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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>1 'Keep the user in mind!' Persuasive Effects of Social Robot as Personalized Nutritional coach.</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Berardina De Carolis</string-name>
          <email>berardina.decarolis@uniba.it</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Francesca D'Errico</string-name>
          <email>francesca.derrico@uniroma3.it</email>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Nicola Macchiarulo</string-name>
          <email>nicola.macchiarulo@exprivia.com</email>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Computer Science, University of Bari</institution>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Exprivia SpA</institution>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Fil.Co.Spe Department, Roma Tre University</institution>
          ,
          <country country="IT">Italy</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>In this paper we investigate the use of a social robot as an interface for providing personalized information about nutrition. In particular, we evaluated the effect of message adaptation to some demographic traits that are automatically recognized by a social robot, Pepper in this case. The proposed approach is based on soft biometrics and it can estimate several traits simultaneously, such as gender and age of people in the field of view of the robot. Our hypothesis is that adding this capability to a social robot improves the persuasive effects, in terms of perceived informational quality, motivational strength and social believability, and the recall of the message. We performed a preliminary experimental study and its results seem to support the persuasiveness of the personalized nutritional coach.</p>
      </abstract>
      <kwd-group>
        <kwd>Personalization</kwd>
        <kwd>Social Robot</kwd>
        <kwd>Soft Biometrics</kwd>
        <kwd>Persuasive technologies</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>
        Social robots are physically embodied, autonomous agents that communicate and
interact with humans on a social and emotional level. They represent an emerging
field of research focused on developing a “social intelligence” to maintain the illusion
of dealing with a human being [
        <xref ref-type="bibr" rid="ref1 ref2">1, 2</xref>
        ]. They are being applied in several domains such
as elderly care [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ], autism therapy [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ], education [
        <xref ref-type="bibr" rid="ref5 ref6">5, 6</xref>
        ], public places [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ], domestic
and work environments [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ]. To be believable, social robots must exhibit social
intelligence and adapt their behavior to the situation, therefore they should be endowed with
a model of the environment and of the user that may include their profile, emotions,
personality and past interactions [
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]. In this regard, robots capable of exhibiting
so1 Copyright © 2019 for this paper by its authors. Use permitted under Creative Commons
License Attribution 4.0 International (CC BY 4.0)
ciability and achieving widespread societal acceptance are being used more and more
often in human-centered environments. Due to their ability to enable natural
interaction, social robots have a great potential for helping people in their daily activities,
especially in tasks that need one-to-one interaction, as is the case of elderly people or
children.
      </p>
      <p>
        Recently, due to the importance of following healthy eating habits, they are being
employed in teaching and informing people about nutrition [
        <xref ref-type="bibr" rid="ref10 ref11">10, 11</xref>
        ]. It has been
shown that a correct diet is related with a decreased risk of cancer and cardiovascular
diseases [
        <xref ref-type="bibr" rid="ref12">12</xref>
        ], diabetes and obesity [13; 14]. Social Robots have been employed in
this context especially for playing serious games with children [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ].
      </p>
      <p>
        The long-term goal of this research is to develop a persuasive social robot,
playing the role of a nutritional coach, able to induce a behavior change in the health and
wellness domains. Such a robot may be especially effective for patients and elderly
who want to remain active and live a better and more independent life. Social robots
that counsel users on dietary behavior represent an especially promising application
in this area. Fruit and vegetable consumption alone plays a protective role in a large
number of cancers, and is associated with reduced risk for heart disease, stroke and
hypertension, yet only a small percentage of adults meet the guidelines for daily
water, fruit and vegetable consumption [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ].
      </p>
      <p>
        In this context, adaptation of both social behavior and message content to the user
is necessary [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ] and, as a first phase of our research, we aimed at making the robot
aware of users characteristics and testing whether customizing the robot message to
them was an effective way to increase the perception of the information quality and
motivational strength of the conveyed message, the degree of recall and the perceived
social believability of the robot. This is at the basis of a more complex adaptation of
the robot behavior in which persuasive and argumentation strategies will be adapted
to the user [
        <xref ref-type="bibr" rid="ref29">29</xref>
        ].
      </p>
      <p>
        In this paper, we describe our experience with the design and implementation of a
dialog module that allows Pepper talking with users about nutrition. To endow the
robot with the capability of adapting the dialog to the user a soft biometrics module,
able to estimate gender and age, was used [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ]. Then, we performed a preliminary
study in which we evaluated the persuasive effects of the adaptation to these traits in
terms of perceived 1) informational quality and 2) persuasive effects in terms of robot
reliability and the information recalling after the interaction. Preliminary results seem
to support the persuasive impact of a personalized nutritional coach.
      </p>
      <p>The paper is organized as follows: in Section 2 a brief overview on soft
biometrics analysis, together with the method employed in our system, is provided. Section 3
describes a preliminary study aiming at showing the effects of adaptation on the user
perception of the message information content, motivational strength and
believability of the social robot. Finally, Section 4 is aimed at a final discussion and proposal
for future development.</p>
    </sec>
    <sec id="sec-2">
      <title>Soft-Biometrics Analysis</title>
      <p>
        Soft biometric traits refer to physical and behavioral traits, such as gender, age, height
and weight, which are not unique to a specific subject, but are useful for
identification, and description of human subjects [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ].
      </p>
      <p>
        Among soft biometric traits, gender and age have been extensively studied.
Among the most robust and accurate approaches to gender and age classification, we
can find some based on the analysis of texture patterns. Many texture features have
been used like LBP, Histogram of Oriented Gradients (HOG) and they usually
employ Support Vector Machine (SVM) or k-nearest neighbor as classifiers [
        <xref ref-type="bibr" rid="ref20 ref21">20,21</xref>
        ].
Gunay and Nabiyev [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ] used LBP feature as an efficient face descriptor. They
divided the faces into small regions from which the LBP histograms are extracted and
concatenated into a feature vector. They got 80% age classification rates in FERET
database [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ]. Although such local descriptors achieve higher results than holistic
methods, their performance is affected by variations in expression, pose, illumination and
occlusion.
      </p>
      <p>
        Recently deep learning approaches are being used successfully in this domain.
They mainly use the CNN which is a type of feed-forward artificial neural networks
in which the connectivity pattern between its neurons is inspired by the organization
of the animal visual cortex [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ]. Yan et al. [
        <xref ref-type="bibr" rid="ref25">25</xref>
        ] proposed an approach which uses the
CNN to extract the facial features. Their network has 7 layers and it gives as output
4096 features. For the classification part, they use SVM to classify the face into one
of thirteen age groups. Levi and Hassner [
        <xref ref-type="bibr" rid="ref26">26</xref>
        ] proposed a network architecture for
both age and gender classification. Rothe et al. [
        <xref ref-type="bibr" rid="ref27">27</xref>
        ] won the ChaLearn LAP 2015
challenge on apparent age estimation, their proposed CNN uses the VGG-16
architecture. They proposed an approach in which first the face is detected from the input
image and then extracts the CNN predictions from an ensemble of 20 networks on the
cropped face.
      </p>
      <p>
        In the context of our research, we developed a soft-biometrics module able to
recognize age, gender, eyeglasses and beard presence [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ]. In addition, it also recognizes
the color of eyes and hairs. For each soft biometric trait, a specific software module
has been implemented. In this application, we use only the age estimation and the
gender recognition modules. In particular, for age and gender estimation, our system
focuses on automatic gender and age classification using deep CNNs. We use a
finetuned version of the VGG-16 neural network and, on both tasks, the approach reaches
a satisfactory accuracy using unconstrained image dataset2. In particular, the gender
recognition has been performed with an accuracy of 85% while age estimation
reached an accuracy (+/- 1 year) of 84% on the previously mentioned dataset. In
another experiment we tested the performance in real time in the wild having an
accuracy of 87.5% for gender recognition and 62.5% for age estimation in which the main
confusion problems were in estimating the age of middle-age women [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ].
2 https://data.vision.ee.ethz.ch/cvl/rrothe/imdb-wiki/
3
      </p>
    </sec>
    <sec id="sec-3">
      <title>Personalized Information by the Social Robot Pepper</title>
      <p>We performed an experiment in real-time with the aim of evaluating the efficacy and
the motivational impact of the information about nutrition provided by Pepper. In
particular, we tested the difference in the user perception of the information quality
and motivational strength of the informative content in case of personalization
introduced by adapting the communication of the robot to the recognized soft biometric
traits of the subjects. Moreover, we measured the degree of recalling on the
informative content and we observed the engagement of the users in interacting with the
robot.
3.1</p>
      <sec id="sec-3-1">
        <title>Participants</title>
        <p>Forty-five people (23 males and 22 females) aged between 18 and 60 y.o
(st.dev=9.09), equally distributed by gender and background were recruited for the
experiment. They were motivated in participating to the study by the fact that they
would receive vegetables (carrots) and fresh water after the experiment.
3.2</p>
      </sec>
      <sec id="sec-3-2">
        <title>Study Design</title>
        <p>In the healthy eating scenario, the subjects interacted with the robot in two different
settings: a) no customization (a generic message); b) customization of the message to
gender and age. As far as age estimation is concerned, we split in intervals the age of
the population typical of the scenario of the experiment and implemented the
adaptation of the interaction and the messages accordingly.</p>
        <p>In particular, we distinguished among: Young Adults (ages 18-35 years), Adults
(ages 36-55 years), and Older Adults (aged older than 55 years). Then, the 45
participants were divided into 2 groups equally distributed in gender and age, of 22 and 23
participants each. The first group interacted with Pepper in the not customized
condition (NCC) while the second one in the customized one (CC). The second group was
further split into the three groups described above with the following distribution:
•
•
•</p>
        <p>Young Adults: 5 females and 6 males
Adults: 4 females and 4 males</p>
        <p>Older Adults: 2 females and 2 males
3.3</p>
      </sec>
      <sec id="sec-3-3">
        <title>Preparation of Material</title>
        <p>The message was generated according to strategies suggested by a human coach
expert in nutrition. In this study we refer to user profiles based on age and gender for
which we made some assumptions about their presumed goal’s value, consistently
with their gender and age. Then, we prepared the scripts for generated the four kinds
of messages (Table 1). The first one is a generic and not customized. The second has
been customized in order to address the presumed goals of young subjects (i.e.
physical appearance, social life, ...).</p>
      </sec>
      <sec id="sec-3-4">
        <title>Type</title>
        <p>Not
customized
Customized</p>
        <p>Young
(presumed goal:
improve
physical
appearance)
Customized</p>
        <p>Adult
(presumed goal:</p>
        <p>prevent
health
prob</p>
        <p>lems)
Customized
Older Adult
(presumed goal:
improve
health)
Hello! + &lt;greeting gesture&gt;. I’m here to provide you with information about the importance of
hydrating your body.
…
Message:
Drinking is important for a healthy body. It is recommended to drink at least two liters of water per
day to hydrate the body. Proper hydration slows down the body’s aging process. Our organs, in fact,
need water to work best. When our bodies become dehydrated, our organs have to work harder, and
this can lead to an acceleration in the aging process. Eating fruit and vegetables also helps keeping
the body well hydrated. Moreover, these foods give to the body vitamins and minerals.</p>
        <p>Hi!+&lt; fist bump gesture&gt; + I’m here to talk with you about the importance of hydrating your body.
…
Message:
Drinking during the day is very important. You must drink at least two liters of water a day. Proper
hydration slows down the body's aging process.
&lt;if gender=male&gt;
Our organs, in fact, need water to work best. Appropriate hydration, about three and half liters a day,
can also help keeping the muscles well hydrated, strong and energetic, therefore it is important to
drink during physical activity. Remember that the processes that lead to be in a good shape may only
occur in a perfectly hydrated body. So, drinking is very important to look in shape!
&lt;if gender=female&gt;
Appropriate hydration, about two and half liters a day, helps fight water retention which is the
antechamber of cellulite. In fact, water retention does not mean having "too much" water in the body
but suffering from an imbalanced distribution. People who suffer from it often do not drink enough.
To improve this situation, it’s important to drink more and more. So drinking may help you in
passing the bikini test!
Good morning/evening! + &lt;handshake gesture&gt; + I’m here to talk with you about the importance of
hydrating your body.
…
Message:
Drinking during the day is very important. You must drink at least two liters of water a day. Proper
hydration slows down the body's aging process and improves its functioning. Drinking water and
eating fruits and vegetable may help at reducing several risks for your health since your organ will
be more hydrated.
&lt;if gender=female&gt;Water will help to remove toxins and your skin will look smoother and more
radiant.
&lt;if gender=male&gt; Water will help you to prevent urinary and prostate problems.
&lt;both gender&gt;
Adopt a healthier lifestyle … it is known “prevention is better than cure”.</p>
        <p>Good morning/evening! + &lt;handshake gesture&gt; +
I’m here to provide you with information about the importance of hydrating your body.
…
Message:
After the age of 50 the thirst stimulus fades. The body has no water reserves and for this it is
necessary to rehydrate our body by drinking a lot and eating fruits and vegetables, which contain a
significant amount of water. Furthermore, an American study has proved that drinking a good amount of
water can decrease the risk of a heart attack. Health authorities and others encourage people to
consume 2 or more liters of water a day, that is the right dose for an adult. To this quantity must be
added the liquids supplied to the body from fruit and vegetables, for a total of 3 liters per day.</p>
        <p>It is best to drink calcium water that prevents osteoporosis.</p>
        <p>The third one is directed to middle-age people, caring more for health and disease
prevention, and the fourth to older adults. In particular, the second and third messages
have been further distinguished between females and males in order to select the right
arguments.</p>
        <p>In order to assess the user background knowledge and beliefs about correct
nutrition a pre-test questionnaire concerning some control variables (like level of
information on nutrition and on the importance of adopting dietary behaviors) was
prepared. We prepared also a post-test questionnaire aiming at evaluating some
characteristics of the provided message (i.e. information quality, motivational strength), the
level of recall of the information provided in the message and the social believability
of the robot during the interaction. Questions were expressed as statements and
evaluated using a 5 points Likert scale.
3.4</p>
      </sec>
      <sec id="sec-3-5">
        <title>Procedure</title>
        <p>A realistic scenario was created in one of the open community spaces of our
Department for performing the experiment. We set up a kind of healthy eating stand in
which Pepper was acting as an expert, thus providing information to people in the
domain. To control the interaction and compare results we focus on the importance of
drinking and hydrating our body. In this scenario Pepper was running for two days
according to two different settings described before. We decided to dedicate one day
to the not-customized condition and one day to the customized one.</p>
        <p>After receiving a short explanation describing the purpose of the experiment,
subjects willing to participate to the experiment signed up an informed consent and filled
out the pre-test questionnaire. Then they started to interact with Pepper and received
the message when asking about suggestions. After the message and the interaction
with Pepper they were asked to fill out the post-test questionnaire.</p>
        <p>a) G: Male -Age: 22
b) G: Female -Age: 45
c) G: Female -Age: 20</p>
        <p>In the customized condition, after having detected the face of a person entering in
its field of view, using its RGB camera in the forehead with a resolution of 1280x960,
Pepper estimated gender and age group by running the soft-biometrics module in the
Pepper Department Cloud. In this setting, Pepper adapted the greetings by changing
the level of formality/friendliness of the employed language because of the
recognized age and the style and motivational content of the provided informative
messages. Figure 1 shows three examples of interaction. On the left-side column the pictures
taken from the Pepper camera are shown together with the annotation of the
softbiometrics traits. As you can notice in the right-side picture, Pepper adapts the
greeting gesture to the estimated age of the subject.
3.5</p>
      </sec>
      <sec id="sec-3-6">
        <title>Results and Discussion</title>
        <p>The analysis of the pre-test questionnaires confirmed our assumptions about the
hypothetical users and ensured that differences in the post-text were not due to differences
in the healthy eating knowledge of the participants.</p>
        <p>To compare the motivational impact of the message in the two output conditions,
we analyzed the results of the post-test questionnaire data using a t-test. Results
(Table 2) show that the customized interaction and message conveyed through Pepper
received an overall better evaluation.</p>
        <p>Significant differences occurred in terms of satisfaction and helpfulness. Moreover,
the customized condition was perceived as significantly more persuasive and reliable.
There were no significant differences in terms of easiness in the understanding and
validity of the message content.</p>
        <p>About the evaluation of the social believability of the robot we compared the
results of the two groups. In the first condition the rating was lower than in the second
condition, in which greetings were adapted to the soft-biometric traits and, according
to the t-test result (see Table 2), this difference is significant thus showing that the
robot is perceived as more believable when it is aware of the characteristics of the
type of person present in the environment. However, the recalling degree (in terms of
correct answers given by subjects to the 5 questions) does not present a significant
difference but a promising tendency that can be reinforced in larger sample (Table 2).
4</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>Conclusions</title>
      <p>
        Our long-term research goal is to develop a Persuasive Social Robot in domains such
as nutrition, wellbeing and health [
        <xref ref-type="bibr" rid="ref28">28</xref>
        ] for helping people in changing their wrong
attitudes and habits [
        <xref ref-type="bibr" rid="ref29">29</xref>
        ]. A first step in this direction is represented by the work
described in this paper. To this aim, we endowed a social robot, Pepper in this case, with
the capability of analyzing soft-biometrics features of people and use this awareness
to customize the information provided to users in the domain of nutrition and healthy
eating. To test the efficacy of the proposed approach, we set an experiment in a
realworld scenario in which Pepper was providing information about correct nutrition.
Even if performed on a small number of subjects, the experiment was carried out in
the wild and the results show that, when the dialog was customized to the
characteristics of the person interacting with the robot, it was better perceived in terms of
satisfaction, helpfulness and persuasiveness. Moreover, the robot itself was perceived as
more socially believable in the customized condition. These results are in line with
classical studies on persuasion which pointed out how a persuasive source can be
reliable when it demonstrates to know who is the user and which are his/her needs, by
exploiting the empathic and engaging side of persuasion. [30; 31]
      </p>
      <p>In our expectation, adapting the content of the dialog can also affect the retention
of the learned information and results seem to go in this direction since the recalling
degree (in terms of correct answers given by subjects to the 5 questions) present a
promising tendency (Table 2) in this sense. Participants in customized condition recall
more than in a not customized one (4.32 vs 4; p=.106).</p>
      <p>In a future experiment, we can better explore this result with a larger sample and
more ad hoc measures, by also putting in relation the motivational strength, social
believability and informational quality with the level of recalling and other behavioral
measures. In this sense in fact a customized robot can affect individual healthy
attitude simply because users feel a technological ‘trust’ [32] that in this case can be
based on persuasive and affective processes of being acknowledged. As far as
softbiometric is concerned, we plan to add new traits recognition from the body for
making the robot aware of the type of person (i.e. slim vs. fat) who is asking for
information and to investigate whether this improve the efficacy of the dialog. However,
since it is possible to misclassify age and gender of the user, we plan to investigate
also on the effects of wrong customization to these factors.</p>
    </sec>
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