Addressing technology-mediated stigma in sexual health-related digital platforms: Insights from design team members.

Digital health technologies are increasingly used as complementary tools in accessing sexual health-related services. At the same time, there are concerns regarding how some interface features and content of these technologies could inadvertently foment stigma among end users. In this study, we expl...

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Main Authors: Abdul-Fatawu Abdulai, Amanda Fuchsia Howard, Paul J Yong, Leanne M Currie
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-02-01
Series:PLOS Digital Health
Online Access:https://doi.org/10.1371/journal.pdig.0000722
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author Abdul-Fatawu Abdulai
Amanda Fuchsia Howard
Paul J Yong
Leanne M Currie
author_facet Abdul-Fatawu Abdulai
Amanda Fuchsia Howard
Paul J Yong
Leanne M Currie
author_sort Abdul-Fatawu Abdulai
collection DOAJ
description Digital health technologies are increasingly used as complementary tools in accessing sexual health-related services. At the same time, there are concerns regarding how some interface features and content of these technologies could inadvertently foment stigma among end users. In this study, we explored how design teams (i.e., those involved in creating digital health technologies) might address stigmatizing components when designing sexual health-related digital technologies. We interviewed 14 design team members (i.e., software engineers, user interface and user experience (UI/UX) designers, content creators, and project managers) who were involved in digital health design projects across two universities in western Canada. The interviews sought to undersand their perspectives of how to create destigmatizing digital technologies and were centered on strategies that they might adopt or the kind of expertise or support they might need to be able to address stigmatizing features or content on sexual health-related digital technologies. The findings revealed two overarching approaches regarding how digital health technologies could be designed to prevent the unintended effects of stigma. These include functional design considerations (i.e., pop-up notifications, infographics, and video-based testimonials, and avoiding the use of cookies or other security-risk features) and non-functional design considerations (i.e., adopting an interprofessional and collaborative approach to design, educating software designers on domain knowledge about stigma, and ensuring consistent user testing of content). These findings reflected functional and non-functional design strategies as applied in software design. These findings are considered crucial in addressing stigma but are not often apparent to designers involved in digital health projects. This suggests the need for software engineers to understand and consider non-functional, emotional, and content-related design strategies that could address stigmatizing attributes via digital health platforms.
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spelling doaj-art-d08fb2754611438a8f6cb785de6a66ef2025-02-09T05:30:53ZengPublic Library of Science (PLoS)PLOS Digital Health2767-31702025-02-0142e000072210.1371/journal.pdig.0000722Addressing technology-mediated stigma in sexual health-related digital platforms: Insights from design team members.Abdul-Fatawu AbdulaiAmanda Fuchsia HowardPaul J YongLeanne M CurrieDigital health technologies are increasingly used as complementary tools in accessing sexual health-related services. At the same time, there are concerns regarding how some interface features and content of these technologies could inadvertently foment stigma among end users. In this study, we explored how design teams (i.e., those involved in creating digital health technologies) might address stigmatizing components when designing sexual health-related digital technologies. We interviewed 14 design team members (i.e., software engineers, user interface and user experience (UI/UX) designers, content creators, and project managers) who were involved in digital health design projects across two universities in western Canada. The interviews sought to undersand their perspectives of how to create destigmatizing digital technologies and were centered on strategies that they might adopt or the kind of expertise or support they might need to be able to address stigmatizing features or content on sexual health-related digital technologies. The findings revealed two overarching approaches regarding how digital health technologies could be designed to prevent the unintended effects of stigma. These include functional design considerations (i.e., pop-up notifications, infographics, and video-based testimonials, and avoiding the use of cookies or other security-risk features) and non-functional design considerations (i.e., adopting an interprofessional and collaborative approach to design, educating software designers on domain knowledge about stigma, and ensuring consistent user testing of content). These findings reflected functional and non-functional design strategies as applied in software design. These findings are considered crucial in addressing stigma but are not often apparent to designers involved in digital health projects. This suggests the need for software engineers to understand and consider non-functional, emotional, and content-related design strategies that could address stigmatizing attributes via digital health platforms.https://doi.org/10.1371/journal.pdig.0000722
spellingShingle Abdul-Fatawu Abdulai
Amanda Fuchsia Howard
Paul J Yong
Leanne M Currie
Addressing technology-mediated stigma in sexual health-related digital platforms: Insights from design team members.
PLOS Digital Health
title Addressing technology-mediated stigma in sexual health-related digital platforms: Insights from design team members.
title_full Addressing technology-mediated stigma in sexual health-related digital platforms: Insights from design team members.
title_fullStr Addressing technology-mediated stigma in sexual health-related digital platforms: Insights from design team members.
title_full_unstemmed Addressing technology-mediated stigma in sexual health-related digital platforms: Insights from design team members.
title_short Addressing technology-mediated stigma in sexual health-related digital platforms: Insights from design team members.
title_sort addressing technology mediated stigma in sexual health related digital platforms insights from design team members
url https://doi.org/10.1371/journal.pdig.0000722
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