Enhancing prompt perception in dementia: a comparative study of mixed reality cue modalities

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dc.contributor.authorDesai, Shital
dc.contributor.authorMutsuddi, Rupsha
dc.contributor.authorAstell, Arlene J
dc.date.accessioned2025-01-10T20:01:37Z
dc.date.available2025-01-10T20:01:37Z
dc.date.issued2024-08-09
dc.description.abstractIntroduction: Dementia impacts millions worldwide and is challenging individuals' ability to engage in daily activities. Active living is crucial in mitigating dementia's neurodegenerative effects, yet people with dementia often struggle to initiate and complete tasks independently. Technologies offer promising solutions to engage people with dementia in activities of active living and improving their quality of life through prompting and cueing. It is anticipated that developments in sensor and wearable technologies will result in mixed reality technology becoming more accessible in everyday homes, making them more deployable. The possibility of mixed reality technologies to be programmed for different applications, and to adapt them to different levels of impairments, behaviours and contexts, will make them more scalable. Objective: The study aimed to develop a better understanding of modalities of prompts that people with dementia perceive successfully and correctly in mixed reality environments. It investigated interactions of people with dementia with different types of visual (graphics, animation, etc.) and sound (human voice, tones, etc.) prompts in mixed reality technologies. Methods: We used the Research through Design (RtD) method in this study. This paper describes the findings from the user research carried out in the study. We conducted observation studies with twenty-two people with dementia playing games on off-the-shelf mixed reality technologies, including both Augmented Reality (HoloLens, ArKit on iPhone) and Augmented Virtuality (Xbox Kinect and Osmo) technologies. The interactions with the technologies during the gameplay were video recorded for thematic analysis in Noldus Observer XT (version 16.0) for successful and correct perception of prompts. Results: A comparison of the probability estimates of correct perception of the prompts by people with dementia suggests that human voice, graphic symbols and text are the most prominently perceived modalities of prompts. Feedback prompts for every action performed by people with dementia on the technology are critical for successful perception and should always be provided in the design. Conclusion: The study has resulted in recommendations and guidelines for designers to design prompts for people with dementia in mixed-reality environments. The work lays the foundation for considering mixed reality technologies as assistive tools for people with dementia, fostering discussions on their accessibility and inclusive design in technology development.
dc.description.sponsorshipNatural Sciences and Engineering Research Council (NSERC) - funding reference number RGPIN-2021-0361) Community partners—Alzheimers Society of Durham, Ontario Shores Centre for Mental Health and Sciences and Memoryand Company for supporting the project through therecruitment of participants and providing a space forconducting the study
dc.format.mediumElectronic-eCollection
dc.identifier.issn2624-9367
dc.identifier.urihttps://doi.org/10.3389/fspor.2024.1419263
dc.identifier.urihttps://hdl.handle.net/10315/42600
dc.language.isoen
dc.publisherFrontiers
dc.rightsAttribution 4.0 Internationalen
dc.rights.publisherCC BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHealth services and systems
dc.subjectHealth sciences
dc.subjectBioengineering
dc.subjectNeurodegenerative
dc.subjectMinority health
dc.subjectNeurosciences
dc.subjectBrain disorders
dc.subjectAcquired cognitive impairment
dc.subjectDementia
dc.subjectAging
dc.subjectHealth disparities
dc.subjectClinical research
dc.subjectIndividual care needs
dc.subjectCues
dc.subjectPrompts
dc.subjectInteraction modality
dc.subjectDementia
dc.subjectActive living
dc.subjectPerception and action
dc.subjectMixed reality technology
dc.subjectGerontology
dc.symplectic.journalFrontiers in Sports and Active Living
dc.symplectic.pagination1419263-
dc.symplectic.subtypeJournal article
dc.symplectic.volume6
dc.titleEnhancing prompt perception in dementia: a comparative study of mixed reality cue modalities
dc.typeArticle

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