Investigating Tactile Displays to Support Anesthesia Providers in the Operating Room

There has been a growing interest in using the tactile modality to offload the often overburdened visual and auditory channels. Although the promise and merit of using the tactile channel has been demonstrated in various work domains, more work is needed to understand perceptual limitations like change blindness. Change blindness refers to the failure in detecting expected visual changes (both small and large) within a scene or on a display when these changes coincide with a visual transient (i.e., a brief disruption in visual continuity). While the majority of work on change blindness has been conducted with vision, there is evidence it affects the tactile modality as well. The goal of this study was to examine how movement and tactile cue complexity affect the ability to detect tactile changes. The findings show that the ability to detect tactile changes is affected by movement as walking resulted in worse change detection rates compared to sitting. The findings also demonstrated that higher complexity cues had worse change detection rates compared to lower complexity cues. Overall, this work adds to the knowledge base of tactile perception and can be applied to multiple work domains such as anesthesiology to inform the design of tactile displays

Tailoring Interaction. Sensing Social Signals with Textiles.

Nonverbal behaviour is an important part of conversation and can reveal much about the nature of an interaction. It includes phenomena ranging from large-scale posture shifts to small scale nods. Capturing these often spontaneous phenomena requires unobtrusive sensing techniques that do not interfere with the interaction. We propose an underexploited sensing modality for sensing nonverbal behaviours: textiles. As a material in close contact with the body, they provide ubiquitous, large surfaces that make them a suitable soft interface. Although the literature on nonverbal communication focuses on upper body movements such as gestures, observations of multi-party, seated conversations suggest that sitting postures, leg and foot movements are also systematically related to patterns of social interaction. This thesis addressees the following questions: Can the textiles surrounding us measure social engagement? Can they tell who is speaking, and who, if anyone, is listening? Furthermore, how should wearable textile sensing systems be designed and what behavioural signals could textiles reveal? To address these questions, we have designed and manufactured bespoke chairs and trousers with integrated textile pressure sensors, that are introduced here. The designs are evaluated in three user studies that produce multi-modal datasets for the exploration of fine-grained interactional signals. Two approaches to using these bespoke textile sensors are explored. First, hand crafted sensor patches in chair covers serve to distinguish speakers and listeners. Second, a pressure sensitive matrix in custom-made smart trousers is developed to detect static sitting postures, dynamic bodily movement, as well as basic conversational states. Statistical analyses, machine learning approaches, and ethnographic methods show that by moni- toring patterns of pressure change alone it is possible to not only classify postures with high accuracy, but also to identify a wide range of behaviours reliably in individuals and groups. These findings es- tablish textiles as a novel, wearable sensing system for applications in social sciences, and contribute towards a better understanding of nonverbal communication, especially the significance of posture shifts when seated. If chairs know who is speaking, if our trousers can capture our social engagement, what role can smart textiles have in the future of human interaction? How can we build new ways to map social ecologies and tailor interactions

Posture Check – Creative Technological Approaches

“Posture Check: Creative Technological Approaches" explores new ways of giving individuals real-time visual feedback on changes in their posture to help them become more aware of their stance. This research follows to create various optical outputs transmitted by a sensor integrated with the wearable device that can regularly analyse an individual’s sitting posture and assist them in improving their sitting habits. The physical prototype is a posture awareness device that detects seating positions. When a person’s posture deteriorates, the device shares the data wirelessly to a nearby computer or phone and provides real-time feedback through digital visualisation prototypes, these visualisations present different methods of notifying people about their changing posture in an unobtrusive way. The prototype result is created through an iterative design and prototyping process, with a final version being examined for its influence on posture

Augmenting communication technologies with non-primary sensory modalities

Humans combine their senses to enhance the world around them. While computers have evolved to reflect these sensory demands, only the primary senses of vision and audition (and to an extent, touch) are used in modern communication. This thesis investigated how additional information, such as emotion and navigational assistance, might be communicated using technology-based implementations of sensory displays that output the non-primary modalities of smell, vibrotactile touch, and thermo-touch. This thesis explored using a portable atomiser sprayer to deliver emotional information via smell to mobile phone users, a ring-shaped device worn on the finger to display emotional information using vibration and colours, and an array of thermoelectric coolers worn on the arm to create temperature sensations. Additionally, this thesis explored two methods of signalling temperature using the thermal implementation, and finally, used it in a controlled study to augment the perceived emotion of text messages using temperature. There were challenges with using some of these implementations to display information. Smells produced with the scent technology were ambiguous and highly cognitive, and poor delivery to the user produced undesirable cross-adaption effects when smells lingered and mixed in the environment. The device used to communicate vibrotactile and colour lighting cues neutralized emotions in text messages. Furthermore, temperature pattern discrimination using the thermal implementation was difficult due to non-linear interaction effects that occurred on the skin’s surface, as well as latency resulting from the thermal neurological pathway and the technology used to heat and cool the skin. However, the thermal implementation enabled more accurate user discrimination between thermal signals than what a single stimulator design provided. Furthermore, the utility of continuous thermal feedback, in the context of spatial navigation, was demonstrated, which improved user performance compared to when the user was not presented with any thermal information. Finally, temperature was demonstrated to elicit arousal reactions across subjects using the thermal implementation, and could augment the arousal of text messages, especially when the content of the message was strongly neutral. However, no similar statistical significance was observed with valence, demonstrating the complex implications of using thermal cues to convey emotional information

From wearable towards epidermal computing : soft wearable devices for rich interaction on the skin

Human skin provides a large, always available, and easy to access real-estate for interaction. Recent advances in new materials, electronics, and human-computer interaction have led to the emergence of electronic devices that reside directly on the user's skin. These conformal devices, referred to as Epidermal Devices, have mechanical properties compatible with human skin: they are very thin, often thinner than human hair; they elastically deform when the body is moving, and stretch with the user's skin. Firstly, this thesis provides a conceptual understanding of Epidermal Devices in the HCI literature. We compare and contrast them with other technical approaches that enable novel on-skin interactions. Then, through a multi-disciplinary analysis of Epidermal Devices, we identify the design goals and challenges that need to be addressed for advancing this emerging research area in HCI. Following this, our fundamental empirical research investigated how epidermal devices of different rigidity levels affect passive and active tactile perception. Generally, a correlation was found between the device rigidity and tactile sensitivity thresholds as well as roughness discrimination ability. Based on these findings, we derive design recommendations for realizing epidermal devices. Secondly, this thesis contributes novel Epidermal Devices that enable rich on-body interaction. SkinMarks contributes to the fabrication and design of novel Epidermal Devices that are highly skin-conformal and enable touch, squeeze, and bend sensing with co-located visual output. These devices can be deployed on highly challenging body locations, enabling novel interaction techniques and expanding the design space of on-body interaction. Multi-Touch Skin enables high-resolution multi-touch input on the body. We present the first non-rectangular and high-resolution multi-touch sensor overlays for use on skin and introduce a design tool that generates such sensors in custom shapes and sizes. Empirical results from two technical evaluations confirm that the sensor achieves a high signal-to-noise ratio on the body under various grounding conditions and has a high spatial accuracy even when subjected to strong deformations. Thirdly, Epidermal Devices are in contact with the skin, they offer opportunities for sensing rich physiological signals from the body. To leverage this unique property, this thesis presents rapid fabrication and computational design techniques for realizing Multi-Modal Epidermal Devices that can measure multiple physiological signals from the human body. Devices fabricated through these techniques can measure ECG (Electrocardiogram), EMG (Electromyogram), and EDA (Electro-Dermal Activity). We also contribute a computational design and optimization method based on underlying human anatomical models to create optimized device designs that provide an optimal trade-off between physiological signal acquisition capability and device size. The graphical tool allows for easily specifying design preferences and to visually analyze the generated designs in real-time, enabling designer-in-the-loop optimization. Experimental results show high quantitative agreement between the prediction of the optimizer and experimentally collected physiological data. Finally, taking a multi-disciplinary perspective, we outline the roadmap for future research in this area by highlighting the next important steps, opportunities, and challenges. Taken together, this thesis contributes towards a holistic understanding of Epidermal Devices}: it provides an empirical and conceptual understanding as well as technical insights through contributions in DIY (Do-It-Yourself), rapid fabrication, and computational design techniques.Die menschliche Haut bietet eine große, stets verfügbare und leicht zugängliche Fläche für Interaktion. Jüngste Fortschritte in den Bereichen Materialwissenschaft, Elektronik und Mensch-Computer-Interaktion (Human-Computer-Interaction, HCI) [so that you can later use the Englisch abbreviation] haben zur Entwicklung elektronischer Geräte geführt, die sich direkt auf der Haut des Benutzers befinden. Diese sogenannten Epidermisgeräte haben mechanische Eigenschaften, die mit der menschlichen Haut kompatibel sind: Sie sind sehr dünn, oft dünner als ein menschliches Haar; sie verformen sich elastisch, wenn sich der Körper bewegt, und dehnen sich mit der Haut des Benutzers. Diese Thesis bietet, erstens, ein konzeptionelles Verständnis von Epidermisgeräten in der HCI-Literatur. Wir vergleichen sie mit anderen technischen Ansätzen, die neuartige Interaktionen auf der Haut ermöglichen. Dann identifizieren wir durch eine multidisziplinäre Analyse von Epidermisgeräten die Designziele und Herausforderungen, die angegangen werden müssen, um diesen aufstrebenden Forschungsbereich voranzubringen. Im Anschluss daran untersuchten wir in unserer empirischen Grundlagenforschung, wie epidermale Geräte unterschiedlicher Steifigkeit die passive und aktive taktile Wahrnehmung beeinflussen. Im Allgemeinen wurde eine Korrelation zwischen der Steifigkeit des Geräts und den taktilen Empfindlichkeitsschwellen sowie der Fähigkeit zur Rauheitsunterscheidung festgestellt. Basierend auf diesen Ergebnissen leiten wir Designempfehlungen für die Realisierung epidermaler Geräte ab. Zweitens trägt diese Thesis zu neuartigen Epidermisgeräten bei, die eine reichhaltige Interaktion am Körper ermöglichen. SkinMarks trägt zur Herstellung und zum Design neuartiger Epidermisgeräte bei, die hochgradig an die Haut angepasst sind und Berührungs-, Quetsch- und Biegesensoren mit gleichzeitiger visueller Ausgabe ermöglichen. Diese Geräte können an sehr schwierigen Körperstellen eingesetzt werden, ermöglichen neuartige Interaktionstechniken und erweitern den Designraum für die Interaktion am Körper. Multi-Touch Skin ermöglicht hochauflösende Multi-Touch-Eingaben am Körper. Wir präsentieren die ersten nicht-rechteckigen und hochauflösenden Multi-Touch-Sensor-Overlays zur Verwendung auf der Haut und stellen ein Design-Tool vor, das solche Sensoren in benutzerdefinierten Formen und Größen erzeugt. Empirische Ergebnisse aus zwei technischen Evaluierungen bestätigen, dass der Sensor auf dem Körper unter verschiedenen Bedingungen ein hohes Signal-Rausch-Verhältnis erreicht und eine hohe räumliche Auflösung aufweist, selbst wenn er starken Verformungen ausgesetzt ist. Drittens, da Epidermisgeräte in Kontakt mit der Haut stehen, bieten sie die Möglichkeit, reichhaltige physiologische Signale des Körpers zu erfassen. Um diese einzigartige Eigenschaft zu nutzen, werden in dieser Arbeit Techniken zur schnellen Herstellung und zum computergestützten Design von multimodalen Epidermisgeräten vorgestellt, die mehrere physiologische Signale des menschlichen Körpers messen können. Die mit diesen Techniken hergestellten Geräte können EKG (Elektrokardiogramm), EMG (Elektromyogramm) und EDA (elektrodermale Aktivität) messen. Darüber hinaus stellen wir eine computergestützte Design- und Optimierungsmethode vor, die auf den zugrunde liegenden anatomischen Modellen des Menschen basiert, um optimierte Gerätedesigns zu erstellen. Diese Designs bieten einen optimalen Kompromiss zwischen der Fähigkeit zur Erfassung physiologischer Signale und der Größe des Geräts. Das grafische Tool ermöglicht die einfache Festlegung von Designpräferenzen und die visuelle Analyse der generierten Designs in Echtzeit, was eine Optimierung durch den Designer im laufenden Betrieb ermöglicht. Experimentelle Ergebnisse zeigen eine hohe quantitative Übereinstimmung zwischen den Vorhersagen des Optimierers und den experimentell erfassten physiologischen Daten. Schließlich skizzieren wir aus einer multidisziplinären Perspektive einen Fahrplan für zukünftige Forschung in diesem Bereich, indem wir die nächsten wichtigen Schritte, Möglichkeiten und Herausforderungen hervorheben. Insgesamt trägt diese Arbeit zu einem ganzheitlichen Verständnis von Epidermisgeräten bei: Sie liefert ein empirisches und konzeptionelles Verständnis sowie technische Einblicke durch Beiträge zu DIY (Do-It-Yourself), schneller Fertigung und computergestützten Entwurfstechniken