Supporting Self-Regulation of Children with ADHD Using Wearables: Tensions and Design Challenges
Open accessAbstract
The design of wearable applications supporting children with Attention Deficit Hyperactivity Disorders (ADHD) requires a deep understanding not only of what is possible from a clinical standpoint but also how the children might understand and orient towards wearable technologies, such as a smartwatch. Through a series of participatory design workshops with children with ADHD and their caregivers, we identified tensions and challenges in designing wearable applications supporting the self-regulation of children with ADHD. In this paper, we describe the specific challenges of smartwatches for this population, the balance between self-regulation and co-regulation, and tensions when receiving notifications on a smartwatch in various contexts. These results indicate key considerations-from both the child and caregiver viewpoints-for designing technological interventions supporting children with ADHD.
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Universal Design for Learning and use of technology for planning, reading, writing, communicating, and collaborating are hugely beneficial in promoting inclusivity.
“Universal Design for Learning (UDL) and the use of technology for planning, reading, writing, communicating, and collaborating prove hugely beneficial in promoting inclusivity [20], [30].”
From Neurodiversity and the Accessible University: Exploring Organizational Barriers, Access Labor and Opportunities for Change (2024) · cites this paper as [20]
The Introduction says wearable technologies have been used to support people with neurodevelopmental disorders, and the Conclusion supports including children with disabilities in designing those technologies. The paper does not address Universal Design for Learning or show that technology for planning, reading, writing, communicating, and collaborating is hugely beneficial for educational inclusivity. No page numbers were available in our copy. (LLM, conf=0.73)
Experimental — accuracy not yet measuredSensory sensitivity differences manifest in different degrees of hypersensitivity or hyposensitivity in neurodivergent people.
“-Sensory sensitivity differences manifest in different degrees of hypersensitivity or hyposensitivity -people with autism, ADHD, chronic illness, and brain injury, for example, might experience this around touch, smell, taste, sound, sight, proprioception (body awareness), or balance [20], [38], [89].”
From Neurodiversity and the Accessible University: Exploring Organizational Barriers, Access Labor and Opportunities for Change (2024) · cites this paper as [20]
The Introduction identifies ADHD and autism as neurodevelopmental disorders, but does not describe sensory hypersensitivity or hyposensitivity. Searches for those terms and for sensory processing across the listed senses found no passage addressing the claim; a sensory-processing study appears only in the References. No page numbers were available in our copy. (LLM, conf=0.72)
Experimental — accuracy not yet measuredA systematic review of research on neurodivergent students in higher education reveals studies typically focus on dyslexia, autism or ADHD and are mainly conducted in English-speaking countries.
“A systematic review of research on neurodivergent students in higher education reveals that studies typically focus on dyslexia, autism or ADHD and have been conducted mainly in English-speaking countries [20].”
From Neurodiversity and the Accessible University: Exploring Organizational Barriers, Access Labor and Opportunities for Change (2024) · cites this paper as [20]
The Participants section describes an empirical study of 24 children aged 10–13, not a systematic review of students in higher education. Searches for higher education, dyslexia, and English-speaking countries found no passage reporting the claimed patterns in the literature. (LLM, conf=0.78)
Experimental — accuracy not yet measuredThese findings confirm existing studies on the existence of barriers to equal access in Danish higher education and support previous research demonstrating that universities often act as neurodiversity cold spots, presenting a wide range of inaccessibility issues.
“These findings unfortunately confirm existing studies on the existence of barriers to equal access in Danish higher education [78], [81] and support previous research demonstrating that universities often act as neurodiversity”
From Neurodiversity and the Accessible University: Exploring Organizational Barriers, Access Labor and Opportunities for Change (2024) · cites this paper as [20]
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- Authors
- Cibrian, F. L., Lakes, K. D., Tavakoulnia, A., Guzman, K., Schuck, S., & Hayes, G. R.
- Affiliations
- University of California, Irvine (US)
- University of California, Riverside (US)
- Venue
- Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems
- Publisher
- ACM
- Published
- 2020-04-21
- Pages
- 1-13
- OpenAlex
- W3028854389
- Cited by
- 81
- References
- 51
- Citations by year
- 2026: 14 · 2025: 18 · 2024: 13 · 2023: 15 · 2022: 11 · 2021: 9 · 2020: 1
- FWCI
- 6.58
- Type
- conference paper
- Language
- en
- Open access
- Locations
- CHI Conference on Human Factors in Computing Systems (publishedVersion)
- Chapman University Digital Commons (Chapman University) (submittedVersion)
- Funders
- Jacobs Foundation Advanced Research Fellowship
- Foundation for the National Institutes of Health (1R21HS026058-01A1)
- Topics
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- attention deficit hyperactivity disorder, self-regulation, wearable devices, smartwatches, children, co-regulation, notifications, participatory design, caregiver perspectives, technology-based interventions
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