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A. Bozzon

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Conference paper (2026) - Maria Luce Lupetti, Christina Harrington, Massimo Menichinelli, Cristina Zaga, Laura Forlano, Alessandro Bozzon, Q. Vera Liao
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. ...
Journal article (2026) - S. Kernan Freire, T. He, C. Wang, E. Niforatos, A. Bozzon
In the shift towards human-centred manufacturing, our two-year longitudinal study investigates the real-world impact of deploying Cognitive Assistants (CAs) in factories. The CAs were designed to facilitate knowledge sharing among factory operators. Our investigation focussed on smartphone-based voice assistants and LLM-powered chatbots, examining their usability and utility in a real-world factory setting. Based on the qualitative feedback we collected during the deployments of CAs at the factories, we conducted a thematic analysis to investigate the perceptions, challenges, and overall impact on workflow and knowledge sharing. Our results indicate that while CAs have the potential to significantly improve efficiency through knowledge sharing and quicker resolution of production issues, they also introduce concerns around workplace surveillance, the types of knowledge that can be shared, and shortcomings compared to human-to-human knowledge sharing. Additionally, our findings stress the importance of addressing privacy, knowledge contribution burdens, and tensions between factory operators and their managers. ...
Foreword postscript (2026) - Alessandro Bozzon, Thomas Kosch, Vera Liao, Xiaojuan Ma, Anna Ricarda Luther, Celine Offerman, Xinyu Shi, Qiurong Song
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. ...
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. ...

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. ...
Conference paper (2026) - Z. Breed, E. Karana, A. Bozzon, Katherine W. Song
Bio-digital systems that merge microbial life with technology promise new modes of computation, combining biological adaptability with digital precision. Yet realizing this potential symbiotically – where biological and digital agents co-adapt and co-process – remains elusive, largely due to the absence of a shared vocabulary bridging biology and computing. Consequently, microbes are often constrained to uni-directional roles, functioning as sensors or actuators rather than as active, computational partners in bio-digital systems. In response, we propose a taxonomy and pathways that articulate and expand the roles of biological and digital entities for synergetic bio-digital computation. Using this taxonomy, we analysed 70 systems across HCI, design, and engineering, identifying how biological mechanisms can be mapped onto computational abstractions. We argue that such mappings enable computationally actionable directions that foster richer and reciprocal relationships in bio-digital systems, supporting regenerative ecologies across time and scale while inspiring new paradigms for computation in HCI. ...

Unpacking Experiences of Using LLMs for Self-management of Endometriosis and PCOS

Women with endometriosis and Polycystic Ovary Syndrome (PCOS) require individualized, long-term, holistic care, yet systemic healthcare barriers leave many managing independently. Increasingly, women are turning to Large Language Models (LLMs), such as ChatGPT, for support in self-management. However, little is understood about how people use and experience LLMs in this context. We employed a feminist participatory approach to collective knowledge production and situated expertise to explore participants' motivations and expectations in using LLMs for self-management. We engaged in co-annotation of personal ChatGPT conversations and collage-making sessions with 8 women living with endometriosis and/or PCOS, centering their lived experiences. We surfaced the layered experiences of self-managing endometriosis and/or PCOS with LLMs and how these compare and contrast with their ideal visions of care. We contribute empirical insights and design considerations for LLM systems providing support in this context. ...

A Scoping Review on Designing Virtual Assistants for Patient-Centered Care

Conference paper (2026) - Ariane Lucchini, Alessandro Bozzon, Sara Colombo
Chronic illnesses (CI) are increasing worldwide, positioning virtual assistants (VAs) as valuable tools for supporting patients in self-management. As effective self-management relies on holistic, patient-centered practices, AI is increasingly integrated into VAs to provide more personalized support. Yet, it is essential that VA design processes remain grounded in participatory approaches prioritizing patients' values, needs, and lived experiences. To assess the current state of VA design processes, we conducted a scoping review of 55 papers examining how care is framed and patients are involved. Our findings reveal AI-driven VAs prioritize reductionist approaches over holistic care with minimal patient involvement. This highlights a gap between the potential of patient-centered care technology and current implementation practices. Our contributions include (1) a mapping of care dimensions currently implemented in VAs, (2) a categorization of patient roles in the design process, and (3) design implications to expand care dimensions and patient involvement in AI-driven VAs. ...
Foreword postscript (2026) - Himanshu Verma, Alessandro Bozzon, Andrea Mauri, Jie Yang

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. ...
Conference paper (2026) - Xun Zhang, Weihao Xia, Yulong Liu, Bo Yang, Alessandro Bozzon, Pan Wang
Understanding the neural basis of three-dimensional (3D) perception is a fundamental objective in cognitive neuroscience. Despite advances in decoding 2D visual stimuli from neural data, reconstructing high-fidelity 3D objects with detailed texture and geometry remains largely unexplored. In this work, we introduce NeuroSculptor3D, the first single-stage, end-to-end framework for reconstructing textured 3D shapes directly from brain activity. NeuroSculptor3D integrates a viewpoint-aware brain embedding module that captures fine-grained spatial variations across visual perspectives, and a hierarchical guidance mechanism that aligns brain-derived features with perceptual, semantic, and structural priors. Together, these components facilitate the generation of consistent multi-view embeddings, which are then decoded via TRELLIS to produce high-quality textured 3D reconstructions. Experiments on the fMRI-Shape dataset demonstrate that NeuroSculptor3D outperforms existing baselines across multiple settings, achieving significant improvements in both structural accuracy and semantic consistency. Code will be released to facilitate further research. ...

Revisiting Inclusive Design and Access

Conference paper (2026) - Himanshu Verma, Giulia Barbareschi, Sophia Ppali, Kathrin Gerling, Maartje De Meulder, Judith Good, Jatinder Singh, Pablo Cesar, Alessandro Bozzon, More Authors
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. ...
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. ...

Approaching Pleasure as a Process when Designing with Sexual Experiences

This paper presents a conceptual exploration of designing sexual pleasure as an evolving whole-body experience. It addresses the historically narrow focus of research and technology on functional outcomes such as reproduction and orgasm. This limited perspective overlooks diverse desires, emotional connection, and sensory engagement, reinforcing restrictive norms that shape how individuals conceptualise and experience sexuality. To inform our design inquiry, we conducted a qualitative survey (N=143) to generate how individuals understand and experience sexual pleasure. Reflexive thematic analysis of the responses reveals the influence of culture and technology on sexuality, alongside several experiential dimensions: emotional and embodied connection, play and sensory immersion, and vulnerability. These insights, together with a theoretical foundation, guide a design exploration communicated through two provocations. These provocations serve as reflections of an alternative design orientation; one that challenges normative assumptions, views pleasure as an ongoing process, supports bodily exploration, and facilitates richer, more inclusive sexual experiences. ...

Designing AI-Based Mental Health Diagnostic Tools Through Aesthetics

Conference paper (2025) - K. Bogdanova, N. Cila, O. Kudina, A. Bozzon
With psychiatry lagging behind other medical fields in terms of innovation in instruments and methods, AI provides it an opportunity to catch up. Advocates of digital phenotyping promise to provide an objective tool that detects symptoms by analysing data from personal devices. We argue that digital phenotyping requires a more reflexive and critical approach to its design and an alignment of the clinicians’ interests in generating relevant evidence with the needs of service users who seek tools to manage their condition. We propose a felt informatics approach, situating digital phenotyping design within the problem space of pragmatist aesthetics. Within this perspective, felt life becomes a central object and a site for digital phenotyping design. This paper reveals the ways diagnostic data mediates mental ill health experience, emphasises the cultivation of aesthetic sensibility as a fundamental element of digital phenotyping and includes design considerations for practitioners and researchers. ...
The increasing digitisation that we have witnessed in the past few years has resulted in increased information and communications technology (ICT) hardware manufacturing, which is not sustainable due to the growing demand for critical materials and the greenhouse emissions associated with it. A solution is transitioning to a circular economy (CE). To facilitate this, boost the data economy and digital innovation, the European Union has introduced digital product passports (DPPs), which should provide information about a product’s lifetime to bring more transparency into supply chains. However, several challenges, namely the lack of findable, accessible, interoperable, reusable ICT and materials data and tools to support its interpretation for decision-making, are present. Utilising ontologies and knowledge graphs is a possible solution. Although the ontology work in the ICT and materials domains has been on the rise, there is a lack of a unified semantic model that can capture the complex, heterogeneous cross-domain data needed for building DPPs of ICT devices such as laptops and data servers. Motivated by this, we present the RePlanIT ontology for ICT DPPs, which captures knowledge on several levels – ICT device, hardware components, materials and the CE itself. RePlanIT’s specification is based on a literature survey, interviews and inputs from domain experts from both industry and academia. The ontology, its utilisation for building a knowledge graph of DPPs of laptops and data servers and its application have been successfully validated in a real-world case focusing on supporting more sustainable ICT procurement in government. ...
Contestability has been proposed as a key element in designing algorithmic decision-making processes that safeguard decision subjects' rights to dignity and autonomy. However, little is known about how contestability can be operationalized based on decision subjects' needs and preferences. We address this research gap by identifying decision subjects' information and procedural needs for enacting meaningful contestability. To this end, we chose an illegal holiday rental detection scenario as our case; a high-risk decision-making process in the public sector. We conducted 21 semi-structured interviews with citizens with experience renting their homes out and different levels of AI literacy. We found that decision subjects request interventions that facilitate (1) cooperation in sense-making, (2) support in contestation acts, and (3) appropriate responsibility attribution. Our results highlight the cooperative work behind contestability, and motivate future efforts to structure individual and collective action, to personalize explanations for contestability, and to open up sites of contestation in AI pipelines. ...
Journal article (2025) - Chaofan Wang, Samuel Kernan Freire, Mo Zhang, Jing Wei, Jorge Goncalves, Vassilis Kostakos, Alessandro Bozzon, Evangelos Niforatos
ChatGPT and other large language models (LLMs) have proven useful in crowdsourcing tasks, where they can effectively annotate machine learning training data. However, this means that they also have the potential for misuse, specifically to automatically answer surveys. LLMs can potentially circumvent quality assurance measures, thereby threatening the integrity of methodologies that rely on crowdsourcing surveys. In this paper, we propose a mechanism to detect LLM-generated responses to surveys. The mechanism uses ''prompt injection,'' such as directions that can mislead LLMs into giving predictable responses. We evaluate our technique against a range of question scenarios, types, and positions, and find that it can reliably detect LLM-generated responses with more than 98% effectiveness. We also provide an open-source software to help survey designers use our technique to detect LLM responses. Our work is a step in ensuring that survey methodologies remain rigorous vis-a-vis LLMs. ...

Understanding the Design Space

Conference paper (2025) - C.E. Offerman, Jacky Bourgeois, Jules van Beurden, A. Bozzon
Cancer treatments often lead to sexual health challenges that greatly impact cancer survivors’ quality of life. Current interventions primarily address physiological aspects, like medication or vaginal care, overlooking psychological, social, and cultural dimensions. This paper explores how HCI can address this gap by supporting post-cancer sexual health with interventions for survivors and their partners, considering their lived experiences. Through reflexive thematic analysis of interviews with (N=6) medical sexologists, we identified five themes: perceiving the body as a medical object, the hot potato problem in oncology, sociotechnical sexploration, reuniting what treatment has divided, and designing interventions with openness in a highly situated context. These themes highlight cancer survivors’ experiences, the (in)effectiveness of current interventions, and provision of care. This research outlines the design space for post-cancer sexual health by providing specific design directions (“what”) and ways for designing them (“how”), while advancing the broader discourse on intimacy and design within HCI. ...