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Negotiating Choice in Online Safeguards for Older Couples with Memory Concerns
Conference proceeding   Open access

Negotiating Choice in Online Safeguards for Older Couples with Memory Concerns

Yi Xuan Khoo, Nora Kathryn McDonald and Helena Mentis
Proceedings of the ACM on Human-Computer Interaction, v 9(7), pp 1-25
16 Oct 2025
Featured in Collection :   Research Supported by Drexel Libraries' OA Programs
url
https://doi.org/10.1145/3757635View
Published, Version of Record (VoR) Open Access via Drexel Libraries Read and Publish Program 2025 Open CC BY V4.0

Abstract

Dementia Cognitive impairment Memory loss Safety Security Shared decision-making
Researchers of online safety for older couples where at least one partner has cognitive impairment have posited the need for more flexible and adaptive online safeguard options and systems that support shared decision-making practices to maintain autonomy. We designed a safety option probe that embodies these two design requirements and then observed the practices of such couples when engaged in collaborative online safety discussions and decision-making. Focusing on conversational roles and dynamics, we found that their navigation of safety options was often grounded in relationship histories and broader sociotechnical dynamics that long predate their cognitive issues. In addition, while the process still remained highly collaborative, it was not marked by equitable turn-taking as has been considered the hallmark of shared decision-making. We argue that future shared online safety systems for older couples with memory concerns should not focus on equitable discussion and explicit agreement as has been previously recommended and instead support mutual exploration and negotiation of safety setting choices.

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Collaboration types
Domestic collaboration
Web of Science research areas
Computer Science, Cybernetics
Computer Science, Information Systems
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