=Paper= {{Paper |id=Vol-2338/paper2 |storemode=property |title=ADELE: Care and Companionship for Independent Aging |pdfUrl=https://ceur-ws.org/Vol-2338/paper2.pdf |volume=Vol-2338 |authors=Brendan Spillane,Emer Gilmartin,Christian Saam,Benjamin R. Cowan,Vincent Wade |dblpUrl=https://dblp.org/rec/conf/atal/SpillaneGSCW18 }} ==ADELE: Care and Companionship for Independent Aging== https://ceur-ws.org/Vol-2338/paper2.pdf
           ADELE: Care and Companionship for Independent Aging
              Brendan Spillane                                          Emer Gilmartin
                ADAPT Centre                                             ADAPT Centre
            Trinity College Dublin                                   Trinity College Dublin
    brendan.spillane@adaptcentre.ie                                   gilmare@tcd.ie

        Christian Saam                 Benjamin R. Cowan                           Vincent Wade
         ADAPT Centre                 University College Dublin                    ADAPT Centre
     Trinity College Dublin         benjamin.cowan@ucd.ie                      Trinity College Dublin
     saamc@cs.tcd.ie                                                         vwade@adaptcentre.ie

                     Abstract                               talk (Allen et al., 2000), and initial prototypes con-
                                                            centrated on practical tasks such as travel book-
    Dialogue system technology offers inter-                ings or logistics (Walker et al., 2001; Allen et al.,
    esting prospects for services to seniors liv-           1995). Implementation of artificial task-based di-
    ing independently. A spoken or text dialog              alogues is facilitated by a number of factors. In
    system can support services such as moni-               these tasks, the lexical content of utterances drives
    toring medication adherence, fall preven-               successful completion of the task, conversation
    tion and reporting, exercise and wellbe-                length is governed by task-completion, and par-
    ing coaching, entertainment, companion-                 ticipants are aware of the goals of the interac-
    ship and the maintenance of social net-                 tion. Such dialogues have been modelled as fi-
    works. Such systems would amalgamate                    nite state and later slot-based systems, first using
    several different types of conversation                 hand-written rules and later depending on data-
    or speech-exchange systems, from well-                  driven stochastic methods to decide the next ac-
    defined tasks to engaging talk. Knowl-                  tion. Task-based systems have proven invaluable
    edge of how these types of talk function                in many practical domains. However, the cre-
    is essential to system design. The ADELE                ation of social companion application for health-
    project aims to build an agent, ADELE,                  care or senior use entails the ability to wrap nec-
    which can provide a range of services to                essary tasks and recommendations in a matrix of
    seniors. Below, we outline plans for the                social conversation. Although the aim of such
    system and describe challenges we antici-               agents is often described as conversational social
    pate in implementing the system.                        companions, the ability for dialog systems to chat
                                                            realistically lags their success in task based dia-
1   Introduction                                            logue. Below, we describe a typical use case for
Spoken and text-based dialogue technology is the            our proposed system, ADELE. ADELE will be ca-
focus of increasing interest in the domains of geri-        pable of monitoring medication, providing well-
atric care and coaching. These domains present              ness advice and positive motivation, monitoring
interesting challenges, as they rely not only on            exercise and daily habits, storing and prompting
the formulaic instrumental exchanges used in task-          general reminders, and engaging in companion-
based systems, but also on an ability to per-               able, social dialogue. We then outline relevant cur-
form human-like casual and social talk. Instru-             rent approaches in dialogue systems and identify
mental or task-based conversation is the medium             key challenges for companionable social talk, and
for practical activities such as service encounters         highlight the challenges of supporting social talk
(shops, doctor’s appointments), information trans-          interaction. We outline early progress on ADELE,
fer (lectures), or planning and execution of busi-          and describe future work.
ness (meetings). A large proportion of daily talk
                                                            2   ADELE Use Case
does not seem to contribute to a clear short-term
task, but builds and maintains social bonds, and            The overall research goal of the ADELE project is
is described as ‘interactional’, social, or casual          to explore the use of personalisation in improving
conversation. Early dialogue system researchers             the efficacy of a digital companion that can com-
recognised the complexity of dealing with social            municate through informal, yet informed social di-



                                                       18
alogue, on a variety of topics of interest to a user        care domain. Below, we briefly overview some
over a prolonged time scale. A key point for the            existing systems.
development of ADELE is that social spoken di-
alogue requires knowledge of the user to inform             3       Current Elder Care Systems and
topic, style, and timing of conversation. This will                 Applications
be achieved by adapting the system persona and              Academic work on companion applications and
interaction based on the user’s interests and pro-          agents for the elderly is well established, and sev-
file to manage how and when the interactions oc-            eral commercial products have come to market.
cur, their content, and the means by which they are         The work of Bickmore’s Relational Agents Group,
conveyed to the user to aid in comfortable, spoken          which includes several applications of hybrid so-
delivery. The following is an example use case              cial and task-based dialogue, is especially perti-
scenario between a future iteration of ADELE and            nent to the ADELE project. Their Senior Exercise
Emma, a 77 year old woman.                                  Agent uses dialogue to encourage users to do more
    ADELE: ”Emma, the next episode of that med-             exercise, with moderate success with health liter-
ical TV show you like should be on soon.”                   ate adults (Bickmore et al., 2013). Their Virtual
  Emma: ”Oh great, I’ll check it out.”                      Nurse system takes patients through the transition
                                                            from in-patient to discharge and aftercare through
   ADELE: ”In the meantime, you have time to do
                                                            a dialogue. Users liked the system more than hu-
your blood pressure daily check. I can then add
                                                            man doctors and nurses, citing the unrushed qual-
the results to your file.”
                                                            ity of interaction with the agent, and the possibility
  Emma: ”Fine, let me just get the blood pressure           of re-checking every step without embarrassment.
monitor.”                                                   The group have also created agents which explain
   ADELE: ”Your son Mark will also be here to-              health documentation and provide counselling on
morrow morning at 10 to collect you for your doc-           a range of topics. Their early work on REA, a vir-
tors appointment.”                                          tual estate agent which combined property view-
                                                            ing tasks with social talk, provided foundation re-
   Emma: ”Oh great, I’d forgotten about that. It’s
                                                            search for hybrid task/social systems (Bickmore
his birthday next Thursday - can you remind me of
                                                            and Cassell, 2001). The Serroga system is an ex-
that?”
                                                            ample of a non-speaking robot companion for do-
   ADELE: ”Ok, would you like me to remind you              mestic health care assistance which assists senior
to give him a call on the day?”                             users in tasks from their day to day schedule and
  Emma: ”Thanks ADELE, that would be great!”                health care (Gross et al., 2015). The system em-
                                                            phasises social-emotional functions; in user trials
   This interaction contains many elements which            participants accepted the non-speaking robot as a
demonstrate what an everyday conversation en-               real social companion or relational agent. This
tails, with topics flowing naturally. ADELE would           was largely due to the successful establishment of
use the time between the reminder of the TV show            co-presence. There is interesting recent work on
(a schedule reminder) and the actual start time to          multimodal systems providing basic care for the
recommend to Emma to check her blood pressure,              elderly and migrants (Wanner et al., 2016). Com-
which must be done daily. This, like other user             mercial examples of social care robots include
recommendations and their responses, could be               ElliQ, Jibo, and GeriJoy1 . The ADELE system
marked as critical, resulting in regular reminders          will be based on dialog system and recommender
and/or notification of a third party. ADELE could           system technology. Below, we briefly review dia-
also provide additional reminders such as a doc-            log system design most relevant to our purposes
tor’s appointment. It could also reference events           and discuss challenges to the creation of casual
such as Mark’s birthday, confirming with its cal-           talk.
endar and asking if Emma wanted a reminder set.
The use case scenario above raises a number of re-          4       Spoken Dialogue Systems
search challenges, which will be explored during
the development of ADELE. There has been much               Dialogue systems have predominantly focussed on
progress in dialog technology and there is a body           practical tasks. Classic dialogue systems are usu-
                                                                1
of work on the use of such systems in the elder                     www.elliq.com, www.jibo.com, and www.gerijoy.com




                                                       19
ally based on a division into several modules that            based on a range of models (Brusilovsky, 1998).
handle the different problems of natural language             Recent work on personalisation and dialogue
dialogue (Jokinen and McTear, 2009). The Natu-                agents includes a customer service agent (Verha-
ral Language Understanding component converts                 gen et al., 2014), a social robot tutor (Gordona
input into an internal representation that can be             et al., 2015), and an eLearning agent (Peeters
reasoned on. The Dialogue Manager decides on                  et al., 2016). Dialogue management in digital
a next action and supplies the Natural Language               agents has long adopted personalisation strategies.
Generation with a specification of the next output            Recent contributions include Ultes et al, who ex-
which it converts to natural language. Dialogue               tended dialogue management to adapt to user sat-
management was initially based on handwritten                 isfaction (Ultes et al., 2016), Litman and Pan,
rules, but this approach is severely limited in in-           and San-Segundo et al. who developed meth-
teractions other than simple question/answer se-              ods to adapt the overall dialogue strategy based
quences. More recently, research has concentrated             on the performance of the speech recognizer (Lit-
on stochastic or machine learning methods, to bet-            man and Pan, 2002; San-Segundo et al., 2005),
ter handle the uncertainty, noise, and variability in-        and Nothdurft et al. and Gnjatović and Rösner
herent in spoken interaction. Stochastic dialogue             have developed approaches to adaptive dialogue
systems have relied on the availability of large              (Nothdurft et al., 2012; Gnjatović and Rösner,
quantities of relevant data. While several dialogue           2008). An early approach to combine a person-
corpora exist, these are generally collections of             alised companion with adaptive dialogue was that
task-based dialogues, and not of casual talk (Ser-            of André and Rist who developed personalised in-
ban et al., 2015a). Traditional approaches require            formation assistants for accessing information on
this data to be labelled, adding significant cost to          the web (André and Rist, 2002). More recently,
research as corpus annotation is a time and labour            SARA was developed as a multifunctional con-
intensive undertaking. The ground truth provided              versational agent capable of personalised recom-
by labelled data furnishes a good training signal             mendations (Niculescu et al., 2014). To ensure a
to supervised learning for task-based interactions            social and personalised interaction, the type and
which tend to be short and relatively predictable in          source of content that each user is recommended
form and content. However, social talk can touch              should be based on their history and content that
on virtually any topic and exhaustive annotation              they have explicitly expressed an interest in dur-
of corpora that capture realistic variation is pro-           ing speech interaction. This content may include
hibitively expensive. Therefore, approaches where             news stories, conversational search terms or in-
labelling is not necessary are highly relevant. End-          dividuals from social feeds (Garcin et al., 2012).
to-End systems can be trained directly from user              Each user also has preferred sources for such con-
input to system output without additional levels of           tent. These may also include preferred social con-
training data annotation. This advantage comes                tacts such as close friends or family. A person-
at the price of requiring even greater amounts of             alised intelligent companion should be capable of
training data. Sequence-to-Sequence (Sutskever                accessing and recommending content in a similar
et al., 2014) models are a popular Neural Net-                fashion. This is a complex process and includes
work architecture which can achieve this goal.                topic extraction, weighting, mapping, longevity,
These models have proven effective in a variety of            context etc. The nuances of people’s individual
tasks. Early systems based on this approach essen-            interests and preferences are difficult to model and
tially translated from a user turn to a system turn           require complex approaches to be accurately cap-
(Vinyals and Le, 2015). Some current versions use             tured, if they are to allow personalised services to
an additional level of hierarchy that allows the sys-         better meet the user’s needs. Efforts have been
tem to take into account longer histories by aggre-           made to include this ability in agents. Garcin et
gating state information over previous turns (Ser-            al. developed a personalised news recommenda-
ban et al., 2015b).                                           tion system which demonstrated that collaborative
                                                              filtering provided the best results for recommen-
5   Challenges for Companionable Talk                         dations (Garcin et al., 2012). The content from
                                                              these favoured sources could be used to select in-
Personalised systems are concerned with adapt-                formation to recommend when initiating or tak-
ing and personalising services to individual users



                                                         20
ing part in social talk. The time, location and               ADELE’s user model needs to account for physi-
context of delivery of interruptions are important            cal and demographic attributes, usage preferences,
in social agent interaction. A conversational so-             context and temporal requirements, etc. It will
cial agent like ADELE needs to be able to insti-              also need to model additional attributes such as
gate conversation which would involve interrup-               personality, conversational preferences, and criti-
tion, but without excessively annoying or disturb-            cal care needs, such as medication requirements,
ing the user. It is also important to ensure that each        and long term care needs such as memory mon-
interruption or conversation has a point and is de-           itoring. Many of these challenges and potential
livered in a concise manner. Likewise, it is impor-           solutions, have been detailed by De Carolis et al.
tant that recommendations delivered within these              (Carolis et al., 2013). Current chat-oriented sys-
interruptions are not overly repeated or become               tems often exhibit a lack of variability in system
tiresome. The comparison by Bickmore et al. of                output. One approach to counter this is the use of
strategies for interrupting the user to instigate ex-         Reinforcement Learning to learn the production of
ercise or take medication is highly relevant to this          utterances that are more beneficial to the long-term
research (Bickmore et al., 2008). There are sig-              goal of the conversation (Li et al., 2016). A further
nificant challenges around the time at which a so-            step is to drive this learning by adversarial training
cial agent should interrupt a user’s current task (to         which seeks to make system output indistinguish-
initiate conversation) as well as how to interleave           able from human-generated conversation (Li et al.,
with the user’s utterances to provide an effective            2017). Latent Variable models are another tech-
conversation. The urgency of the information or               nique that can sample from a learnt stochastic vari-
request to be delivered by the agent should also              able to introduce randomness (Serban et al., 2017).
impact the agent’s interruption strategy, especially          An extension is to make this process controllable
in elderly care and social care contexts. Research            by making the distribution conditional on a vari-
is also needed on personal adaptation of this in-             able (Sohn et al., 2015). This can facilitate the ad-
terruption pattern to suit individual tasks and user          justment of a dimension that needs to be adapted
preferences. There are also significant challenges            such as friendliness. To work over longer contexts
to be faced in the personalisation and recom-                 such as those found in casual interpersonal conver-
mendation of content based on granularity, word               sation which may lapse and restart over the course
choice, comprehensibility etc. Much of the rele-              of hours or even days, memorization will need to
vant work is in personalised eLearning where the              be addressed. Research into Memory Networks
delivery of content has received considerable at-             has shown potential in the management of intra-
tention (Daradoumis et al., 2013). It is also impor-          session context (Bordes et al., 2016), and may
tant to consider personality traits such as friend-           prove applicable to the maintenance of longer con-
liness, chattiness and professionalism of ADELE,              texts in ADELE. One of the goals of the ADELE
and the personality of the user. The importance               system is to efficiently interleave different ‘sub-
of personality development for personal and vir-              dialogues’ and sub-tasks - the system should be
tual agents has been documented previously (Doce              able to break off from story-telling or casual chat
et al., 2010). Research has also highlighted the im-          to perform a task such as medication checking and
portance of matching a system’s personality with              then return to the previous activity. Both the chat
that of its users (Lee and Nass, 2003). There are             and task elements will vary between users depend-
also several contributions on modelling person-               ing on their care model and circumstances. A per-
ality traits, such as the framework of McQuig-                tinent question is how to manage these different
gan et al. for modelling empathy (McQuiggan                   sub-dialogues to promptly intervene to perform
et al., 2008). Further work is required to identify           subtasks? There has been some success with rein-
and understand how these traits may be perceived              forcement learning in this context, which is being
in social agent dialogue, the delivery of person-             explored by the ADELE project (Yu et al., 2017).
alised recommendations, and the extent to which
they need to be personalised to individuals. Per-             6   Current Focus
sonalised recommendation and dialogue. based
on user personality has recently been investigated            Initially the ADELE project focused on investigat-
(Braunhofer et al., 2015; Vail and Boyer, 2014).              ing the greeting and leavetaking phases of an in-
                                                              formal conversation. The project now aims to in-



                                                         21
vestigate how to generate the body of a friendly                Marc Light, Nathaniel Martin, Bradford Miller,
conversation (both interactive chat and longer                  Massimo Poesio, and David R. Traum. 1995. The
                                                                TRAINS project: a case study in building a conver-
chunks). To this end the project is focussing on
                                                                sational planning agent. Journal of Experimental &
topic shift and shading, the mechanisms which                   Theoretical Artificial Intelligence 7, 1 (1995), 7–48.
underpin the development of such conversations
                                                              Elisabeth André and Thomas Rist. 2002. From adap-
(Ries, 2001; Lambrecht, 1996). Consequently, it
                                                                 tive hypertext to personalized web companions.
will be necessary for ADELE to be able to iden-                  Commun. ACM 45, 5 (2002), 43—46.
tify, strategise, render, and initiate topic shift and
                                                              Timothy Bickmore and Justine Cassell. 2001. Rela-
topic shading in a conversation. There are several              tional agents: a model and implementation of build-
reasons for this. Firstly, it will allow ADELE to               ing user trust. In Proceedings of the SIGCHI confer-
change the course of a conversation. Secondly, it               ence on Human factors in computing systems. ACM,
will enable ADELE to more easily and more nat-                  396–403.
urally follow a conversation strategy, such as rec-           Timothy Bickmore, Daniel Mauer, Francisco Cre-
ommending a television show. Thirdly, it will en-               spo, and Thomas Brown. 2008.           Negotiat-
able ADELE to form more natural dialogue. The                   ing Task Interruptions with Virtual Agents for
                                                                Health Behavior Change.     International Foun-
ADELE project is currently identifying and anno-
                                                                dation for Autonomous Agents and Multiagent
tating examples of topic shift and topic shading in             Systems, 1241—1244. http://dl.acm.org/
Switchboard (Godfrey et al., 1992), a corpus of                 citation.cfm?id=1402821.1402841
2,400 two-sided telephone conversations. A Wiz-
                                                              Timothy W. Bickmore, Rebecca A. Silliman, Kerrie
ard of Oz experiment based on a social care sce-                Nelson, Debbie M. Cheng, Michael Winter, Lori
nario is being conducted to generate additional so-             Henault, and Michael K. Paasche-Orlow. 2013. A
cial dialogues for training the Neural Network.                 Randomized Controlled Trial of an Automated Ex-
                                                                ercise Coach for Older Adults. Journal of the
                                                                American Geriatrics Society 61, 10 (Oct 2013),
7   Conclusion                                                  1676—1683. DOI:http://dx.doi.org/10.
                                                                1111/jgs.12449
ADELE will be a virtual speech dialogue agent ca-
pable of informal, yet informed social dialogue.              Antoine Bordes, Y.-Lan Boureau, and Jason We-
The importance of social dialogue to create social              ston. 2016. Learning End-to-End Goal-Oriented
                                                                Dialog.    arXiv:1605.07683 [cs] (May 2016).
bonds cannot be underestimated to support inde-
                                                                http://arxiv.org/abs/1605.07683
pendent living and companionship while provid-                  arXiv: 1605.07683.
ing a means for task reminders to promote bene-
                                                              Matthias Braunhofer, Mehdi Elahi, and Francesco
ficial self care. By treating the dialogue manage-             Ricci. 2015. User Personality and the New User
ment as a personalisation task, the dialogue system            Problem in a Context-Aware Point of Interest Rec-
can dynamically adapt to the users’ preferences to             ommender System. Springer International Publish-
enhance a more socially beneficial and comfort-                ing, 537549. DOI:http://dx.doi.org/10.
                                                               1007/978-3-319-14343-9_39
able conversational interaction. This will require
an increased focus on personalisation strategies.             Peter Brusilovsky. 1998. Methods and techniques of
                                                                adaptive hypermedia. In Adaptive hypertext and hy-
Acknowledgements                                                permedia. Springer, 1—43.
                                                              Berardina De Carolis, Irene Mazzotta, Nicole Novielli,
This research is supported by the Science Founda-               and Sebastiano Pizzutilo. 2013. User Modeling in
tion Ireland (Grant 13/RC/2106) and the ADAPT                   Social Interaction with a Caring Agent. Springer,
Centre (www.adaptcentre.ie) at Trinity College,                 London, 89116. DOI:http://dx.doi.org/
Dublin.                                                         10.1007/978-1-4471-4778-7_4
                                                              T. Daradoumis, R. Bassi, F. Xhafa, and S. Caballé.
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