A. Bozzon
Please Note
232 records found
1
Disability, Differences, and Diversity
Revisiting Inclusive Design and Access
Over 1.3 billion people worldwide live with long-term disabilities, yet many still face systemic exclusion despite advances in accessibility policy and technology. New regulations such as the EU Accessibility Act demand comprehensive transitions, but compliance risks becoming a superficial “checklist” exercise rather than fostering meaningful inclusion. For the HCI community, this moment calls for rethinking our approaches to participation, technology, ethics, and policy. In this meetup, we bring together researchers, practitioners, and advocates to revisit inclusive design through four themes: rethinking inclusive methodologies, disentangling technological challenges, unpacking ethical implications, and navigating policy opportunities. Through interactive mapping activities, participants will share practices, identify collaboration opportunities, and co-develop future directions. Our goal is to build cross-disciplinary connections and create actionable approaches that move beyond compliance toward holistic inclusion, ensuring that accessibility remains central to HCI research and practice.
Access to cervical cancer care in sub-Saharan Africa
A narrative review of barriers and opportunities
Background: This narrative review examines the barriers and opportunities that shape access and delivery of cervical cancer care services in sub-Saharan Africa. Unlike prior studies that only focused on single phases of care, this review adopts a comprehensive perspective by assessing access across the full cervical cancer care continuum. Methods: A narrative review was conducted using six databases (Embase, Medline, Web of Science, Scopus, African Index Medicus, and CINAHL Plus). The included studies were thematically analyzed, and emerging themes were interpreted through the lens of the five dimensions of healthcare access: accessibility, availability, affordability, acceptability, and accommodation. Results: Across 38 included studies, findings identified three overarching categories of barriers. (1) Individual-level barriers, including knowledge and awareness, socio-demographic and economic factors, and attitudes and beliefs; (2) Community-level barriers, including cultural acceptance and social norms, and community and social support networks, which further constrained engagement with services; and (3) Health-system-level barriers, including resource limitations, service delivery and quality, and weak policy implementation, which compounded delays and limited care effectiveness. Moreover, opportunities, such as methodological opportunities (community-driven health education, culturally informed healthcare interventions, and multi-stakeholder engagement) and technological opportunities (technology-enhanced health education, digital systems for patient navigation, and task decentralization using mobile health platforms, telehealth, electronic health records, and digital reminder systems), could be effectively integrated into the healthcare system to improve access and service delivery. Conclusion: Access to cervical cancer care in sub-Saharan Africa is shaped by interconnected structural, sociocultural, and individual barriers that extend beyond supply and service availability alone. Literature often focuses on screening, diagnosis, and treatment of cervical cancer, while research gaps identified in this review persist in primary prevention, follow-up, and palliative care services. Findings from the review suggest that integrated, context-specific, and human-centered healthcare interventions are needed to strengthen care coordination, improve access, and enhance care outcomes.
"are Compliments Bad Now?"
Comparing LLMs and Human Interpretations of Gender Microaggressions in the Workplace
Gender microaggressions are subtle yet persistent forms of discrimination in workplace interactions. While LLMs can detect them in written texts, it remains poorly understood how their interpretations align or diverge from human perspectives and experiences. We present a mixed-method study comparing how LLMs and humans differing in gender identity and lived experience, interpret gender microaggressions in the workplace. Using short dialogues adapted from real-world accounts, we asked 141 participants to rate the likelihood that a scenario contains a microaggression and provide a rationale for their answers. The same tasks were completed by 7 different LLM models. Our analysis reveals significant differences in how humans and LLMs interpret microaggressions, captured in both ratings and rationales, and more interestingly, the effect of gender and lived experience on human interpretations. These findings highlight the need for systems detecting microaggressions to embrace interpretive plurality, and support reflection and awareness while accounting for ambiguity.
Factory operators' perspectives on cognitive assistants for knowledge sharing
Challenges, risks, and impact on work
Access to cervical cancer care remains limited in sub-Saharan Africa, where women face compounded socio-cultural, gendered, and structural barriers. This qualitative study explores the lived experiences of nine women diagnosed with cervical cancer in Ethiopia and develops an empirically grounded patient journey map as a design and process artifact based on semi-structured interviews. The journey map reveals fragmented, non-linear care pathways, showing how barriers accumulate from symptom recognition through diagnosis, treatment, and post-treatment support. By visualizing breakdowns and transitions across the care path, the artifact supports problem framing, reflection, and identification of design opportunities. These disruptions intensify emotional and practical burdens, highlighting critical gaps in health literacy, information access, and continuity of care in the healthcare structure. The journey map defines a design-relevant problem space for context-sensitive digital health interventions. This work provides evidence for HCI researchers and practitioners to address accessibility barriers in cervical cancer care in low-resource settings.
Self-management for Chronic Illness
A Scoping Review on Designing Virtual Assistants for Patient-Centered Care
Living with a chronic condition involves ongoing work: tracking symptoms, managing medication, coordinating care, and maintaining routines to prevent recurrence of acute episodes. In psychiatric care, this workload is equally complex yet rarely examined in HCI and design research. Digital phenotyping, a nascent AI/ML-based approach to monitoring behaviour, passively collects sensor and device data and is promoted as an unobtrusive and scalable tool. Yet, this promise of passivity obscures the skilled labour that takes place-from data sense-making to fitting new tools into existing care practices. In this position paper, situated in the context of outpatient bipolar disorder treatment in the Netherlands, we seek to problematise the current approach and apply Burden of Treatment Theory to unpack this hidden workload. We argue that digital phenotyping design lacks sensitivity to the care ecologies of self-management it intervenes into and call for HCI researchers to further engage with this problem space.
"label from Somewhere"
Reflexive Annotating for Situated AI Alignment
AI alignment relies on annotator judgments, yet annotation pipelines often treat annotators as interchangeable, obscuring how their social position shapes annotation. We introduce reflexive annotating as a probe that invites crowd workers to reflect on how their positionality informs subjective annotation judgments in a language model alignment context. Through a qualitative study with crowd workers (N = 30), including follow-up interviews (N = 5), we examine how our probe shapes annotators' behaviour, experience, and the situated metadata it elicits. We find that reflexive annotating captures epistemic metadata beyond static demographics by eliciting intersectional reasoning, surfacing positional humility, and nudging viewpoint change. Crucially, we also denote tensions between reflexive engagement and affective demands such as emotional exposure. We discuss the implications of our work for richer value elicitation and alignment practices that treat annotator judgments as situated and selectively integrate positional metadata.
Sex after Cancer
Co-Designing Bespoke Care Technologies for Post-Cancer Bodies
Cancer treatment leaves survivors with sexual difficulties that extend beyond physical symptoms and permeate many aspects of life, yet these concerns remain neglected in current cancer care. This paper responds to this gap by exploring how bespoke co-designed care technologies can support survivors when grounded in their lived sexual experiences. We conducted trauma-informed, generative workshops with two cancer survivors. The workshops surfaced four themes: gaps in anticipatory care, shifts from lovers to carers, unsettled bodies and selfhood, and navigating fragmented support. Through co-designing, we created Lived Experiences Archive (a ĝzine series of anonymous survivor stories) and BodyTalk (a sensory couple game for rebuilding emotional and physical intimacy). Beyond the artefacts, we contribute a methodological account of co-designing as care and empirical insights into post-cancer sexuality. We demonstrate the epistemic potential of bespoke intimate health technologies to generate situated forms of care and knowledge often overlooked in conventional health technology design.
Artificial Intelligence (AI) and Machine Learning (ML) technologies are increasingly integrated into a variety of products and services. However, AI promises often fall short and unintended consequences multiply, causing a negative impact, especially on marginalised communities. In response, Participatory AI has emerged as a promising method to account for the consequences on people subject to AI and to help develop systems that are better aligned with societal values. Yet meaningful participation remains difficult to achieve. Participation tends to be short-term and consultative, or even a mask for hidden labour. Moreover, the aim of building knowledge that is situated and subjective often conflicts with the global scale and generalizability of AI, especially when it comes to foundational models. This panel unites experts to explore how to account for these issues, and more specifically, to collectively draw a picture of the limits of Participatory AI in terms of social justice.
Care in Pieces
Unpacking Experiences of Using LLMs for Self-management of Endometriosis and PCOS
Anticipating the ethical and societal risks of emerging technologies has become an urgent challenge as their rapid integration into everyday life can produce far-reaching social consequences. In response, Design Futures practices are gaining traction within HCI and design as approaches to critically examine and anticipate the implications of technology. Yet, systematic knowledge on how these practices are structured to foster ethical reflection remains limited. To address this gap, we conducted a scoping review of 32 case studies employing Design Futures to engage with ethical concerns. Drawing from this review, we present a Taxonomy of Design Futures Processes for Ethical Reflection, which illustrates how different activities, actors' involvement, and types of futures generated shape the scope of ethical discussion. This taxonomy provides researchers and practitioners with practical guidance for creating Design Futures activities that foster ethical reflection on technology.
How automation impacts worker ecosystems in organizations
A case study of autonomous bus operations at an international airport
Organizations are increasingly immersed in automation programs aimed at enhancing operational efficiency, yet these initiatives fundamentally impact and reshape traditional workplaces. Prior research has examined automation's effects on workers who directly interact with it, but less attention has been given to how broader worker ecosystems are impacted. To address this gap, we investigate an autonomous shuttle bus project at an international airport. We conduct an interview study with nine external experts holding prior experience in similar automation contexts. To engage participants in discussing the impacts of a future autonomous bus operation, we utilize systemic design as a lens and conduct co-design activities with them. Our findings surface key tasks, responsibilities, scenarios, and implementation considerations that affect workers within the broader ecosystem. Through this empirical case, we intend to move beyond techno-centric approaches to automation and illustrate the value of incorporating systemic perspectives in worker-centered automation efforts.
Digital Phenotyping as Felt Informatics
Designing AI-Based Mental Health Diagnostic Tools Through Aesthetics
Why does Automation Adoption in Organizations Remain a Fallacy?
Scrutinizing Practitioners' Imaginaries in an International Airport