Changes for page Claims

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Author

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1		-XWiki.Tim_Huisman2
	1	+XWiki.rsobha

Content

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	1	+As mentioned in [[Functions.WebHome]], there are two functions. For each described function, a claim can be formed about the positives as well as the negative effects of implementing each function.
1	1
	3	+Key terms: Patient with Dementia (PwD)
2	2
3		-As mentioned in [[Functions.WebHome]], there are two functions. However, due to the scope of the course, we will focus on the first function: Walking with the MiRo. Due to the scope of this project and the limitations of the MiRo, we will not evaluate Snoezelen as our second function. It is however described within the context of claims to demonstrate how Snoezelen with a future MiRo may affect different persons with dementia.
	5	+= Walking with Miro =
4	4
5		-Key terms: Person with Dementia (PwD)
	7	+== PwD who likes dogs ==
6	6
7		-For the both functions, we will outline the positive as well as the negative effects for each persona and their interaction on the storyboard. Finally, we will construct a claim from these effects.
	9	+=== Positive effects ===
8	8
9		-= Walking with the MiRo =
	11	+PwDs are in a gloomy state of mind and have the desire to go for a walk.
10	10
11		-== Effects on Personas ==
	13	+=== Negative effects ===
12	12
13		-=== Cornelia (PwD who likes dogs) ===
	15	+PwDs are either happier or grumpier after having walked with the Miro.
14	14
15		-After walking with the MiRo, Cornelia will feel happier as she was able to rekindle some nostalgic memories she obtained when walking with the former dog she used to own. In addition, her mood will increase as she managed to do some exercise. Cornelia's introvertedness and independence make her reluctant to bother her loved ones or caretakers to go on a walk with her. As such she is relieved that the MiRo allows her to regain some of her former autonomy she used to enjoy.
	17	+== PwD who dislikes dogs or who refuses to be led by a dog ==
16	16
17		-That being said, she may grow fond of walking with the MiRo and exert her own body by walking more than she can handle at her age. Moreover, the MiRo might not be able to assist her immediately if Cornelia gets injured herself by walking into obstacles or tripping over the MiRo.
	19	+=== Positive effects ===
18	18
19		-=== Constantijn (PwD who dislikes dogs) ===
20	20
21		-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.
22	22
23		-=== Marcus (PwD who's indifferent about dogs) ===
	23	+=== Negative effects ===
24	24
25		-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.
	25	+== PwD who has fallen on the floor ==
26	26
27		-== Importance of Autonomy ==
	27	+=== Positive effects ===
28	28
29		-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.
	29	+=== Negative effects ===
30	30
31		-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 to ensure that they are involved and understand.
32	32
33		-== Claim ==
	32	+== PwD who is socially inclined and talkative ==
34	34
35		-Given positive and negative effects of walking with WAF, 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.
	34	+=== Positive effects ===
36	36
37		-Therefore, we claim the following:
38		-1. A PwD experiences an increase in perceived autonomy compared to walking with a caretaker.
39		-1. A PwD feels increased freedom to take breaks and to interact in a social context during a walk with WAF in comparison with a caretaker.
40		-1. WAF can grab the attention of a PwD when needed and with minimal annoyance
41		-1. A PwD experiences minimal hindrance of WAF in terms of proximity and walking speed
	36	+=== Negative effects ===
42	42
43		-Claim 1 shows the focus of research is on overall support of patients in and possibly outside of our activity. Furthermore we have other claims that support this.
44		-Claim 2 is based on WAF lowering the bar to engage in activities on a person's own volition. Especially in the context of PwDs that have an increased feeling of being a burden to their caretakers. The dementia and age induced hindrances are partially alleviated with the guidance of either a caretaker or WAF. The induced dependence is intrinsically felt less for a robot than another human.
45		-Our third and fourth claims are based on the particularities of MiRo being a doglike robot which specify a set of expectations somewhere in between dog behaviour and complex robot behaviour.
46		-Through its expressive means, WAF can notify a user of the system. Movements of the ears, head, tail, eyes and body indicate attention and direction, but more direct cues such as light, sound and even vibration all aid in guiding the PwD back on track.
47		-Where an actual dog would be able to adjust its movement to the dog owner during a walk, WAF needs to be able to tell when the MiRo should be closer to the PwD and when it can be further away.
48		-These last two claims are based on our design that strikes a balance of typical doglike behaviour and an intelligent and guiding robot companion.
	38	+= Snoezelen with Miro =
49	49
50		-In order to support the claims, we will experimentally verify whether the MiRo can provide effective guidance on a pre-determined route and that the regained autonomy outweighs delayed assistance from human caretakers in case PwD find themselves in trouble during their walk. Our experimental setup is mentioned under: [[Test.WebHome]]
51		-
52		-= Snoezelen with MiRo =
53		-
54		-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.
55		-
56	56	== PwD who likes Snoezelen ==
57	57
58		-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.
	42	+=== Positive effects ===
59	59
60		-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.
	44	+=== Negative effects ===
61	61
62		-
63	63	== PwD who dislikes Snoezelen ==
64	64
65		-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.
	48	+=== Positive effects ===
66	66
67		-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.
	50	+=== Negative effects ===
68	68
69		-== Claim ==
70	70
71		-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.
72		-