Healthcare

Designing for Peer-Led Critical Pedagogies in Computer-Mediated Support Groups for Home Care Workers

Home care workers (HCWs) deliver essential health services within patients' homes, yet, they are a marginalized workforce vulnerable to exploitation. Critical and liberatory pedagogies can foster material social change, but such pedagogies typically assume the involvement of a professional facilitator when, in practice, support programs are often led by peers with little to no facilitation training. This paper explores how peers can perform critical and liberatory facilitation practice in an online support program.

Computer-Mediated Sharing Circles for Intersectional Peer Support with Home Care Workers

Home care workers (HCWs) provide essential care in patients' homes but are often underappreciated and work in stressful and isolated environments with diverse and intersecting support needs. This paper describes a computer-mediated peer support program that centers around sharing circles: spaces for personal, narrative storytelling to encourage HCWs to collaboratively reflect on their home care experiences and build rapport and shared identity with their peers. Our findings show that participants engaged in multiple types of peer support, and we discuss how computer-mediated programs can address diverse needs that occur in intersectional contexts. Awarded a **Recognition for Contribution to Diversity & Inclusion**.

Development and Piloting of a Community-Partnered Heart Failure Training Course for Home Health Care Workers

Despite their unique contributions to heart failure (HF) care, home healthcare workers (HHWs) have unmet educational needs and many lack HF caregiving self-efficacy. To address this, we used a community-partnered approach to develop and pilot a HF training course for HHWs. We used a mixed methods design with pre/post surveys and semi-structured interviews to evaluate the course on feasibility, acceptability, and effectiveness. Post-training data showed significant improvements in HF knowledge and HF caregiving self-efficacy.

Elevating Strengths and Capacities: The Different Shades of Assets-Based Design in HCI

As researchers working in different subareas within human-computer interaction, we have been keen to explore alternative approaches to designing with communities. In particular, we are enthusiastic about moving away from focusing on a community's needs toward building on its strengths. However, our varied experiences with assets-based design across contexts have also unearthed two fundamental questions: *What is the right thing to do?* and *How do we know we have done it?*

Can Peer Mentors Help Address the Direct Care Workforce Shortage?

For direct care workers, the first few weeks on the job can be challenging—and the most crucial to their retention. A recent study by Poon et al. confirms that formal peer mentorship programs, a critical component of PHI’s workforce interventions, help both new and incumbent workers navigate the significant learning curve, emotional demands, and marginalization faced in care work.

Computer-Mediated Peer Support Needs of Home Care Workers: Emotional Labor & the Politics of Professionalism

Home care workers (HCWs) provide in-home care services but feel underappreciated and isolated on the job. Leveraging the support of peers is one way to empower HCWs, but there are barriers to doing so due to the distributed nature of home care worker. In this study, we explore how HCWs value and conceptualize peer support, especially around needs of performing emotional labor and professionalization, and provide design implications for technology-enabled peer support. Awarded a **Recognition for Contribution to Diversity & Inclusion**.

Designing Technology to Meet the Peer Support Needs of Home Care Workers

Home care workers care for at risk populations but feel under-supported themselves. How can HCWs support each other while isolated in patients' homes? We worked with HCWs to design tech that can connect workers with each other.

Experiences of Home Health Care Workers in New York City During the Coronavirus Disease 2019 Pandemic

**Question**: What are the experiences of home health care workers caring for older adults and for patients with chronic illnesses during the coronavirus disease 2019 (COVID-19) pandemic? **Findings**: In this qualitative study of 33 home health care workers employed by 24 unique home care agencies across New York City, participants reported that they were at heightened risk for contracting and transmitting COVID-19. Despite providing integral care to vulnerable patients, home health care workers felt inadequately supported and generally invisible. **Meaning**: During the COVID-19 pandemic, home health care workers experienced challenges that increased their vulnerability as a workforce.

Home Care Workers in NYC

Designing technology to enable peer support and community empowerment among home care workers in New York.