Ann Blandford

Ann Blandford
University College London | UCL · UCL Interaction Centre

About

533
Publications
101,893
Reads
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9,923
Citations
Additional affiliations
January 2002 - present
University College London
Position
  • Professor of HCI
September 1995 - December 2001
Middlesex University, UK
Position
  • Professor (Full)

Publications

Publications (533)
Article
Full-text available
Introduction Novel teleophthalmology technologies have the potential to reduce unnecessary and inaccurate referrals between community optometry practices and hospital eye services and as a result improve patients’ access to appropriate and timely eye care. However, little is known about the acceptability and facilitators and barriers to the impleme...
Preprint
BACKGROUND Digital health interventions (DHIs), have become increasingly common for the prevention and management of cardiometabolic disease. However, there is limited evidence for the suitability of these approaches in minority ethnic populations, who are at increased risk of these diseases. OBJECTIVE This study aims to investigate the use of dig...
Data
Making online sexual healthcare as accessible for as many people as possible.
Presentation
Full-text available
Online sexual health services could widen access to sexual healthcare. However, some may struggle to use online services for various reasons, such as low socio-economic status and learning difficulties. To inform development of an inclusive and accessible eSexual Health Clinic (eSHC), this study aims to detail barriers and facilitators (B&Fs) to us...
Conference Paper
Introduction In an increasingly digitalised world where people seek and first contact sex partners online, digital interventions offer the potential to enhance PN for STIs and HIV. However, the ways in which they could improve PN outcomes are unknown. Methods We conducted a systematic review of digital PN interventions for STIs/HIV in 8 databases...
Conference Paper
Online sexual health services could widen access to sexual healthcare. However, some may struggle to use online services for various reasons, such as low socio-economic status and learning difficulties. To inform development of an inclusive and accessible eSexual Health Clinic (eSHC), this study aims to detail barriers and facilitators (B&Fs) to us...
Article
Full-text available
Introduction: Many have argued that a "one-size-fits-all" approach to designing digital health is not optimal and that personalisation is essential to achieve targeted outcomes. Yet, most digital health practitioners struggle to identify which design aspect require personalisation. Personas are commonly used to communicate patient needs in consume...
Conference Paper
Full-text available
The increasing capabilities of Artificial Intelligence enable the support of users in a continuously growing number of applications. Current systems typically dictate that interaction between user input and AI output unfolds in discrete steps, as is the case with, for example, conversational agents. Novel scenarios require AI systems to adapt and r...
Conference Paper
Full-text available
Research in surgical intervention and technology development is increasingly interdisciplinary. Despite the great potential of working in this way, recent research suggests that interdisciplinary collaborations and competing stakeholder interests can be challenging to initiate and manage, with the result that knowledge and expertise from different...
Article
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The use of artificial intelligence (AI) in clinical support systems is increasing. In this article, we focus on AI support for continuous interaction scenarios. A thorough understanding of end-user behaviour during these continuous human-AI interactions, in which user input is sustained over time and during which AI suggestions can appear at any ti...
Conference Paper
Augmented reality (AR) has shown much potential when applied in surgical settings, which can help guide surgeons through complex procedures, train students, and provide heads-up and hands-free spatial information. In this position paper, we discuss some of the current use cases of AR in surgical practice, evaluation measures, challenges and potenti...
Preprint
BACKGROUND Digital health interventions (DHIs) have become increasingly common across healthcare, both before and during the COVID-19 pandemic. Health inequalities, particularly by ethnicity, are recognised across diseases, but may be excluded in frameworks addressing implementation of DHIs. OBJECTIVE Using cardiometabolic disease as an exemplar,...
Article
Full-text available
Background: Digital health interventions have become increasingly common across health care, both before and during the COVID-19 pandemic. Health inequalities, particularly with respect to ethnicity, may not be considered in frameworks that address the implementation of digital health interventions. We considered frameworks to include any models,...
Article
Full-text available
Introduction: Recent years have witnessed an upsurge of demand in eye care services in the UK. With a large proportion of patients referred to Hospital Eye Services (HES) for diagnostics and disease management, the referral process results in unnecessary referrals from erroneous diagnoses and delays in access to appropriate treatment. A potential...
Article
Full-text available
Introduction Long COVID-19 is a distressing, disabling and heterogeneous syndrome often causing severe functional impairment. Predominant symptoms include fatigue, cognitive impairment (‘brain fog’), breathlessness and anxiety or depression. These symptoms are amenable to rehabilitation delivered by skilled healthcare professionals, but COVID-19 ha...
Article
Clinical decision-support tools (DSTs) represent a valuable resource in healthcare. However, lack of Human Factors considerations and early design research has often limited their successful adoption. To complement previous technically focused work, we studied adoption opportunities of a future DST built on a predictive model of Alzheimer’s Disease...
Article
Background: There are thousands of digital companions designed for emotional well-being and stress, including websites, wearables, and smartphone apps. Although public evaluation frameworks and ratings exist, they do not facilitate digital companion choice based on contextual or individual information, such as occupation or personal management str...
Article
Full-text available
Background In order to reduce safety risks associated with medication administrations, technologies such as barcode medication administration (BCMA) are increasingly used. Examining how human factors influence adoption and usability of this technology can potentially highlight areas for improvement in design and implementation. Objective To descri...
Article
BACKGROUND: The experiences of patients change throughout their illness trajectory and differ according to their medical history, but digital support tools are often designed for one specific moment in time and do not change with the patient as their health state changes. This presents a fragmented support pattern where patients have to move from o...
Conference Paper
Full-text available
Message deletion in mobile messaging apps allows people to “unsay” things they have said. This paper explores how and why people use (or do not use) this feature within remediation strategies after a communication error is identified. We present findings from a multi-stage survey designed to explore people’s general experiences of the message delet...
Article
Full-text available
Pain management is often considered lower priority than many other aspects of health management in hospitals. However, there is potential for Quality Improvement (QI) teams to improve pain management by visualising and exploring pain data sets. Although dashboards are already used by QI teams in hospitals, there is limited evidence of teams accessi...
Article
Full-text available
Colonoscopy, the visual inspection of the large bowel using an endoscope, offers protection against colorectal cancer by allowing for the detection and removal of pre-cancerous polyps. The literature on polyp detection shows widely varying miss rates among clinicians, with averages ranging around 22%--27%. While recent work has considered the use o...
Article
Full-text available
Introduction: The uptake of HIV testing and linkage to care remains low among men, contributing to high HIV incidence in women in South Africa. We conducted the "Home-Based Intervention to Test and Start" (HITS) in a 2x2 factorial cluster randomized controlled trial in one of the World's largest ongoing HIV cohorts in rural South Africa aimed at e...
Article
Full-text available
Recent data-sharing initiatives of clinical and preclinical Alzheimer’s disease (AD) have led to a growing number of non-clinical researchers analyzing these datasets using modern data-driven computational methods. Cognitive tests are key components of such datasets, representing the principal clinical tool to establish phenotypes and monitor sympt...
Article
Full-text available
Background: The poor engagement of men with HIV care is attributed to a number of factors: fear of stigma, masculine representations, concerns related to confidentiality, and the time commitment needed to visit public health clinics. Digital technologies are emerging as an approach to support the engagement of men with care. Objective: This study...
Preprint
BACKGROUND The experiences of patients change throughout their illness trajectory and differs according to their medical history, however digital support tools are often designed for one specific moment in time and unable to change with the patient as their health states change. This presents a fragmented support pattern where patients have to move...
Article
Background The experiences of patients change throughout their illness trajectory and differ according to their medical history, but digital support tools are often designed for one specific moment in time and do not change with the patient as their health state changes. This presents a fragmented support pattern where patients have to move from on...
Article
Background Effective use of contraception can reduce numbers of unintended pregnancies, but misunderstandings and concerns about contraception abound. Increasingly, women seek health-care information online. Objectives To develop an interactive website to aid informed choice of contraceptive method, including long-acting reversible contraception (...
Conference Paper
It can be difficult for children to express and reflect on how they are feeling to others. As such, we hypothesise that children can use technology to express and reflect on their well-being. Existing research suggests that tangible interfaces offer a potential of being able to help capture well-being in hospitals for children, such as capitalising...
Article
Full-text available
Objectives: Errors in medication administration are common, with many interventions suggested to reduce them. For intravenous infusion-related errors, "smart infusion devices" incorporating dose error reduction software are widely advocated. Our aim was to explore the role of smart infusion devices in preventing or contributing to medication admin...
Article
Full-text available
Background: Having patients self-manage their health conditions is a widely promoted concept, but many patients struggle to practice it effectively. Moreover, few studies have analyzed the nature of work required from patients and how such work fits into the context of their daily life. Objective: This study aimed to review the characteristics of p...
Article
Full-text available
Objective Improving use of effective contraception to prevent unintended pregnancy is a global priority, but misperceptions and concerns about contraception are common. Our objective was to evaluate an interactive website to aid informed choice of contraception. Methods The Contraception Choices website is an interactive digital intervention which...
Article
Full-text available
Background: Contextual cues play an important role in facilitating behaviour change. They not only support memory but may also help to make the new behaviour automatic through the formation of new routines. However, previous research shows that when people start a new behaviour, they tend to select cues that lack effectiveness for prompting behavi...
Article
Full-text available
Uptake of HIV testing remains low among men in South Africa. As part of a trial, we assessed the acceptability of a theoretically derived and adapted tablet-based-application (EPIC-HIV1) in rural South Africa. We conducted 20 in-depth interviews with men aged ≥18 years and offered a tablet-based survey to all men aged ≥15 years who received EPIC-HI...
Article
Full-text available
Background Intravenous (IV) medication administration has traditionally been regarded to be error-prone with high potential for harm. A recent US multisite study revealed surprisingly few potentially harmful errors despite a high overall error rate. However, there is limited evidence about infusion practices in England and how they relate to preval...
Conference Paper
Full-text available
As people's offline and online lives become increasingly entwined , the sensitivity of personal information disclosed online is increasing. Disclosures often occur through structured disclosure fields (e.g., drop-down lists). Prior research suggests these fields may limit privacy, with non-disclosing users being presumed to be hiding undesirable in...
Preprint
BACKGROUND The poor engagement of men with HIV care is attributed to a number of factors: fear of stigma, masculine representations, concerns related to confidentiality, and the time commitment needed to visit public health clinics. Digital technologies are emerging as an approach to support the engagement of men with care. OBJECTIVE This study ai...
Article
Full-text available
Background: The level and type of engagement with digital behavior change interventions (DBCIs) are likely to influence their effectiveness, but validated self-report measures of engagement are lacking. The DBCI Engagement Scale was designed to assess behavioral (ie, amount, depth of use) and experiential (ie, attention, interest, enjoyment) dimens...
Article
Full-text available
Background: The use of mobile communication technologies (mHealth: mobile health) in chronic disease management has grown significantly over the years. mHealth interventions have the potential to decentralize access to health care and make it convenient, particularly in resource-constrained settings. It is against this backdrop that we aimed to cod...
Article
Full-text available
Background: The use of mobile communication technologies (mHealth: mobile health) in chronic disease management has grown significantly over the years. mHealth interventions have the potential to decentralize access to health care and make it convenient, particularly in resource-constrained settings. It is against this backdrop that we aimed to cod...
Article
Infertility can place a significant burden on couples and individuals when trying to conceive. Approximately 20-30% of all cases of infertility are due to male-related factors. Whatever the cause of difficulty in conceiving, little is known about how men find support when dealing with fertility issues, or when or how online resources are being used...
Article
Full-text available
Background: Deviations from local policy and national recommended best practice are common in the administration of intravenous infusions, but not all result in negative consequences. Some are the result of nurses' clinical judgement. However, little is known about such practices and their effects on the safety of intravenous infusions. Our object...
Article
Full-text available
Background: The aim of this systematic review was to synthesise peer-reviewed literature assessing the impact of electronic prescribing (eP) systems on the working practices of healthcare professionals (HCPs) in the inpatient setting and identify implications for practice and research. Methods: We searched PubMed, Medline, Embase, Cochrane and t...
Preprint
BACKGROUND Self-management (or self-care) is widely promoted but many patients struggle to practise it effectively. Moreover, few studies have analysed the nature and volume of work required from patients in self-care and how such work fits into the context of their daily life. OBJECTIVE To review the characteristics of patient work in adult patie...
Article
Full-text available
Background: Having patients self-manage their health conditions is a widely promoted concept, but many patients struggle to practice it effectively. Moreover, few studies have analyzed the nature of work required from patients and how such work fits into the context of their daily life. Objective: This study aimed to review the characteristics o...
Conference Paper
Transition to parenthood is a common experience but one that can be particularly challenging for people who have difficulty in conceiving. Men are reportedly likely to feel isolated and stigmatised when they experience fertility problems and are more likely to turn to sources of social technology for support than approach healthcare services. We sh...
Article
Full-text available
Background: Previous studies have identified psychological and smartphone app–related predictors of engagement with alcohol reduction apps at a group level. However, strategies to promote engagement need to be effective at the individual level. Evidence as to whether group-level predictors of engagement are also predictive for individuals is lackin...
Article
Full-text available
Infusion safety is a recognised concern internationally. While few observational studies explore the causes of the errors that occur, even fewer describe how safety is maintained in routine practice. We sought to understand safety around infusion devices. Methods: An ethnographic study of infusion device use was conducted on a haematology ward. Thi...
Article
Distributed cognition theory posits that our cognitive tasks are so tightly coupled to the environment that cognition extends into the environment, beyond the skin and the skull. It uses cognitive concepts to describe information processing across external representations, social networks and across different periods of time. Distributed cognition...
Chapter
Distributed cognition theory posits that our cognitive tasks are so tightly coupled to the environment that cognition extends into the environment, beyond the skin and the skull. It uses cognitive concepts to describe information processing across external representations, social networks and across different periods of time. Distributed cognition...
Article
Background: The use of mobile communication technologies (mHealth: mobile health) in chronic disease management has grown significantly over the years. mHealth interventions have the potential to decentralize access to health care and make it convenient, particularly in resource-constrained settings. It is against this backdrop that we aimed to co...
Preprint
Full-text available
BACKGROUND The use of mobile communication technologies (mHealth: mobile health) in chronic disease management has grown significantly over the years. mHealth interventions have the potential to decentralize access to health care and make it convenient, particularly in resource-constrained settings. It is against this backdrop that we aimed to code...
Article
Full-text available
Background: To realize the full benefits of treatment as prevention in many hyperendemic African contexts, there is an urgent need to increase uptake of HIV testing and HIV treatment among men to reduce the rate of HIV transmission to (particularly young) women. This trial aims to evaluate the effect of two interventions - micro-incentives and a t...
Preprint
BACKGROUND Persistent psychosocial stress is endemic in the modern workplace, including amongst mid-career high school (secondary comprehensive) teachers in England. Understanding contextual influences on teachers’ self-management of stress along with their use of digital health technologies could give important insight into creating more usable an...
Article
Full-text available
Background: Persistent psychosocial stress is endemic in the modern workplace, including among midcareer high school (secondary comprehensive) teachers in England. Understanding contextual influences on teachers' self-management of stress along with their use of digital health technologies could provide important insights into creating more usable...
Conference Paper
Full-text available
Background The uptake of HIV testing with linkage to care or prevention interventions such as Pre-Exposure Prophylaxis (PrEP) remains low among young men and women outside antenatal settings. This contributes to the high HIV incidence and HIV-related mortality in South Africa. Methods We conducted formative work (8/2016–12/2018)to co-develop and p...