Towards attention monitoring of older adults with cognitive impairment during interaction with an embodied conversational agent
Open accessAbstract
Embodied conversational agents (ECAs) are virtual characters using verbal and non-verbal communication for Human-machine interaction. The aim of our research is to create an ECA-based user interface for assistive technologies targeting older adults with cognitive impairment. Our design methodology is a co-design living lab approach, collecting design guidelines through questionnaires, focus groups and user trials. In this paper, we report on the results of the first phase of this iterative design process. We developed Louise, a semi-automatic ECA prototype that aims to compensate, through attention monitoring, for a user's attentional disorders by performing autonomous prompting, i.e., calling the user to regain his or her attention in case he or she got distracted. We evaluated the performance of Louise with a group of experts in assistive technologies and collected their feedback. Louise's simple attention estimator is more than 80% accurate. The system got quite positive reviews from users.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the last 10 years, few studies have addressed the use of ECAs among older adults with dementia.
“In fact, in the last 10 years, few studies have addressed the use of ECAs among older adults with dementia.”
In the last 10 years, few studies have addressed the use of ECAs among older adults with dementia.
“In fact, in the last 10 years, few studies have addressed the use of ECAs among older adults with dementia.”
This study mapped how the readiness level of ECA-based interventions grew across the years, shifting from a display on standard television sets and computer screens to mobile stand-alone solutions such as Anne.
“From a technical point of view, this study mapped how the readiness level of ECA-based interventions grew across the years, shifting from a display on standard television sets [7] and computer screens [8-12] to mobile stand-alone solutions such as in the specific case of Anne.”
This study mapped how the readiness level of ECA-based interventions grew across the years, shifting from a display on standard television sets and computer screens to mobile stand-alone solutions such as Anne.
“From a technical point of view, this study mapped how the readiness level of ECA-based interventions grew across the years, shifting from a display on standard television sets [7] and computer screens [8-12] to mobile stand-alone solutions such as in the specific case of Anne.”
The quality of automatic speech recognition and synthesis is still a technical issue and has room for improvement, whereas touch screen modality is almost stable and positively used by people living with dementia.
“Unfortunately, our study confirms that the quality of automatic speech recognition and synthesis is still a technical issue and has room for improvement [7-11], whereas touch screen modality is almost stable and positively used by people living with dementia [3,25,26].”
This framework of 4 weeks of interaction between 20 seniors with dementia and the agent Anne in a home setting is rare in ECA research, which mainly comprises studies on short-term interaction in a controlled environment and smaller sample size enrollment.
“This framework is rare in ECA research, which mainly comprises studies on short-term interaction in a controlled environment [13] and smaller sample size enrollment [7-12].”
This framework of 4 weeks of interaction between 20 seniors with dementia and the agent Anne in a home setting is rare in ECA research, which mainly comprises studies on short-term interaction in a controlled environment and smaller sample size enrollment.
“This framework is rare in ECA research, which mainly comprises studies on short-term interaction in a controlled environment [13] and smaller sample size enrollment [7-12].”
The attention estimation method and the ECA prototype were developed and validated with healthy younger adults in a previous work.
“The attention estimation method and the ECA prototype were developed and validated with healthy younger adults in a previous work [5].”
From Field evaluation with cognitively-impaired older adults of attention management in the Embodied Conversational Agent Louise (2016) · cites this paper as [5]
In previous work, the attention estimation algorithm showed over 80% accuracy with younger adults who are assistive technology experts.
“In previous work [5], this attention estimation algorithm was evaluated with younger adults, who are assistive technology experts. The method showed over 80% accuracy with this group.”
From Field evaluation with cognitively-impaired older adults of attention management in the Embodied Conversational Agent Louise (2016) · cites this paper as [5]
Cites
Fisk, A. D., Rogers, W. A., Charness, N., Czaja, S. J., & Sharit, J. (2004) · doi:10.1201/9781420023862 · Cited by 781 · see citing works
Explorations in engagement for humans and robots
Sidner, C. L., Lee, C. W., Kidd, C. D., Lesh, N. B., & Rich, C. (2005) · Artificial Intelligence · doi:10.1016/j.artint.2005.03.005 · Cited by 559 · see citing works
Living Lab: an open and citizen-centric approach for innovation
Bergvall‐Kåreborn, B., & Ståhlbröst, A. (2009) · International Journal of Innovation and Regional Development · doi:10.1504/ijird.2009.022727 · Cited by 455 · see citing works
Designing for Older Adults: Principles and Creative Human Factors Approaches, Second Edition
Fisk, A. D., Czaja, S. J., Rogers, W. A., Charness, N., Czaja, S. J., & Sharit, J. (2018) · doi:10.1201/9781420080681 · Cited by 396 · see citing works
Bridging the Gap between Social Animal and Unsocial Machine: A Survey of Social Signal Processing
Vinciarelli, A., Pantic, M., Heylen, D., Pelachaud, C., Poggi, I., D'Errico, F., & Schroeder, M. (2012) · IEEE Transactions on Affective Computing · doi:10.1109/t-affc.2011.27 · Cited by 381 · see citing works
Elderly Users in Ambient Intelligence: Does an Avatar Improve the Interaction?
Ortiz, A., del Puy Carretero, M., Oyarzun, D., Yanguas, J. J., Buiza, C., Gonzalez, M. F., & Etxeberria, I. (2007) · Lecture Notes in Computer Science · doi:10.1007/978-3-540-71025-7_8 · Cited by 62 · cited 1× · see citing works
“[17] have performed an empirical study involving 3 groups, of 5 people each, with different levels of cognitive capabilities: normally aging, mild cognitive impairment (MCI) and moderate Alzheimer’s disease (AD).”
Visual Focus of Attention in Non-calibrated Environments using Gaze Estimation
Asteriadis, S., Karpouzis, K. C., & Kollias, S. (2013) · International Journal of Computer Vision · doi:10.1007/s11263-013-0691-3 · Cited by 55 · see citing works
Avatars in Assistive Homes for the Elderly
Morandell, M., Hochgatterer, A., Fagel, S., & Wassertheurer, S. (2008) · Symposium of the Workgroup Human-Computer Interaction and Usability Engineering of the Austrian Computer Society · doi:10.1007/978-3-540-89350-9_27 · Cited by 47 · see citing works
Listener agent for elderly people with dementia
Sakai, Y., Nonaka, Y., Yasuda, K., & Nakano, Y. I. (2012) · Proceedings of the seventh annual ACM/IEEE international conference on Human-Robot Interaction · doi:10.1145/2157689.2157754 · Cited by 47 · see citing works
Gaze awareness in conversational agents
Ishii, R., Nakano, Y., & Nishida, T. (2013) · ACM Transactions on Interactive Intelligent Systems · doi:10.1145/2499474.2499480 · Cited by 44 · see citing works
Towards Improving Social Communication Skills With Multimodal Sensory Information
Chen, J., Chen, D., Li, X., & Zhang, K. (2013) · IEEE Transactions on Industrial Informatics · doi:10.1109/tii.2013.2271914 · Cited by 34 · see citing works
Natural Interaction between Avatars and Persons with Alzheimer’s Disease
Carrasco, E., Epelde, G., Moreno, A., Ortiz, A., Garcia, I., Buiza, C., Urdaneta, E., Etxaniz, A., González, M. F., & Arruti, A. (2008) · Lecture Notes in Computer Science · doi:10.1007/978-3-540-70540-6_5 · Cited by 27 · see citing works
The Importance of Eye Gaze and Head Pose to Estimating Levels of Attention
Asteriadis, S., Karpouzis, K., & Kollias, S. (2011) · International Conference on Games and Virtual Worlds for Serious Applications · doi:10.1109/vs-games.2011.38 · Cited by 21 · see citing works
Attention-based addressee selection for service and social robots to interact with multiple persons
Li, L., Xu, Q., & Tan, Y. K. (2012) · Proceedings of the Workshop at SIGGRAPH Asia · doi:10.1145/2425296.2425319 · Cited by 20 · see citing works
Diaz-Orueta, U., Etxaniz, A., Gonzalez, M. F., Buiza, C., Urdaneta, E., & Yanguas, J. (2014) · Universal Access in the Information Society · doi:10.1007/s10209-013-0288-1 · Cited by 19 · see citing works
Toward a memory assistant companion for the individuals with mild memory impairment
Huang, H.-H., Matsushita, H., Kawagoe, K., Sakai, Y., Nonaka, Y., Nakano, Y., & Yasuda, K. (2012) · 2012 IEEE 11th International Conference on Cognitive Informatics and Cognitive Computing · doi:10.1109/icci-cc.2012.6311164 · Cited by 19 · see citing works
Agogué, M., Comtet, G., Menudet, J.-F., Picard, R. G., & Masson, P. L. (2013) · Management & Avenir Santé · doi:10.3917/mavs.001.0017 · Cited by 16 · see citing works
(2013) · 人工知能学会全国大会論文集 · Cited by 15 · see citing works
Multi-Sensors Engagement Detection with a Robot Companion in a Home Environment
(2012) · HAL · Cited by 14 · see citing works
Lapointe, J., Bouchard, J., Verreault, A., Potvin, A., Bouchard, B., & Bouzouane, A. (2013) · International Journal of Smart Home · doi:10.14257/ijsh.2013.7.5.03 · Cited by 13 · see citing works
CALONIS: An Artificial Companion Within a Smart Home for the Care of Cognitively Impaired Patients
Wilks, Y. A., Jasiewicz, J. M., Catizone, R., Galescu, L., Martinez, K. M., & Rugs, D. (2014) · Lecture notes in computer science · doi:10.1007/978-3-319-14424-5_30 · Cited by 12 · see citing works
Towards Assessing the Communication Responsiveness of People with Dementia
Nonaka, Y., Sakai, Y., Yasuda, K., & Nakano, Y. (2012) · Lecture Notes in Computer Science · doi:10.1007/978-3-642-33197-8_57 · Cited by 10 · see citing works
(2010) · Common Library Network (Der Gemeinsame Bibliotheksverbund) · Cited by 9 · see citing works
Morandell, M. M., Hochgatterer, A., Wöckl, B., Dittenberger, S., & Fagel, S. (2009) · Lecture Notes in Computer Science · doi:10.1007/978-3-642-10308-7_25 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Survey of conversational agents in health
Montenegro, J. L. Z., da Costa, C. A., & da Rosa Righi, R. (2019) · Expert Systems with Applications · doi:10.1016/j.eswa.2019.03.054 · Cited by 322 · see citing works
Jiang, H., Cheng, Y., Yang, J., & Gao, S. (2022) · Computers in Human Behavior · doi:10.1016/j.chb.2022.107329 · Cited by 362 · see citing works
Biduski, D., Bellei, E. A., Rodriguez, J. P. M., Zaina, L. A. M., & Marchi, A. C. B. D. (2019) · Computers in Human Behavior · doi:10.1016/j.chb.2019.106169 · Cited by 144 · see citing works
Jegundo, A. L., Dantas, C., Quintas, J., Dutra, J., Almeida, A. L., Caravau, H., Rosa, A. F., Martins, A. I., & Pacheco Rocha, N. (2020) · Technologies · doi:10.3390/technologies8030042 · Cited by 45 · see citing works
Wargnier, P., Benveniste, S., Jouvelot, P., & Rigaud, A.-S. (2018) · Technology and Disability · doi:10.3233/tad-180189 · Cited by 32 · see citing works
Self-citationSchlomann, A., Wahl, H.-W., Zentel, P., Heyl, V., Knapp, L., Opfermann, C., Krämer, T., & Rietz, C. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.684012 · Cited by 36 · see citing works
Stara, V., Vera, B., Bolliger, D., Rossi, L., Felici, E., Di Rosa, M., de Jong, M., & Paolini, S. (2020) · JMIR mHealth and uHealth · doi:10.2196/25891 · Cited by 36 · see citing works
Embodied Conversational Agents for Patients With Dementia: Thematic Literature Analysis
Rampioni, M., Stara, V., Felici, E., Rossi, L., & Paolini, S. (2021) · JMIR mhealth and uhealth · doi:10.2196/25381 · Cited by 33 · see citing works
Wargnier, P., Carletti, G., Laurent-Corniquet, Y., Benveniste, S., Jouvelot, P., & Rigaud, A.-S. (2016) · 2016 IEEE International Conference on Serious Games and Applications for Health (SeGAH) · doi:10.1109/segah.2016.7586282 · Cited by 28 · see citing works
Self-citationDial4JaCa – A Communication Interface Between Multi-agent Systems and Chatbots
Engelmann, D. C., Oliveira, J. D., Krausburg, T., Borges, O. T., Colissi, M. D. S., Panisson, A. R., & Bordini, R. H. (2021) · Lecture notes in computer science · doi:10.1007/978-3-030-85739-4_7 · Cited by 18 · see citing works
Stara, V., Vera, B., Bolliger, D., Paolini, S., de Jong, M., Felici, E., Koenderink, S., Rossi, L., von Döllen, V., & Rosa, M. D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910405 · Cited by 14 · see citing works
Hu, J., Li, J., Zeng, Y., Yang, D., Liang, D., Meng, H. M. L., & Ma, X. (2024) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3613904.3642960 · Cited by 13 · see citing works
Das, K., Beinema, T. C., den Akker, H. O., & Hermens, H. J. (2019) · International Conference on Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE) · doi:10.5220/0007750602970304 · Cited by 10 · see citing works
Conversational AI in Organizational Communication
Ndlela, M. N., & Madsbu, J. P. (2024) · New perspectives in organizational communication · doi:10.1007/978-3-031-58307-0_4 · Cited by 3 · see citing works
Torabgar, M., Figeys, M., Esmail, S., Stroulia, E., & Rincon, A. M. R. (2025) · JMIR Serious Games · doi:10.2196/54797 · Cited by 3 · see citing works
Video Analysis for Includification Requirements
Hofmann, A., & Hlavacs, H. (2015) · International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS) · doi:10.1145/2700648.2811398
Conversational Assistants and their Applications in Health and Nephrology
Furtado, E. S., Oliveira, F., & Pinheiro, V. C. M. (2022) · Springer eBooks · doi:10.1007/978-3-031-11570-7_18
Konversationelle Assistenten und ihre Anwendungen in Gesundheit und Nephrologie
Furtado, E. S., Oliveira, F., & Pinheiro, V. C. M. (2024) · Springer eBooks · doi:10.1007/978-3-031-65236-3_18
- Authors
- Wargnier, P., Malaise, A., Jacquemot, J., Benveniste, S., Jouvelot, P., Pino, M., & Rigaud, A.-S.
- Affiliations
- Université Paris Sciences et Lettres (FR)
- Hôpital Cochin (FR)
- Venue
- 2015 3rd IEEE VR International Workshop on Virtual and Augmented Assistive Technology (VAAT)
- Publisher
- IEEE
- Published
- 2015-03
- Pages
- 23-28
- OpenAlex
- W1480447586
- Cited by
- 18
- References
- 24
- Citations by year
- 2025: 1 · 2024: 3 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 1 · 2016: 1 · 2015: 1
- FWCI
- 1.76
- Type
- conference paper
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- HAL (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Social Psychology › Social Robot Interaction and HRI
- Social Sciences › Demography › Technology Use by Older Adults
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Keywords
- embodied conversational agents, attention monitoring, older adults, cognitive impairment, assistive technology, human-machine interaction, attention estimation, co-design, living labs, user interface design
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review