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'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities

Zhanming Chen Orcid Logo, Fernando Maestre Avila Orcid Logo, May Hang Orcid Logo, Alisha Ghaju Orcid Logo, Ji Youn Shin Orcid Logo

Proceedings of the ACM on Human-Computer Interaction, Volume: 9, Issue: 7, Pages: 1 - 30

Swansea University Author: Fernando Maestre Avila Orcid Logo

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DOI (Published version): 10.1145/3757536

Abstract

Individuals resettled in a new environment often face challenges in accessing adequate healthcare services, particularly within the complex processes of outpatient clinic care. Cultural differences, language barriers, and low socioeconomic status contribute to these difficulties. While previous stud...

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Published in: Proceedings of the ACM on Human-Computer Interaction
ISSN: 2573-0142
Published: Association for Computing Machinery (ACM) 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa70811
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last_indexed 2025-12-17T05:25:54Z
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spelling 2025-12-16T14:39:32.0572242 v2 70811 2025-11-02 'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities 43d98107a270a6fedc198bffeb80ac5b 0000-0002-5403-9387 Fernando Maestre Avila Fernando Maestre Avila true false 2025-11-02 MACS Individuals resettled in a new environment often face challenges in accessing adequate healthcare services, particularly within the complex processes of outpatient clinic care. Cultural differences, language barriers, and low socioeconomic status contribute to these difficulties. While previous studies have identified barriers and proposed technology-mediated solutions for resettled populations, many focus on addressing deficits rather than building on the strengths these communities already possess, which limits the sustainability and relevance of these solutions in everyday life. We conducted two community-based participatory design workshops with 30 Hmong community members in a large metropolitan area in the US. Through this process, we identified four types of assets the community has gradually developed, including intergenerational support for health management and storytelling-based communication practices that facilitate relatable and culturally grounded interactions. We show how participatory design workshops can foster asset-based approaches, and discuss design implications for technologies that leverage patients' existing strengths to support their health management during outpatient visits. Journal Article Proceedings of the ACM on Human-Computer Interaction 9 7 1 30 Association for Computing Machinery (ACM) 2573-0142 healthcare, patients, community, participatory design, health technology, asset-based community development 1 11 2025 2025-11-01 10.1145/3757536 COLLEGE NANME Mathematics and Computer Science School COLLEGE CODE MACS Swansea University Another institution paid the OA fee This work was supported by the University of Minnesota’s Social Justice Impact Grant. 2025-12-16T14:39:32.0572242 2025-11-02T04:49:53.1496001 Faculty of Science and Engineering School of Mathematics and Computer Science - Computer Science Zhanming Chen 0000-0002-9913-7239 1 Fernando Maestre Avila 0000-0002-5403-9387 2 May Hang 0009-0006-8809-679x 3 Alisha Ghaju 0009-0003-0870-4088 4 Ji Youn Shin 0000-0003-4978-3897 5 70811__35840__5e12499701824a4cbc22208147ef07d2.pdf 70811.VOR.pdf 2025-12-16T14:37:25.5119429 Output 17325791 application/pdf Version of Record true © 2025 Copyright held by the owner/author(s). This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License. true eng https://creativecommons.org/licenses/by-nd/4.0/legalcode
title 'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities
spellingShingle 'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities
Fernando Maestre Avila
title_short 'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities
title_full 'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities
title_fullStr 'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities
title_full_unstemmed 'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities
title_sort 'I Want My Chart to Be Just for Me': Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities
author_id_str_mv 43d98107a270a6fedc198bffeb80ac5b
author_id_fullname_str_mv 43d98107a270a6fedc198bffeb80ac5b_***_Fernando Maestre Avila
author Fernando Maestre Avila
author2 Zhanming Chen
Fernando Maestre Avila
May Hang
Alisha Ghaju
Ji Youn Shin
format Journal article
container_title Proceedings of the ACM on Human-Computer Interaction
container_volume 9
container_issue 7
container_start_page 1
publishDate 2025
institution Swansea University
issn 2573-0142
doi_str_mv 10.1145/3757536
publisher Association for Computing Machinery (ACM)
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Mathematics and Computer Science - Computer Science{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Mathematics and Computer Science - Computer Science
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description Individuals resettled in a new environment often face challenges in accessing adequate healthcare services, particularly within the complex processes of outpatient clinic care. Cultural differences, language barriers, and low socioeconomic status contribute to these difficulties. While previous studies have identified barriers and proposed technology-mediated solutions for resettled populations, many focus on addressing deficits rather than building on the strengths these communities already possess, which limits the sustainability and relevance of these solutions in everyday life. We conducted two community-based participatory design workshops with 30 Hmong community members in a large metropolitan area in the US. Through this process, we identified four types of assets the community has gradually developed, including intergenerational support for health management and storytelling-based communication practices that facilitate relatable and culturally grounded interactions. We show how participatory design workshops can foster asset-based approaches, and discuss design implications for technologies that leverage patients' existing strengths to support their health management during outpatient visits.
published_date 2025-11-01T05:33:40Z
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score 11.096068

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