Changes for page Claims

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• Page properties (1 modified, 0 added, 0 removed)

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19	19	After walking with the MiRo, Constantijn will feel elated that he was able to leave his room at all. Constantijn is known for his eagerness to talk to his co-residents and the MiRo allows him to fulfill his desire. Although he is less bothered by the lack of autonomy, it does provide him with a little boost in self-confidence as he was able to accomplish his goal. However, Constantijn's aversion for dogs will make him want to walk away from the MiRo. This can lead to undesired results such as additional care needed from caretakers and Constantijn may end up being punished by not being able to go out on his own due to non-compliance from his walk with the MiRo. When this scenario occurs, his autonomy will be severely reduced and make him utterly depressed.
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	21	+=== Marcus (PwD who's indifferent about dogs) ===
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	23	+A major positive effect that the MiRo has on Marcus is that Marcus was able to receive medical assistance, because the MiRo was able to call for help. Walking with the MiRo itself did not provide Marcus with negative effects as the MiRo did what it could do within its limits. A similar accident could have occurred with the presence of a less experienced caretaker who would not notice that Marcus pushed beyond his walking capabilities. Generally, Marcus is not keen on trying again, because of the experience and not necessarily because of the MiRo. In conclusion, PwDs like Marcus may discontinue the use of MiRo for walking, because of external factors that are independent of the MiRo's behavior and appearance. To mitigate the effect of these factors, personalizing the MiRo to the individual PwD's desires and needs is of utmost significance.
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21	21	== Importance of Autonomy ==
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23	23	Autonomy is important for People with Dementia as that will make them more motivated [[(Deci & Ryan, 1985)>>http://dx.doi.org/10.1007/978-1-4899-2271-7_5]] to walk with the MiRo. Being connected with oneself and others [[(Han et al., 2015, p. 118)>>https://doi.org/10.1177/1533317515598857]] is crucial for PwD. The lack of autonomy is an insurmountable barrier to overcome for PwD. This is emphasized, because this factor outweighs any initial hurdles that may be introduced with the arrival of new technology such as the MiRo robot.
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	29	+Autonomy not only implies being capable to perform certain actions, but also the freedom to decide to engage in a certain activity. As mentioned by [[(Tyrrell et al., 2006)>>https://doi.org/10.1177/1471301206069915]], patients who reside in a care home experience less freedom of choice and more that any choice regarding their own care is imposed on them by others. In the same study, it was reported that more than a third of patients interviewed (n = 21) were not informed **at all** about their options. So, careful consideration must be applied to present these to a PwD.
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25	25	== Claim ==
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27	27	Given positive and negative effects of walking with the Miro, it is clear that people with opposing views on dogs can still reap the benefits that come with walking with the MiRo. It should be noted though that there are issues, which are mentioned under [[Foundation.Operational Demands.Environments.WebHome||anchor="Technologies"]], which need to be addressed to mitigate any unnerving effects that the MiRo has on PwD and their surrounding stakeholders.
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34	34	= Snoezelen with MiRo =
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36		-Snoezelen with the robot dog is unfortunately not possible with MiRo due to MiRo being limited in a couple of different areas. First of all, MiRo is very fragile. When one touches MiRos head, it moves a bit down each time. Secondly MiRos lights are just a few small LED lights. As Snoezelen would be done by elderly people who might have a visual impairment, it would be preferable to have bigger or more diffused lights so the PwD are able to see a change in colours. Finally, when people are petting the dog, it might be better if the robot dog would have some fur, it would feel more realistic.
37		-Future work would include incorporating Snoezelen. To incorporate Snoezelen, a new prototype of the robot should be created, once a new prototype has been created, an evaluation on how useful Snoezelen is with this new Prototype should be done as well.
	42	+As snoezelen is considered as an additional function, none of the [[Foundation.Operational Demands.Personas.WebHome]] constructed have attributes that would make them more or less inclined to engage in Snoezelen. For the purpose of Snoezelen, we distinguish between two types of PwD. One that likes Snoezelen and one that does not.
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39	39	== PwD who likes Snoezelen ==
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41		-=== Positive effects ===
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43	43	The sensory stimuli produced by the Miro can calm down the PwD when they are distraught. Snoezelen helps with the stimulation of one's mind and encourages PwD to pet the miro to observe a spectrum of LEDs and listen to calming and relaxing sounds.
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45		-=== Negative effects ===
	48	+However, if the PwD has any auditory or visual impairments, then these could alter the experience and the effectiveness of Snoezelen with Miro. In addition, epillepsy, sensitive hearing or similar sensory disorders may cause the PwD to be overwhelmed. As such, the Miro should be able to adapt to each different PwD. Modifications include: changing the volume of sounds, removing (relatively) high-pitched noises and removing visual patterns that may induce epilleptic attacks.
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47		-If the PwD has any auditory or visual impairments, these could alter the experience and the effectiveness of Snoezelen with Miro. In addition, epillepsy, sensitive hearing or similar sensory disorders may cause the PwD to be overwhelmed. As such, the Miro should be able to adapt to each different PwD. Modifications include: changing the volume of sounds, removing (relatively) high-pitched noises and removing visual patterns that may induce epilleptic attacks.
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49	49	== PwD who dislikes Snoezelen ==
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51		-=== Positive effects ===
	53	+Even if the PwD is disinterested initially, they may still have the innate desire to explore the association between touching the Miro and its response. If the PwD decides afterwards that they do not wish to continue Snoezelen, they may still benefit from experiencing a mind stimulating novel activity. Otherwise, they may grow fond of Snoezelen in subsequent sessions.
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53		-Even if the PwD is disinterested initially, they may still have the innate desire to explore the association between touching the Miro and its response. If the PwD then decides that it is not their cup of tea, they were at least suggested a new activity that stimulated their mind. Else, they may become fond of Snoezelen in subsequent sessions.
	55	+PwD who dislikes Snoezelen may experience similar negative effects as the PwD who likes Snoezelen, but the former group will be more perceptive to these effects as it reinforces their already existing disliking for this activity.
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55		-=== Negative effects ===
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57		-Similar to the negative effects for PwD who are into Snoezelen, PwDs may get traumatized when the Miro expresses unexpected behavior or overstimulates them. These effects are augmented when PwD has no inclination for Snoezelen or similar activities at all.
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59	59	== Claim ==
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61		-Whether the PwD likes/dislikes Snoezelen at first seems irrelevant for the outcome that PwD will become either more relaxed at best or not bothered at worst by the Miro at all. In order to justify this claim, the Miro must be programmed to accommodate for sensitivity of each PwD. As failing to do so, may cause long-term trauma or injury for PwD.
	59	+Snoezelen with the MiRo may benefit those who need it. Whether Snoezelen with the MiRo is successful depends on factors such as: inclination of PwD, PwD's first impression (after one session) and customizability. People tend to implicitly reinforce their own biases and may be thrown off by the MiRo's appearance and behavior during Snoezelen. If the aforementioned factors are taken care of, then one can safely claim that PwD will become either more relaxed at best or not bothered at worst by the Miro at all. To emphasize on customizability, it is important to have the Miro programmed to accommodate for sensitivity of each different PwD. As failing to do so, may cause long-term mental trauma or physical injury for PwD. Due to the highly personalized approach in combination with technical limitations, this claim will **not** be evaluated.
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