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    <article-meta>
      <title-group>
        <article-title>CogniWin: An Integrated Framework to Support Older Adults at Work</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>David Portugal CITARD Services Ltd.</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
          <xref ref-type="aff" rid="aff4">4</xref>
          <xref ref-type="aff" rid="aff5">5</xref>
          <xref ref-type="aff" rid="aff6">6</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Christoph Glauser ArgYou AG</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
          <xref ref-type="aff" rid="aff4">4</xref>
          <xref ref-type="aff" rid="aff5">5</xref>
          <xref ref-type="aff" rid="aff6">6</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>CCS Concepts</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
          <xref ref-type="aff" rid="aff4">4</xref>
          <xref ref-type="aff" rid="aff5">5</xref>
          <xref ref-type="aff" rid="aff6">6</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Eleni Christodoulou CITARD Services Ltd. and University of Geneva</institution>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>George Samaras University of Cyprus and CITARD Services Ltd</institution>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>João Quintas Pedro Nunes Institute</institution>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Marios Belk University of Cyprus and CITARD Services Ltd</institution>
        </aff>
        <aff id="aff4">
          <label>4</label>
          <institution>Mehdi Snene, Dimitri Konstantas University of Geneva</institution>
        </aff>
        <aff id="aff5">
          <label>5</label>
          <institution>Sten Hanke, Markus Müllner-Rieder Austrian Institute of Technology</institution>
        </aff>
        <aff id="aff6">
          <label>6</label>
          <institution>Human-centered Computing ➝ Human Interaction (HCI) ➝ Interactive Systems and Tools</institution>
        </aff>
      </contrib-group>
      <abstract>
        <p>Assisting older adults at work is of critical importance in nowadays fast-emerging computerized environments. Therefore, it is paramount to provide support to mitigate age-related cognitive degradation and to relieve their fear towards technological changes. In this demo paper, we present CogniWin, an integrated framework for providing personalized support to older adults at work, which aims to achieve the above goals and to make them feel more positive in prolonging their stay at work. We present an overall description of the system components and the integration architecture, and highlight the benefits of using the system.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Assisted Living</kwd>
        <kwd>Adaptive Interactive System</kwd>
        <kwd>Eye-tracker</kwd>
        <kwd>Computer Mouse</kwd>
        <kwd>Older Adults</kwd>
      </kwd-group>
    </article-meta>
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  <body>
    <sec id="sec-1">
      <title>1. INTRODUCTION</title>
      <p>
        Many older adults have bright expectations for an active future
and would like to continue managing their work in an office as a
paid activity. However, seniors working in highly computerized
environments are often required to learn new capabilities and
acquire new knowledge, and to adapt their working way to fast
emerging, new or upgraded software systems and methods. This
requirement, combined with eventual age-related cognitive
degradations (e.g., limited working memory capacity) makes them
feel mentally stressed or tired to stay longer active at their work,
limits their self-confidence and decreases their productivity.
In this realm, both the research community and the industry have
come to understand the critical importance of assisting older
adults in nowadays fast-emerging technological working
environments. A number of research works exist that aim to
support older adults and motivate them to stay for longer active
and productive [
        <xref ref-type="bibr" rid="ref1 ref2">1, 2</xref>
        ].
      </p>
      <p>In this demo paper, we present an integrated framework, named
CogniWin, which provides personalized support to overcome
eventual age-related memory degradation and gradual decrease of
other cognitive capabilities, and at the same time assists users to
increase their learning abilities. Thus, it enables them to cope
better with software application changes in their organizations.
The system implements an innovative cognitive-based user model,
embracing various cognitive characteristics of the older adults.
Moreover, it provides to older adults personalized tips in order to
avoid unwanted age-related health situations at their work via a
well-being advisor that assesses measurements provided by an
intelligent computer mouse and an eye tracking device, and
considers adult’s personal health-related characteristics stored in
the system to infer potential negative trends in well-being at work.</p>
    </sec>
    <sec id="sec-2">
      <title>2. COGNIWIN – COGNITIVE SUPPORT</title>
    </sec>
    <sec id="sec-3">
      <title>FOR OLDER ADULTS AT WORK</title>
      <p>
        CogniWin is an integrated framework that blends different
technologies to assist the seamless workflow and learning process
of older adults in computerized working environments, and at the
same time provide well-being guidance (cf. Figure 1). In a
nutshell, CogniWin continuously monitors various user
interaction and physiological parameters through an in-house
developed computer mouse, an off-the-shelf eye tracking device
and a task analysis recorder for contextualizing the users’
interactions. Accordingly, the data from various sources is fused
and analyzed in real-time, assisting older adults during unpleasant
situations (e.g., when feeling stressed, frustrated, etc.) and when
facing task completion difficulty [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. CogniWin entails four
primary services:




      </p>
      <p>Advanced Monitoring: based on an intelligent mouse (cf.
Figure 2) and an eye tracking device, CogniWin measures
physiological and visual parameters using sensors that
enable the extraction of user states and behaviors;
Learning Assistant: provides personalized tips
(audiovisual) based on the users’ cognitive characteristics aiding
them to achieve goals and improve performance;
Well-being Advisor: provides personalized well-being
advice to prevent unwanted age-related health situations
effectively, preserving and improving their well-being status
in the work environment;
Working Memory Support: anticipates the next task or
subtask (e.g., moving the mouse pointer to the concerned
graphical area) in order to reduce cognitive overload during
computerized activities where working memory is highly
solicited.</p>
    </sec>
    <sec id="sec-4">
      <title>3. DESCRIPTION OF THE SYSTEM</title>
      <p>
        The system architecture is composed at the lower level by: i) an
Intelligent Computer Mouse (CogniMouse [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]); ii) an Eye
Tracking system; and iii) a Knowledge Repository. At this level,
the system collects anonymously user data from the
humaninterface devices while working with the system, and retrieves
relevant data stored in the Knowledge Repository such as a priori
health profiles and specific user capabilities. The intelligent
computer mouse embeds sensors to measure skin conductivity,
grip force, heart rate, temperature, and inertial measurements
which are further analyzed aiming to detect user hesitation,
frustration and stressful events. The Eye Tracker provides eye
gaze point, blinking rate, fixation and saccades rate, and velocity
as first level parameters which are further processed to get
information about vigilance, hesitation, drowsiness and other
health and cognitive-related parameters.
      </p>
      <p>The above information is then fed to the components in the
middle-layer level, namely: i) a Contextual Recorder; ii) a Data
Fusion component; and iii) a Behavior Analysis component. The
Contextual Recorder is responsible to log the user's keyboard and
mouse events, and identify which task, process or services the
user is running so as to determine the context according to the
actions performed. The Data Fusion component combines, filters
and synchronizes the outcomes of the lower level modules
(CogniMouse and Eye Tracker), and delivers it to the Behavior
Analysis module. Also leveraging prior health, personal and
cognitive characteristics of the specific user and contextual data,
different user behaviors are recognized in real-time in the
Behavior Analysis component by means of advanced probabilistic
reasoning algorithms.</p>
      <p>Finally, at a higher level stand the user interface components,
which include: i) a Personal Learning Assistant; and ii) a
Wellbeing Advisor. In one hand, the role of the Personal Learning
Assistant is mainly to assist the user in computerized tasks when
facing difficulties, or at user request. It also provides useful
suggestions and helpful tips to provide adaptive support according
to the user preferences in order to reduce anxiety or stress. On the
other hand, the Well-being Advisor is triggered when unexpected
behavior is detected and provides intervention to prevent
unwanted age-related health situations resulting from user’s
uncomfortable symptoms. Examples of interventions include
promoting work breaks or stress reducing exercises at specific
times to recreate the user’s productivity.</p>
      <p>An integrated data model considers relevant historical, contextual,
sensorial and fused data and incorporates the knowledge
repository, and the user’s preferences. Furthermore, in terms of
system integration, it follows a decoupled architecture. This
allows for components to be implemented using different
programming languages, being gracefully integrated via a
distributed messaging broker, which enables asynchronous
communication between the different components.</p>
      <p>At its current stage, CogniWin runs on any personal computer (cf.
Figure 3) endowed with Microsoft Windows 7, 8 or 10, and the
system is capable of identifying and reacting to the following user
behaviors when performing a task: normal state, hesitation,
drowsiness, vigilance, fatigue, cognitive overload, stress or
anxiety, and frustration.</p>
    </sec>
    <sec id="sec-5">
      <title>4. CONCLUSION AND FUTURE WORK</title>
      <p>
        The behaviors recognized by the system are continuously under
validation, e.g. as seen in [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ], where results revealed links
between mouse triggering states of user hesitation and user task
completion difficulty. Moreover, two pilot trials at two different
end-user institutions have been performed during the project’s
lifecycle. In general, feedback from employees via user
questionnaires and think-aloud protocols has been very positive
regarding the system functionality. They appreciate CogniWin,
found it useful (System Usability Scale of 68.3) and felt confident
working with the devices, as they did not feel any embarrassment
due to sensors’ usage. Nevertheless, the framework is still not
finalized and we foresee additional upcoming work. In particular,
we intend to improve the timing of advices, enhance the interfaces
according to user’s feedback, display the user’s well-being status
so they can monitor their own health parameters, and integrate
more precise assistance and training to the user by displaying
suitable videos, pictures and text.
      </p>
    </sec>
    <sec id="sec-6">
      <title>5. ACKNOWLEDGMENTS</title>
      <p>This work was partially carried out in the frame of the CogniWin
project (http://www.cogniwin.eu), funded by the EU AAL Joint
Program (AAL 2013-6-114).</p>
    </sec>
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  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>
          [1]
          <string-name>
            <given-names>R.</given-names>
            <surname>Leung</surname>
          </string-name>
          ,
          <string-name>
            <given-names>L.</given-names>
            <surname>Findlater</surname>
          </string-name>
          ,
          <string-name>
            <surname>J. McGrenere</surname>
          </string-name>
          ,
          <string-name>
            <given-names>P.</given-names>
            <surname>Graf</surname>
          </string-name>
          ,
          <string-name>
            <given-names>J.</given-names>
            <surname>Yang</surname>
          </string-name>
          .
          <year>2010</year>
          .
          <article-title>Multi-layered interfaces to improve older adults' initial learnability of mobile applications</article-title>
          .
          <source>ACM Trans. Access. Comput. 3</source>
          ,
          <issue>1</issue>
          , Article 1, 30 p.
        </mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          [2]
          <string-name>
            <given-names>S.</given-names>
            <surname>Lindsay</surname>
          </string-name>
          ,
          <string-name>
            <given-names>D</given-names>
            .
            <surname>Jackson</surname>
          </string-name>
          ,
          <string-name>
            <surname>G</surname>
          </string-name>
          . Schofield,
          <string-name>
            <given-names>P.</given-names>
            <surname>Olivier</surname>
          </string-name>
          .
          <year>2012</year>
          .
          <article-title>Engaging older people using participatory design</article-title>
          .
          <source>In Proc. of ACM CHI '12</source>
          ,
          <fpage>1199</fpage>
          -
          <lpage>1208</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref3">
        <mixed-citation>
          [3]
          <string-name>
            <given-names>S.</given-names>
            <surname>Hanke</surname>
          </string-name>
          ,
          <string-name>
            <given-names>H.</given-names>
            <surname>Meinedo</surname>
          </string-name>
          ,
          <string-name>
            <given-names>D.</given-names>
            <surname>Portugal</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M.</given-names>
            <surname>Belk</surname>
          </string-name>
          ,
          <string-name>
            <given-names>J.</given-names>
            <surname>Quintas</surname>
          </string-name>
          , E. Christodoulou,
          <string-name>
            <given-names>M.</given-names>
            <surname>Sili</surname>
          </string-name>
          ,
          <string-name>
            <given-names>M. S.</given-names>
            <surname>Dias</surname>
          </string-name>
          ,
          <string-name>
            <given-names>G.</given-names>
            <surname>Samaras</surname>
          </string-name>
          .
          <year>2015</year>
          .
          <article-title>CogniWin - A virtual assistance system for older adults at work</article-title>
          .
          <source>In Proc. of HCII '15</source>
          ,
          <fpage>257</fpage>
          -
          <lpage>268</lpage>
          .
        </mixed-citation>
      </ref>
      <ref id="ref4">
        <mixed-citation>
          [4]
          <string-name>
            <given-names>M.</given-names>
            <surname>Belk</surname>
          </string-name>
          ,
          <string-name>
            <given-names>D.</given-names>
            <surname>Portugal</surname>
          </string-name>
          , E. Christodoulou, and
          <string-name>
            <given-names>G.</given-names>
            <surname>Samaras</surname>
          </string-name>
          .
          <year>2015</year>
          .
          <article-title>Cognimouse: on detecting users' task completion difficulty through computer mouse interaction</article-title>
          .
          <source>In Proc. of ACM CHI EA '15</source>
          ,
          <fpage>1019</fpage>
          -
          <lpage>102</lpage>
          .
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>