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This paper engages with the problem of toxic speech online and suggests remedies inspired by the value-sensitive design literature (VSD), suggesting that the designers of online platforms should explore methods of adding friction to online conversations. Second, this paper examines a historical case of designing a communications platform to offer methods to users to inculcate norms of acceptable behavior by introducing friction into synchronous conversations. This is the case of America Online (AOL) Instant Messenger, also known as AIM, which included a feature whereby users could "warn" other users, attaching a cost to, and thus disincentivizing, certain kinds of speech. The nuances of the design of this feature make it especially well-suited as a subject of study in value-sensitive design as it seems to be the product of significant reflection and foresight by its designers. In the course of examining this case, this paper proposes two novel and generalizable processes of integrating values into the design of technology, inspired by the approach of value-sensitive design: a "method of decomposition," reconstructing a user journey in order to identify possible moments of intervention; and an iterative "Innovation-Abuse-Innovation" branching diagram, which systematizes the process of anticipating abuse cases and designing responses to them. These methods build upon recent work in the literature on operationalizing ethical values in the design process. I close by illustrating the flexibility and generalizability of these methods and speculating on how they might be applied to contemporary platforms.
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http://dx.doi.org/10.1007/s11948-025-00533-4 | DOI Listing |
BMJ Nutr Prev Health
April 2025
Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Jagiellonian University Medical College, Krakow, Małopolskie, Poland.
Despite evidence that nutrition can play a substantial role in curbing the burden of chronic disease, findings reported in the nutrition literature have been plagued with debate and uncertainty, including questions about the confidence we can place in evidence from observational studies, the validity of dietary intake data, and the applicability of randomised trials to real-world patients or members of the public. Structured nutrition users' guides (NUGs) to evaluate common research study designs (ie, randomised trials, cohort studies, systematic reviews and clinical practice guidelines) addressing nutrition questions will help clinicians and their patients, as well as health service workers and policy-makers, use the evidence to make more informed decisions on disease management and prevention. In addition, NUGs will provide comprehensive teaching materials for nutrition trainees on how to appraise, interpret and apply the research evidence.
View Article and Find Full Text PDFBMJ Open
July 2025
Mental Health Sciences and Nursing, University of Surrey, Guildford, UK.
Objectives: Women with severe mental illness (SMI) face barriers to cervical cancer screening, leading to lower participation and poorer outcomes. This research aimed to develop and test an informed-choice tool to help women with SMI make informed decisions about screening attendance.
Design: The tool was developed using a realist review of physical health interventions and a systematic review of informed-choice tools for people with SMI.
Sci Eng Ethics
July 2025
Institute of Biomedical Ethics, Faculty of Medicine, University of Basel, Bernoullistrasse 28, 4056, Basel, Switzerland.
The ageing of the global population has prompted the development of many technologies to support older persons (AgeTech). Those developing AgeTech need to not only consider different end users, including older persons and their caregivers, but also be cognizant of the fact that these groups have a variety of, often conflicting, values. The frameworks of Responsible Research and Innovation (RRI) and Value-Sensitive Design (VSD) both emphasize the integration of end users' values into the process of designing new technologies.
View Article and Find Full Text PDFSci Eng Ethics
July 2025
Department of Values, Technology and Innovation, Delft University of Technology, Jaffalaan 5, Delft, 2628 BX, The Netherlands.
As global water scarcity worsens, potable water reuse is increasingly considered a vital solution for augmenting water supplies. However, public acceptance remains a significant barrier, presumably because of a misalignment between the public values reflected by these systems and those that are held by the communities that these systems intend to serve. This study explores this potential misalignment by systematically identifying and analysing the most prevalent values inscribed in academic research on potable water reuse.
View Article and Find Full Text PDFBundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
August 2025
Data and Web Science Group, Fakultät für Wirtschaftsinformatik und Wirtschaftsmathematik, Universität Mannheim, B6, 26, 68159, Mannheim, Deutschland.
The increasing integration of artificial intelligence (AI) in healthcare not only holds the potential for efficiency gains, personalized medicine, and evidence-based decisions but also raises ethical and social challenges, such as bias, lack of transparency, and acceptance. Participatory approaches that actively involve patients, physicians, caregivers, and other stakeholders in the development process make it possible to align technological innovations with actual needs and to design them in a socially just way.The analysis distinguishes between participation as active co-design and partaking as access to social resources.
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