Teens with complex chronic illnesses have difficulty understanding and articulating symptoms such as pain and emotional distress. Yet, symptom communication plays a central role in clinical care and illness management. To understand how design can help overcome these challenges, we created a visual library of 72 sketched illustrations, informed by the Observations of Daily Living framework along with insights from 11 clinician interviews. We utilized our library with storyboarding techniques, free-form sketching, and interviews, in co-design sessions with 13 pairs of chronically-ill teens and their parents. We found that teens depicted symptoms as being interwoven with narratives of personal and social identity. Teens and parents were enthusiastic about collaboratively-generated, interactive storyboards as a tracking and communication mechanism, and suggested three ways in which they could aid in communication and coordination with informal and formal caregivers. In this paper, we detail these findings, to guide the design of tools for symptom-tracking and incorporation of patient-generated data into pediatric care.
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This content will become publicly available on May 2, 2026
The Balancing Act of Social Audio Facilitators: When Self-Promotion Overshadows Community Care
Voice-based social media platforms that enable attendees to have real-time, ephemeral interactions with each other—such as X-Spaces, Discord, and Clubhouse—have seen considerable growth in recent years. While prior research on these spaces has predominantly focused on moderating harms, our work seeks to understand emergent practices employed by hosts to proactively shape their discussion space— focusing on the facilitation aspect of moderation duties. Drawing on facilitation strategies, we study these practices through three comprehensive studies using mixed-methods: survey of social-audio users, co-design interviews, and analyzing training sessions for hosts. Our findings reveal insights into the issues faced by hosts and attendees, current facilitation practices, opinions on technological solutions, and factors that could be responsible for some of the identified issues such as the available training for hosts. We found that hosts themselves are often significant sources of issues due to practices such as focusing more on self-promotion than facilitating discussions. In addition, host training sessions seem to encourage behaviors that contribute to the negative perception of hosts. We draw on outcomes from co-design interviews to guide the design of future tools to support hosts in facilitating social-audio spaces. Our findings provide insights that could help create a more positive experience for both hosts and attendees.
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- Award ID(s):
- 2009003
- PAR ID:
- 10654072
- Publisher / Repository:
- ACM
- Date Published:
- Journal Name:
- Proceedings of the ACM on Human-Computer Interaction
- Volume:
- 9
- Issue:
- 2
- ISSN:
- 2573-0142
- Page Range / eLocation ID:
- 1 to 34
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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