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Version 13.1 by Doreen Mulder on 2022/03/09 10:41

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Rohan Sobha 3.1 1 = Problem statement and research questions =
Doreen Mulder 6.1 2
Doreen Mulder 5.1 3 People with dementia face challenges that were not present in their life before being affected by their condition. This is also influenced by their living situation, since they may live in care homes or dementia centers. To ensure that people with dementia stay safe, activities are usually lead by a caretaker. However, staff has limited time available to spend with each individual person. Group activities or caretaker-lead activities may affect the feeling of autonomy of the person with dementia. Autonomy is one of the key psychological needs described in self-determination theory, which describes how feeling fulfilled is influenced by how much a person feels in control of their own actions. It is important to the mental well-being of people with dementia to keep a sense of autonomy.
4 With our research, we aim to provide support to Patients with Dementia (PwD) who currently are dependent on their caretakers and significant other to go for walks. This is outlined in more detail in the Objectives section. The presumed baseline is that PwD walk under supervision of their loved ones or caretakers. To reach our objective and support our claims, we would like to put forward the following research question:
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Doreen Mulder 5.1 6 //Does walking with the MiRo increase the perceived autonomy of people with dementia, compared to walking under guidance of a caretaker?//
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Doreen Mulder 13.1 8 To answer this question, we use the following subquestions:
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Doreen Mulder 13.1 10 * Is the MiRo effective in providing guidance to a person with dementia on a predetermined route?
11 * Does the increase in perceived autonomy outweigh the possible delayed help when a person with dementia gets in trouble on their walk?
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Rohan Sobha 3.2 15 = Method =
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Doreen Mulder 6.1 17 To this effect, we would like to invite users to participate in a usability study. In the study, we will assess our research question by dividing the participants into two groups: one with a //caretaker// and one with a //MiRo//. The former group will enact the activity of walking in the current setting and the latter group will do the equivalent with the robot. Afterwards, both groups are assessed by means of Likert-scales to measure the increase.
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20 == Participants ==
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Doreen Mulder 7.1 22 For our study, we would have liked to invite people with dementia to participate. However, user testing with a vulnerable group as this one is difficult seeing the current circumstances with the COVID-19 pandemic.
23 For this reason, we decided to design an experiment to be conducted on our fellow students. Students will be briefed on dementia. Then they take on the role of one of the personas, and roleplay a person with dementia. Through this roleplay, we aim to simulate a study with people with dementia as accurately as possible in the given situation.
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Doreen Mulder 6.1 25 == Experimental design ==
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Rohan Sobha 3.3 27 The first two questions can be answered using a within-subject design in order to be able to measure the //increase// per subject. The learning effect will be mitigated, because the two juxtaposed settings are vastly different. So, there is no advantage for the participant to be subjected to two conditions serially.
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Rohan Sobha 3.4 29 The third question is posed as a exploratory question. There will be no alternative condition. The expression of familiarity will be recorded in the form of audio recording which are to be transcribed afterwards. Naturally, the recordings will be deleted subsequently to comply with GDPR.
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Laura Ottevanger 4.1 31 The last question is also exploratory. Where subjects are divided into groups according to a between-subject design with the purpose of exposing one group to a stationary robot
Rohan Sobha 3.4 32
Doreen Mulder 6.1 33 == Tasks ==
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Doreen Mulder 8.1 35 We break up our experiment into the following tasks:
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Doreen Mulder 9.1 37 * Walking a route
38 * Wandering off during a walk
39 * Falling and alerting a caretaker
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Doreen Mulder 10.1 41 Walking a route
42 The person with dementia will walk a route guided by either a caretaker or by the MiRo.
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44 Wandering off during a walk
45 A person with dementia may become lost in their current surroundings. They might wander off from the predetermined route. Depending on the study group, either the caretaker or the MiRo will guide the person back to the route.
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47 Falling and alerting a caretaker
48 When a person with dementia gets in trouble when walking around, it is very important that they receive immediate attention.
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Doreen Mulder 6.1 50 == Measures ==
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Harmen Kroon 2.1 52 Attentiveness
53 Questionnaire/(semi-structured) Interview (see [[(Neerincx et al., to appear)>>]])
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Doreen Mulder 6.1 55 == Procedure ==
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Laura Ottevanger 4.1 57 There are two different situations that need to be tested.
58 The first situation is walking with the Miro. The PwD is given the MiRo and the bracelet/leash, the MiRo has a pre-programmed route to walk. The PwD is asked to walk with the dog. While they are walking the dog, they are observed, preferably by cameras as to simulate the situation how the MiRo should be used. The emotional state of the PwD is actively monitored by looking at facial expressions. Furthermore, the researchers will actively check how easily the PwD interact with the MiRo to check the familiarity. When the PwD is done walking, some small questions will be asked to check the satisfaction, autonomy and familiarity.
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Laura Ottevanger 4.1 60 The second situation is Snoezelen. The PwD will sit at a table, the MiRo will be put on the table. The researcher will either stay in the room or put up cameras to observe the PwD. The PwD will be encouraged to pet and play with the MiRo. During the Snoezelen, the emotional state of the PwD will be observed. The researchers will also observe how easily the PwD handles the MiRo. After the snoezelen, the PwD will be asked how they felt during the Snoezelen.
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Laura Ottevanger 4.1 62 Functions like when an elderly person falls or when they walk the wrong direction will not forcibly be tested with PwD as this might create a dangerous situation. These functions will be tested in advance with the use of "Dogfeeding". Other people from the development-team will test these functions.
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Doreen Mulder 6.1 64 == Material ==
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Laura Ottevanger 4.1 66 The items necessary for the tests are the following
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Laura Ottevanger 4.1 68 * MiRo + bracelet/leash
69 * Camera to observe
70 * Caretaker in a nearby room in case of emergency
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Doreen Mulder 6.1 72 = Results =
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Doreen Mulder 6.1 76 = Discussion =
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Doreen Mulder 6.1 80 = Conclusions =