“I Want My Chart to Be Just for Me”: Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities

Abstract

Individuals resettled in a new environment often face challenges in accessing adequate healthcare services, particularly within the complex processes of outpatient clinic care. Cultural differences, language barriers, and low socioeconomic status contribute to these difficulties. While previous studies have identified barriers and proposed technology-mediated solutions for resettled populations, many focus on addressing deficits rather than building on the strengths these communities already possess, which limits the sustainability and relevance of these solutions in everyday life. We conducted two community-based participatory design workshops with 30 Hmong community members in a large metropolitan area in the US. Through this process, we identified four types of assets the community has gradually developed, including intergenerational support for health management and storytelling-based communication practices that facilitate relatable and culturally grounded interactions. We show how participatory design workshops can foster asset-based approaches, and discuss design implications for technologies that leverage patients’ existing strengths to support their health management during outpatient visits.

Recommended citation: Zhanming Chen, Juan F. Maestre, May Hang, Alisha Ghaju, and Ji Youn Shin. 2025. “I Want My Chart to Be Just for Me”: Community-Engaged Design to Support Outpatient Healthcare for Resettled Communities. Proc. ACM Hum.-Comput. Interact. 9, 7, Article CSCW355 (May 2025), 30 pages. https://doi.org/10.1145/3757536
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