GenTune: Toward Traceable Prompts to Improve Controllability of Image Refinement in Environment Design

Environment designers in the entertainment industry create imaginative 2D and 3D scenes for games, films, and television, requiring both fine-grained control of specific details and consistent global coherence. Designers have increasingly integrated generative AI into their workflows, often relying on large language models (LLMs) to expand user prompts for text-to-image generation, then iteratively refining those prompts and applying inpainting. However, our formative study with 10 designers surfaced two key challenges: (1) the lengthy LLM-generated prompts make it difficult to understand and isolate the keywords that must be revised for specific visual elements; and (2) while inpainting supports localized edits, it can struggle with global consistency and correctness. Based on these insights, we present GenTune, an approach that enhances human--AI collaboration by clarifying how AI-generated prompts map to image content. Our GenTune system lets designers select any element in a generated image, trace it back to the corresponding prompt labels, and revise those labels to guide precise yet globally consistent image refinement. In a summative study with 20 designers, GenTune significantly improved prompt--image comprehension, refinement quality, and efficiency, and overall satisfaction (all $p < .01$) compared to current practice. A follow-up field study with two studios further demonstrated its effectiveness in real-world settings.

PreCare: Designing AI Assistants for Advance Care Planning (ACP) to Enhance Personal Value Exploration, Patient Knowledge, and Decisional Confidence

Advance Care Planning (ACP) allows individuals to specify their preferred end-of-life life-sustaining treatments before they become incapacitated by injury or terminal illness (e.g., coma, cancer, dementia). While online ACP offers high accessibility, it lacks key benefits of clinical consultations, including personalized value exploration, immediate clarification of decision consequences. To bridge this gap, we conducted two formative studies: 1) shadowed and interviewed 3 ACP teams consisting of physicians, nurses, and social workers (18 patients total), and 2) interviewed 14 users of ACP websites. Building on these insights, we designed PreCare in collaboration with 6 ACP professionals. PreCare is a website with 3 AI-driven assistants designed to guide users through exploring personal values, gaining ACP knowledge, and supporting informed decision-making. A usability study (n=12) showed that PreCare achieved a System Usability Scale (SUS) rating of excellent. A comparative evaluation (n=12) showed that PreCare's AI assistants significantly improved exploration of personal values, knowledge, and decisional confidence, and was preferred by 92% of participants.