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Self-tracking technologies empower people to build self-knowledge and insights across many domains and individual user contexts. However, individuals with severe motor disabilities are largely excluded from personal informatics systems. To bridge this gap, we designed and developed a first-of-a-kind power wheelchair (PWC) based multi-modal self-tracking system to support individuals with a recent spinal cord injury to track their pressure reliefs---a very frequent self-care activity to prevent pressure ulcers. We deployed this system with nine inpatient participants of a rehabilitation hospital and qualitatively evaluated the feasibility through their interactions with audio, visual, and haptic reminder modalities through observations and interviews. Our deployment and evaluation demonstrate the feasibility of creating chairable self-tracking systems to help facilitate independence and self-awareness of their self-care activity and the potential for personal informatics systems to be effectively designed so that they are useful for this population. 

A spinal cord injury (SCI) typically results in a sudden change to an individual's motor function. People's adoption of technology soon after a severe SCI is crucial, since they must relearn most technology interactions to adjust to their new physical abilities and regain independence. This study examines how individuals adopt technologies soon after sustaining a severe SCI. By qualitatively analyzing the perspectives of ten rehabilitation clinicians, three individuals who recently sustained an SCI, and two of those participants' family members, we surfaced a spectrum of individuals' motivations to adopt technology post-injury and highlight the challenges they face to adopt technology. Our findings highlight the need to incorporate the holistic experience---including technology literacy, perception of support, and acceptance of the new-normal---in technology design for individuals who have a sudden change to motor functions. Our findings show that technology adoption is a critical component for the overall adjustment of post-SCI life. Finally, we use the extended version of the Technology Acceptance Model (TAM) to make recommendations for more inclusive assistive design. 

Smart hospital patient rooms incorporate various smart devices to allow digital control of the entertainment --- such as TV and soundbar --- and the environment --- including lights, blinds, and thermostat. This technology can benefit patients by providing a more accessible, engaging, and personalized approach to their care. Many patients arrive at a rehabilitation hospital because they suffered a life-changing event such as a spinal cord injury or stroke. It can be challenging for patients to learn to cope with the changed abilities that are the new norm in their lives. This study explores ways smart patient rooms can support rehabilitation education to prepare patients for life outside the hospital's care. We conducted 20 contextual inquiries and four interviews with rehabilitation educators as they performed education sessions with patients and informal caregivers. Using thematic analysis, our findings offer insights into how smart patient rooms could revolutionize patient education by fostering better engagement with educational content, reducing interruptions during sessions, providing more agile education content management, and customizing therapy elements for each patient's unique needs. Lastly, we discuss design opportunities for future smart patient room implementations for a better educational experience in any healthcare context. 

Smart patient rooms are arriving; however, their value has yet to be explored. We interviewed 20 patients in a rehabilitation hospital, which has patient rooms equipped with off-the-shelf smart home technologies, so the entertainment and environment are digitally controllable. This novel implementation supports varying control abilities through touchscreen, voice command, and accessibility controllers. The smart rooms and controls are potentially transformative for patients with reduced motor function, helping them regain lost independence and control of their surroundings. Through semi-structured interviews, we explore how smart home technology deployed in patient rooms: interacts with patients’ needs, presents new challenges, and fits into the hospital context. We identify a range of considerations that inform how hospitals can integrate smart technology into their environment, including technology design considerations and adjustments to how hospital staff supports its use. These results take an important step toward understanding and improving the value of smart patient rooms. 

Many tools are designed to support users in maintaining or developing strong time management practices. Abandonment of these specialized tools is common, in favor of returning to a more general-purpose unstructured tool. How can designs leverage the familiarity of general-purpose tools and the advantages of specialized ones? We explore if applying a time-management-specific understanding of conventions and interactions within unstructured plaintext can be a successful approach to designing support for these tasks. We report the results of two field deployments (combined n=29) of “Plan” - a mobile application with a notes-application-based interface designed to support the practice of Time Management Planning. We show that modest, domain-specific modifications of general-purpose designs can facilitate users’ pre-existing workflows and nudge them towards better practices while leaving interfaces familiar and flexible. However, those with minimal planning experience desired additional structure. 

Personal informatics (PI) has become an area of significant research over the past decade, maturing into a sub-field that seeks to support people from many backgrounds and life contexts in collecting and finding value in their personal data. PI research includes a focus on people with chronic conditions as a monolithic group, but currently fails to distinguish the needs of people with motor disabilities (MD). To understand how current PI literature addresses those needs, we conducted a mapping review on PI publications engaged with people with MD. We report results from 50 publications identified in the ACM DL, Pubmed, JMIR, SCOPUS, and IEEE Xplore. Our analysis shows significant incompatibilities between the needs of individuals with MD and the ways that PI literature supports them. We also found inconsistencies in the ways that disability levels are reported, that PI literature for MD excludes non-health-related data domains, and an insufficient focus on PI tools' accessibility and usability for some MD users. In contrast with Epstein et al.'s [36] recent PI review, behavior change and habit awareness were the most common motivation in these publications. Finally, many of the reviewed articles reported involvement by caregivers, trainers, healthcare providers, and researchers across the PI stages. In addition to these insights, we provide recommendations for designing PI technology through a user-centric lens that will broaden the scope of PI and include people regardless of their motor abilities.