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Designing with Tensions: Understanding Professionals’ Needs in Integrating AI Chatbots for Wheelchair Assessment Services in Low- and Middle-Income Countries

Mo, Wen; Singh, Aneesha; Ayobi, Amid; Holloway, Catherine; (2025) Designing with Tensions: Understanding Professionals’ Needs in Integrating AI Chatbots for Wheelchair Assessment Services in Low- and Middle-Income Countries. In: Kane, Shaun and Shinohara, Kristen and Bennett, Cynthia and Mott, Martez, (eds.) ASSETS '25: Proceedings of the 27th International ACM SIGACCESS Conference on Computers and Accessibility. (pp. pp. 1-19). Association for Computing Machinery (ACM): New York, NY, United States. Green open access

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Abstract

While AI chatbots have been proposed to support wheelchair provision services in low- and middle-income countries (LMICs), the perception of physical therapists regarding how they could be integrated into their service workflow remains unclear. We conducted semi-structured interviews with 11 professionals from Africa and South Asia, using two design probes to investigate the potential and limitations of using chatbots in their everyday wheelchair assessment services. Our findings revealed 13 tensions that arise when the envisioned chatbot use misaligns with three interconnected domains - professional values, practice structures, and contextual readiness, such as conflicts in professional autonomy, evolving responsibilities, and confidence in AI. To guide more situated chatbot design, we proposed a tension-informed design framework that centers professional practice and surfaces tensions as opportunities rather than barriers. We discuss how introducing chatbots in LMICs should aim to amplify professionals’ capacity and align with the nature of assistive technology services.

Type: Proceedings paper
Title: Designing with Tensions: Understanding Professionals’ Needs in Integrating AI Chatbots for Wheelchair Assessment Services in Low- and Middle-Income Countries
Event: ASSETS '25: The 27th International ACM SIGACCESS Conference on Computers and Accessibility
ISBN-13: 979-8-4007-0676-9
Open access status: An open access version is available from UCL Discovery
DOI: 10.1145/3663547.3746340
Publisher version: https://doi.org/10.1145/3663547.3746340
Language: English
Additional information: Copyright © 2025 Copyright held by the owner/author(s). This work is licensed under a Creative Commons Attribution 4.0 International License, https://creativecommons.org/licenses/by/4.0/.
Keywords: AI Chatbot; Digital Health; Healthcare Service; Low and Middle-income Countries; Wheelchair Assessment; Wheelchair Provision
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > UCL Interaction Centre
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
URI: https://discovery.ucl.ac.uk/id/eprint/10219453
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