Gaze-controlled, computer-assisted communication in Intensive Care Unit: "speaking through the eyes".

BACKGROUND: The aim of this study was to test the hypothesis that a gaze-controlled communication system (eye tracker, ET) can improve communication processes between completely dysarthric ICU patients and the hospital staff, in three main domains: 1) basic communication processes (i.e., fundamental needs, desire, and wishes); 2) the ability of the medical staff to understand the clinical condition of the patient; and 3) the level of frustration experienced by patient, nurses and physicians. METHODS: Fifteen fully conscious medical and surgical patients, 8 physicians, and 15 nurses were included in the study. The experimental procedure was composed by three phases: in phase 1 all groups completed the preintervention questionnaire; in phase 2 the ET was introduced and tested as a communication device; in phase 3 all groups completed the postintervention questionnaire. RESULTS: Patients preintervention questionnaires showed remarkable communication deficits, without any group effect. Answers of physicians and nurses were pretty much similar to the one of patients. Postintervention questionnaires showed in all groups a remarkable and statistically significant improvement in different communication domains, as well as a remarkable decrease of anxiety and disphoric thought. Improvement was also reported by physicians and nurses in their ability to understand patient's clinical conditions. CONCLUSION: Our results show an improvement in the quality of the examined parameters. Better communication processes seem also to lead to improvements in several psychological parameters, namely anxiety and drop-out depression perceived by both patients and medical staff. Further controlled studies are needed to define the ET role in ICU.

Shifting visuo-spatial attention in a virtual three-dimensional space.

The present investigation, with a virtual reality set-up, aimed to study attentional orienting within a three-dimensional visual world. Near and far stimuli were used. Half of the subjects were provided with a virtual representation of their body, whereas half were not. Results showed a different distribution of attentional resources in the two conditions, suggesting a dissociation between attentional systems controlling the proximal and the distal visual space. In particular, attention was focused close to the subject's body when a virtual representation of it was present, whereas attention was focused away from the body when a virtual representation of the body was not present.

The influence of body movement on subjective presence in virtual environments.

We describe an experiment to assess the influence of body movements on presence in a virtual environment. In the experiment 20 participants were to walk through a virtual field of trees and count the trees with diseased leaves. A 2 x 2 between subjects design was used to assess the influence of two factors on presence: tree height variation and task complexity. The field with greater variation in tree height required participants to bend down and look up more than in the lower variation tree height field. In the higher complexity task participants were told to remember the distribution of diseased trees in the field as well as to count them. The results showed a significant positive association between reported presence and the amount of body movement in particular, head yaw--and the extent to which participants bent down and stood up. There was also a strong interaction effect between task complexity and gender: Women in the more-complex task reported a much lower sense of presence than in the simpler task. For applications in which presence is an important requirement, the research in this paper suggests that presence will be increased when interaction techniques are employed that permit the user to engage in whole-body movement.