Screen use pervades daily life, shaping work, leisure, and social connections while raising concerns for digital wellbeing. Yet, reducing screen time alone risks oversimplifying technology’s role and neglecting its potential for meaningful engagement. We posit self-awareness—reflecting on one’s digital behavior—as a critical pathway to digital wellbeing. We developed WellScreen, a lightweight probe that scaffolds daily reflection by asking people to estimate and report smartphone use. In a two-week deployment with college students (\(\mathtt {N}\)=25) focused on generating formative insights, we examined how discrepancies between estimated and actual usage shaped digital awareness and wellbeing. Participants often underestimated productivity and social media while overestimating entertainment app use. They showed a 10% improvement in positive affect, rating WellScreen as moderately useful. Interviews revealed that structured reflection supported recognition of patterns, adjustment of expectations, and more intentional engagement with technology. Our findings highlight the promise of lightweight reflective interventions for supporting self-awareness and intentional digital engagement, offering implications for designing digital wellbeing tools.

Computer-Supported Cooperative Work (CSCW) research on maternal and child health (MCH) has largely taken mother- or child-centric lenses to technology design for improved outcomes. An emerging body of CSCW research has called for a renewed focus on supporting caregivers through sociotechnical interventions to enable better health outcomes. Our research--with underserved communities in urban India--extends this prior work by centering fathers and their care work during pregnancy and early childhood. We examine how gender roles, religious beliefs, aspirations for social mobility, and financial responsibilities influence fathers' participation in MCH. We use qualitative inquiry in highlighting the constraints on the nature of care work fathers are able to perform given the patriarchal and societal norms they operate within, and how the care work they perform is rendered invisible by diverging from traditional notions of care. In doing so, we expand dominant notions of care work in such ecologies, and discuss implications for the design of technologies for better supporting fathers towards familial wellbeing.

The growing platformization of health has spurred new avenues for healthcare access and reinvigorated telemedicine as a viable pathway to care. Telemedicine adoption during the COVID-19 pandemic has surfaced barriers to patient-centered care that call for attention. Our work extends current Human-Computer Interaction (HCI) research on telemedicine and the challenges to remote care, and investigates the scope for enhancing remote care seeking and provision through telemedicine workflows involving intermediation. Our study, focused on the urban Indian context, involved providing doctors with videos of remote clinical examinations to aid in telemedicine. We present a qualitative evaluation of this modified telemedicine experience, highlighting how workflows involving intermediation could bridge existing gaps in telemedicine, and how their acceptance among doctors could shift interaction dynamics between doctors and patients. We conclude by discussing the implications of such telemedicine workflows on patient-centered care and the future of care work.

Social and cultural taboos frequently prevent meaningful conversation around gendered health and wellbeing, across the globe and to varying degrees. Safe spaces can offer potential avenues to nurture non-judgmental environments for dialogue and opportunities for learning to talk through taboos. To this end, we curated an online safe space on WhatsApp—with 35 participants of Indian origin—to facilitate conversations around diverse topics related to gendered health and wellbeing. We observed participant activity for two weeks, before conducting in-depth interviews with 10 participants to better understand their experiences of engaging within the WhatsApp group. We use the lens of Legitimate Peripheral Participation to examine how peripheral and core members of the community drew on new audiences and support systems as they questioned existing structures upholding taboos. We discuss scaffolding mechanisms that could enhance learning about taboo topics in online safe spaces, and the tensions of anonymity in such learning spaces.

There has been a growing interest in reproductive health and intimate wellbeing in Human-Computer Interaction, increasingly from an ecological perspective. Much of this work is centered around women’s experiences across diverse settings, emphasizing men’s limited engagement and need for greater participation on these topics. Our research responds to this gap by investigating cisgender men’s experiences of cultivating sexual health literacies in an urban Indian context. We leverage media probes to stimulate focus group discussions, using popular media references on men’s fertility to elicit shared reflection. Our findings uncover the role that humor and masculinity play in shaping men’s perceptions of their sexual health and how this influences their sense of agency and participation in heterosexual intimate relationships. We further discuss how technologies might be designed to support men’s participation in these relationships as supportive partners and allies.

Computer-Supported Cooperative Work (CSCW) and Human--Computer Interaction (HCI) research is increasingly investigating the roles of caregivers as ancillary stakeholders in patient-centered care. Our research extends this body of work to identify caregivers as key decision-makers and boundary actors in mobilizing and managing care. We draw on qualitative data collected via 20 semi-structured interviews to examine caregiving responsibilities in physical and remote care interactions within households in urban India. Our findings demonstrate the crucial intermediating roles family caregivers take on while situated along the boundaries separating healthcare professionals, patients and other household members, and online/offline communities. We propose design recommendations for supporting caregivers in intermediating patient-centered care, such as through training content and expert feedback mechanisms for remote care, collaborative tracking mechanisms integrating patient- and caregiver-generated health data, and caregiving-centered online health communities. We conclude by arguing for recognizing caregivers as critical stakeholders in patient-centered care who might constitute technologically assisted pathways to care.

Telehealth technologies have long remained on the peripheries of healthcare systems that prioritize in-person healthcare provision. The spread of the COVID-19 pandemic has foregrounded the need to formalize telehealth infrastructures, particularly teleconsultations, to ensure continued care provision through remote mechanisms. In the Indian healthcare context, prior to the pandemic, teleconsultations have been used to substitute for in-person consultations when possible, and to facilitate remote follow-up care without exacerbating pressures on limited personal resources. We conducted a survey and interview study to investigate doctors' and patients' perceptions, experiences, and expectations around teleconsultations, and how these contribute towards supplementing healthcare infrastructures in India, focusing on the changes brought about by the COVID-19 pandemic. In this paper, we describe the efforts of our participants towards infrastructuring telehealth, examining how technologies were adapted to support teleconsultation, how expectations shifted, and how the dynamics of caregiving evolved through this transition. We present implications for the future design and uptake of telehealth, arguing that COVID-19's impact on teleconsultations lays the foundation for new telehealth infrastructures for more inclusive and equitable care.

Older adults are especially vulnerable to online cybersecurity and privacy (SP) threats, such as phishing, ransomware, and targeted misinformation campaigns. Prior work has suggested that this vulnerability may be addressed with the design of social SP interfaces, such that groups of individuals might work together on behalf of one another to manage SP threats collectively. To this end, we present findings from a qualitative inquiry conducted with older adults and members of technology-rich middle-income households in urban India, where technology users have been shown to engage in relatively more social SP practices. Our research examines the collaborative behaviors enacted by different members of the household for protection from SP threats. In particular, we show how self-appointed family technology managers straddle the line between stewardship and paternalism in their efforts to protect older adults from perceived digital threats. We also offer design implications for supporting collaborative cybersecurity within households based on the insights derived from our analysis.

The field of personal health informatics has received increasing attention within the CSCW and HCI communities as health tracking becomes more affordable, accessible, and pervasive. Chronic disease management, in particular, presents tremendous potential for intervention given patients' ability to now actively participate in their care through tracking. The focus on 'personal' in health informatics, however, obfuscates the role of other cultural and ecological factors that might shape health tracking behaviors, and important information from alternative sources could be ignored by virtue of being subjective, complex, or simply hard to collect. To dig deeper into these negative spaces that may go untracked, uncover potential sources of important health information, and more completely understand current tracking practices, we embarked on an interview study with patients with cardiac diseases in Bangalore, India. In this paper, we present these patients' current health management approaches that are culturally situated, identifying both motivations and barriers to tracking, their attitudes towards online information, as well as cultural and ecological influences on their perceptions of cardiac care. We then discuss the interplay between our findings and current notions of, and approaches towards, patient empowerment and datafication of health.

Human trafficking and forced labor are global issues affecting millions of people around the world. This paper describes an initiative that we are currently undertaking to understand the role technology can play to support the critical-agency of migrant workers in these situations of severe exploitation. Building on five consultations with more than 170 direct and indirect stakeholders in Thailand, the paper presents the co-design, development, and evaluation of Apprise, a mobile app to support the identification of victims of human trafficking using a Value Sensitive Design approach. It also provides a critical reflection on the use of digital technology in the initial screening of potential victims of human trafficking, to understand in what ways Apprise can support the critical agency of migrant workers in vulnerable situations.