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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Barcelona, Catalunya, Spain, April</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <title-group>
        <article-title>Modeling and Analysis of Emotion-Oriented Virtual Clinics Case Study Goal Models:</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Mashail N. Alkhomsan</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff4">4</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Malak Baslyman</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
          <xref ref-type="aff" rid="aff4">4</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Mohammad Alshayeb</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
          <xref ref-type="aff" rid="aff4">4</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Computer and Information Sciences Department, Jouf University</institution>
          ,
          <addr-line>Sakaka 72388</addr-line>
          ,
          <country country="SA">Saudi Arabia</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Information and Computer Science Department, King Fahd University of Petroleum and Minerals</institution>
          ,
          <addr-line>Dhahran 31261</addr-line>
          ,
          <country country="SA">Saudi Arabia</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Interdisciplinary Research Center for Finance and Digital Economy</institution>
          ,
          <addr-line>Dhahran 31261</addr-line>
          ,
          <country country="SA">Saudi Arabia</country>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Interdisciplinary Research Center for Intelligent Secure Systems</institution>
          ,
          <addr-line>Dhahran 31261</addr-line>
          ,
          <country country="SA">Saudi Arabia</country>
        </aff>
        <aff id="aff4">
          <label>4</label>
          <institution>Terrible</institution>
          ,
          <addr-line>Mellow, Hate, Hate, Sad, Sad, Shock, Sentimental, Depressing, Love Depressing</addr-line>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2023</year>
      </pub-date>
      <volume>17</volume>
      <issue>2023</issue>
      <fpage>17</fpage>
      <lpage>20</lpage>
      <abstract>
        <p>[Context &amp; Motivation] Understanding and capturing user emotional requirements are important to increase user acceptance and provide an enhanced user experience. This is essential to ensure continuity of using software systems and have successful adoption of technology. [Question/problem] Incorporating emotional requirements into Requirements Engineering (RE) activities is relatively new. In addition, there is a lack of analysis methods that enable reasoning on design alternatives while considering user emotions. [Principal ideas/results] We propose an Emotion-Oriented Requirements Engineering (EmORE) approach that supports the elicitation, modeling, and analysis of user emotions in relation to other requirements. The effectiveness of EmORE was illustrated by conducting a case study on a Virtual Clinic application, which showed an increase in overall positive emotions and a decrease in negative emotions. [Contribution] The main contributions of the EmORE are providing means for more accurate user emotions elicitation, enabling the analysis of user emotions in relation to the design elements, and quantifying user emotions.</p>
      </abstract>
      <kwd-group>
        <kwd>1 Emotional Goal</kwd>
        <kwd>Modeling</kwd>
        <kwd>Analysis</kwd>
        <kwd>GRL</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>Nowadays, software technology is widely adopted in all sectors where humans are intensively
interacting with those solutions on a daily basis. However, incorporating human-related aspects, such
as emotions and values, into the software design process to provide a better user experience [1] is not a
straightforward task. Several studies attempted to address users' emotions in software development;
however, the way emotions were addressed was ad-hoc and lacked a comprehensive view [1]–[4]. In
this research, Emotional Requirements refer to a state required to be fulfilled for users to have a better
experience.</p>
      <p>Alkhomsan et al. proposed an approach to elicit user emotional requirements using interviews and
think-aloud sessions and model user emotions using Goal-oriented Modeling Language (GRL) [5].
However, the approach tends to be subjective, and it lacks detailed and quantitative analyses that can
be used to model emotions and analyze emotion-oriented goals. This paper extends the
EmotionOriented Requirements Engineering approach by enhancing the elicitation method and proposing new
relationships to enable emotions analysis in relation to the system and other stakeholders’ requirements
and goals. The proposed elicitation method uses SAM (Self-Assessment Manikin) tool [6] to mitigate
the risk of subjective expression and identification of user emotions. In addition, it uses PAD model [7]
to map and classify the elicited emotions into more representative ones to be used in the modeling. The
extended approach referred to as EmORE enables the analysis of emotions by introducing two
relationships that trigger and mitigate the link between user emotions and stimuli (requirements and
goals). In addition, it provides a means to quantify the emotional response to stimuli to identify the
overall satisfaction level of positive or negative user emotions. EmORE approach is explained in detail
and implemented in a case study, where it supported the elicitation of new emotional requirements that
led to an increase in users’ positive emotions and a decrease in negative ones. The main contributions
of this work are providing means for more accurate users’ emotions elicitation, enabling the analysis of
user emotions in relation to the design elements and system/stakeholder requirements, and quantifying
user emotions.</p>
      <p>The remainder of the paper is organized as follows: Section 2 provides related work, and Sections 3
and 4 are devoted to presenting the research approach (EmORE) and a case study to evaluate the
proposed approach, respectively. Section 5 discusses the results, and Section 6 concludes the paper.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Related Work</title>
      <p>Over the past few years, several studies have demonstrated the importance of emotions in
incorporating users' emotions when designing a software product [8]. Ramos et al. [9], discussed how
requirements engineers can add the search for emotional issues to their traditional methods. Even adding
a psychology expert to a RE team may even be helpful to identify and address emotional issues. Thew
et al.[10], proposed a method for improving the elicitation process for soft issues, including emotions.
The method involves using data collected from interviews and ethnographic to uncover values and
emotions. Additionally, it uses scenarios, prototypes, and storyboards to get feedback from users on
how the system aligns with their values.</p>
      <p>In an early effort to model emotional goals, Yu [11] developed the i* framework to represent soft
goals that represent non-functional requirements or emotional requirements. Miller et al. presented the
People-Oriented Software Engineering (POSE) model based on agent-oriented modeling [2]. They
distinguished between personal emotional goals and context-specific emotional goals according to the
impact a system should have on its users. Curumsing et al. [3] examined the feasibility of incorporating
the emotional goals of their stakeholders into the development of smart home solutions. They applied
agent-oriented models that are extended to represent three types of goals, namely, functional, quality,
and emotional. Zulkifli et al. [4] proposed a systematic approach to creating emotional applications.
They extended Agent-Oriented Modeling with three distinct layers involved: the motivation layer,
system design layer, and platform-specific design layer. However, the proposed modeling approaches
do not provide an analysis method that incorporates these emotional goals into the decision-making
process. This study focuses on modeling and analyzing users' emotional goals using GRL in relation to
system/stakeholder requirements.</p>
    </sec>
    <sec id="sec-3">
      <title>3. Research Approach: Modeling and Analysis of Emotional Goals Using GRL</title>
      <p>This research extends the Emotions-Oriented Requirements Engineering (EmORE) approach
proposed in [12] by proposing three main steps to elicit, model, and analyze emotional requirements.
EmORE approach is depicted in Figure 1.
3.1.</p>
      <sec id="sec-3-1">
        <title>Phase1. Users’ Emotions Elicitation</title>
        <p>For emotions elicitation, we propose the use of the Self-Assessment Manikin (SAM) assessment
method to elicit user emotions [6]. As seen in Figure 2, SAM is a language-free emotion assessment
method that uses graphic scales depicting cartoon characters expressing three emotion elements:
valence, arousal, and dominance (VAD) [7]. SAM was built to identify emotions based on Mehrabian's
Think Aloud Protocol</p>
        <p>Modeling Users’ Emotions
Mapping Collected Values</p>
        <p>to Emotions
Clustering Emotions</p>
        <p>Identify Trigger/ Mitigate</p>
        <p>Relationships</p>
        <p>Analysis
Claculate Emotional</p>
        <p>Response
Evaluate the Users</p>
        <p>Emotions View
compared to other models [13], [14]. The elicitation phase consists of three steps that are 1) conducting
think-aloud sessions using the SAM tool, 2) mapping the elicited VAD vectors to emotions, and 3)
clustering the elicited emotions using VAD model. These steps are illustrated in detail in the case study.
3.2.</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>Phase 2. Modeling and Analysis of Emotional Goals Using GRL</title>
      <p>In the previous study [12], the Goal-oriented Requirements Language (GRL) was used to model the
emotional requirements. The user emotions were modeled using a soft goal in a separate actor that is
called the actor’s emotions, which include the emotions of an actor only [12]. In this study, we model
user emotions as a soft goal that can be triggered or mitigated via stimuli. An emotional stimulus can
be defined as any intentional element of an action that triggers or mitigates a specific emotional
response. Hence, we propose two types of relationships between user emotions and stimuli that trigger
and mitigate. Those links are represented by contribution links, and their types are captured in the
contribution link metadata. The contribution weight of those links is either 100 (active) or 0 (inactive).
Active means a certain emotion is triggered by a stimulus, while inactive means that an emotion is no
longer triggered by a stimulus. Mitigate relationship is meant to illustrate how the negative impact of
the existing stimulus is mitigated by introducing a new stimulus (tasks, functional or non-functional
requirement). Emotional response refers to the ability to express emotion in response to an affective
stimulus.</p>
      <p>
        For the model analysis, the initial evaluation values of emotional goals were assigned using the
emotional response. It is used to quantify the impact of stimuli on certain emotional goals. In other
words, the emotional response reflects the extent to which these emotions are triggered by stimuli. The
emotion response value is computed by calculating scalar products for the normalized VAD vectors
using equation (
        <xref ref-type="bibr" rid="ref1">1</xref>
        ).
      </p>
      <p>( ,  ,  )</p>
      <p>
        = ∑ =1    
 
(
        <xref ref-type="bibr" rid="ref1">1</xref>
        )
      </p>
      <p>In addition, we define two emotional goals that capture the negative and positive emotional states
of the user. All modeled emotions contribute to those two general emotional goals to have an overview
of the impact of design alternatives on user emotions in general, regardless of the specific emotion type.
This also enables comparing the overall positive emotion to the negative emotion to design alternatives
that maximize the positive emotion and minimize the negative one. The positive and negative emotional
goals are assigned a threshold that can be determined by stakeholders, including users, developers, and
requirements engineers considering several factors such as solution context and target users.
3.3.</p>
    </sec>
    <sec id="sec-5">
      <title>Phase 3. Design and Evaluation of Alternatives</title>
      <p>From goal modeling analysis, further design alternatives can be elicited to mitigate negative
emotions and enhance positive emotions. This is done by meeting and interviewing users to obtain more
stimuli alternatives that are likely to have a positive effect on their feelings.</p>
      <p>
        Next, a prototype is developed that reflects the proposed design alternatives and think-aloud sessions
are conducted to elicit users' emotions. Finally, we calculate the emotional responses and update the
evaluation values of positive and negative emotional goals, as described in Section 3.2. Updates to the
evaluation values of positive and negative states on the goal model are indicators that can be used to
select the alternatives or to elicit and evaluate different alternatives that meet the assigned threshold for
each state.
Access to cameras, (
        <xref ref-type="bibr" rid="ref2 ref6 ref7">2,6,7</xref>
        ), (
        <xref ref-type="bibr" rid="ref2 ref5 ref5">2,5,5</xref>
        ), (
        <xref ref-type="bibr" rid="ref3 ref3 ref4">3,4,3</xref>
        ), (
        <xref ref-type="bibr" rid="ref4 ref5 ref6">6,4,5</xref>
        ),
voice, and files (
        <xref ref-type="bibr" rid="ref2 ref3 ref5">5,2,3</xref>
        ), (
        <xref ref-type="bibr" rid="ref5 ref5 ref5">5,5,5</xref>
        ), (
        <xref ref-type="bibr" rid="ref4 ref5 ref7">4,7,5</xref>
        ), (
        <xref ref-type="bibr" rid="ref4 ref5 ref6">4,6,5</xref>
        )
      </p>
      <sec id="sec-5-1">
        <title>Mapping Emotions</title>
      </sec>
      <sec id="sec-5-2">
        <title>Clustering</title>
        <p>
          Agree to long-term (
          <xref ref-type="bibr" rid="ref1 ref3 ref4">3,4,1</xref>
          ), (
          <xref ref-type="bibr" rid="ref2 ref5 ref5">2,5,5</xref>
          ), (
          <xref ref-type="bibr" rid="ref5 ref5 ref5">5,5,5</xref>
          ), (
          <xref ref-type="bibr" rid="ref3 ref3 ref5">3,3,5</xref>
          ),
conditions that are (
          <xref ref-type="bibr" rid="ref6 ref6 ref6">6,6,6</xref>
          ), (
          <xref ref-type="bibr" rid="ref3 ref3 ref3">3,3,3</xref>
          ), (
          <xref ref-type="bibr" rid="ref5 ref7 ref7">7,7,5</xref>
          ), (
          <xref ref-type="bibr" rid="ref5 ref6 ref7">6,7,5</xref>
          ),
unclear (
          <xref ref-type="bibr" rid="ref4 ref5 ref6">4,6,5</xref>
          )
Melancholy, Terrible,
Depressing, Mellow, Hate,
Shock, Sentimental
Hate, Depressing,
Melancholy, Sad,
Love,
        </p>
      </sec>
    </sec>
    <sec id="sec-6">
      <title>4. Case Study: Virtual Clinic</title>
      <p>This case study illustrates the use of the proposed approach to enhance the virtual clinic services
provided by the Sehhaty application by considering the emotional requirements [15]. Sehhaty is a
national health platform provided by the Ministry of Health in Saudi Arabia. It is an end-to-end
telehealth solution that enables patients to connect with physicians anytime and anywhere. Healthcare
practitioners can conduct virtual examinations with remote patients through text, voice, or video calls.</p>
      <p>To elicit the emotional requirements, 20 participants were recruited who had already used the instant
consultation service using convenience sampling. Those participants were involved in evaluating the
new prototype as well. The sample comprised 55% males and 45% females, ranging in age from 21 to
54. According to their experience level in using smartphones, 60% are experts, 35% are intermediate,
and 5% are novice users. Our approach is presented along with the case study implementation in detail
in the following sections, which begins with eliciting users' emotions, modeling, and analysis using
GRL, followed by design alternatives and evaluation.
4.1.</p>
      <sec id="sec-6-1">
        <title>Users’ Emotions Elicitation</title>
        <p>
          We conducted 20 think-aloud sessions, where participants were encouraged to express their feelings
and discuss the stimulus using the virtual clinic app to conduct immediate consultation. They were then
asked to rate their emotions using the SAM scale (see Figure 2 ). Table 1 summarizes some of the
sessions' results. The first column presents the stimulus, and the second illustrates the VAD vectors
identified by the participants. Then, VAD vectors were mapped to emotions using the VAD model [16]
to understand what emotions were triggered by each stimulus. Participants' emotions are presented in
the third column in Table 1. It is worth mentioning that several VAD vectors can refer to the same
emotion, such as (
          <xref ref-type="bibr" rid="ref2 ref7 ref7">2,7,7</xref>
          ), (
          <xref ref-type="bibr" rid="ref2 ref7 ref8">2,8,7</xref>
          ), and (
          <xref ref-type="bibr" rid="ref3 ref7 ref7">3,7,7</xref>
          ) representing Terrible emotion. As emotions are subjective,
these stimuli may evoke a wide range of emotions depending on the characteristics and experiences of
the target user. To cluster emotions, we used an emotion wheel to group emotions into six main clusters
using K-means clustering [16]. These six clusters are: Happy, Depressed, Love, Melancholy, Hate, and
Sad cluster. Hence, if more than six emotions are associated with a stimulus, we group them into
higherlevel representations. This is to facilitate the modeling and analysis of emotions. Hence, we clustered
emotions elicited by two stimuli, which are: Access to cameras, voice, and files, and accepting
longterm conditions as depicted in Table 1.
4.2.
        </p>
      </sec>
    </sec>
    <sec id="sec-7">
      <title>Modeling and Analysis of Virtual Clinics Using GRL</title>
      <p>The GRL model with the patient emotion view is depicted in Figure 3. The user emotions were
modeled using soft goals in a separate actor that can be triggered or mitigated via stimuli. An emotional
stimulus can be defined as any intentional element (tasks, functional or non-functional requirements)
that triggers or mitigates a specific emotional response. Those links are contribution links, and their
types (triggers or mitigators) are captured in the contribution link metadata. As shown in Figure 3
Required access to camera and photos task triggered three negative emotions. However, these emotions
were mitigated by providing the patient with a selection of communication options in the refined GRL.</p>
      <p>In this case study, the threshold for negative emotions should be under 50, and positive emotions
should be over 75. The evaluation values of positive and negative emotional goals are accumulated by
calculating the emotional response for each emotion contributing to the state of positive or negative
emotion. As seen in Figure 3, with current stimuli and design alternatives, the positive emotion is above
the threshold. However, the negative emotion is 90, which is above the threshold; hence, we need to
design alternatives (stimuli) to mitigate negative emotions. For example, improving the readability of
terms and conditions may be achieved by rewriting the terms and emphasizing patients' rights, such as
if the user has the right to cancel the consultation without affecting his right to receive other healthcare
services.
4.3.</p>
    </sec>
    <sec id="sec-8">
      <title>Designing and Evaluating Alternatives</title>
      <p>Based on the analysis results, several interviews were conducted after think-aloud sessions with the
participants to elicit stimuli. Interviews focused on how to mitigate their negative emotions through a
variety of design alternatives. Then, a new prototype was designed that reflects the user's emotional
requirements and required features. New features have been added to mitigate negative emotions, such
as allowing the patient to select a doctor before participating in the session and making the terms and
conditions easy to read. Furthermore, we designed a more interactive chat user interface to display the
status of the doctor in the chat. We conducted think-aloud sessions following the same procedure
mentioned in section 3.1 to evaluate the new design alternatives. Moreover, we elicited, clustered, and
modeled the new emotions. The analysis showed that the general positive emotions were enhanced to
100, and the general negative emotions were decreased to 35. The refined GRL model with the new
alternatives and emotions, and screenshots of the application prototype are available online1.</p>
    </sec>
    <sec id="sec-9">
      <title>5. Discussion</title>
      <p>Although the work is still in progress, the initial results are promising. Compared to previous work
[12], using SAM to elicit exact participants' emotions was easy and effective, and it eliminated the
problem of participants having difficulty articulating their emotions. However, during the think-aloud
session, it was difficult for the participants to comprehend the dominance scale. By eliciting emotion
over three dimensions, the subjectivity of identifying emotions by participants or requirements
engineering was partially mitigated compared to the previous study. The analysis mechanism we
proposed in this study was based on a trigger or mitigating certain emotions by some stimuli. The
impact of those relationships was either active (100) or inactive (0). Currently, we are working on
investigating different ways of assigning weights to those relationships and validating the proposals
empirically. Furthermore, we used the generally negative and positive emotional goals to provide the
overall emotional state the user is in when implementing a certain design alternative. However, the
finegrained level of emotions, such as disappointment or excitement, is still important to design alternatives
that take the user from a specific state of emotion to another based on the context and user needs.</p>
      <p>Despite the potential benefits of the EmORE approach, some limitations remain. Eliciting emotions
on a three-dimensional scale and determining their evaluation values can be challenging tasks for
requirements engineers. Therefore, we plan to develop a tool that will aid the requirements engineer in
this matter. We also plan to extend GRL with notations specific to users' emotions to support modeling
and analyzing emotional goals.</p>
    </sec>
    <sec id="sec-10">
      <title>6. Conclusion</title>
      <p>This paper proposes an Emotion-oriented Requirements Engineering (EmORE) approach that can
be utilized to elicit, model, and analyze users' emotions using GRL. An evaluation of EmORE was
conducted using a case study of virtual clinics. By applying the proposed approach, we were able to
elicit users’ emotional requirements, model the emotional goals with respect to the system and user
requirements, and analyze the emotional goals in relation to other goals effectively. The case study
results are promising and encouraging to further develop and validate EmORE. Our future work
includes providing a verification method to verify the elicited and the mapped emotions by PAD model.
Moreover, we plan to enhance the relationship types between goals and emotions to enable more
realistic analysis and provide appropriate modeling and tool support by extending the GRL metamodel.
1 https://figshare.com/s/157d3248c8b1c5b27e1f</p>
    </sec>
    <sec id="sec-11">
      <title>7. Acknowledgements</title>
      <p>The authors acknowledge the support of King Fahd University of Petroleum and Minerals support
in developing this work.</p>
    </sec>
    <sec id="sec-12">
      <title>8. References</title>
    </sec>
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