Emotional harm and discomfort in therapeutic extended realities (XR) remains underexamined, even as immersive tools are increasingly deployed in healthcare contexts. We frame therapeutic XR as EmotionTech and reflect on 12 cases from 9 researchers and designers through interviews and workshops. We locate four concerns for emotional harm and identify ways to address them: how to talk about emotion, when to talk about emotion, whose emotions are centred, and which emotions are valued. Building on these themes and therapeutic XR as one form of EmotionTech, we propose strategies to legitimise concerns for emotional safety in design and research practice, legitimise knowers by recognising diverse perspectives and situated experiences, and leveraging ambiguity in design and training tools that foster reflexivity rather than closure. These strategies together reposition design responsibility in EmotionTech innovation and make visible its potential to cause emotional discomforts and harms.

Immersive virtual reality (VR) is being used as an enriching experience for people living in residential aged care, or nursing homes, where care staff play a critical role supporting clients to use VR. In HCI research concerned with technology use in aged care, however, the role of formal caregivers has received limited attention. We conducted interviews with 11 caregivers working in care homes that have implemented VR as part of the social program offered to residents. Our findings highlight tensions between the opportunities created by the immersive VR experience and the risks and challenges full immersion presents for people in aged care. In this paper, we draw on an ethics of care framework to make visible the care practices involved in facilitating VR in aged care homes, highlighting the care required to ensure that older adults experience benefits when using immersive VR, while risks and challenges are carefully managed.

We conceptualize Digital Design Marginalization (DDM) as the process in which a digital interface design excludes certain users and contributes to marginalization in other areas of their lives. Due to non-inclusive designs, many underrepresented users face barriers in accessing essential services that are moving increasingly, sometimes exclusively, online – services such as personal finance, healthcare, social connectivity, and shopping. This can further perpetuate the “digital divide,” a technology-based form of social inequality that has offline consequences. We introduce the term Marginalizing Design to describe designs that contribute to DDM. In this paper, we focus on the impact of Marginalizing Design on older adults through examples from our research and discussions of services that may have marginalizing designs for older adults. Our aim is to provide a conceptual lens for designers, service providers, and policy makers through which they can use to purposely lessen or avoid digitally marginalizing groups of users.

Research into companion robots for older adults, including those who are socially isolated and lonely, continues to grow. Although some insight into older adults' preferences for various robotic types and functionality is emerging, we lack research examining how these robots fulfil or challenge a range of values and aspirations individuals have in later life. This study examines the attitudes and perspectives of 16 older adults (aged 65+) living independently but alone in their own homes, who were interviewed and shown videos depicting three distinctive companion robots: a talking assistant; a roving toylike vehicle; and a robotic dog. This approach illuminated values, preferences, and needs amongst older people that are vital for understanding the potential of companion robots. In comparing the robots, participants expressed concerns about the impact of different companion robots on their abilities and skills, their sense of autonomy and control over their lives, and the maintenance of several kinds of dignity. These results inform user-centered design and use of companion robots for older people living alone and independently.

A gender stereotype that has some basis in research is that men are more reluctant to ask for directions than women. We wanted to investigate whether this stereotype applies to technology-related contexts, affecting older adults' abilities to learn new technologies. To explore how help seeking and gender might relate for older adults, we conducted a controlled experiment with 36 individuals, of whom 18 identified as men and 18 identified as women, and observed how often they asked for help when learning new applications. We also conducted post-experiment interviews with participants. We found that although most participants stereotyped older men as being reluctant to ask for help in the interview, the gender difference was minimal in the experiment. Instead, individual differences had a greater effect: older participants took longer to complete tasks and participants with lower technology self-efficacy asked significantly more questions.

Adoption and use of novel technology by the institutionalized 'oldest old' (80+) is understudied. This population is the fastest growing demographic group in developed countries, providing design opportunities and challenges for HCI. Since the recruitment of oldest old people is challenging, research tends to focus on older adults (65+) and their use of and attitudes towards existing communication technologies, or on their caregivers and social ties. Our study deployed a novel communication appliance among five frail oldest old people living in a long-term care facility, which included field observations and usability and accessibility tests. Our findings suggest factors that facilitate and hinder the adoption of communication technologies, such as social, attitudinal, digital literacy, physical, and usability. We also discuss issues that arise in studying technology adoption by the oldest old, including usability and accessibility testing, and suggest solutions that may be helpful to HCI researchers working with this population.

Large numbers of individuals, many of them senior citizens, live in social isolation. This typically leads to loneliness, depression, and vulnerability, and subsequently to other negative health consequences. We report on research focused on understanding the communication needs of people in environments associated with social isolation and loneliness, and how technology facilitates social connection. Our work consists of successive iterations of field studies and technology prototype design, deployment, and analysis. Particular attention is paid to seniors in retirement communities and in long-term care settings (nursing homes). We present design implications for technology to enable seniors' social connections, the "InTouch" prototype that satisfies most of the implications, and a report on one older adult's experience of InTouch.