User Perception of Automated Dose Dispensed Medicine in Home Care: A Scoping Review

(1) Background: Automated dose dispensing (ADD) systems are today used around the world. The ADD robots are placed in patients’ homes to increase medication safety as well as medication adherence; however, little is known about how ADD robots affect the patient’s day-to-day lives, receiving the daily doses of medicine from a machine rather than from a human healthcare professional. The aim of this study is to review the available literature on users’ perceptions of having an ADD robot and collect evidence on how they perceive having less human contact after implementing this technology in their homes. (2) Methods: References were searched for in Embase and PubMed. Literature investigating ADD robots in primary healthcare was included in this study and literature in a hospital setting was excluded. After screening processes, eleven publications were included in this review. (3) Results: The literature reported high medication adherence when using ADD robots and general satisfaction in terms of user experiences with the acceptability and functionality of ADD. (4) Conclusion: The review is the first focusing on user experience and perceptions regarding ADD robots. General satisfaction was shown towards ADD robots as an intervention, but the review indicates that research is missing on healthcare professionals and patient perceptions on how ADD affects their routines, both in relation to work and daily life

Human centric collaborative workplace: the human robot interaction system perspective

The implementation of smart technologies and physical collaboration with robots in manufacturing can provide competitive advantages in production, performance and quality, as well as improve working conditions for operators. Due to the rapid advancement of smart technologies and robot capabilities, operators face complex task processes, decline in competences due to robots overtaking tasks, and reduced learning opportunities, as the range of tasks that they are asked to perform is narrower. The Industry 5.0 framework introduced, among others, the human-centric workplace, promoting operators wellbeing and use of smart technologies and robots to support them. This new human centric framework enables operators to learn new skills and improve their competencies. However, the need to understand the effects of the workplace changes remain, especially in the case of human robot collaboration, due to the dynamic nature of human robot interaction. A literature review was performed, initially, to map the effects of workplace changes on operators and their capabilities. Operators need to perform tasks in a complex environment in collaboration with robots, receive information from sensors or other means (e.g. through augmented reality glasses) and decide whether to act upon them. Meanwhile, operators need to maintain their productivity and performance. This affects cognitive load and fatigue, which increases safety risks and probability of human-system error. A model for error probability was formulated and tested in collaborative scenarios, which regards the operators as natural systems in the workplace environment, taking into account their condition based on four macro states; behavioural, mental, physical and psychosocial. A scoping review was then performed to investigate the robot design features effects on operators in the human robot interaction system. Here, the outcomes of robot design features effects on operators were mapped and potential guidelines for design purposes were identified. The results of the scoping review showed that, apart from cognitive load, operators perception on robots reliability and their safety, along with comfort can influence team cohesion and quality in the human robot interaction system. From the findings of the reviews, an experimental study was designed with the support of the industrial partner. The main hypothesis was that cognitive load, due to collaboration, is correlated with quality of product, process and human work. In this experimental study, participants had to perform two tasks; a collaborative assembly and a secondary manual assembly. Perceived task complexity and cognitive load were measured through questionnaires, and quality was measured through errors participants made during the experiment. Evaluation results showed that while collaboration had positive influence in performing the tasks, cognitive load increased and the temporal factor was the main reason behind the issues participants faced, as it slowed task management and decision making of participants. Potential solutions were identified that can be applied to industrial settings, such as involving participants/operators in the task and workplace design phase, sufficient training with their robot co-worker to learn the task procedures and implement direct communication methods between operator and robot for efficient collaboration

Ambient Assisted Living: Scoping Review of Artificial Intelligence Models, Domains, Technology, and Concerns

Background: Ambient assisted living (AAL) is a common name for various artificial intelligence (AI)—infused applications and platforms that support their users in need in multiple activities, from health to daily living. These systems use different approaches to learn about their users and make automated decisions, known as AI models, for personalizing their services and increasing outcomes. Given the numerous systems developed and deployed for people with different needs, health conditions, and dispositions toward the technology, it is critical to obtain clear and comprehensive insights concerning AI models used, along with their domains, technology, and concerns, to identify promising directions for future work. Objective: This study aimed to provide a scoping review of the literature on AI models in AAL. In particular, we analyzed specific AI models used in AАL systems, the target domains of the models, the technology using the models, and the major concerns from the end-user perspective. Our goal was to consolidate research on this topic and inform end users, health care professionals and providers, researchers, and practitioners in developing, deploying, and evaluating future intelligent AAL systems. Methods: This study was conducted as a scoping review to identify, analyze, and extract the relevant literature. It used a natural language processing toolkit to retrieve the article corpus for an efficient and comprehensive automated literature search. Relevant articles were then extracted from the corpus and analyzed manually. This review included 5 digital libraries: IEEE, PubMed, Springer, Elsevier, and MDPI. Results: We included a total of 108 articles. The annual distribution of relevant articles showed a growing trend for all categories from January 2010 to July 2022. The AI models mainly used unsupervised and semisupervised approaches. The leading models are deep learning, natural language processing, instance-based learning, and clustering. Activity assistance and recognition were the most common target domains of the models. Ambient sensing, mobile technology, and robotic devices mainly implemented the models. Older adults were the primary beneficiaries, followed by patients and frail persons of various ages. Availability was a top beneficiary concern. Conclusions: This study presents the analytical evidence of AI models in AAL and their domains, technologies, beneficiaries, and concerns. Future research on intelligent AAL should involve health care professionals and caregivers as designers and users, comply with health-related regulations, improve transparency and privacy, integrate with health care technological infrastructure, explain their decisions to the users, and establish evaluation metrics and design guidelines. Trial Registration: PROSPERO (International Prospective Register of Systematic Reviews) CRD42022347590; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022347590This work was part of and supported by GoodBrother, COST Action 19121—Network on Privacy-Aware Audio- and Video-Based Applications for Active and Assisted Living

Evaluating the impact of physical activity apps and wearables: interdisciplinary review

Background: Although many smartphone apps and wearables have been designed to improve physical activity, their rapidly evolving nature and complexity present challenges for evaluating their impact. Traditional methodologies, such as randomized controlled trials (RCTs), can be slow. To keep pace with rapid technological development, evaluations of mobile health technologies must be efficient. Rapid alternative research designs have been proposed, and efficient in-app data collection methods, including in-device sensors and device-generated logs, are available. Along with effectiveness, it is important to measure engagement (ie, users’ interaction and usage behavior) and acceptability (ie, users’ subjective perceptions and experiences) to help explain how and why apps and wearables work. Objectives: This study aimed to (1) explore the extent to which evaluations of physical activity apps and wearables: employ rapid research designs; assess engagement, acceptability, as well as effectiveness; use efficient data collection methods; and (2) describe which dimensions of engagement and acceptability are assessed. Method: An interdisciplinary scoping review using 8 databases from health and computing sciences. Included studies measured physical activity, and evaluated physical activity apps or wearables that provided sensor-based feedback. Results were analyzed using descriptive numerical summaries, chi-square testing, and qualitative thematic analysis. Results: A total of 1829 abstracts were screened, and 858 articles read in full. Of 111 included studies, 61 (55.0%) were published between 2015 and 2017. Most (55.0%, 61/111) were RCTs, and only 2 studies (1.8%) used rapid research designs: 1 single-case design and 1 multiphase optimization strategy. Other research designs included 23 (22.5%) repeated measures designs, 11 (9.9%) nonrandomized group designs, 10 (9.0%) case studies, and 4 (3.6%) observational studies. Less than one-third of the studies (32.0%, 35/111) investigated effectiveness, engagement, and acceptability together. To measure physical activity, most studies (90.1%, 101/111) employed sensors (either in-device [67.6%, 75/111] or external [23.4%, 26/111]). RCTs were more likely to employ external sensors (accelerometers: P=.005). Studies that assessed engagement (52.3%, 58/111) mostly used device-generated logs (91%, 53/58) to measure the frequency, depth, and length of engagement. Studies that assessed acceptability (57.7%, 64/111) most often used questionnaires (64%, 42/64) and/or qualitative methods (53%, 34/64) to explore appreciation, perceived effectiveness and usefulness, satisfaction, intention to continue use, and social acceptability. Some studies (14.4%, 16/111) assessed dimensions more closely related to usability (ie, burden of sensor wear and use, interface complexity, and perceived technical performance). Conclusions: The rapid increase of research into the impact of physical activity apps and wearables means that evaluation guidelines are urgently needed to promote efficiency through the use of rapid research designs, in-device sensors and user-logs to assess effectiveness, engagement, and acceptability. Screening articles was time-consuming because reporting across health and computing sciences lacked standardization. Reporting guidelines are therefore needed to facilitate the synthesis of evidence across disciplines

Assistive Chatbots for healthcare: a succinct review

Artificial Intelligence (AI) for supporting healthcare services has never been more necessitated than by the recent global pandemic. Here, we review the state-of-the-art in AI-enabled Chatbots in healthcare proposed during the last 10 years (2013-2023). The focus on AI-enabled technology is because of its potential for enhancing the quality of human-machine interaction via Chatbots, reducing dependence on human-human interaction and saving man-hours. Our review indicates that there are a handful of (commercial) Chatbots that are being used for patient support, while there are others (non-commercial) that are in the clinical trial phases. However, there is a lack of trust on this technology regarding patient safety and data protection, as well as a lack of wider awareness on its benefits among the healthcare workers and professionals. Also, patients have expressed dissatisfaction with Natural Language Processing (NLP) skills of the Chatbots in comparison to humans. Notwithstanding the recent introduction of ChatGPT that has raised the bar for the NLP technology, this Chatbot cannot be trusted with patient safety and medical ethics without thorough and rigorous checks to serve in the `narrow' domain of assistive healthcare. Our review suggests that to enable deployment and integration of AI-enabled Chatbots in public health services, the need of the hour is: to build technology that is simple and safe to use; to build confidence on the technology among: (a) the medical community by focussed training and development; (b) the patients and wider community through outreach