Healthcare Robotics Lab

Designing for accessibility

ROLE

REU Researcher

TIMELINE

Jun 2022 - Sep 2022

TEAM

Alyssa Kubota, Ethan Sun, Laurel Riek

Overview

I worked in the Healthcare Robotics Lab under an REU (Research Experience for Undergraduates), contributing to a paper accepted to HRI 2023. The paper explores how robots can support people in identifying and achieving their personal goals throughout a longitudinal health interventional, specifically for People with Mild Cognitive Impairment (PwMCI).

Mild Cognitive Impairment (MCI) - the stage between the cognitive decline of normal aging and dementia.

What did I work on?

With a focus on co-designing and compensatory design, I researched potential design considerations for a robot (e.g. robot behaviors, leading goal setting, showing progress) that can effectively support goal progress and motivation throughout an intervention for PwMCI.

Emphasis during my time at the lab was placed on answering the question:

How can we design with others, not just for others?

After conducting a few pilot studies, we conducted in-person interviews with 5 PwMCI, who were all from a related clinical intervention where they were involved in ME-CCT-MCI (Motivationally Enhanced Compensatory Cognitive Training for Mild Cognitive Impairment). We were maintaining the interventions these users have already received, and are making the assumption these users are already familiar with the intervention.

JEAN KIM

62, Female, PwMCI

Motivations

Things that make that person more motivated to do something, things that make it EASIER for them to achieve their goals

Has MCI and lives with her caretaker who helps around the house
Wants to pick up a new hobby/skill, like crocheting
Wants to become more independent

Goals

What the person wants to accomplish in their daily lives

Become less dependent on her caretaker for small everyday tasks
Hopes to eventually sell her crochet creations and join a crochet social group
Learn to manage her own finances

Remember to take medications on her own

Create grocery lists on her own

Frustrations

Things that make it more difficult for this person to achieve greatness

Forgets the small details of what she needs to do everyday

Her caretaker is the primary person responsible for doing her everyday tasks
Finds it difficult to maintain learning new hobbies

Finds it hard to remember crochet techniques and patterns
Finds it difficult managing finances and remembering which medications to take

Doesn’t know what grocery items to buy (i.e. what is nutritious, what she likes)

BLAKE ANDERSON

68, Male, PwMCI

Motivations

Things that make that person more motivated to do something, things that make it EASIER for them to achieve their goals

Has MCI and doesn't have a consistent caregiver to help him in daily tasks/activities
Wants to treat the MCI with a simple and effective tool

Doesn’t have a caregiver so needs to be able to figure out functionalities by himself
Wants to incorporate the tool into his daily life so he can reach his goals faster

Wants to find a girlfriend

Goals

What the person wants to accomplish in their daily lives

Improve his memory around small details (i.e. times, locations, names, etc.)
Create a meaningful relationship with a partner to share life experiences
• Wants to cook for his girlfriend
Become more confident in himself with improvements in his cognitive abilities

Frustrations

Things that make it more difficult for this person to achieve greatness

Lack of support makes it harder for him to receive consistent training

Feels unmotivated to receive help with no support
Can’t remember recipes so it takes him a long time to cook
• He has to look up the recipe and carefully analyze each step
Doesn't really know where to start in terms of training

During these interviews, I led live sketching sessions - these help us quickly summarize and document user needs and expectations. The sketches are reviewed by the interviewee to verify the sketches are representative of their needs. The drawings allow us to identify concrete designs for setting SMART (Specific, Measurable, Achievable, Relevant, and Time-Bound) goals and increasing user motivation to achieve those goals.

User interview photo
Live sketching session photo

Fig 2. Some examples from my live sketching sessions

These initial interviews allowed us to develop a low-fidelity prototype addressing user needs. We then created a video demonstrating how participants would interact with the prototype, which were shown to 3 of the participants we interviewed prior. Users brought up interactions that stood out to them, what they liked, what they would change, and what would motivate them to work on their goals.

We then did individual rounds of Grounded Theory-Based Analysis (i.e. affinity diagramming), eventually performing a group analysis to narrow down the main themes and sub-themes we found from our interviews.

A hi-fidelity prototype of the robot interactions based on PwMCI’s feedback and design recommendations were later developed by a future team.

Takeaways

+ Focus on designing with users, not just for users.

+ Continue to advocate for accessibility and inclusive design! Accessibility and inclusive design should NOT be left as an afterthought and should already be integrated into the workflow.