Conference Agenda

Immersive technologies can assist older adults with visual impairments, but they require meaningful, context-specific design. In collaboration with an eye care provider, we present Macular Mailbox, an at-home Virtual Reality (VR) system that connects clinicians and family members in supporting older adults with Age-related Macular Degeneration (AMD). The prototype combines Preferred Retinal Locus (PRL) vision training and monitoring (patient–clinician) with playful acts of making and sharing artefacts (patient–family) designed to foster emotional engagement and self-efficacy. Within an asymmetric VR environment, participants hold distinct yet interdependent roles that contribute to a shared outcome: connected care. We conclude by outlining directions for future research grounded in our design case study and reflections.

Digital behavior change tools increasingly use system-driven tailoring to guide users toward healthier choices. While well-intentioned, such approaches may undermine autonomous behavior change by removing users from decision-making processes and limiting opportunities to develop self-knowledge: a practical understanding of what works for oneself that can help regulate current and future behaviors. This is particularly consequential for adolescents, who are developing personal autonomy at a time when the health behaviors they establish can have long-term consequences. We propose that self-tailoring can enhance autonomy by actively involving users in constructing and adapting approaches to their own contexts. Through two studies, we investigated how adolescents can be supported in constructing their own behavior change strategies. Study 1 shows that adolescents are capable of self-tailoring and that doing so can build self-knowledge through experience. Study 2 shows how a strategy menu at moments of goal (re)setting can scaffold self-knowledge to inform behavioral choices.

Neurological prevention science is gaining traction, with implications for people at raised familial risk of Multiple Sclerosis (MS). We examine how design can intervene in this emerging prevention space through Digesting Science (DS), a co-designed public engagement project that brings families affected by MS together through events and playful, hands-on activities in community settings. We analyse post-event open-ended evaluation forms and a follow up study using auto-photo-elicitation with semi-structured interviews with children and parents. Findings show that DS makes MS discussable without increasing anxiety, embodied activities create shared reference points and language for talking about symptoms, science and uncertainty. We conceptualise these effects as situated preparedness, readiness built through context-specific adjustments and reorganisations of care in family life. We argue that such situated design work builds the relational groundwork required for future, responsible discussions around neurological prevention.

This paper investigates how bio-inspired design can contribute to preventive healthcare by learning from the adaptive intelligence of living systems. Through a Critical Interpretive Synthesis of 356 studies, it explores the translation of concepts like adaptation, cooperation, and self-repair from biology to design practice. The Design Knowledge Translation Model (DKTM) is introduced to illustrate the process by which biological insights are interpreted, abstracted, and applied to inform design knowledge. The findings indicate that leveraging nature-inspired reasoning can shift healthcare from a reactive to an anticipatory approach, fostering systems that enhance wellbeing and collective care. Furthermore, this work provides a guideline for interdisciplinary collaboration across biology, design, and clinical science, establishing bio-inspired thinking as a shared language for developing preventive and adaptive life-centred innovations.

Body sensors render human bodies as digital data, promising better self-knowledge. Yet, as people trust and learn to attune to these representations, system breakdowns expose tensions between embodied knowing and digital authority. Through Research through Design and Critical Design, this paper investigates how trust, control, and self-perception are negotiated in bodily interaction with data. Breathe Kritisk is a critical artefact that externalises breathing via an inflatable system linked to the user's solar plexus. Designed for estrangement, it resists attunement through a sensitive sensor and deceptive outputs — sometimes following the user’s breaths, other times acting on its own. We discuss insights from interviews and observations of interacting visitors at design festivals. Some visitors were convinced that they had complete control over the machine, while others questioned if they breathed properly. We interpret these reactions as a tendency to overtrust in the digital body representation, and discuss its implications.