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1 1  = Problem statement and research questions =
2 2  
3 -People with dementia often forget to eat and drink, leading to dehydration, malnutrition and decreased wellbeing in general. Our prototype engages in discourses to remind PwD to have lunch and drink water, using the Nao robot platform. The discourse aims to reming the PwD without causing any anxiety or embarrassment which a traditional "alarm" system could cause, and keep them company throughout these activities.
3 +People with dementia often forget to eat and drink, leading to dehydration, malnutrition, and decreased well-being in general. Our prototype engages in discourses to remind PwD to have lunch and drink water, using the Nao robot platform. The discourse aims to remind the PwD without causing any anxiety or embarrassment that a traditional "alarm" system could cause, and keep them company throughout these activities.
4 4  
5 5  The four research questions studied in this evaluation are:
6 6  
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35 35  
36 36  == Measures ==
37 37  
38 -We measured the effectiveness of the discourse, both physically and emotionally. Our quantitative measure was whether the person ate the lunch they were supposed to have eaten, and the qualitative measure was the emotions that the PwD experienced before, during, and after the interaction. The qualitative measures were recorded with a simple questionnaire. Some people were not hungry enough to be prompted to have something to eat, which disturbed the results. However we did measure whether the robot reminded someone of their hunger and if they ate.
38 +We measured the effectiveness of the discourse, both physically and emotionally. Our quantitative measure was whether the person ate the lunch they were supposed to have eaten, and the qualitative measure was the emotions that the PwD experienced before, during, and after the interaction. The qualitative measures were recorded with a simple questionnaire. Some people were not hungry enough to be prompted to have something to eat, which disturbed the results. However, we did measure whether the robot reminded someone of their hunger and if they ate.
39 39  
40 40  == Procedure ==
41 41  
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64 64  1. 3 hunger and food-related questions of our own, to assess if they eat before or during the interaction (5-point Likert scale)
65 65  1. 2 music-related questions of our own, to measure how much they enjoyed the music and what was its effect (5-point Likert scale)
66 66  
67 -Before the first interaction, the participants were asked to respond to sections 1. and 3., while right after each interaction, they were asked to respond to all four sections, with the music section only present after the advanced interaction. The full questionnaire given to the participants can be found [[here >> unc:NAO_evaluation.docx ]].
67 +Before the first interaction, the participants were asked to respond to sections 1. and 3., while right after each interaction, they were asked to respond to all four sections, with the music section only present after the advanced interaction. The full questionnaire given to the participants can be found attached.
68 68  
69 69  == Practicalities ==
70 70  
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73 73  
74 74  = Results =
75 75  
76 -The results were gathered from 19 personnel, all of whom interacted first with one version of the robot and then the other. 10 of the participants interacted first with the simple version, nine having their first interaction with the advanced version.
76 +The results were gathered from 19 personnel, all of whom interacted first with one version of the robot and then the other. Ten of the participants interacted first with the simple version, while the other nine had their first interaction with the advanced version.
77 77  
78 78  == Eating ==
79 79  
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219 219  * “Nao answered pretty quickly, you don’t have to wait for an answer. It is quite a happy robot.”
220 220  * “Suggestion to eat was still a bit on the side, a little subtle if I would have dementia.”
221 221  * “Very nice, calming, I could have stayed longer with the music.”
222 -* “It was good, natural, understands what I’m saying.”
222 +* “It was good, natural, the robot understands what I’m saying.”
223 223  
224 224  Some participants clearly expressed how friendly they found the intelligent version of the robot. The sequence of the interactions did not seem to impact their feeling about the interaction as much as with the interaction with the less intelligent version of the robot.
225 225  Some reported that the interaction felt natural and intuitive.
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229 229  
230 230  = Discussion =
231 231  
232 -From the results we can see that the more advanced robot shows advantages over the simple version in multiple categories. Hints of better performance in other categories can be seen, but no conclusions should be drawn from the ones that lack the statistical significance.
232 +From the results, we can see that the more advanced robot shows advantages over the simple version in multiple categories. Hints of better performance in other categories can be seen, but no conclusions should be drawn from the ones that lack statistical significance.
233 233  
234 -As for the eating, it seems that both robots have limited success in causing the people to eat as seen in Figure 1, they could cause the patients to eat more regularly, if triggered by timers or other suitable systems. It also seems that the advanced robot is better in the reminding, by a slight margin. However, the long term effects of reminding should be researched more to conclude whether the usage of the demonstrated robot platform or similar would cause the patients to eat more regularly. It is also unclear how the test setup and the limited choice of food affected the eating.
234 +As for the eating, it seems that both robots have limited success in causing the people to eat as seen in Figure 1, they could cause the patients to eat more regularly if triggered by timers or other suitable systems. It also seems that the advanced robot is better in the reminding, by a slight margin. However, the long-term effects of reminding should be researched more to conclude whether the usage of the demonstrated robot platform or similar would cause the patients to eat more regularly. It is also unclear how the test setup and the limited choice of food affected the eating.
235 235  
236 -Based on the answers of the participants regarding music seen in Figure 2, it can be seen that most of them were either indifferent or liked the music. Also, as the test personnel find the advanced robot more likeable with a 5% confidence limit (Table 7), and the advanced version was the only version with music, it seems likely that the music does make the interaction more pleasant for the personas. However, some of the likeability might be due to the other advanced features of the robot and thus more research is needed to conclude the effect of the music.
236 +Based on the answers of the participants regarding music seen in Figure 2, it can be seen that most of them were either indifferent or liked the music. Also, as the test personnel find the advanced robot more likable with a 5% confidence limit (Table 7), and the advanced version was the only version with music, it seems likely that the music does make the interaction more pleasant for the personas. However, some of the likeability might be due to the other advanced features of the robot and thus more research is needed to conclude the effect of the music.
237 237  
238 238  The EVEA and partial Godspeed result can be seen in Figures 3-7 and Tables 1-8. The results show that with reasonable confidence (5% confidence limit), both versions of the robot decreased sadness and anxiety in the test personas. Hints are shown (10% confidence limit) that the advanced robot also decreases feelings of anger and increases happiness, while the simple robot fails to show similar results. However, in Table 7 we can see that the statistical differences in the mood differences during the interactions with the different versions are not highly significant.
239 239  
240 -A Wilcoxon signed rank test for the partial Godspeed test shows in Table 8 that with high confidence (1% confidence limit), the intelligent robot is more likeable in comparison to the simple robot. With these results it is likely that the more advanced robot is slightly preferable and the personas might experience less negative emotions after the interaction with the robots, but it remains yet unclear if the effect is more powerful with the advanced robot.
240 +A Wilcoxon signed-rank test for the partial Godspeed test shows in Table 8 that with high confidence (1% confidence limit), the intelligent robot is more likable in comparison to the simple robot. With these results, it is likely that the more advanced robot is slightly preferable and the personas might experience less negative emotions after the interaction with the robots, but it remains yet unclear if the effect is more powerful with the advanced robot.
241 241  
242 -The observations and interviews with the participants clearly demonstrated that for now, that a more friendly and intelligent robot does make the interaction with the robot more pleasant. Also, the observations do support the data from the questionnaire in terms of the likability difference between both robot types.
242 +The observations and interviews with the participants clearly demonstrated that for now: a more friendly and intelligent robot does make the interaction with the robot more pleasant. Also, the observations do support the data from the questionnaire in terms of the likability difference between both robot types.
243 243  
244 -Analysis of the results surfaced some minor issues in the experiment, such as the lack of comparison with two robots of similar features, with and without music. Also the practical limitations in the setup, such as the lack of different food options and some participants being aware of the design goals of the prototype could have interfered with the natural flow of the intercourse. With these limitations, the research method was successful in extracting differences within the robots and brought up additional directions for future research.
244 +Analysis of the results surfaced some minor issues in the experiment, such as the lack of comparison with two robots of similar features, with and without music. Also, the practical limitations in the setup, such as the lack of different food options and some participants being aware of the design goals of the prototype could have interfered with the natural flow of the intercourse. With these limitations, the research method was successful in extracting differences within the robots and brought up additional directions for future research.
245 245  
246 -The most interesting direction for future research would be the longer term studying of the effect of mealtime reminders on the health of the test subjects. The longer term health study would uncover the effect on eating frequency and the development of the relationship with the robot, for example would the test subjects that were first excited about the novel interaction with the robot, develop negative feelings about the supervision that the robot is conducting into their personal life.
246 +The most interesting direction for future research would be the longer-term studying of the effect of mealtime reminders on the health of the test subjects. The longer-term health study would uncover the effect on eating frequency and the development of the relationship with the robot, for example, would the test subjects that were first excited about the novel interaction with the robot, develop negative feelings about the supervision that the robot is conducting into their personal life.
247 247  
248 248  Furthermore, an aspect that was not compared in this study is how many stroopwafels the participants ate while interacting with the robot. For now, the focus was to evaluate whether the claim the robot causes the PwD - in the case of the experiment: the participants - to eat or not. For future research, the amount of food consumed by the participants could also be taken into consideration.
249 249  
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251 251  
252 252  = Conclusions =
253 253  
254 -From the results it seems that in short-term interactions, both of the robots do remind the persons of their hunger, but the test setup might have caused many people not to eat or not to be hungry when arriving. It would also seem that the music does make the entire discourse more enjoyable as people did enjoy it, but it is unclear whether the observed increases in mood caused by the advanced robot in comparison to the simple version are due to the music or other features included in the advanced version or simply due to variance. It seems that the advanced robot is slightly more enjoyable due to the observed change in anxiety, but in total the results are inconclusive.
254 +From the results, it seems that in short-term interactions, both of the robots do remind the persons of their hunger, but the test setup might have caused many people not to eat or not to be hungry when arriving. It would also seem that the music does make the entire discourse more enjoyable as people did enjoy it, but it is unclear whether the observed increases in mood caused by the advanced robot in comparison to the simple version are due to the music or other features included in the advanced version or simply due to variance. It seems that the advanced robot is slightly more enjoyable due to the observed change in anxiety, but in total the results are inconclusive.
255 255  
256 -The long-term effects of this are unclear and require further study. The short-term experiment shows promising results to further develop such solutions, but to also conduct experiments to study the long-term effects of such a solution. With a longer experiment, the development of the human-robot interaction and the effect of constant mealtime reminders would likely begin to show, which could cause differences to the presented short-term results, by for example the robot becoming more enjoyable as it becomes familiar.
256 +The long-term effects of this are unclear and require further study. The short-term experiment shows promising results to further develop such solutions, but also conduct experiments to study the long-term effects of such a solution. With a longer experiment, the development of the human-robot interaction and the effect of constant mealtime reminders would likely begin to show, which could cause differences to the presented short-term results, for example, the robot becoming more enjoyable as it becomes familiar.
257 257  
258 258  = Appendix =
259 259  
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261 261  
262 262  
263 263  
264 -Hi, we are <NAME> and <NAME> from the TU Delft Socio-Cognitive Engeering course Group 1, thank you for participating in our prototype evaluation experiment. The experiment is being conducted as a part of the TU Delft course on Socio-Cognitive Engineering and aims to evaluate the prototype designed as a part of the course. The evaluated prototype is based on the Nao robot-platform and is intended to improve the wellbeing of people suffering of dementia.
264 +Hi, we are <NAME> and <NAME> from the TU Delft Socio-Cognitive Engineering course Group 1, thank you for participating in our prototype evaluation experiment. The experiment is being conducted as a part of the TU Delft course on Socio-Cognitive Engineering and aims to evaluate the prototype designed as a part of the course. The evaluated prototype is based on the Nao robot and is intended to improve the well-being of people suffering from dementia.
265 265  
266 266  Consuming food and/or water can be a consequence of the interaction between you and the robot. Therefore, we would like to ask you if you have any allergies. If you have a form of Diabetes, please let us know before we start the first part of the experiment. You are strongly encouraged to share any other health conditions that can possibly be relevant to take into account when doing an experiment with robots and food with us.
267 267  
268 268  The link between the stimuli of the Nao-robot and the triggering of epileptic seizures is yet unknown. If you have ever experienced epileptic seizures, please let us know. Then, we could see if any special precautions are needed.
269 269  
270 -The experiment will last for approximately 15-20 minutes, and consists of two interaction sections with the Nao robot, as well as questionnaires before, between and after the sections. We kindly ask you to act naturally during the experiment and fill the questionnaires truthfully and intuitively. Remember that we are evaluating the prototypes performance, not yours. You can stop the experiment at any time.
270 +The experiment will last for approximately 15-20 minutes, and consists of two interaction sections with the Nao robot, as well as questionnaires before, between, and after the sections. We kindly ask you to act naturally during the experiment and fill the questionnaires truthfully and intuitively. Remember that we are evaluating the prototype's performance, not yours. You can stop the experiment at any time.
271 271  
272 -We will be collecting data of the questionnaires and recording some experiments, do you agree with your experiment being recorded? All data excluding the recordings will be anonymised before analysis and storage. The recordings will not be shared with third parties. After the experiment you have the right to ask for information about the collected data and revoke the right to use it. We kindly ask you not to share any information about the experiment with other participants.
273 -Do you have any questions?
272 +We will be collecting data from the questionnaires and recording some experiments, do you agree with your experiment being recorded? All data excluding the recordings will be anonymized before analysis and storage. The recordings will not be shared with third parties. After the experiment, you have the right to ask for information about the collected data and revoke the right to use it. We kindly ask you not to share any information about the experiment with other participants.
273 +Do you have any questions?
274 274  
275 275  == After research interview ==
276 276  
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278 278  The test subject has finished both parts of the experiment. Before leaving the test conductor(s) sit down with them and ask the following questions in a discussion about the experiment. Discussion can flow freely, but the following topics should be discussed.
279 279  
280 280  Topics:
281 -- Emotions before / during / after the interaction with the robot
281 +- Emotions before/during/after the interaction with the robot
282 282   - Agitation due to the robot suggesting eating
283 283   - Effect of music on the general feeling of the situation
284 - - Feeling of company during eating
285 285  - Effectiveness of eating/drinking suggestions
286 286  
287 287  Questions:
288 -- Did you eat or drink anything during the experiment?
289 -- Were you feeling hungry/thirsty beforehand and did the discourse change this?
290 -- On a scale of 1-10, how likely would you have eaten/drank without the robot suggesting it?
291 291  - What did the interaction with the robot feel like?
292 292   - With the more intelligent version?
293 293   - With the less intelligent version?