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Many robot-delivered health interventions aim to support people longitudinally at home to complement or replace in-clinic treat- ments. However, there is little guidance on how robots can support collaborative goal setting (CGS). CGS is the process in which a person works with a clinician to set and modify their goals for care; it can improve treatment adherence and efficacy. However, for home-deployed robots, clinicians will have limited availability to help set and modify goals over time, which necessitates that robots support CGS on their own. In this work, we explore how robots can facilitate CGS in the context of our robot CARMEN (Cognitively Assistive Robot for Motivation and Neurorehabilitation), which delivers neurorehabilitation to people with mild cognitive impairment (PwMCI). We co-designed robot behaviors for supporting CGS with clinical neuropsychologists and PwMCI, and prototyped them on CARMEN. We present feedback on how PwMCI envision these behaviors supporting goal progress and motivation during an intervention. We report insights on how to support this process with home-deployed robots and propose a framework to support HRI researchers interested in exploring this both in the context of cognitively assistive robots and beyond. This work supports design- ing and implementing CGS on robots, which will ultimately extend the efficacy of robot-delivered health interventions.
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NSF DARE—transforming modeling in neurorehabilitation: a patient-in-the-loop framework
Abstract In 2023, the National Science Foundation (NSF) and the National Institute of Health (NIH) brought together engineers, scientists, and clinicians by sponsoring a conference on computational modelling in neurorehabiilitation. To facilitate multidisciplinary collaborations and improve patient care, in this perspective piece we identifywhereandhowcomputational modelling can support neurorehabilitation. To address the where, we developed a patient-in-the-loop framework that uses multiple and/or continual measurements to update diagnostic and treatment model parameters, treatment type, and treatment prescription, with the goal of maximizing clinically-relevant functional outcomes. This patient-in-the-loop framework has several key features: (i) it includes diagnostic and treatment models, (ii) it is clinically-grounded with the International Classification of Functioning, Disability and Health (ICF) and patient involvement, (iii) it uses multiple or continual data measurements over time, and (iv) it is applicable to a range of neurological and neurodevelopmental conditions. To address the how, we identify state-of-the-art and highlight promising avenues of future research across the realms of sensorimotor adaptation, neuroplasticity, musculoskeletal, and sensory & pain computational modelling. We also discuss both the importance of and how to perform model validation, as well as challenges to overcome when implementing computational models within a clinical setting. The patient-in-the-loop approach offers a unifying framework to guide multidisciplinary collaboration between computational and clinical stakeholders in the field of neurorehabilitation.
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- PAR ID:
- 10556573
- Publisher / Repository:
- Springer Nature Link
- Date Published:
- Journal Name:
- Journal of NeuroEngineering and Rehabilitation
- Volume:
- 21
- Issue:
- 1
- ISSN:
- 1743-0003
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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Accepted Manuscript1.0
- Journal Article:
- https://doi.org/10.1186/s12984-024-01318-9
