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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Towards micro-groupware: Supporting Small Group Activities Around Assistive Technology</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Bruno A. Chagas</string-name>
          <email>bchagas@inf.puc-rio.br</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Hugo Fuks</string-name>
          <email>hugo@inf.puc-rio.br</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Clarisse S. de Souza</string-name>
          <email>clarisse@inf.puc-rio.br</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Departamento de Informática - Pontifícia Universidade Católica do Rio (PUC-Rio) R. Marquês de São Vicente</institution>
          ,
          <addr-line>225, Gávea - 22453-900 - Rio de Janeiro - RJ -</addr-line>
          <country country="BR">Brazil</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2015</year>
      </pub-date>
      <fpage>65</fpage>
      <lpage>71</lpage>
      <abstract>
        <p>Assistive technology (AT) aims at compensating for motor, sensory or cognitive functional limitations of its users. Severely disabled users typically need to rely on family and caregivers to setup and manage the technology they need to use on a daily basis. We propose a conceptual blueprint for an assistive technology micro-groupware platform for users with severe motor limitations. Stakeholders can address the definition of roles and forms of participation for a small group of people with situation-dependent configuration tasks at different levels and dimensions.</p>
      </abstract>
      <kwd-group>
        <kwd>Assistive Technology</kwd>
        <kwd>Configuration</kwd>
        <kwd>Groupware</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>Related work</title>
      <p>
        AT configuration. We are currently investigating the territory of AT configuration
needs and opportunities to support the design of this kind of technology. One of the
reasons AT is hard to design, produce and be used is the variability of kinds and degrees
of disabilities and individual characteristics among users (physical, psychological,
cultural, and environmental, etc.). Even when we look at a single type of disability, there
is a great variability in the levels of limitations (a continuum between “some difficulty”
and “cannot in any way”), causes (genetics, accidents, aging) and personal
characteristics (physical, such as height and weight, their social and psychological condition, etc.).
This has been referred to as a “universe-of-one” problem, where a solution for one
person will rarely work for another [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. These variations in users’ unique skills and needs
constitute a challenge not only for the design process, but also for the subsequent
adoption and continuous use. Potentially, HCI-accessibility literature suggests that to
improve the design, production and adoption this variability can be addressed by means
of configurations. Lewis [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] has pointed out at configurability needs and some aspects
of design in the domain of cognitive disabilities. Kane et al. make recommendations for
increasing configurability in the design of mobile accessible devices for users with
motor impairments [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. Carrington, et al. explores different design configurations –
wearables and “chairables” – for improved mobile devices accessibility to wheelchair users
[
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]. Recently, Malu &amp; Findlater stated that a personalized wearable approach offers one
promising direction for providing mobile computing access to users with upper body
motor impairments [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. However, what this configurability is and how it can be
achieved is far from clear.
      </p>
      <p>
        In a related work, we studied implicit and explicit configuration needs and
opportunities of AT configuration suggesting that we must address both hardware and software
configuration, some to be done by the end user, some by assistants [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]. As a result from
our study, we propose three dimensions with which to organize the AT configuration
problem space: the psycho-social dimension, concerning the different form and
behaviors that are desired in different situations; the carrier dimension, concerning the means
by which a configuration can be done and the substratum (hardware, software or hybrid)
where it will reside; and finally, the persistence dimension, concerning how long a
configuration will last. In this paper, we want to explore how multiple persons around the
technology do these configurations, and how we can support this process.
      </p>
      <p>
        Cultures of participation. Cultures of participation promotes systems in which
everybody is provided with the means to participate and to contribute actively in personally
meaningful problems. Cultures of participation strive to increase social creativity, put
domain professionals in charge of exploring ill-defined problems, and make owners of
problems independent of high-tech scribes [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. In the AT domain, accessing and
addressing these variations in users’ unique skills and needs requires an intimate
knowledge of the client that, usually, close relatives and caregivers are in the best
position to provide [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. Each user is a unique domain and the group of people around him
or her are the real domain experts. Some research include their requirements in the
design process of AT (such as [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]). Medicine 2.0 [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] proposes a series of promising
Proc. of Third International Workshop on Cultures of Participation in the Digital Age - CoPDA 2015
Madrid (Spain), May 26th, 2015 (published at http://ceur-ws.org).
      </p>
      <p>Copyright © 2014 for the individual papers by the papers' authors. Copying permitted for private and academic purposes.
This volume is published and copyrighted by its editors.</p>
      <p>applications that leverage socio-technical systems to support personalized needs in the
healthcare domain, but how to support all users’ needs and participation in such a
context needs further investigation.</p>
      <p>
        Collaboration. Kintsch &amp; DePaula propose a framework for the adoption of AT
which identifies the following participants in the adoption process: the users, those
involved with the user on a daily bases (caregivers), designers and assistive technology
experts. Each of these parties must bring certain attributes to the process in order for
adoption to occur. Together, a complex and often difficult collaborative process of
designing, selecting, personalizing, learning and integrating must be accomplished [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ].
We are concerned here with the collaborative process where many configuration
activities take place.
      </p>
      <p>
        The design and deployment of configurable AT systems was investigated by
Carmien &amp; Fischer applying the meta-design framework in systems for helping people with
cognitive disabilities [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ]. They proposed, designed and evaluated a system called
“Memory Aiding Prompting System” (MAPS) to support people with cognitive
disabilities to accomplish activities of daily living (ADLs), such as cooking, housework, or
shopping, which can be difficult for them because of their memory or reasoning
limitations. They say a unique challenge in this domain is that the end-users themselves
cannot act as designers because of their disability; the caregivers must perform the role
of “end-user developers”. MAPS was based on End-User Development (EUD) and was
divided into two parts: one for the caregivers, in which they create multimedia scripts
to support their patients with particular tasks; another to be used by their patients, which
presented them the pre-programmed multimedia scripts with a step-by-step guide to
accomplish some task.
      </p>
      <p>
        A different approach in a different domain has been researched by Bigham &amp; Ladner
who propose a collaborative scripting framework that web users, web developers and
web researchers can use to improve collaboratively web accessibility for blind users
[
        <xref ref-type="bibr" rid="ref13">13</xref>
        ]. They called it “Accessmonkey” because it was derived from Greasemonkey, a
popular EUD extension for the Firefox web browser. Usually, blind web users access
the web using screen readers, but these present a web experience destituted of the rich
visual structure of modern web sites (because of problems in the web sites’ HTML
codes and/or dynamic web content.) Using Accessmonkey, web users and developers
on different platforms can collaboratively adapt web content according to user needs,
which usually depends on the screen readers’ specific features and are not available to
the developers when coding and testing web pages. Later, Bigham, et al. proposed a
technology they called “Accessibility by demonstration” [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ] that enables end-users to
guide developers to correct web accessibility problems by retroactively recording the
real accessibility problems they face at the time they experience them. In this approach,
the users are in charge for defining and requesting the changes that they need (actually,
corrections in this case) in their context and during use time, even though they will not
be the ones who will code the system changes.
      </p>
      <p>Both works suggest a common requirement in the AT domain: usually, some
collaboration will take place around the technology being proposed or used to the benefit of
a main user – the disabled one. However, how does this collaborative process happens
Proc. of Third International Workshop on Cultures of Participation in the Digital Age - CoPDA 2015
Madrid (Spain), May 26th, 2015 (published at http://ceur-ws.org).</p>
      <p>Copyright © 2014 for the individual papers by the papers' authors. Copying permitted for private and academic purposes.
This volume is published and copyrighted by its editors.</p>
      <p>and how to support it is usually considered apart from the AT itself, or not considered
at all.
3</p>
    </sec>
    <sec id="sec-2">
      <title>Research approach</title>
      <p>
        We are currently working with a single tetraplegic participant who is male, 33 years
old and injured due to an accident he suffered more than ten years ago. We are
conducting an action research in a typical spiral of plan-act-observe-reflect cycles [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ],
applying a mix of ethnographic, participatory design, meta-design, prototyping and
evaluation techniques. Firstly, we observe him in his home and real situations of life,
which has lead us to an AT proposal that we have implemented and deployed as the
outcome of our first “act” step.
      </p>
      <p>
        The platform is described elsewhere [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] as well as our first evaluation scenario and
results. It aims to support him for interacting with multiple devices in smart connected
environments and has three main components. The first is a wearable – an electronic
cap – to detect body movements and simulate a mouse. The demo cap can be plugged
to a maximum of four exchangeable switches to handle clicks. It communicates
wirelessly with mobile phones via Bluetooth. The second is a dock station for mobile phones
– in our case, Android – to control other equipment. The dock controls a lamp, a TV set
and a wireless dual connection headset (switching between phone and computer).
Finally, the third one is a mobile phone – an Android device. It connects with the dock
station via USB. The phone is equipped with an app that controls each device
individually and keeps native Android system features.
4
      </p>
      <p>Micro-meta-groupware</p>
      <p>Even though we are currently working with a single tetraplegic user, our research
had to deal with much more than one person from the very beginning: as a severely
impaired user, he depends on his caregivers and family members to support him in most
of the things he wants or needs to do, including the interaction with any surrounding
devices. He usually counts on one professional nurse who takes daily care of him during
the day and family members who can occasionally support him out of this period. His
condition enforces a situation where he needs assistance for performing all physical
manipulation on the objects around him, that includes common tasks like moving
himself and moving things around, preparing to a specific work, study or leisure activity,
turning on a computer or any other device and changing their setup. This also holds to
those devices that are assisting him – that is, the AT devices as is the case of the
platform prototype. The immediate consequence of that is that even though the AT targets
a (disabled) main user, many other people with different roles, functions and
responsibilities will interact with it in order to fulfill the main user daily needs. In such context,
AT is a component of a collaborative system. This will be true in most cases where the
end-user depends on other person’s help due to his or her functional limitation, which
is true especially when dealing with severe cases, where the degree of assistance needed
by the end-user is presumably higher.
Proc. of Third International Workshop on Cultures of Participation in the Digital Age - CoPDA 2015
Madrid (Spain), May 26th, 2015 (published at http://ceur-ws.org).</p>
      <p>Copyright © 2014 for the individual papers by the papers' authors. Copying permitted for private and academic purposes.
This volume is published and copyrighted by its editors.</p>
      <p>Micro groupware. If a single disabled user can be seen as a “universe-of-one”
problem, all the people around him or her represent a “micro universe” which include him
or her at the center. This group of people is small and cohesive: relationships are highly
based on confidence and trust, including the professional relationships, developed over
time and on which depends, most of all, the survival of the main user. Somehow,
everybody inside the group seems to be very conscientious about it, in a positive and not
deluded way. We can identify seven different profiles involved in this collaborative
interaction:
1. The main user, the disabled subject to be supported;
2. Family members, who are emotionally (in “good” and “bad” ways) involved and
concerned with his welfare;
3. Caregivers, both formal, such as professionals nurses, and informal ones, such as
home employees;
4. People with similar needs, such as others tetraplegic friends, with whom he can talk
about problems and concerns at a deeper level of empathy and mutual understanding;
5. Friends and colleagues, who occasionally and unwittingly become helpers and
supporters in daily social situations such us group meetings and group work;
6. Therapists and doctors, whose opinions from the clinical and medical perspectives
poses a distinct level of importance; and
7. Technical specialists who may have knowledge of tools and facilitate many decision
making processes regarding technology, such us the developers/specialized
manufacturers, retailers and assistive tools service suppliers.</p>
      <p>Each person is a potential user, many times unwittingly, and brings certain
requirements to the process of configuring AT, and to the design thereof. But more than that,
each person is potentially a designer too that can input changes that shapes the system,
each one having different motivations and levels of engagement, generating changes
and change requests to be addressed with different levels of priorities.</p>
      <p>Meta groupware. The collaboration process will take place around the assistive
technology, but it is also a collaboration about the technology itself, since there would not
be any collaboration if there were not an AT to configure. It puts such AT in a position
where it is, at the same time, the target and the support of a collaborative system. The
former because it triggers a series of new activities that simply will not exist without it
being there, such as wearing, fitting and adjusting a wearable device, like the electronic
cap. The later because any configuration can only happen in features previously
provided by the technology itself, like its hardware and software adjustments. Once that is
understood, we may think about how to better support these activities. For example,
this would include the appropriate mechanisms for allowing individuals inside the
group to be able to configure different parts of the AT, both locally and remotely (from
one’s personal mobile phone or a web system, for example). At the same time, the main
user must have the appropriate means to be in control for allowing and disallowing
individuals’ actions, asking for changes and blocking undesired interventions in the
system. Finally, some of the configurations may change the system in more significant
ways (e.g. a new software release or upgrade by the manufacturer), implying significant
Proc. of Third International Workshop on Cultures of Participation in the Digital Age - CoPDA 2015
Madrid (Spain), May 26th, 2015 (published at http://ceur-ws.org).</p>
      <p>Copyright © 2014 for the individual papers by the papers' authors. Copying permitted for private and academic purposes.
This volume is published and copyrighted by its editors.</p>
      <p>changes not only to the main user, but also to the other individuals in the group that will
have to deal with new demands to learn the new system features at some level.</p>
      <p>
        Groupware systems are already known to be evolutionary because the composition
and the characteristics of workgroups change with time, as well as the tasks that need
to be executed [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ]. Cultures of participation may support this evolution appropriately
because it promotes that “the real” domain experts engage in the design, adoption, and
adaptation of technologies to their needs and in collaborative knowledge construction.
However, issues of collaboration and participation overload can appear and be harmful
in such a context. For example, equipment may break or malfunction and dependence
may appear between group members because of the technology. To avoid undesired
configurations, main users must have the appropriate means to manage the group, while
other participants must be able to manage their desired level of engagement. The former
will have to manage the group permissions and access to information in order to ensure
the equipment usability and his own safety. The later will have to deal with equipment
details (either by professional, personal or social reasons) he or she is not able or not
willing to learn and though must be able to select the desired level of participation.
5
      </p>
    </sec>
    <sec id="sec-3">
      <title>Conclusion and future work</title>
      <p>In this paper, we present an initial conceptual scheme of an assistive technology
groupware platform for users with severe motor limitations. The AT platform is under
continuous design and evaluation in an action research process with a single tetraplegic
participant and the people around him. Our first evaluation raised collaboration as an
important aspect to be considered that we now start to investigate by means of this
proposed framework. Our framework takes into account that such a technology
demands and promotes a collaborative process around and about its configuration.
Cultures of participation put domain professionals in charge of exploring the technological
solutions that may work better for them independently of high-tech scribes. In our
research, we are investigating how it can be done in such a way that: (1) the system
effectively and safely support the main user in his final goals and needs; and (2), the
system support the participation of all stakeholders at the desired level of engagement.
Our contribution is to propose a conceptual structure of a collaborative system around
and about itself, which we call micro-meta-groupware. Such scheme hasn’t been
proposed to date and we believe it can be a starting point for the incorporation of
collaborative features into the design and deployment of AT systems and devices. We plan to
implement and evaluate this framework into a concrete instance of groupware platform
in subsequent research cycles to check for its applicability and validity.</p>
    </sec>
    <sec id="sec-4">
      <title>Acknowledgements</title>
      <p>The authors thank the volunteers that participated in this study, as well as CNPq and
FAPERJ for supporting them with research grants and scholarships.
Proc. of Third International Workshop on Cultures of Participation in the Digital Age - CoPDA 2015
Madrid (Spain), May 26th, 2015 (published at http://ceur-ws.org).</p>
      <p>Copyright © 2014 for the individual papers by the papers' authors. Copying permitted for private and academic purposes.
This volume is published and copyrighted by its editors.</p>
    </sec>
  </body>
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