How Multimodal Large Language Models Support Access to Visual Information: A Diary Study With Blind and Low Vision People

Multimodal large language models (MLLMs) are changing how Blind and Low Vision (BLV) people access visual information in their daily lives. Unlike traditional visual interpretation tools that provide access through captions and OCR (text recognition through camera input), MLLM-enabled applications support access through conversational assistance, where users can ask questions to obtain goal-relevant details. However, evidence about their performance in the real-world and their implications for BLV people's everyday life remain limited. To address this, we conducted a two-week diary study, where we captured 20 BLV participants' use of an MLLM-enabled visual interpretation application. Although participants rated the visual interpretations of the application as "somewhat trustworthy" (mean=3.76 out of 5, max=very trustworthy) and "somewhat satisfying" (mean=4.13 out of 5, max=very satisfying), the AI often produced incorrect answers (22.2%) or abstained (10.8%) from responding to follow-up requests. Our work demonstrates that MLLMs can improve the accuracy of descriptive visual interpretations, but that supporting everyday use also depends on the "visual assistant" skill -- a set of behaviors for providing goal-directed, reliable assistance. We conclude by proposing the "visual assistant" skill and practical guidelines to help future MLLM-enabled visual interpretation applications better support BLV people's access to visual information.