fulfill the needs of older adults and tested in a longer-term field study with pairs of young and old relatives.
Recent advancements in data science and AI-driven healthcare technologies are bringing up novel opportunities for innovations, such as personalized medicine, self diagnostic tools for everyday use, or hybrid healthcare models. However, the development of these technologies often overlooks the perspectives of patients and their families and socio-cultural surroundings, posing significant social, technological, and ethical challenges related to data bias, empowerment or surveillance, respectively. Bringing together interdisciplinary, interprofessional, and intersectoral collaboration in a systematic way seems to be a crucial element for adressing these issues and ensuring the meaningful integration of sensitive data and AI technologies into patient-centred healthcare arrangements. In this workshop, researchers and practitioners from diverse related disciplines, including HCI, AI, social and cultural sciences, healthcare, gerontology, etc., are invited to share their case studies on innovative health technologies and medical AI. Drawing from contextual best practices, as well as challenges and failures, the workshop organizers aim to collectively devise a systematic approach for co-designing and implementing telemedical innovations in real-world healthcare settings.
