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Zhanming Chen

Publications and source records attributed to Zhanming Chen.

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Designing Health Technologies for Immigrant Communities: Exploring Healthcare Providers' Communication Strategies with Patients

Patient-provider communication is an important aspect of successful healthcare, as it can directly lead to positive health outcomes. Previous studies examined factors that facilitate communication between healthcare providers and patients in socially marginalized communities, especially developing countries, and applied identified factors to technology development. However, there is limited understanding of how providers work with patients from immigrant populations in a developed country. By conducting semi-structured interviews with 15 providers working with patients from an immigrant community with unique cultural characteristics, we identified providers' effective communication strategies, including acknowledgment, community involvement, gradual care, and adaptive communication practices (i.e., adjusting the communication style). Based on our findings, we highlight cultural competence and discuss design implications for technologies to support health communication in immigrant communities. Our suggestions propose approaches for HCI researchers to identify practical, contextualized cultural competence for their health technology design.

cs.HC

"It's More of a Lifestyle'': Design Considerations for Supporting Everyday Practices in Community-Based Farming

Farming plays a significant role in the economy by supporting related industries such as food, retail, and local services. Community-based small farms, while offering unique social and cultural benefits, face persistent challenges, including limited access to formal education and underdeveloped infrastructure, which have been discussed in prior research. This study focuses on community-driven factors, such as workarounds for recording critical information and practices for passing down farming knowledge across generations. Through 11 semi-structured interviews with farmers from a small ethnic community, the Hmong, we explore how bonding social capital, rooted in close family and community ties, supports informal knowledge exchange and creates pathways to bridging and linking capital. These relationships help farmers connect to broader networks, resources, and institutions. Our findings highlight opportunities for designing technologies that support and strengthen existing support systems. We discuss how technologies should be designed to reflect the cultural values, unique practices, and intergenerational relationships embedded in community-based farms.

cs.HC

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

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.

cs.HC