Reflections on the Inclusive Co-Design Process of a Virtual Assistant for Individuals With Complex Care Needs: Mixed Methods Study

This study shows that, to accommodate an inclusive research and design process, tensions between project efficiency and meaningful inclusion need to be addressed, underlining the importance of continuous coordination, collaboration, and flexibility in transdisciplinary settings. Further, applying a stepwise approach in inclusive collaborations supports coordination, continuous evaluation, and flexibility. Inclusive methods, like preparatory activities, clear role division, accessible materials, and iterative feedback, enabled active co-researcher participation. These methods contributed to a shift in ownership, allowing co-researchers to gain greater influence and co-shape both the development process and the content. The findings provide insights into how to enhance equity and relevance in inclusive technology design for individuals with complex care needs, such as individuals with a mild intellectual disability or autism spectrum disorder.