Personalizing Personal Health Interfaces: Co-Design with Generative AI

Generative user interfaces (GenUIs) create new opportunities to adapt interfaces to individual users on demand. Yet personalization is difficult because it is not possible to provide settings for screens that have not yet been generated, making it necessary to learn preferences from users' feedback on generated interfaces. Such feedback is sparse, subjective, and often difficult to articulate. We study this problem through a new dataset in which 20 participants each judge the same 600 pairs of GenUIs. Their judgments differ substantially (Krippendorff's alpha = 0.25), and written rationales show that even when participants consider similar UI properties, such as color tone or hierarchy, they often make different choices and prioritize them differently. We develop a sample-efficient personalization method that uses a few pairwise judgments to weight prior users' preferences rather than relying on a fixed rubric of UI attributes. Our method outperforms a pretrained UI evaluator and a larger multimodal model offline. In an online study with 12 new users, participants preferred interfaces personalized by our method over all baselines, including shared guidelines and users' own written preferences.

Current Generative AI (GenAI) interfaces remain largely constrained to chatbox interaction, which can impose high cognitive demands on users and create substantial barriers for people with intellectual disabilities (ID), including prompt formulation difficulties, response overload, and limited mechanisms to assess information reliability. To explore alternative interaction models for cognitive accessibility, we conducted a cross-disciplinary co-design challenge in which two student cohorts (Computer Science and Industrial Design) developed interface concepts from the same set of functional requirements (e.g., prompt scaffolding, structured output, GUI-based refinement, transparency, and personalization). Comparing the resulting proposals reveals both convergence on foundational requirements (notably initial calibration, proactive prompting, and direct manipulation of response fragments) and complementary contributions that outline a multi-layered support system. Computer Science teams primarily produced structural scaffolding, emphasizing predictability, navigability, and trust through mechanisms such as reliability indicators, explicit sources, and context management for long conversations. Industrial Design teams emphasized experiential scaffolding, focusing on pacing, attention guidance, multimodality, and proactive agency, including step-by-step response flows, focus modes, and assistant-like integrations. We synthesize these findings into a dual-layer scaffolding framework that expands the design space for cognitively accessible GenAI interaction beyond chat-centric models and motivates future work on expert refinement, technical feasibility, and empirical validation with users with ID.

Web accessibility rests on static standards and developer compliance. That model frays in platforms where content is user-generated: photos arrive blurry or off-frame, descriptions skip size and condition, and page structure shifts from listing to listing. Drawing on six studies conducted between 2022 and 2025 with blind, low-vision, and older adult users of customer-to-customer (C2C) marketplaces, I argue that generative UI can produce adapted interfaces at the point of use, addressing barriers that static design cannot anticipate. Three interventions from this program -- HTML regeneration for screen readers, conversational guidance for older sellers, and audio-guided photo framing for blind sellers -- demonstrate how runtime generation can bridge gaps that standards leave open. I outline what these findings imply for HCI practice: generative UI extends beyond the screen, complements rather than replaces ability-based design, and shifts the designer's role from specifying layouts to specifying policies. This is an expanded arXiv version of a position paper accepted at the CHI 2026 workshop "What does Generative UI mean for HCI Practice?"