Exercising with an "Iron Man": Design for a Robot Exercise Coach for Persons with Dementia*

Socially assistive robots are increasingly being designed to interact with humans in various therapeutical scenarios. We believe that one useful scenario is providing exercise coaching for Persons with Dementia (PWD), which involves unique challenges related to memory and communication. We present a design for a robot that can seek to help a PWD to conduct exercises by recognizing their behaviors and providing appropriate feedback, in an online, multimodal, and engaging way. Additionally, following a mid-fidelity prototyping approach, we report on some observations from an exploratory user study using a Baxter robot; although limited by the sample size and our simplified approach, the results suggested the usefulness of the general scenario, and that the degree to which a robot provides feedback–occasional or continuous– could moderate impressions of attentiveness or fun. Some possibilities for future improvement are outlined, touching on richer recognition and behavior generation strategies based on deep learning and haptic feedback, toward informing next designs.

[1]  Sara B. Kiesler,et al.  Cooperation with a robotic assistant , 2002, CHI Extended Abstracts.

[2]  Xin Zhang,et al.  Bilateral Tactile Feedback-Enabled Training for Stroke Survivors Using Microsoft KinectTM , 2019, Sensors.

[3]  C R Kovach,et al.  Sensoristasis and imbalance in persons with dementia. , 2000, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[4]  Kerstin Dautenhahn,et al.  Preferences and perceptions of robot appearance and embodiment in human-robot interaction trials , 2009 .

[5]  M. Matarić,et al.  The use of socially assistive robots in the design of intelligent cognitive therapies for people with dementia , 2009, 2009 IEEE International Conference on Rehabilitation Robotics.

[6]  Thomas Bak,et al.  An adaptive game algorithm for an autonomous, mobile robot - A real world study with elderly users , 2012, 2012 IEEE RO-MAN: The 21st IEEE International Symposium on Robot and Human Interactive Communication.

[7]  Jodi Forlizzi,et al.  Mining behavioral economics to design persuasive technology for healthy choices , 2011, CHI.

[8]  Andrea Lockerd Thomaz,et al.  Tutelage and Collaboration for Humanoid Robots , 2004, Int. J. Humanoid Robotics.

[9]  Mahzar Eisapour,et al.  Participatory Design of a Virtual Reality Exercise for People with Mild Cognitive Impairment , 2018, CHI Extended Abstracts.

[10]  Francisco Martín Rico,et al.  Robots in Therapy for Dementia Patients , 2013 .

[11]  Bilge Mutlu,et al.  The influence of height in robot-mediated communication , 2013, 2013 8th ACM/IEEE International Conference on Human-Robot Interaction (HRI).

[12]  Weihua Sheng,et al.  Cognitive orientation assessment for older adults using social robots , 2017, 2017 IEEE International Conference on Robotics and Biomimetics (ROBIO).

[13]  L. Gustafson,et al.  What is dementia? , 1996, Acta neurologica Scandinavica. Supplementum.

[14]  T. Tamura,et al.  Research for practical use of rehabilitation support equipment for severe dementia , 2002 .

[15]  Marc Hanheide,et al.  Patterns of Use: How Older Adults with Progressed Dementia Interact with a Robot , 2017, HRI.

[16]  Yosuke Matsusaka,et al.  Health exercise demonstration robot TAIZO and effects of using voice command in robot-human collaborative demonstration , 2009, RO-MAN 2009 - The 18th IEEE International Symposium on Robot and Human Interactive Communication.

[17]  Koji Tsukada,et al.  SpeechJammer: A System Utilizing Artificial Speech Disturbance with Delayed Auditory Feedback , 2012, ArXiv.

[18]  Takanori Shibata,et al.  Effects of robot-assisted activity for elderly people and nurses at a day service center , 2004, Proceedings of the IEEE.

[19]  Won Hyuk Chang,et al.  Robot-assisted Therapy in Stroke Rehabilitation , 2013, Journal of stroke.

[20]  M. Fishbein,et al.  Using theory to design effective health behavior interventions. , 2003 .

[21]  Davis E. King,et al.  Dlib-ml: A Machine Learning Toolkit , 2009, J. Mach. Learn. Res..

[22]  Juan Fasola,et al.  A socially assistive robot exercise coach for the elderly , 2013, J. Hum. Robot Interact..

[23]  L. Teri,et al.  Exercise interventions for dementia and cognitive impairment: The Seattle Protocols , 2008, The journal of nutrition, health & aging.

[24]  Calvin Hirsch A 12-month, in-home exercise program delayed functional deterioration in Alzheimer disease , 2013, Annals of Internal Medicine.

[25]  Tereza Soukupová,et al.  Eye-Blink Detection Using Facial Landmarks , 2016 .

[26]  Mihaly Csikszentmihalyi,et al.  Flow: the psychology of happiness , 1992 .

[27]  Mohammad H. Mahoor,et al.  A pilot study on using an intelligent life-like robot as a companion for elderly individuals with dementia and depression , 2017, 2017 IEEE-RAS 17th International Conference on Humanoid Robotics (Humanoids).

[28]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[29]  A. Libin,et al.  Therapeutic robocat for nursing home residents with dementia: Preliminary inquiry , 2004, American journal of Alzheimer's disease and other dementias.

[30]  B. J. Fogg,et al.  A behavior model for persuasive design , 2009, Persuasive '09.

[31]  Rajiv Khosla,et al.  Human Robot Engagement and Acceptability in Residential Aged Care , 2017, Int. J. Hum. Comput. Interact..