Art therapy is an excellent treatment for managing mental health, especially focusing on self-reflection, self-efficacy, and self-esteem. However, professional psychotherapy remains under-represented, and many individuals are deterred from pursuing art therapy due to a lack of artistic skills. This article introduces MIRA, a generative AI agent designed to extend the Squiggle Game into a self-support tool for everyday use. By combining sketch-based collaborative drawing with reflective feedback, MIRA lowers the barrier to creative engagement while opening up new opportunities for self-support.

We conducted a controlled study with 30 participants, comparing three conditions: an AI agent (MIRA), human-only curved drawing, and independent drawing. Analysis revealed that participants in the AI condition reported significantly higher levels of self-reflection, self-efficacy, and self-esteem compared to those in the control condition. Interviews revealed that users perceived MIRA not only as a skill compensator that alleviated performance anxiety, but also as a co-creator who encouraged more ambitious expression and a reflective partner who induced deeper reflection. Participants also emphasized the novelty and engagement of the step-by-step generative process, describing it as both engaging and healing. At the same time, the findings revealed a mixed attitude among users toward AI interventions: some participants valued the objective insights of AI, while others questioned its depth of empathy. These complex perceptions highlight the importance of carefully positioning AI agents as supportive partners rather than replacements for therapists.

In summary, this study presents the first empirical analysis of a self-support AI agent adapted from Squiggle Games. Our work demonstrates how generative AI can expand the inclusiveness of art therapy by lowering barriers to entry, supporting reflective practice, and fostering creative confidence. Finally, we draw implications for the design of reflective AI systems that st

Menopause affects half of the world’s population directly and the other half indirectly, with significant consequences for women’s health and well-being. Yet, it remains under-researched and shrouded in silence and taboo. During this project, the urgency to improve the menopausal experience became evident through the voices of marginalised women in Zuid-Holland, who shared sentiments such as: “I feel like I have no use anymore,” “I really don’t want anything to do with the stupid menopause,” and “I wasn’t taken seriously.”

This project explored how the menopausal experience of marginalised women in Zuid-Holland can be improved through research and design using intersectionality theory and a macro-, meso-, and micro-level framework. At the macro-level, negative societal perceptions of ageing strongly impact women’s experiences. A tested intervention to reframe these beliefs was integrated into a global anti-ageism campaign to promote awareness and institutional reform. At the meso-level, interviews and a survey disclosed that the GP-patient interaction is crucial for shaping women’s menopausal journeys. Strengthening this interaction through improved GP education, regularly updated clinical guidelines that reflect new insights, a more supportive, midwife-like approach, and integration of AI communication tools could have a broad ripple effect. Additionally, normalising and accessible information through a national, evidence-based information hub, eventually evolving into a personalized menopause guide app, can deepen inclusivity. At the micro-level, co-creation sessions and interviews revealed that feelings of doubt and disempowerment can be counteracted through open communication within women’s close social networks. Community-based workshops, awareness campaigns, educational initiatives, and products addressing hormonal changes across ages can create the needed dialogue and understanding.

Together, these interventions form a multiple-level strategy, focused on increased awareness through stigma reduction and open communication, targeting the underlying factors that currently shape negative menopausal experiences. Their collective outcomes form a force to create the paradigm shift necessary for a future in which menopause is shared, supported, and understood.
While the project focused on marginalised women, most participants had Surinamese roots, leaving many intersectional identities underexplored. Future research should include women from other cultural backgrounds and investigate the experiences of LGBTQ+ individuals. There are also opportunities to expand beyond stigma-reduction, particularly through inclusive preventive health programmes, though further study is needed to define these interventions.

Menopause remains a largely misunderstood phase of life requiring greater attention. The strategy proposed in this project addresses marginalisation, reduces stigma, and opens dialogue where it is most needed, transforming fear and grief into a celebration of life.

Touch deprivation, a largely unrecognized phenomenon that affects approximately 54% of people globally, has a significant negative impact on the well-being of these individuals. Having physical connections is a fundamental part of the human experience whether it is a warm hug from a loved one or a comforting pat on the shoulder. However, touching often has a stigma around it, and expressing touch-related needs can be a difficult task. The aim of the project was to understand the needs, difficulties, and overall experiences of touch-deprived young adults (18-30) and based on the findings design to improve their well-being. This led to the concept of a clothing line consisting of pieces designed for connections, comfort, and awareness.

Through a series of qualitative research activities with the target group, we could see that it is mainly a struggle among young adults who live far from their families and friends, long-distance couples, and individuals struggling with social anxiety or other mental health issues. Touch deprivation is a complex issue, influenced by other life experiences and often intertwined with the feeling of loneliness, anxiety, emotional regulation, and can lead to low self-esteem. However, the absence of touch goes beyond the physical sensations, young adults long for the emotional connections that come with closeness. While technology enables these groups to communicate and stay connected with others over long distances, it fails to satisfy this fundamental human need of social touch and young adults often question the value of even attempting to imitate these connections with devices (e.g. mediated social touch devices – remotely sending tactile sensations to imitate social touch). Although in-person social touch can not be replaced, sensory comfort can offer some relief. Young adults often seek comfort and distractions to avoid dealing with the negative feelings they experience. As found, touch deprivation is a hidden struggle, however, raising awareness of our touch needs is crucial for initiating self-reflection and active mitigation.

Designing garments as a response to address touch deprivation offers a subtle way to embrace these young adults and help with their negative experiences. Clothing not only influences how others perceive us but also how we perform (enclothed cognition). As a visual display, it can convey direct and symbolic messages and as ‘our second skin’ intimately touches our bodies every day. Through the design of these items, the intention is to invite affective social touch – provide sensory comfort to the wearer, act as a catalyst for creating in-person connections, and lastly raise awareness of the personal touch needs and the issue of touch deprivation. The project aims to stimulate and foster real-life connections and challenge the stigma surrounding touch while supporting individual comfort.

Ultimately, this project aspires to enhance the well-being and life experiences of touch-deprived young adults by providing them with designs tailored to their needs. By incorporating subtle messaging within an accessible format (choice of clothing), we aim to empower touch-deprived individuals to take a step toward facing the issue and improving their well-being. The project hopes to make a meaningful impact and spark a broader discussion on the importance of touch in human well-being.

Cardiovascular disease is one of the leading causes of death, representing 32% of all global deaths. The mainstay treatments are medical compression stockings (MCS) and physical activity. Although MCS has been shown to positively affect treatment and support disorder control (e.g. leg swelling), research shows incredibly low therapy compliance.

Throughout history, the involvement of digital technologies has greatly enhanced healthcare.
Nonetheless, developments are not embraced by the medical compression stockings industry yet. For instance, since the invention of medical compression stockings (with a graduated compression) in 1960, the design of medical compression stockings (MCS) has hardly changed.

This thesis explores the integration of sensors into medical compression stockings and aims to innovate current compression stockings by including wearable technology. The feasibility and viability of smart stockings are examined, and barriers are defined through a combination of interviews, literature and user observations. Findings are translated into design requirements.

Throughout the research, multiple problems have been identified, ranging from user dissatisfaction to product shortcomings.

For instance, MCS only have an expected lifespan of half a year. Yet, MCS are yearly reimbursed by health insurance companies. Also, wearing, product care, and health complications can even shorten the lifespan of MCS.
For the successful treatment of disorders, it is essential that MCS exert the correct amount of compression.

The presented smart stockings with the app address these shortcomings. The smart stocking is able to monitor the exerted compression of MCS. By constantly validating the product, users gain ownership over the quality of their compression therapy.

Aside from product validation, compression monitoring is translated into the level of fitness of the user. Increased compression (outside of the walking range) indicates an expanding circumference of the ankle. Together with a vascular surgeon, guidelines are discussed. The combination of the smart stocking and the app has the potential to give medical recommendations to users.

With the app, users can be rewarded for their therapy adherence and goals tailored to the specific user and their physical capabilities. Lastly, not every healthcare complication is immediately measurable through compression change. Therefore, the app can ask additional questions based on visible signs, this way it also coaches users to monitor their health.