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Fischl, C., Lindelöf, N., Lindgren, H. & Nilsson, I. (2020). Older adults’ perceptions of contexts surrounding their social participation in a digitalized society: an exploration in rural communities in Northern Sweden. European Journal of Ageing
Open this publication in new window or tab >>Older adults’ perceptions of contexts surrounding their social participation in a digitalized society: an exploration in rural communities in Northern Sweden
2020 (English)In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380Article in journal (Refereed) Epub ahead of print
Abstract [en]

Social participation and digital engagement can contribute to health and well-being among older adultsBecause of older adults’ decline in abilities, coupled withcomplex technology and its perceived insufficient relevance to daily life, there is a need to create and tailor social opportunities and services that are supported by digital technologies for older adults to continue participating in society. Thus, it becomes relevant to explore older adults’ perceptions about contexts surrounding their social participation in a digital society. This exploration used a qualitative research design with focus group interviews and qualitative content analysis. Eighteen older adults, aged 66-81 years, from rural communities in Northern Sweden, participated in this study. The analysis resulted in three categories: Experiencing conditions for social participation in a state of flux, Perceiving drawbacks of urbanization on social participation, Welcoming digital technology that facilitates daily and community living.These categories were encapsulated in the theme –The juxtaposition of narrowing offline social networks and expanding digital opportunities for social participation. The findings suggested that co-creating usable digitalized services and facilitating satisfactory use of digital technologies could support older adults’ social participation through activities that they find relevant in their lives, and subsequently, might enable them to live longer at home.

Place, publisher, year, edition, pages
Springer, 2020
Keywords
Computer, Digital technology, Information and communication technology, Internet, Older people, Social activities
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:umu:diva-168409 (URN)10.1007/s10433-020-00558-7 (DOI)000516042500002 ()
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-2143European Regional Development Fund (ERDF)
Available from: 2020-02-24 Created: 2020-02-24 Last updated: 2020-04-07
Fischl, C., Blusi, M., Lindgren, H. & Nilsson, I. (2020). Tailoring to support digital technology-mediated occupational engagement for older adults - a multiple case study. Scandinavian Journal of Occupational Therapy
Open this publication in new window or tab >>Tailoring to support digital technology-mediated occupational engagement for older adults - a multiple case study
2020 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: With the evolution of contemporary occupations mediated by digital technologies (DTs), there is a need for occupational therapists to develop and structure knowledge on how to support older adults’ engagement in occupations and social participation in a digitalised society.

Objective: The objective of this study is to explore how tailoring to support older adults’ engagement in DT-mediated occupations could be schematised.

Material and methods: The study employed a multiple case study methodology. There were nine cases, with each case involving an older adult undergoing a collaborative process to support engagement in DT-mediated occupations. The collaborative process was initiated through questionnaires, observations, and dialogues. Meetings and tailoring strategies were documented in fieldnotes and memos on tailoring, respectively. Semi-structured interviews concluded data collection. Cross-case synthesis was used in data analysis.

Results: The result is a proposed scheme for tailoring to support older adults’ engagement in digital technology-mediated occupations, wherein strategies undertaken in the collaborative processes were synthesised and described.

Conclusion and significance: The proposed scheme for tailoring could contribute to occupational therapists’ knowledge on how to support older adults’ engagement in contemporary occupations. Testing the model in various practice settings is recommended in order to enhance occupational therapy practice.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Approach, computer, digital competence, digital literacy, information and communication technology, internet, intervention, occupational therapy, occupational therapy informatics
National Category
Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-169581 (URN)10.1080/11038128.2020.1760347 (DOI)000533735800001 ()32396419 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-2143
Note

Originally included in thesis in manuscript form. 

Available from: 2020-04-07 Created: 2020-04-07 Last updated: 2020-06-03
Guerrero, E., Lu, M.-H., Yueh, H.-P. & Lindgren, H. (2019). Designing and evaluating an intelligent augmented reality system for assisting older adults’ medication management. Cognitive Systems Research, 58, 278-291
Open this publication in new window or tab >>Designing and evaluating an intelligent augmented reality system for assisting older adults’ medication management
2019 (English)In: Cognitive Systems Research, ISSN 2214-4366, E-ISSN 1389-0417, Vol. 58, p. 278-291Article in journal (Refereed) Published
Abstract [en]

Intelligent Assistive Systems (IASs) provide personalised support to individuals to increase their autonomy and competence in performing activities. The personalisation of such technology represents a particular challenge, for the individuals abilities typically change over time. The aim of this research was to explore a theory-based, activity-centred framework for the development of IASs that both facilitate the active involvement of caregivers and target users and allow for adaptation to the individual over time.

Medication management was focused on as a case study. Three older adults and two caregivers were involved in a co-design process of an IAS prototype system, the MED-AR, which uses projection-based augmented reality as the user interface technology. The theoretical framework for the design and evaluation of the MED-AR was activity theory. For the decision-making process of the MED-AR, formal argumentation theory was used. The major contributions of the study are (i) a formal framework for understanding the level of independence in activities and the way an IAS can tailor support to an individual and a situation, including caregivers; and (ii) a model for involving older adults and caregivers in a co-design process in the first phases of developing IASs.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Intelligent assistive technology, Augmented reality, Medication distribution, Activity theory, Argumentation theory, Participatory design, Older adults
National Category
Human Computer Interaction
Identifiers
urn:nbn:se:umu:diva-163279 (URN)10.1016/j.cogsys.2019.07.001 (DOI)000488236400024 ()2-s2.0-85070058842 (Scopus ID)
Available from: 2019-09-12 Created: 2019-09-12 Last updated: 2019-10-25Bibliographically approved
Kampik, T., Nieves, J. C. & Lindgren, H. (2019). Empathic autonomous agents (6ed.). In: Danny Weyns, Viviana Mascardi and Alessandro Ricci (Ed.), Engineering multi-agent systems: 6th international workshop, EMAS 2018, Stockholm, Sweden, July 14-15, 2018, revised selected papers (pp. 181-201). Cham: Springer
Open this publication in new window or tab >>Empathic autonomous agents
2019 (English)In: Engineering multi-agent systems: 6th international workshop, EMAS 2018, Stockholm, Sweden, July 14-15, 2018, revised selected papers / [ed] Danny Weyns, Viviana Mascardi and Alessandro Ricci, Cham: Springer, 2019, 6, p. 181-201Chapter in book (Refereed)
Abstract [en]

Identifying and resolving conflicts of interests is a key challenge when designing autonomous agents. For example, such conflicts often occur when complex information systems interact persuasively with humans and are in the future likely to arise in non-human agent-to-agent interaction. We introduce a theoretical framework for an empathic autonomous agent that proactively identifies potential conflicts of interests in interactions with other agents (and humans) by considering their utility functions and comparing them with its own preferences using a system of shared values to find a solution all agents consider acceptable. To illustrate how empathic autonomous agents work, we provide running examples and a simple prototype implementation in a general-purpose programing language. To give a high-level overview of our work, we propose a reasoning-loop architecture for our empathic agent.

Place, publisher, year, edition, pages
Cham: Springer, 2019 Edition: 6
Series
Lecture Notes in Artificial Intelligence
Keywords
Multi-agent systems, Utility theory, Conflicts of interests
National Category
Computer Sciences
Research subject
Computer Science
Identifiers
urn:nbn:se:umu:diva-161633 (URN)10.1007/978-3-030-25693-7_10 (DOI)978-3-030-25693-7 (ISBN)978-3-030-25692-0 (ISBN)
Funder
Wallenberg AI, Autonomous Systems and Software Program (WASP)
Available from: 2019-07-16 Created: 2019-07-16 Last updated: 2019-08-19Bibliographically approved
Kampik, T., Nieves, J. C. & Lindgren, H. (2019). Explaining Sympathetic Actions of Rational Agents. In: Calvaresi, Davide, Najjar, Amro, Schumacher, Michael och Främling, Kary (Ed.), Explainable, Transparent Autonomous Agents and Multi-Agent Systems: First International Workshop, EXTRAAMAS 2019, Montreal, QC, Canada, May 13–14, 2019, Revised Selected Papers. Paper presented at First International Workshop on Explainable, Transparent Autonomous Agents and Multi-Agent Systems (EXTRAAMAS 2019) (pp. 59-76). Cham: Springer
Open this publication in new window or tab >>Explaining Sympathetic Actions of Rational Agents
2019 (English)In: Explainable, Transparent Autonomous Agents and Multi-Agent Systems: First International Workshop, EXTRAAMAS 2019, Montreal, QC, Canada, May 13–14, 2019, Revised Selected Papers / [ed] Calvaresi, Davide, Najjar, Amro, Schumacher, Michael och Främling, Kary, Cham: Springer, 2019, p. 59-76Conference paper, Published paper (Refereed)
Abstract [en]

Typically, humans do not act purely rationally in the sense of classic economic theory. Different patterns of human actions have been identified that are not aligned with the traditional view of human actors as rational agents that act to maximize their own utility function. For instance, humans often act sympathetically -- i.e., they choose actions that serve others in disregard of their egoistic preferences. Even if there is no immediate benefit resulting from a sympathetic action, it can be beneficial for the executing individual in the long run. This paper builds upon the premise that it can be beneficial to design autonomous agents that employ sympathetic actions in a similar manner as humans do. We create a taxonomy of sympathetic actions, that reflects different goal types an agent can have to act sympathetically. To ensure that the sympathetic actions are recognized as such, we propose different explanation approaches autonomous agents may use. In this context, we focus on human-agent interaction scenarios. As a first step towards an empirical evaluation, we conduct a preliminary human-robot interaction study that investigates the effect of explanations of (somewhat) sympathetic robot actions on the human participants of human-robot ultimatum games. While the study does not provide statistically significant findings (but notable differences), it can inform future in-depth empirical evaluations.

Place, publisher, year, edition, pages
Cham: Springer, 2019
Series
Lecture Notes in Artificial Intelligence ; 11763
Keywords
Explainable artificial intelligence, Game theory, Human-robot interaction
National Category
Computer Sciences
Research subject
Computer Science
Identifiers
urn:nbn:se:umu:diva-166639 (URN)10.1007/978-3-030-30391-4_4 (DOI)978-3-030-30391-4 (ISBN)
Conference
First International Workshop on Explainable, Transparent Autonomous Agents and Multi-Agent Systems (EXTRAAMAS 2019)
Funder
Wallenberg AI, Autonomous Systems and Software Program (WASP)
Available from: 2019-12-19 Created: 2019-12-19 Last updated: 2019-12-30Bibliographically approved
Pettersson, B., Wiklund, M., Janols, R., Lindgren, H., Lundin-Olsson, L., Skelton, D. A. & Sandlund, M. (2019). "Managing pieces of a personal puzzle': Older people's experiences of self-management falls prevention exercise guided by a digital program or a booklet. BMC Geriatrics, 19, Article ID 43.
Open this publication in new window or tab >>"Managing pieces of a personal puzzle': Older people's experiences of self-management falls prevention exercise guided by a digital program or a booklet
Show others...
2019 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 19, article id 43Article in journal (Refereed) Published
Abstract [en]

Background: Exercise is effective in order to prevent falls in community-dwelling older people. Self-management programs have the potential to increase access and reduce costs related to exercise-based fall prevention. However, information regarding older people's views of participating in such programs is needed to support implementation. The aim of this study was to explore older people's experiences of a self-management fall prevention exercise routine guided either by a digital program (web-based or mobile) or a paper booklet.

Methods: This qualitative study was part of a feasibility study exploring two completely self-managed exercise interventions in which the participants tailored their own program, guided either by a digital program or a paper booklet. Individual face-to-face semi-structured interviews were conducted with a purposeful sample of 28 participants (18 women), mean age 76yrs. Qualitative content analysis was used to analyse the data.

Results: Self-managing and self-tailoring these exercise programs was experienced as Managing pieces of a personal puzzle'. To independently being able to create a program and manage exercise was described in the categories Finding my own level' and Programming it into my life'. The participants experienced the flexibility and independence provided by completely self-managed exercise as positive and constructive although it required discipline. Furthermore, different needs and preferences when managing their exercise were described, as well as varying sources of motivation for doing the exercise, as highlighted in the category Defining my source of motivation'. The category Evolving my acquired knowledge' captures the participants' views of building their competence and strategies for maintenance of the exercise. It describes a combined process of learning the program and developing reflection, which was more clearly articulated by participants using the digital program.

Conclusions: This study provides new knowledge regarding experiences, preferences and motivations of older people to engage in home-based self-managed fall prevention exercise. They expressed both a capability and willingness to independently manage their exercise. A digital program seems to have strengthened the feeling of support while creating their own exercise program and tailoring it to their preferences and circumstances, which might therefore create better opportunities for adoption and adherence in the long term.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Accidental falls, Aged, Exercise, Qualitative research, eHealth, Digital health, Self-management, Falls prevention, Intervention, Behaviour change
National Category
Geriatrics Nursing
Identifiers
urn:nbn:se:umu:diva-157209 (URN)10.1186/s12877-019-1063-9 (DOI)000459122200003 ()30777026 (PubMedID)
Available from: 2019-03-26 Created: 2019-03-26 Last updated: 2019-03-26Bibliographically approved
Jingar, M. & Lindgren, H. (2019). Tangible Communication of Emotions with a Digital Companion for Managing Stress: An Exploratory Co-Design Study. In: HAI ´19: Proceedings of the 7th International Conference on Human-Agent Interaction. Paper presented at HAI 2019 - 7th International Conference on Human-Agent Interaction, Kyoto, Japan, October 6-10, 2019 (pp. 28-36). ACM Digital Library
Open this publication in new window or tab >>Tangible Communication of Emotions with a Digital Companion for Managing Stress: An Exploratory Co-Design Study
2019 (English)In: HAI ´19: Proceedings of the 7th International Conference on Human-Agent Interaction, ACM Digital Library, 2019, , p. 9p. 28-36Conference paper, Published paper (Refereed)
Abstract [en]

The purpose of this research is to explore how an intelligent digital companion (agent) can support persons (human) with stress-related exhaustion to manage daily activities. In this paper, we explore in particular how information about a person's emotions can be communicated to the agent with means of non-verbal communication through tangible interfaces. The purpose is to explore how different individuals approach the task of designing their own tangible interfaces for communicating emotions with a digital companion, and the range of different preferences and expectations. Six participants were interviewed and created tangible prototypes during a co-creation workshop. The data was analysed using theories about human emotions and activity, and translated into a generic user model, an architecture for a multiagent system and interface design proposals. The results include increased understanding of how different individuals would like to express their emotions with tangible interfaces, and informed the design of the information models regarding representing emotions. The study illuminated the importance of personalisation of functionality and interface design to address the diversity among individuals, as well as the design of the adaptive behaviour of a digital companion. Future work includes further studies involving additional participants, the development of the stress management application and conducting user studies where prototypes are used in daily activities.

Place, publisher, year, edition, pages
ACM Digital Library, 2019. p. 9
Keywords
Tangible user interface, Personalisation, Intelligent digital companion, Intelligent agent, Stress management, User modeling, Nonverbal interaction, Emotion, Co-design, Participatory action research, Human-agent interaction
National Category
Interaction Technologies
Identifiers
urn:nbn:se:umu:diva-166414 (URN)10.1145/3349537.3351907 (DOI)978-1-4503-6922-0 (ISBN)
Conference
HAI 2019 - 7th International Conference on Human-Agent Interaction, Kyoto, Japan, October 6-10, 2019
Available from: 2019-12-16 Created: 2019-12-16 Last updated: 2019-12-18Bibliographically approved
Yan, C. & Lindgren, H. (2018). A Generic Approach for Data Management and End-User Development of Clinical Decision Support Systems. Umeå universitet
Open this publication in new window or tab >>A Generic Approach for Data Management and End-User Development of Clinical Decision Support Systems
2018 (English)Report (Other academic)
Abstract [en]

The main purposes of clinical decision-support systems (CDSS) are disseminating evidence-based medical knowledge (EBM), supporting a continued medical education, and improving clinical decision making and care. These purposes are traditionally achieved by using solutions that are relatively transparent and explainable to the end user. However, the development and maintenance of such solutions is resource demanding. Currently, there are four challenges existing in CDSSs when adapting to new circumstances. That is, when facing new knowledge, new diseases, different organizations and users with different skills, usually one needs to update the existing CDSS or develop a new CDSS, which requires lots of time and efforts. Hence, this paper aims for reusing an existing CDSS code by virtue of inputs from authorized medical domain expert users, and with minimal requirement of knowledge and software engineers. To facilitate knowledge elicitation and end-user development, an ACKTUS-based architecture for CDSS development and management is presented that contains: I) A knowledge base and a content management system built on Semantic Web technology to achieve modularity, reusability, customisation, and the possibility to allow medical experts to model the medical knowledge and to structure the information that builds up the design of the user interface; II) A user interface and an graphical user interface generator that automatically generates the user interface whenever the user logs in, so that the interface is synchronised with updates of the knowledge base; III) An inference engine that utilizes patient-specific data and applies various rules in the knowledge base to conduct the reasoning and decision making. These modules can be reused when adapting to new situations. A CDSS for dementia diagnosis is developed and used as an example in the presentation of the generic architecture. A pilot study of the CDSS is presented involving four medical professionals with different levels of expertise. The results show how the generic approach allows for easy knowledge representation and management of EBM, supports a continued medical education and may improve clinical decision making and care provision.

Place, publisher, year, edition, pages
Umeå universitet, 2018. p. 25
Series
Report / UMINF, ISSN 0348-0542 ; 18.08
Keywords
CDSS, Data Management, Knowledge Acquisition, Ontology, Semantic Web
National Category
Information Systems Human Computer Interaction
Identifiers
urn:nbn:se:umu:diva-150968 (URN)
Available from: 2018-08-21 Created: 2018-08-21 Last updated: 2018-08-21Bibliographically approved
Guerrero, E., Nieves, J. C., Sandlund, M. & Lindgren, H. (2018). Activity qualifiers using an argument-based construction. Knowledge and Information Systems, 54(3), 633-658
Open this publication in new window or tab >>Activity qualifiers using an argument-based construction
2018 (English)In: Knowledge and Information Systems, ISSN 0219-1377, E-ISSN 0219-3116, Vol. 54, no 3, p. 633-658Article in journal (Refereed) Published
Abstract [en]

Based on an argumentation theory approach, we present a novel method for evaluating complex goal-based activities by generalizing a notion of qualifier defined in the health domain. Three instances of the general qualifier are proposed: Performance, Actuation and Capacity; the first one evaluates what a person does, the second how an individual follows an action plan, and the third one how "well" or "bad" an activity is executed. Qualifiers are intended to be used by autonomous systems for evaluating human activity. We exemplify our approach using a health domain assessment protocol. Main results of this test show a partial correlation between ambiguities assessed by experts and our argument-based approach; and a multi-dimensional perspective how an activity is executed when a combined evaluation of qualifiers is used. This last outcome was interesting for some therapists consulted. Results also show differences between values of qualifiers using different argumentation semantics; two scenarios were proposed by therapist for using different semantics: preliminary activity screening and time-span follow-up evaluation.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Human activity, Argumentation theory, Logic programming, Performance Capacity, Activity evaluation
National Category
Computer Sciences
Research subject
Computer Science
Identifiers
urn:nbn:se:umu:diva-141040 (URN)10.1007/s10115-017-1112-7 (DOI)000425010800006 ()
Available from: 2017-10-23 Created: 2017-10-23 Last updated: 2018-06-09Bibliographically approved
Lindgren, H., Lu, M.-H., Hong, Y. & Yan, C. (2018). Applying the zone of proximal development when evaluating clinical decision support systems: a case study. In: Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen (Ed.), Building continents of knowledge in oceans of data: The future of co-created eHealth (pp. 131-135). IOS Press, 247
Open this publication in new window or tab >>Applying the zone of proximal development when evaluating clinical decision support systems: a case study
2018 (English)In: Building continents of knowledge in oceans of data: The future of co-created eHealth / [ed] Adrien Ugon, Daniel Karlsson, Gunnar O. Klein, Anne Moen, IOS Press, 2018, Vol. 247, p. 131-135Chapter in book (Refereed)
Abstract [en]

The goal to facilitate a continuing medical education can be incorporated in the design of a clinical decision-support system. Developing a method for evaluating knowledge and skill development as part of evaluating the system is the aim for the research presented in this paper. The activity supported by the system was analyzed using Activity theory and structured into a protocol. Four clinicians were studied using the system for the first time, and their activity were assessed using the concept of Zone of Proximal Development. Initial results show how the system was used for clinician with different level of skills, and provide implications for further development of the methodology and the system.

Place, publisher, year, edition, pages
IOS Press, 2018
Series
Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365 ; 247
Keywords
Activity theory, Clinical decision-support system, Continuing medical education, Dementia, Evaluation, Zone of proximal development
National Category
Human Computer Interaction
Research subject
människa-datorinteraktion; medical informatics
Identifiers
urn:nbn:se:umu:diva-146892 (URN)10.3233/978-1-61499-852-5-131 (DOI)29677937 (PubMedID)978-1-61499-851-8 (ISBN)978-1-61499-852-5 (ISBN)
Available from: 2018-04-23 Created: 2018-04-23 Last updated: 2018-06-09Bibliographically approved
Projects
Managing stress and cognition in stress-related disorders: A digital coach for a sustainable life [2017-02356_Vinnova]; Umeå University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8430-4241

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