=Paper= {{Paper |id=None |storemode=property |title=Technological and cognitive roadmaps for ambient assisted living |pdfUrl=https://ceur-ws.org/Vol-696/paper9.pdf |volume=Vol-696 }} ==Technological and cognitive roadmaps for ambient assisted living== https://ceur-ws.org/Vol-696/paper9.pdf
                    CEUR Proceedings 4th Workshop HCP Human Centered Processes, February 10-11, 2011




          Technological and cognitive roadmaps for Ambient Assisted Living
             Filippo Cavallo (f.cavallo@sssup.it), Michela Aquilano (m.aquilano@sssup.it),
           Giuseppe Anerdi (g.anerdi@sssup.it), Maria Chiara Carrozza (carrozza@sssup.it),
                                   Paolo Dario (paolo.dario@sssup.it)
                                                   BioRobotics Institute
                                           Scuola Superiore Sant’Anna, Pisa, Italy

                                            Alberto Greco (greco@unige.it)
                                         Lab. of Psychology and Cognitive Sciences
                                                  University of Genoa, Italy


                         Abstract                                      In societal terms, AAL is focused to enable the
                                                                    containment of the overall cost of assistance, offering
  As a result of the continuous increase of ageing                  truly acceptable and usable solutions to the growing need
  population, a growing number of frail and impaired people         for personal assistance, mainly related to the steadily
  (both in physical and cognitive functions) need assistance
                                                                    growing cohort of elderly people, while increasing their
  and pose dramatic challenges for the health and welfare
  systems. The projects in the Ambient Assisted Living              independence and ultimately the quality of their lives.
  (AAL) field aim at developing intelligent systems able to            In this context AALIANCE (“The European Ambient
  provide personal assistance to elder and impaired people,         Assisted Living Innovation Alliance”), a European FP7
  allowing them to continue living in their familiar                project ended in 2010, had the goal to create a common
  environment and preserving as much as possible their              vision of AAL that provides and defines the necessary
  independence. AALIANCE is one European FP-7 project               future R&D steps and projects on the way to AAL. It
  developed in the AAL context established for creating a           aimed at developing such a roadmap and strategic
  common vision of AAL and developing a roadmap of                  guidance for short-, mid- and long-term R&D approaches
  future steps and projects on the way to AAL systems. In
                                                                    in the context of AAL. In this paper the AALIANCE
  this paper the AALIANCE roadmap document is presented
  and the main trends towards AAL are addressed, both from          Ambient Assisted Living Roadmap document (Van Den
  technological and human-centered (psychological, cogni-           Broek et al., 2010) is presented, addressing the main
  tive) points of view.                                             trends towards AAL, both from technological and human-
                                                                    centered (psychological, cognitive) points of view.
             The AALIANCE Project                                      The Roadmap starts with the analysis of the main
             and the AAL Roadmaps                                   trends towards AAL, analyzed from a demographic,
                                                                    economic and technological point of view, and the
The industrialised world is experimenting a spectacular             barriers for their deployment, identified for each
increase of ageing population, mainly consequent to the             stakeholder of AAL, i.e. users and caregivers (primary
baby boomers generation crossing the threshold of                   stakeholders), organizations offering services (secondary
retirement. Such a change in the demographic structure              stakeholders), organizations supplying goods and
will affect all aspects of the life, including a larger             services (tertiary stakeholders) and organizations
number of frail and impaired people (both in physical and           analyzing the economical and legal context of AAL
cognitive functions). In particular the risk associated with        (quaternary stakeholders). The needs of elderly and
cognitive impairments is raising with the age and goes              disabled people were studied and identified considering
with elevated social and economic burdens relevant to its           the two fundamental aspect/expectations of the human,
chronic nature and to the progressive loss of autonomy.             that are the autonomy and the independence in different
  At the same time, while representing dramatic                     contexts of daily life.
challenges for the health and welfare systems it will offer            Starting from these reflections, three main application
innovation and business opportunities for technology                domains of AAL technologies were identified: AAL for
providers, fostering, among others, the development of              Persons, AAL in the Community, and AAL at Work.
ICT-enabled assisted living paradigm or “Ambient                    These areas reflect the three fundamental contexts of
Assisted Living” (AAL). AAL refers to intelligent                   human daily life, that are the personal and health care
systems of assistance and represents a paradigm shift – in          considered from the physical and cognitive aspects; the
society as well as technology – that will walk hand in              participation to the Community activities; the work
hand with “human centered computing”, where the                     considered not only as means of economical subsistence
emphasis is on user friendliness, situation awareness,              but also as instrument for the expression of the own
distributed service support for human interaction.                  personality, attitudes and self-fulfillment.
  The AAL system through adaptive and distributed                      Unfortunately, physiological deficits and pathologies
user-system interfaces, body and environment sensor                 invalidate the autonomy and the independence of elderly
network and AI subsystems, is designed to be able to                and impaired persons in these domains, causing problems
infer about the activities of daily life (ADLs) the user is         for both the single subjects and their families and also for
carrying out and about the context in which such                    the Community that should satisfy an increasing request
activities are taking place.                                        of services and support. Advanced technologies (ICT,


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                         Table 1: Application Domains defined in AALIANCE AAL Roadmap.

                                         AAL APPLICATION DOMAINS
      4 Persons (@home; @mobile)                @ Community                                   @Work
      - Health, rehabilitation, care            - Mobility                                    - Collaboration,
      - Safety and security                     - Social Inclusion                            cooperation
      - Activity management/cognitive support   -Entertainment and Leisure
      - Autonomy / physical support
      - Person-centric services

Ambient Intelligence, Ubiquitous and Service Robotics,              for Ageing and Well-being”, Target C, should “...take
etc.) can be useful tools to help directly elderly people in        into account work already started under the AALIANCE
their ADLs and to support caregivers and sociomedical               innovation platform (ref. http://www.aaliance.eu)”
workers in their jobs.                                              (European Commission, 2010).
  The AAL Roadmap describes some realistic scenarios                   Several research groups are using the AALIANCE
related to the single application domain in which ICT and           AAL Roadmap to address their researches in the AAL
technologies can contribute for helping and guaranteeing            fields and service robotics in order to design and develop
people independence (see Table 1). Then technologies                technological solutions useful and exploitable in society
and innovations that should be implemented to                       to support elderly and disabled people in their ADLs. In
accomplish these scenarios have been identified                     particular the Scuola Superiore Sant’Anna (Pisa, Italy) is
describing current technologies and the technological               carrying out several researches related to AAL and
objectives foreseen for the short-, mid- and long-term and          service robotics making reference to AAL Roadmap.
how academic and industrial S/T researches should                      In the context of the calls for experiments organized by
evolve to obtain them. This analysis was carried out                the ECHORD Project funded by FP7, the Scuola
looking in particular to all main functionalities that              Superiore Sant’Anna is involved in ASTROMOBILE
compose the AAL integrated systems: sensing, reasoning,             project (Cavallo et al., 2010; Nepa et al., 2010). This
acting, interaction, communication, power supply (Table             project aims at designing an assistant robot, starting from
2).                                                                 the robotic platform SCITOS G5 (MetraLabs GmbH),
  Furthermore, the document delineates possible                     able to provide some services to elderly people (such as
directives for the integration of technological support and         monitoring the presence at home and the health status,
contribute in the service settings supplied by public and           connecting the user with outside people, reminding
private service providers (novel service models) and also           him/her about drugs to be taken and events, etc.), to
economical and legislative actions that the society should          cooperate with users in executing ADLs at home, to
perform for introducing the AAL technologies in the                 interact with them adopting strategies similar as much as
community guaranteeing and preserving at the same time              possible to natural human ones, and that can be
the safety and the welfare of all citizens.                         considered usable and acceptable by this particular target
                                                                    of users. The ASTROMOBILE system foresees the
      From AAL Roadmap to the Scuola                                integration of the mobile robot with a sensor network and
     Superiore Sant’Anna research trends                            an ambient intelligence infrastructure. During this project
                                                                    an extensive experimentation in realistic indoor
  The AALIANCE AAL Roadmap has been considered
                                                                    environment, that is DomoCasa living lab, and with real
by the European Commission as good guidelines for the
                                                                    elderly people will be carried out.
development of novel European S/T researches so that
                                                                       The project follows a User Centered Design
the Work Programme 2011 Cooperation, Theme 3, says
                                                                    methodology and so it will involve the older persons,
that the next Coordination frameworks developed in the
                                                                    through meeting, interviews and other surveys, since the
context of the Challenge 5, Objective ICT-2011.5.4 “ICT

     Table 2: Summary of the main functions and enabling technologies described in AALIANCE AAL Roadmap.

                              MAIN FUNCTIONS AND ENABLING TECHNOLOGIES
                     Sensing           New sensors (health parameters, environment,
                                       localization, etc.)
                                       Sensor networks
                     Reasoning         Ontologies
                                       Event stream processing
                                       Probabilistic reasoning
                                       Event prediction
                     Acting            New actuators
                                       Home robots and mechatronic devices
                     Interacting       Multimodal, natural, persuasive interfaces
                     Communicating     New protocols and standards for communication
                                       network


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                    CEUR Proceedings 4th Workshop HCP Human Centered Processes, February 10-11, 2011




beginning of the project, in order to address the design of         interaction session with cognitively impaired elders.
the ASTROMOBILE system (aesthetics and appearance                   Starting from this study we claimed that such acceptance
of the robot, way to carry out the domestic services,               should be considered as a multifaceted attitude, where
human-robot interfaces, etc.) for being really suited for           affective, cognitive, and conative aspects have equal
elderly people and satisfying the users expectations.               importance. In our opinion, the next steps in the cognitive
   RITA is a different project, developed in the context of         slope of a roadmap firstly include psychological surveys
Tuscany region. It has been conceived by researchers of             planning, concerning the acceptability, and possible
Scuola Superiore Sant’Anna coming from different                    implementation approaches,
research fields, robotics and law, that are designing novel            (i)     of a pervasive monitoring of daily activities,
ICT technological solutions to support and monitor                     (ii) of the presence of an AAL system,
elderly people living alone, and are investigating how                 (iii) of interaction with such a system.
these technologies can be exploited and inserted in the                In fact, the presence of a continuous monitoring system
context of socio-medical services supplied from public              may give some individuals a suffocation feeling; the
regional providers, and how to deal with both legal and             possible negative effects of other components of an AAL
socio-ethical aspects.                                              system must also be carefully scrutinized. And even if the
   For this project a sensor network and ambient                    system is accepted, misunderstandings or deceptions can
intelligence infrastructures will be developed to monitor           occur about its intended purpose or use. Willingness to
health status of old subjects, to localize them both                interact also should not be taken for granted.
indoors and outdoors, to monitor the domestic                          The methodological tools for these surveys include
environments, to recognize potentially dangerous events             standard interviews, questionnaires, (directed also to
and to activate alert actions for providing promptly help           relatives), systematic observation sessions, related
to the elderly user. All these technological tools will be          assessment tools, and also new pilot experimentation on
designed according to indications provided from real                the field.
elderly people, their caregivers and socio-medical                     If this first line of inquiry is just aimed at collecting
workers, involved through the socio-medical service                 information, a second line to be developed concerns tools
provider of Pisa’s areas, that subsequently will also test          aimed at attitude formation and change. A human-
the systems.                                                        centered AAL system must be part of a positive attitude
   Moreover, the Scuola Superiore Sant’Anna is carrying             system. This can be developed by enhancing in potential
out other researches oriented to the robotics and ICT               users:
technologies for “Ageing Well” because strongly                        (i)     a correct knowledge about the system, not only
believes that the technology can help people to live better         from the technical point of view but also concerning its
and is so advanced to be ready to be implemented in real            general philosophy and purposes;
life because acceptable and safe.                                      (ii) a positive feeling, obtained from a well-done
                                                                    affective computing, able to correctly recognizing user
          Towards a cognitive roadmap                               emotions, and to behave in an emotionally sensible way;
   In AAL, products and services, provided by a                        (iii) a motivated intention to use the system.
heterogeneous set of disciplines, are based on selected                We claim that this attitude can only be developed
standards that allow the interoperability of applications           through interaction, where the system and the user
and designed in a user-centered way. The main objectives            progressively adapt themselves and each other in order to
that should direct such a research effort are: from a               achieve the final state, where the user has built an
personal view, to allow impaired people to continue                 increasingly positive attitude, as explained above, and the
living in their familiar environment; from a social point           system has built an increasingly refined user model.
of view, to reduce assistance costs.
   In the first phase technological aspects have been               User model
mainly addressed. There are, however, a number of issues               The user model is a key concept in this context. It can
to be raised from a human-centered perspective:                     be developed as a set of general frames, available at the
psychological, cognitive, social, etc. In particular, in the        start as a standard toolkit, to be tailored and customized
present section we would like to emphasize some                     on the way to the user needs, through interactive
psychological and cognitive points that should be                   learning. Each frame should include general expectations
integrated with the technological guidelines in the next            concerning a different area, belonging to the different
developments. Such approach belongs to the cognitive                enabling technologies for AAL. In order to establish
science domain, because the contribution of different               these expectations, an assumption of normality could be
disciplines is needed.                                              the right starting point. In other words, the model could
                                                                    start with the default assumption that a user has a
Acceptance and attitudes                                            particular skill unless the contrary is proved, possibly in
  The first implication is about the psychological                  test situations.
acceptance of an artificial companion. In a previous work              We shall consider now some technological aspects
(Greco, Anerdi, Rodriguez, 2009) we conducted a                     specified by the Roadmap (see Table 2). The next
preliminary empirical study in order to assess the                  mentioned functional components should neither be
acceptance of an animaloid robot during a simple                    conceived as standalone mechanisms carrying out


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computations for their own use, nor just as replacement              recognizing where the user deficits lie. And this should
or improvement devices for faulty intellective processes             be done dynamically, because such deficits are not fixed
and resources. Each of them, instead, must be designed as            once for all, but can change with time and contexts.
a true subsystem devised to interact with the user in order
to build a personalized model of this particular person.             Acting
                                                                     It is based on sensor-motors (e.g., cognitive robots) and
Sensing                                                              actuators that, based on their perception of the
Sensors are planned to be placed everywhere, in-body or              environment, on behalf of their users and on information
on-body, in-appliance or on-appliance, or in the                     gathered by some other device and/or background
environment (see Figure 1). The user also, on his part,              knowledge, could perform concrete actions. These agents
has a sensing system, and both systems should interact. In           should be able to learn the personal habits of the user,
the technical Roadmap much attention is correctly posed              that make him/her different from other users, and also
to the requirement that sensors be seamless, integrated,             individual styles, that often make the same person to
less disturbing as possible. It is also important to realize,        perform the same thing differently. It should be able also
however, that the huge potential quantity of information             to detect which actions are performed as automatic or
conveyed by a complex network of sensory systems is                  controlled processes.
not seamless from the cognitive point of view, and that
more and more complex links with high-level processes                Interacting and Communicating
are needed, so that truly relevant features in context are           An intelligent interaction with systems and services is
selected. The fundamental problem here is how to shape               devised, in order to cope with the abilities of users.
a potentially very rich model to be “aware” of the                   Sensors and actuators are connected to one or more
personal limitations of a specific user.                             reasoning systems that in turn might be connected (even
                                                                     dynamically, e. g. a person moving from home to a
Reasoning                                                            vehicle and then to some public space) to other reasoning
It concerns aggregating, processing and analyzing data,              systems, possibly with their own sensors and actuators.
transforming it into knowledge within different and often              One important point concerns here the development of
cross-connected spaces (body, home, vehicle, public                  suitable interfaces, which may be difficult for cognitively
spaces). These processes, in fact, may assume a function             impaired people. It may be obvious that an interface
that can integrate some well known deficits in verbal and            should be as more humanlike as possible. This is not only
visuospatial cognitive capabilities: attending relevant task         because elders often lack technical or computing systems
aspects and inhibiting irrelevant ones, dealing with                 knowledge, but also because they should not consider it
cognitive workload in complex environments (Newell et                as a mechanical device, but as a tool that works similarly
al., 2008).                                                          and extends their natural and usual communication with
   Higher levels of reasoning, as illustrated in Figure 1,           people relevant in their life. In this vein, as an example,
concern categorization of user activities and situation              the development of gesture-based commands is worth to
recognition. To this purpose, a cognitive task analysis              be pursued. It can be used, in part, also as a mediating
may be useful to help identify critical steps in action              tool for establishing a real communication system with
performance. Here, again, the aim is not to reach a                  family.
representation of the ideal performance, but exactly




                 Figure 1: Sensing and Reasoning Roadmap (Van Den Broek, Cavallo, Wehrmann, 2010).



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                      Conclusion
In this paper we have presented the AALIANCE                                              References
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                 Acknowledgments                                      tals, Evolving Technologies, and Emerging Applica-
Authors acknowledge the support of the AALIANCE                       tions Human Factors and Ergonomics, Section 5,
Project, grant FP7-217050, ECHORD Project, grant FP7-                 Designing for Diversity, 2nd Ed., CDC, Taylor &
231143, and RITA Project, funded by Region of Tuscany                 Francis, pp. 811–882, Chapter 41.
POR FSE 2007-2013.                                                  Population projections 2008-2060, Eurostat Press Office.
                                                                    Van Den Broek G., Cavallo F., Wehrmann C. (2010)
                                                                      AALIANCE Ambient Assisted Living Roadmap.
                                                                      Ambient Intelligence and Smart Environments, IOS
                                                                      Press, Volume 6.




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