Vehicle dwelling has increased significantly in recent years. While HCI research has explored vehicle dwelling through the lens of digital nomadism and vanlife, it has largely overlooked the complexities of vehicle dwelling as a form of housing insecurity, as well as the unique constraints of living in smaller vehicles. Drawing on a qualitative analysis of posts and comments from an online community, we examine car dwellers’ infrastructuring work to manage daily life under social, spatial, and infrastructural constraints. We further explore the motivations and identity negotiations of car dwellers, whose experiences fall between homelessness and nomadism, and highlight how developing infrastructural competence can shape identity. We discuss implications for future HCI research on mobility and dwelling under conditions of uneven access to infrastructure and provide design recommendations for technologies that better account for car dwellers’ diverse needs, circumstances, and identities.

OBJECTIVE: Ambient artificial intelligence (AI) documentation is increasingly used to draft clinical notes from patient-provider conversations, but how clinicians revise and finalize these drafts is not well understood. This qualitative content analysis study characterizes real-world edits to AI-generated drafts and identifies opportunities for improvement of AI design and the implementation process. MATERIALS AND METHODS: Eight coders analyzed clinical documentation generated by ambient AI from 200 clinical encounters. We developed an inductive coding framework with 11 codes across 3 categories: clinical content, terminology, and language style. Interrater reliability was assessed using Cohen's kappa. We then applied thematic analysis to synthesize patterns across the coded edits. RESULTS: The most frequently edited content pertained to clinical facts including orders (eg, procedures, lab tests) (40.0%), symptoms (30.3%), medication prescriptions (27.3%), and diagnosis descriptions (25.9%). In comparison, edits related to terminology use (11.6%) and language style (7.2%) were less frequent. The results of our thematic analysis show that most edits can be categorized into one of the following 5 types: to revise factual discrepancies, to add medical specialty-specific details, to express diagnostic certainties, to convert patient expressions into objective assessments recorded in medical terms, and to reorganize or condense content. CONCLUSION AND DISCUSSION: Clinicians routinely revise ambient AI drafts to modify factual details and clinical specificity. Future work on AI development and clinical implementation should emphasize specialty customization and support personalized documentation practices, alongside clinician education that promotes robust and consistent review routines to ensure documentation quality.

Youth experiencing housing insecurity or living in foster care have complex social, emotional, and material needs. While policies and structures exist to support these youth, intra- and interorganizational challenges pose barriers to effective collaboration. In contrast to prior work that focuses on the collaborative practices of individual stakeholders, this study draws on the insights of practitioners in different roles and organizations within the same county. Through 12 in-depth interviews with practitioners working across the system, we identify the key activities and infrastructural work performed by practitioners to support housing insecure and foster youth in light of social, technical, and institutional constraints. Based on our findings, we shed light on stigma management at an organizational level and the role of human infrastructure in responding to time-sensitive needs in highly institutionalized contexts.

Patients' self-reports are crucial for effective care management of clinical conditions involving subjective symptoms. While patients often value the ability to bring in different forms of self-report data to convey their lived experiences, they often struggle to make their data practically usable in clinical settings. To better center patient needs in communicating illness experiences in clinical contexts, we explore the idea of patient annotations to digital clinical self-report measures, specifically in the context of discontinuing antidepressants. Through interviews with 20 patients with AT Annotator, a digital aid to introduce the concept of annotations, we found that participants perceived annotations to digital clinical measures as a means to enrich self-report measures and reduce the cognitive and emotional burden of logging. However, concerns were raised regarding potential disruptions in patient-provider relationships and the sensitive and complex nature of mental health contexts. We discuss opportunities for annotations to promote patient-centered communication by balancing with clinical practicality and incorporating customization support for patients' communication needs.

Adolescents with chronic illnesses need to learn self-management skills in preparation for the transition from pediatric to adult healthcare, which is associated with negative health outcomes for youth. However, few studies have explored how adolescents in a pre-transition stage practice self-management and collaborative management with their parents. Through interviews with 15 adolescents (aged 15-17), we found that adolescents managed mundane self-care tasks and experimented with lifestyle changes to be more independent, which sometimes conflicted with their parents' efforts to ensure their safety. Adolescents and their parents also performed shared activities that provided adolescents with the opportunity to learn and practice self-management skills. Based on our findings, we discuss considerations for technology design to facilitate transition and promote parent-adolescent collaboration in light of these tensions.

Polycystic Ovary Syndrome (PCOS) is a condition that causes hormonal imbalance and infertility in women and people with female reproductive organs. PCOS causes different symptoms for different people, with no singular or universal cure. Being a stigmatized and enigmatic condition, it is challenging to discover, diagnose, and manage PCOS. This work aims to inform the design of inclusive health technologies through an understanding of people’s lived experiences and challenges with PCOS. We conducted semi-structured interviews with 10 women diagnosed with PCOS and analyzed a PCOS-specific subreddit forum. We report people’s support-seeking, sense-making, and self-experimentation practices, and find uncertainty and stigma to be key in shaping their unique experiences of the condition. We further identify potential avenues for designing technology to support their diverse needs, such as personalized and contextual tracking, accelerated self-discovery, and co-management, contributing to a growing body of HCI literature on stigmatized topics in women’s health and well-being.

More visualization systems are simplifying the data analysis process by automatically suggesting relevant visualizations. However, little work has been done to understand if users trust these automated recommendations. In this paper, we present the results of a crowd-sourced study exploring preferences and perceived quality of recommendations that have been positioned as either human-curated or algorithmically generated. We observe that while participants initially prefer human recommenders, their actions suggest an indifference for recommendation source when evaluating visualization recommendations. The relevance of presented information (e.g., the presence of certain data fields) was the most critical factor, followed by a belief in the recommender’s ability to create accurate visualizations. Our findings suggest a general indifference towards the provenance of recommendations, and point to idiosyncratic definitions of visualization quality and trustworthiness that may not be captured by simple measures. We suggest that recommendation systems should be tailored to the information-foraging strategies of specific users.