Co-designing for the Triad: Design Considerations for Collaborative Decision-Making Technologies in Pediatric Chronic Care

Fuente: arXiv
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Main Authors: Chung, Ray-Yuan, Snyder, Jaime, Xu, Zixuan, Yoo, Daeun, Ortega, Athena C., Pratt, Wanda, Wightman, Aaron, Hutson, Ryan, Pruette, Cozumel, Pollack, Ari
Format: Preprint
Published: 2026
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_version_ 1866910073949782016
author Chung, Ray-Yuan
Snyder, Jaime
Xu, Zixuan
Yoo, Daeun
Ortega, Athena C.
Pratt, Wanda
Wightman, Aaron
Hutson, Ryan
Pruette, Cozumel
Pollack, Ari
author_facet Chung, Ray-Yuan
Snyder, Jaime
Xu, Zixuan
Yoo, Daeun
Ortega, Athena C.
Pratt, Wanda
Wightman, Aaron
Hutson, Ryan
Pruette, Cozumel
Pollack, Ari
contents In pediatric chronic care, the triadic relationship among patients, caregivers, and healthcare providers introduces unique challenges for youth in managing their conditions. Diverging values, roles, and asymmetrical situational awareness across decision-maker groups often hinder collaboration and affect health outcomes, highlighting the need to support collaborative decision-making. We conducted co-design workshops with 6 youth with chronic kidney disease, 6 caregivers, and 7 healthcare providers to explore how digital technologies can be designed to support collaborative decision-making. Findings identify barriers across all levels of situational awareness, ranging from individual cognitive and emotional constraints, misaligned mental models, to relational conflicts regarding care goals. We propose design implications that support continuous decision-making practice, align mental models, balance caregiver support and youth autonomy development, and surface potential care challenges. This work advances the design of collaborative decision-making technologies that promote shared understanding and empower families in pediatric chronic care.
format Preprint
id arxiv_https___arxiv_org_abs_2603_24993
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Co-designing for the Triad: Design Considerations for Collaborative Decision-Making Technologies in Pediatric Chronic Care
Chung, Ray-Yuan
Snyder, Jaime
Xu, Zixuan
Yoo, Daeun
Ortega, Athena C.
Pratt, Wanda
Wightman, Aaron
Hutson, Ryan
Pruette, Cozumel
Pollack, Ari
Human-Computer Interaction
In pediatric chronic care, the triadic relationship among patients, caregivers, and healthcare providers introduces unique challenges for youth in managing their conditions. Diverging values, roles, and asymmetrical situational awareness across decision-maker groups often hinder collaboration and affect health outcomes, highlighting the need to support collaborative decision-making. We conducted co-design workshops with 6 youth with chronic kidney disease, 6 caregivers, and 7 healthcare providers to explore how digital technologies can be designed to support collaborative decision-making. Findings identify barriers across all levels of situational awareness, ranging from individual cognitive and emotional constraints, misaligned mental models, to relational conflicts regarding care goals. We propose design implications that support continuous decision-making practice, align mental models, balance caregiver support and youth autonomy development, and surface potential care challenges. This work advances the design of collaborative decision-making technologies that promote shared understanding and empower families in pediatric chronic care.
title Co-designing for the Triad: Design Considerations for Collaborative Decision-Making Technologies in Pediatric Chronic Care
topic Human-Computer Interaction
url https://arxiv.org/abs/2603.24993