Combining Intergroup Dialogue and Sociotechnical Infrastructure Design: Addressing Social and Technical Determinants of Health Information Disparities with the Latinx Community

Abstract

This transdisciplinary research project employed a multi-method approach to address health information inequities in Kentucky’s Fayette County during the COVID-19 pandemic. We drew from the study of Sociotechnical Infrastructures, Health Inequities, and Community-Based and Intergroup Dialogue (IGD) to co-create an Alternative Sociotechnical Infrastructure to facilitate information sharing among three stakeholder groups: (1) Latinx community members, (2) civil society organizations, and (3) government officials. Our research design included a combination of methodologies that addressed the technical and, more importantly, the underlying social causes of information access disparities. Focus groups helped identify Information Communication Technology (ICT) use, preferences, barriers, and information-sharing strategies. Community dialogues highlighted information barriers, existing resources, and proposed community-based solutions. The findings informed development of a web-based platform prototype that will facilitate information sharing during a crisis among all stakeholders. The methodology used also allowed the emergence of community champions among Latinx people who need to be invited to the table for these initiatives. We found that combining participatory action research (PAR) principles with critical dialogic methods fosters an environment of trust that enhances collaboration among stakeholders and consequently makes the design of information infrastructures more equitable and sustainable. As Information Communication Technologies embody social relations, we recommend emphasizing dialogic competencies and knowledge around racism/difference while valuing differences, collaboration, equality, and inclusions.