Participatory Design Study Research Articles

Leveraging the Power of Storytelling to Encourage and Empower Children towards Strong Passwords

With the increasing use of computer and smartphones by children, their online safety has been of major concern due to their limited security knowledge and skills. User authentication is pivotal for their security protection, where a body of work focused on children's password practices. The insights from these studies highlight children's lack of awareness and skills in creating a strong password. However, there is a dearth in existing literature to understand the scopes of designs for encouraging and empowering children towards strong passwords. As we begin to address this gap, we leveraged the power of storytelling to foster user attachment, encouragement, and empowerment. To this end, we adopted a systematic approach through a series of studies. First, a focus group session with three experts whose research primarily focuses on children contributed to build the narrative of a story, followed by a participatory design study with 20 children (aged between 8 and 12) to understand their preferences and perceptions of design components for the visual depiction of that narrative. The insights from focus group and participatory design led to the design of 'Story', a digital storytelling based design representing password advice for children. We also created the baseline designs and compared them with Story in a within-subject survey with 44 children aged between 8 and 12. The findings from our study unpack the efficacy of storytelling, leading us to offer guidelines for future research in these directions.

Participatory Design of an Embodied Mixed Reality Experience Aimed to Assessing Individual and Collaborative Behaviors of Children

This study is part of a broader project exploring the integration of Mixed Reality (MR) in fostering prosocial behaviors among children, particularly focusing on interpersonal synchrony (IPS) and its impact on collaboration. IPS, the coordination of rhythmic movements among individuals, has been associated with improved group cohesion and prosocial behaviors, such as collaboration. Traditional assessments of prosociality typically involve structured play activities for dyads, making them difficult to adapt to other settings. To address these limitations, this research aims to design a flexible embodied MR experience that allows children to choose between collaborative or individual engagement, reflecting the natural dynamics of children's play interactions. For this purpose, we conducted an embodied participatory design (PD) and usability study with 50 children aged 8-10 years. We provide a detailed account on how the PD process was orchestrated and an evaluation of user-system interaction, children's perceptions of play modes, and experience satisfaction. The results show how the MR experience, codesigned with children, supports a free play environment, allowing children to choose their preferred play mode. This study highlights the potential of MR in psychological research and child development, providing a new avenue for assessing individual and collaborative behaviors in larger groups of children.

Leveraging Chatbots to Combat Health Misinformation for Older Adults: Participatory Design Study.

Older adults, a population particularly susceptible to misinformation, may experience attempts at health-related scams or defrauding, and they may unknowingly spread misinformation. Previous research has investigated managing misinformation through media literacy education or supporting users by fact-checking information and cautioning for potential misinformation content, yet studies focusing on older adults are limited. Chatbots have the potential to educate and support older adults in misinformation management. However, many studies focusing on designing technology for older adults use the needs-based approach and consider aging as a deficit, leading to issues in technology adoption. Instead, we adopted the asset-based approach, inviting older adults to be active collaborators in envisioning how intelligent technologies can enhance their misinformation management practices. This study aims to understand how older adults may use chatbots' capabilities for misinformation management. We conducted 5 participatory design workshops with a total of 17 older adult participants to ideate ways in which chatbots can help them manage misinformation. The workshops included 3 stages: developing scenarios reflecting older adults' encounters with misinformation in their lives, understanding existing chatbot platforms, and envisioning how chatbots can help intervene in the scenarios from stage 1. We found that issues with older adults' misinformation management arose more from interpersonal relationships than individuals' ability to detect misinformation in pieces of information. This finding underscored the importance of chatbots to act as mediators that facilitate communication and help resolve conflict. In addition, participants emphasized the importance of autonomy. They desired chatbots to teach them to navigate the information landscape and come to conclusions about misinformation on their own. Finally, we found that older adults' distrust in IT companies and governments' ability to regulate the IT industry affected their trust in chatbots. Thus, chatbot designers should consider using well-trusted sources and practicing transparency to increase older adults' trust in the chatbot-based tools. Overall, our results highlight the need for chatbot-based misinformation tools to go beyond fact checking. This study provides insights for how chatbots can be designed as part of technological systems for misinformation management among older adults. Our study underscores the importance of inviting older adults to be active co-designers of chatbot-based interventions.

Development of a T2D App for Elderly Users: Participatory Design Study via Heuristic Evaluation and Usability Testing

Diabetes management applications effectively help patients monitor blood glucose levels and adjust diet and exercise plans. However, most diabetes management apps, including the SugarShift application developed in 2023, use generalized designs that often fail to consider the unique cognitive and physiological characteristics of elderly users, thereby impacting their acceptance and usage. This paper proposes an enhancement for the SugarShift application by introducing a mode specifically designed for elderly users. This proposed enhancement aims to directly involve elderly patients so as to meet their needs better through a participatory design approach. A heuristic evaluation conducted with six experts identified 126 usability issues and 179 heuristic violations in the current version, which has led to the recommendation to develop optimization strategies tailored for elderly users. Subsequent usability testing with 28 elderly patients and six experts emphasized the importance of interface simplicity, logical operation, and interaction quality in enhancing user experience. These factors improve usability, facilitate information processing, and reduce cognitive load. Despite the overall usability of SUS scores, significant challenges still need to be addressed in information display, system feedback, and user interaction. Recommendations for future enhancements include simplifying data entry and presentation, improving readability, and providing timely feedback to enhance usability and user satisfaction, ultimately increasing user retention.

Development of a home visit solution with a route- and appointment planning tool for patients with severe spasticity: A participatory design study.

Objectives: This article describes how a home visit solution was developed in a co-design process between patients in treatment for severe spasticity, their caregivers and hospital nurses. The solution was developed using a participatory design approach and was based on the identified needs of the participants. Methods: We developed a home visit solution through an iterative process and a collective 'reflection-in-action' approach with patients, caregivers and healthcare professionals. Results: The study revealed the complexities of establishing new routines around home visits. The solution included a new workflow for the nurses and a new route and appointment planning tool. Conclusion: Through a participatory design approach, the users developed a home visit solution that minimised disruption to patients' daily lives and facilitated a dialogue between the nurses and the caregivers about the treatment and the patients' spasticity, which helped to adjust the treatment in line with the patient´s needs.

Voice Assistants for Mental Health Services: Designing Dialogues with Homebound Older Adults.

The number of older adults who are homebound with depressive symptoms is increasing. Due to their homebound status, they have limited access to trained mental healthcare support, which leaves this support often to untrained family caregivers. To increase access, a growing interest is placed on using technology-mediated solutions, such as voice-assisted intelligent personal assistants (VIPAs), to deliver mental health services to older adults. To better understand how older adults and family caregivers intend to interact with a VIPA for mental health interventions, we conducted a participatory design study during which 6 older adults and 7 caregivers designed VIPA-human dialogues for various scenarios. Using conversation style preferences as a starting point, we present aspects of human-likeness older adults and family caregivers perceived as helpful or uncanny, specifically in the context of the delivery of mental health interventions, which helps inform potential roles VIPAs can play in mental healthcare for older adults.

Design Goals for End-User Development of Robot-Assisted Physical Training Activities: A Participatory Design Study

Programming robots presents significant challenges, including high costs, extensive time commitments and steep learning curves, particularly for individuals lacking technical background in engineering. These barriers have been partially mitigated by the emergence of end-user development methodologies. Yet existing approaches often fall short in equipping users with the necessary software engineering competencies to develop comprehensive robot behaviors or to effectively maintain and re-purpose their creations. In this paper, we introduce a novel end-user development approach designed to empower physical therapists to independently specify robot-assisted physical training exercises, eliminating the need for robotics experts' intervention. Our approach is based on a set of design goals obtained through a participatory design study with experts in the field. It utilizes a textual domain-specific language (DSL) that enables users to define expected robot behaviors through Behaviour-Driven Development (BDD) scenarios. This paper discusses key themes, design objectives, and the evolution of requirements that emerged from an evaluative workshop.

Recommendations for designing conversational companion robots with older adults through foundation models.

Companion robots are aimed to mitigate loneliness and social isolation among older adults by providing social and emotional support in their everyday lives. However, older adults' expectations of conversational companionship might substantially differ from what current technologies can achieve, as well as from other age groups like young adults. Thus, it is crucial to involve older adults in the development of conversational companion robots to ensure that these devices align with their unique expectations and experiences. The recent advancement in foundation models, such as large language models, has taken a significant stride toward fulfilling those expectations, in contrast to the prior literature that relied on humans controlling robots (i.e., Wizard of Oz) or limited rule-based architectures that are not feasible to apply in the daily lives of older adults. Consequently, we conducted a participatory design (co-design) study with 28 older adults, demonstrating a companion robot using a large language model (LLM), and design scenarios that represent situations from everyday life. The thematic analysis of the discussions around these scenarios shows that older adults expect a conversational companion robot to engage in conversation actively in isolation and passively in social settings, remember previous conversations and personalize, protect privacy and provide control over learned data, give information and daily reminders, foster social skills and connections, and express empathy and emotions. Based on these findings, this article provides actionable recommendations for designing conversational companion robots for older adults with foundation models, such as LLMs and vision-language models, which can also be applied to conversational robots in other domains.

Using a participatory design to develop an implementation framework for integrating falls prevention for older people within the Chinese primary health care system

BackgroundChinese National Essential Public Health Service Package (NEPHSP) has mandated primary health care providers to provide falls prevention for community-dwelling older people. But no implementation framework is available to guide better integration of falls prevention for older people within the primary health care system.MethodsThis is a two-stage online participatory design study consisting of eight workshops with stakeholders from three purposively selected cities. First, two workshops were organised at each study site to jointly develop the framework prototype. Second, to refine, optimise and finalise the prototype via two workshops with all study participants. Data analysis and synthesis occurred concurrently with data collection, supported by Tencent Cloud Meeting software.ResultsAll participants confirmed that the integration of falls prevention for older people within the NEPHSP was weak and reached a consensus on five opportunities to better integrate falls prevention, including workforce training, community health promotion, health check-ups, health education and scheduled follow-up, during the delivery of NEPHSP. Three regional-tailored prototypes were then jointly developed and further synthesised into a generic implementation framework by researchers and end-users. Guided by this framework, 11 implementation strategies were co-developed under five themes.ConclusionsThe current integration of falls prevention in the NEPHSP is weak. Five opportunities for integrating falls prevention in the NEPHSP and a five-themed implementation framework with strategies are co-identified and developed, using a participatory design approach. These findings may also provide other regions or countries, facing similar challenges, with insights for promoting falls prevention for older people.

Participatory Design Study in the KOTAKU Program Using Settlement Environmental Management Plan Document (RPLP) Review in increasing Community Capacity for Sustainable Development

This study aims to analyze the impact of implementing the Settlement Environmental Management Plan Document (RPLP) in strengthening community capacity in the KOTAKU Program for environmentally sustainable development. The KOTAKU program is a government initiative that aims to improve access and quality of urban settlements, with a focus on slum settlements. RPLP is a planning document that provides guidance in structuring an integrated, sustainable and participatory settlement environment. This research uses a qualitative method by conducting case studies at several locations that have implemented RPLP in the KOTAKU Program. Data was collected through in-depth interviews with various stakeholders, including local communities, local governments and other relevant institutions. The analysis is carried out by identifying changes that have occurred in community capacity after the implementation of the RPLP, including increased knowledge, skills, and participation in decision-making related to the settlement environment. The results of this study indicate that the implementation of the RPLP in the KOTAKU Program has a positive impact on strengthening community capacity. Community participation in planning and decision-making processes increases, resulting in a better and more sustainable living environment. Communities also acquire new knowledge and skills in managing the residential environment, such as waste management, energy saving and utilization of local resources. This research makes an important contribution in understanding the importance of implementing RPLP in environmental sustainable development. The recommendations resulting from this research can be used by local governments and other related institutions to increase the effectiveness of the KOTAKU Program and strengthen the community's role in environmentally sustainable development.

DESIGNING COLLABORATIVE AUGMENTED REALITY ACTIVITIES WITH OLDER ADULTS IN LONG TERM CARE

Abstract Loneliness is common among older adults in long term care (LTC) settings. Interactive communication technologies hold great promise in reducing loneliness but require design and evaluation studies. As part of a larger study on use of head mounted display augmented reality (HMD-AR) to connect older LTC adults with family members, we conducted a participatory design study to a) identify and design HMD-AR multi-user activities and b) address barriers found with LTC residents when interacting with HMD-AR. Results: Laboratory testing was conducted with 23 older adults with normal cognition (ages 65 to 93, 6 men) and field testing with iterative feedback cycles with 8 older adults with impaired mobility and cognition (ages 54 to 87, 2 men, 4 with stroke) that resulted in prototype development and testing of three activities: playing checkers, decorating a fireplace, and eating a meal. Challenges successfully addressed through technological innovations included: 1) enhancing perceptions and ease of interacting with photorealistic avatars, 2) providing various techniques to allow older adults to view and move AR objects despite cognitive and functional impairments (e.g., visual-perceptual impairments; limited dexterity), 3) using visual aids and voice commands, 4) developing visual adaptations for central vision and color detection impairments, and 5) creating tutorials and help guides for learnability and remembrance. Sessions lasted for 30 minutes and no adverse effects were noted with prolonged or repeated HMD-AR use. All enjoyed the HMD-AR activities. Conclusion: HMD-AR can be successfully adapted for use by older adults with multiple cognitive and physical impairments.

Identifying Interventions to Improve Diagnostic Safety in Emergency Departments: Protocol for a Participatory Design Study.

Emergency departments (EDs) are complex and fast-paced clinical settings where a diagnosis is made in a time-, information-, and resource-constrained context. Thus, it is predisposed to suboptimal diagnostic outcomes, leading to errors and subsequent patient harm. Arriving at a timely and accurate diagnosis is an activity that occurs after an effective collaboration between the patient or caregiver and the clinical team within the ED. Interventions such as novel sociotechnical solutions are needed to mitigate errors and risks. This study aims to identify challenges that frontline ED health care providers and patients face in the ED diagnostic process and involve them in co-designing technological interventions to enhance diagnostic excellence. We will conduct separate sessions with ED health care providers and patients, respectively, to assess various design ideas and use a participatory design (PD) approach for technological interventions to improve ED diagnostic safety. In the sessions, various intervention ideas will be presented to participants through storyboards. Based on a preliminary interview study with ED patients and health care providers, we created intervention storyboards that illustrate different care contexts in which ED health care providers or patients experience challenges and show how each intervention would address the specific challenge. By facilitating participant group discussion, we will reveal the overlap between the needs of the design research team observed during fieldwork and the needs perceived by target users (ie, participants) in their own experience to gain their perspectives and assessment on each idea. After the group discussions, participants will rank the ideas and co-design to improve our interventions. Data sources will include audio and video recordings, design sketches, and ratings of intervention design ideas from PD sessions. The University of Michigan Institutional Review Board approved this study. This foundational work will help identify the needs and challenges of key stakeholders in the ED diagnostic process and develop initial design ideas, specifically focusing on sociotechnological ideas for patient-, health care provider-, and system-level interventions for improving patient safety in EDs. The recruitment of participants for ED health care providers and patients is complete. We are currently preparing for PD sessions. The first results from design sessions with health care providers will be reported in fall 2024. The study findings will provide unique insights for designing sociotechnological interventions to support ED diagnostic processes. By inviting frontline health care providers and patients into the design process, we anticipate obtaining unique insights into the ED diagnostic process and designing novel sociotechnical interventions to enhance patient safety. Based on this study's collected data and intervention ideas, we will develop prototypes of multilevel interventions that can be tested and subsequently implemented for patients, health care providers, or hospitals as a system. DERR1-10.2196/55357.

Designing a Clinician-Centered Wearable Data Dashboard (CarePortal): Participatory Design Study.

The recent growth of eHealth is unprecedented, especially after the COVID-19 pandemic. Within eHealth, wearable technology is increasingly being adopted because it can offer the remote monitoring of chronic and acute conditions in daily life environments. Wearable technology may be used to monitor and track key indicators of physical and psychological stress in daily life settings, providing helpful information for clinicians. One of the key challenges is to present extensive wearable data to clinicians in an easily interpretable manner to make informed decisions. The purpose of this research was to design a wearable data dashboard, named CarePortal, to present analytic visualizations of wearable data that are meaningful to clinicians. The study was divided into 2 main research objectives: to understand the needs of clinicians regarding wearable data interpretation and visualization and to develop a system architecture for a web application to visualize wearable data and related analytics. We used a wearable data set collected from 116 adolescent participants who experienced trauma. For 2 weeks, participants wore a Microsoft Band that logged physiological sensor data such as heart rate (HR). A total of 834 days of HR data were collected. To design the CarePortal dashboard, we used a participatory design approach that interacted directly with clinicians (stakeholders) with backgrounds in clinical psychology and neuropsychology. A total of 8 clinicians were recruited from the Rhode Island Hospital and the University of Massachusetts Memorial Health. The study involved 5 stages of participatory workshops and began with an understanding of the needs of clinicians. A User Experience Questionnaire was used at the end of the study to quantitatively evaluate user experience. Physiological metrics such as daily and hourly maximum, minimum, average, and SD of HR and HR variability, along with HR-based activity levels, were identified. This study investigated various data visualization graphing methods for wearable data, including radar charts, stacked bar plots, scatter plots combined with line plots, simple bar plots, and box plots. We created a CarePortal dashboard after understanding the clinicians' needs. Results from our workshops indicate that overall clinicians preferred aggregate information such as daily HR instead of continuous HR and want to see trends in wearable sensor data over a period (eg, days). In the User Experience Questionnaire, a score of 1.4 was received, which indicated that CarePortal was exciting to use (question 5), and a similar score was received, indicating that CarePortal was the leading edge (question 8). On average, clinicians reported that CarePortal was supportive and can be useful in making informed decisions. We concluded that the CarePortal dashboard integrated with wearable sensor data visualization techniques would be an acceptable tool for clinicians to use in the future.

Designing intervention prototypes to improve infant and young child nutrition in Peru: a participatory design study protocol

IntroductionNutrition during the complementary feeding period (6–23 months) is critical to ensure optimal growth and reduce the risk of diet-related disease across the life course. Strategies to reduce multiple forms...

Older adults'needs and preferences for a nutrition education digital health solution: A participatory design study.

The global population is ageing rapidly and there is a need for strategies to promote health and wellbeing among older adults. Nutrition knowledge is a key predictor of dietary intake; therefore, effective educational programmes are urgently required to rectify poor dietary patterns. Digital health technologies provide a viable option for delivering nutrition education that is cost-effective and widely accessible. However, few technologies have been developed to meet the unique needs and preferences of older adults. The aim of this study was to explore technology use among older adults and qualitatively determine the content needs and design preferences for an online nutrition education resource tailored to older adult consumers in Australia. Twenty adult participants aged 55 years and older (95% female) participated in one of four 2-h participatory design workshops. In each workshop, prompted discussion questions were used to explore participants' technology use and preferencesand to explore content needs and design preferences for an online nutrition education resource specific to older adults. All participants were regularly using a range of different devices (e.g., smartphones, tabletsand computers) and reported being comfortable doing so. Participants wanted a website that provided general nutrition information, practical adviceand recipes. To enhance engagement, they sought a personalised resource that could be adjusted to suit their needs, included up-to-date informationand allowed for easy sharing with others by exporting information as a PDF. Participatory design methods generate new knowledge for designing and tailoring digital health technologies to be appropriate and useful for the target audience. Specifically, older adults seek an online resource that has large and simple fonts with clear categories, providing them with practical advice and general nutrition information that can be personalised to suit their own needs and health concerns, with the option to export and print information into a paper-based format. Older adults actively participated in the development and evaluation process to generate ideas about potential features, functionalities, uses and practicalities of an online nutrition education resource.

A novel socially assistive robotic platform for cognitive-motor exercises for individuals with Parkinson's Disease: a participatory-design study from conception to feasibility testing with end users.

The potential of socially assistive robots (SAR) to assist in rehabilitation has been demonstrated in contexts such as stroke and cardiac rehabilitation. Our objective was to design and test a platform that addresses specific cognitive-motor training needs of individuals with Parkinson's disease (IwPD). We used the participatory design approach, and collected input from a total of 62 stakeholders (IwPD, their family members and clinicians) in interviews, brainstorming sessions and in-lab feasibility testing of the resulting prototypes. The platform we developed includes two custom-made mobile desktop robots, which engage users in concurrent cognitive and motor tasks. IwPD (n = 16) reported high levels of enjoyment when using the platform (median = 5/5) and willingness to use the platform in the long term (median = 4.5/5). We report the specifics of the hardware and software design as well as the detailed input from the stakeholders.

Designing Multi-Modal Conversational Agents for the Kitchen with Older Adults: A Participatory Design Study

AbstractConversational agents (CA) are increasingly used to manage and coordinate household chores and everyday activities at home. However, these technologies should be adaptive to age-specific characteristics in order to be considered beneficial for the ageing population. This study presents a participatory design of a conversational agent to provide cognitive support in recipe following and nutrition advice for adults aged 65 and over. Through a qualitative thematic analysis, the study explores older adults’ expectations, interactions and experiences with the agent in order to identify age-specific challenges of interacting with CAs. Data consists of a participatory design workshop with eight older adults (aged 65 and over), followed by a Wizard of Oz study with ten older adults interacting with the agent in the kitchen environment in a laboratory setting. Results demonstrate that older adults consider conversational agents as beneficial for providing personalised recipe recommendations, advising the user to choose appropriate ingredients and reminding them of their dietary intake. When interacting with the agent older adults displayed challenges with confirmation and repetition, questioning and correcting, the lack of conversational responses, and difficulties in hearing and understanding the multi-modal interaction. Older adults experience agents as collaborators, but not as conversational partners. The study concludes that the accessibility and inclusiveness of conversational agents regarding voice interaction could be improved by further developing participatory methods with older adults.

Community-Engaged Participatory Methods to Address Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Young People's Health Information Needs With a Resource Website: Participatory Design and Development Study.

Lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ+) young people (aged 15 to 25 years) face unique health challenges and often lack resources to adequately address their health information needs related to gender and sexuality. Beyond information access issues, LGBTQ+ young people may need information resources to be designed and organized differently compared with their cisgender and heterosexual peers and, because of identity exploration, may have different information needs related to gender and sexuality than older people. The objective of our study was to work with a community partner to develop an inclusive and comprehensive new website to address LGBTQ+ young people's health information needs. To design this resource website using a community-engaged approach, our objective required working with and incorporating content and design recommendations from young LGBTQ+ participants. We conducted interviews (n=17) and participatory design sessions (n=11; total individual participants: n=25) with LGBTQ+ young people to understand their health information needs and elicit design recommendations for the new website. We involved our community partner in all aspects of the research and design process. We present participants' desired resources, health topics, and technical website features that can facilitate information seeking for LGBTQ+ young people exploring their sexuality and gender and looking for health resources. We describe how filters can allow people to find information related to intersecting marginalized identities and how dark mode can be a privacy measure to avoid unwanted identity disclosure. We reflect on our design process and situate the website development in previous critical reflections on participatory research with marginalized communities. We suggest recommendations for future LGBTQ+ health websites based on our research and design experiences and final website design, which can enable LGBTQ+ young people to access information, find the right information, and navigate identity disclosure concerns. These design recommendations include filters, a reduced number of links, conscientious choice of graphics, dark mode, and resources tailored to intersecting identities. Meaningful collaboration with community partners throughout the design process is vital for developing technological resources that meet community needs. We argue for community partner leadership rather than just involvement in community-based research endeavors at the intersection of human-computer interaction and health.

A usability and participatory design study for GeRI, an open-source, remote cancer treatment toxicity and frailty monitoring platform for older adults

A usability and participatory design study for GeRI, an open-source, remote cancer treatment toxicity and frailty monitoring platform for older adults

Uncovering placemaking needs with(in) a kindergarten community: a cross-disciplinary approach to participatory design.

The design of early childhood education and care facilities faces the double challenge of creating a stimulating environment for young children and a supportive workplace for staff. The existing body of research suggests that placemaking strategies serve both requirements. A promising approach to meet placemaking needs is the participation of future occupants in the building design. We pursued a participatory design study with the community of an Austrian kindergarten aiming to inform the future building renovation. We combined novel cultural fiction probes methods with conventional inquiry methods to gather information from children and teachers about their experience of the built environment. Using thematic and content analyzes we explored placemaking needs from different epistemic perspectives and converged findings through iterative exchange. Returns of children and teachers were interconnected and complementary. From a design-oriented perspective, children's experience of place was relatable to spatial, temporo-spatial, and acoustic qualities as well as control needs. From a human-centered perspective, teachers' experience of place was relatable to the needs of feeling embedded, protected, enacted, and socially connected. The converged findings revealed dynamic placemaking processes involving the elements of space, time, and control at different levels. Cross-disciplinary collaboration and research consolidation brought forth valuable insights on supportive structures for both children and teachers, facilitated timely knowledge transfer, and converted into design solutions that foster enacted placemaking. Albeit general transferability is limited, findings are interpretable within a solid framework of existing theories, concepts and evidence.