A flowchart diagram composed of interconnected circles, boxes, and arrows illustrating the processes families navigate to request and obtain AT. The three central circles represent the primary power structures families engage with: School Officials (e.g. teachers, district staff), Health Care Providers (e.g. doctors, SLPs, OTs), and Public Service Agencies (e.g. Apple Health, DDA). These circles are linked by directional arrows that trace the flow of interactions between families and these institutions. Rectangular boxes on the arrows detail the specific interactions families have with each system, such as "obtaining funding for AT" from funding bodies or "requesting evaluation" from doctors. These boxes are color coded with the type of agency loss experienced by the families during these interactions. For example, while requesting evaluations, families can experience a loss of temporal agency due to long waiting times. The legend in the bottom-right corner of the diagram defines the meaning of each color, for example, orange indicates loss of definitional agency, and green indicates loss of assertive agency, etc.

The Everyday Politics and Power Dynamics of AT Adoption

Stacy Hsueh, Danielle Van Dusen, Anat Caspi, and Jennifer Mankoff. 2025. Minor Resistance: The Everyday Politics and Power Dynamics of Assistive Technology Adoption. In Proceedings of the 27th International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS ’25), October 26-29, 2025, Denver, CO, USA.

In accessibility research, the choice to adopt or abandon assistive technologies (AT) is often taken as a proxy for functional fit: to adopt is to confirm a good fit between device features and individual needs, whereas to abandon is to signal poor fit. While useful for orienting design, we argue that this framework is ill-equipped to account for the sociopolitical forces that shape AT use in historically underserved communities. In this paper, we propose a power-aware framework that casts adoption not as transparent expression of fit, but as situated negotiation of power. Drawing from an eight- month ethnographic study at a Seattle-based nonprofit, we examine how low-income, racially diverse, and disabled families navigate institutional practices that impose normative expectations around disability and AT use. We introduce the concept of minor resistance to describe the everyday ways people exercise agency in response to power dynamics that make access costly. We argue that this shift in analytical lens reframes the goal of accessibility from optimizing use to lowering the cost of choice. We conclude with implications for how designers can support community-engaged responses to structural barriers by centering self-determination.

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