BESI: Behavioral and Environmental Sensing and Intervention for Dementia Caregiver Empowerment-Phases 1 and 2.

BACKGROUND AND OBJECTIVES: Caregiver burden associated with dementia-related agitation is one of the commonest reasons a community-dwelling person with dementia (PWD) transitions to a care facility. Behavioral and Environmental Sensing and Intervention for Dementia Caregiver Empowerment (BESI) is a system of body-worn and in-home sensors developed to provide continuous, noninvasive agitation assessment and environmental context monitoring to detect early signs of agitation and its environmental triggers. RESEARCH DESIGN AND METHODS: This mixed methods, remote ethnographic study is explored in a 3-phase, multiyear plan. In Phase 1, we developed and refined the BESI system and completed usability studies. Validation of the system and the development of dyad-specific models of the relationship between agitation and the environment occurred in Phase 2. RESULTS: Phases 1 and 2 results facilitated targeted changes in BESI, thus improving its overall usability for the final phase of the study, when real-time notifications and interventions will be implemented. CONCLUSION: Our results show a valid relationship between the presence of dementia related agitation and environmental factors and that persons with dementia and their caregivers prefer a home-based monitoring system like BESI.

Elaborating the Human Aspect of the NIST Framework for Cyber-Physical Systems.

The National Institute of Standards and Technology (NIST) has developed a Framework for Cyber-Physical Systems (CPS Framework) that supports system engineering analysis, design, development, operation, validation and assurance of CPS. Cyber-physical systems (CPS) comprise interacting digital, analog, physical, and human components engineered for function through integrated physics and logic. For instance, a city implementing an advanced traffic management system including real-time predictive analytics and adaptation/optimization must consider all aspects of such a CPS system of systems' functioning and integrations with other systems, including interactions with humans. One Aspect (or grouping of stakeholder concerns) of the CPS Framework is the Human Aspect. NIST is engaging HFES in a panel discussion to elaborate Human Aspect concerns, especially relevant constructs, measures, methods, and tools.

Open plan offices as sociotechnical systems: What matters and to whom?

BACKGROUND: Open plan offices have proliferated for the past several decades with more and more workers being concentrated in office buildings. Several studies have identified a number of negative factors associated with open plan offices, and those include noise, speech interference, lack of privacy, and a perceived loss of control over work. While negative factors have been identified several times in the literature, many studies rely on either surveys or highly controlled environments. OBJECTIVE: The objective of this study was to use a quasi-naturalistic environment based on a scaled world model to test three hypotheses of the impacts of office interference on editing and web navigation performance and mental workload. METHOD: A mixed factor design was used that utilized continuous speech recordings, discontinuous speech recordings, and a quiet condition. Individual differences questionnaires were administered to measure focused attention, stress, and cognitive failures. After task completion, participants recorded mental workload ratings. RESULTS: Participants had higher performance accuracy in the document editing task across the speech interference conditions. Mental workload ratings were higher in the web navigation task in the discontinuous speech condition compared to the continuous speech condition. In contrast to the hypothesis, those reporting stronger focused attention performed more poorly across all speech conditions. Overall, the results were mixed. CONCLUSIONS: OPO work design must focus on individual differences among workers to determine how to customize design to facilitate performance.

Haptic perception of users with low vision and their needs in haptic-incorporated user interfaces.

PURPOSE: This paper reports on research aimed at advancing understanding haptic capability and needs of users with low vision. The objective is to apply this understanding to the design of haptic-incorporated user interfaces. METHOD: Study 1 investigated the haptic perception between sighted participants and those with low vision through the magnitude estimation technique, and Study 2 explored the degree to which similar user interface needs were observed among the two vision groups. RESULTS: Overall, our findings indicate there was no significant difference between the two vision groups in terms of haptic perception and user interface needs. A few differences in user interface preference did exist, however, and designers should take these into account. CONCLUSIONS: Participants with low vision were a group who relied on their vision in everyday life instead of touch. Thus, their haptic capability was less likely to be enhanced via brain plasticity, which probably contributed to no significant difference in haptic-incorporated user interface needs. IMPLICATIONS FOR REHABILITATION: No significant different haptic capability and haptic user interface (UI) needs exists between cited participants and those with low vision. UI designers should take into consideration that a certain range of magnitude/type of haptic feedback is available to accommodate preferences of both vision groups, which would ultimately increase the likelihood of successfully developing universal designs.

The effects of sign design features on bicycle pictorial symbols for bicycling facility signs.

The inanimate bicycle symbol has long been used to indicate the animate activity of bicycling facility signs. In contrast, either the inanimate bicycle symbol or the animate bicycle symbol has been used interchangeably for the standard pavement symbols in bike lanes. This has led to confusion among pedestrians and cyclists alike. The purpose of this study was to examine two different designs (inanimate symbol vs. animate symbol) involved in the evaluation of perceived preference and glance legibility, and investigate sign design features on bicycle pictorial symbols. Thirty-five participants compared current bicycle signs (inanimate symbols) to alternative designs (animate symbols) in a controlled laboratory setting. The results indicated that the alternative designs (animate symbols) showed better performance in both preference and glance legibility tests. Conceptual compatibility, familiarity, and perceptual affordances were found to be important factors as well.

Identifying fall-protection training needs for residential roofing subcontractors.

Falls remain the leading cause of injuries and fatalities in the small residential roofing industry and analogous investigations are underrepresented in the literature. To address this issue, fall-protection training needs were explored through 29 semi-structured interviews among residential roofing subcontractors with respect to recommendations for the design of fall-protection training. Content analysis using grounded theory was conducted to analyze participants' responses. Results of the analysis revealed six themes related to the design of current fall-protection training: (1) barriers to safety training; (2) problems of formal safety-training programs; (3) recommendations for training implementation; (4) important areas for fall-protection training; (5) training delivery means; and (6) design features of training materials. Results of the study suggest the need for informal jobsite safety training to complement what had been covered in formalized safety training. This work also provides recommendations for the design of a more likely adopted fall-protection training program.

Validation of noninvasive body sensor network technology in the detection of agitation in dementia.

OBJECTIVE: Agitated behaviors are one of the most frequent reasons that patients with dementia are placed in long-term care settings. This study aims to validate the ability of a custom Body Sensor Network (BSN) to capture the presence of agitation against currently accepted subjective measures, the Cohen-Mansfield Agitation Inventory (CMAI) and the Aggressive Behavior Scale (ABS) and to discriminate between agitation and cognitive decline. METHODS: Six patients identified as being at high risk for agitated behaviors were enrolled in this study. The devices were applied at three sites for three hours while behaviors were annotated simultaneously and subsequently repeated twice for each enrolled subject. RESULTS: We found that the BSN was a valid measure of agitation based on construct validity testing and secondary validation using non-parametric ANOVAs. DISCUSSION: The BSN shows promise from these pilot results. Further testing with a larger sample is needed to replicate these results.

Effects of video placement and spatial context presentation on path reconstruction tasks with contextualized videos.

Many interesting and promising prototypes for visualizing video data have been proposed, including those that combine videos with their spatial context (contextualized videos). However, relatively little work has investigated the fundamental design factors behind these prototypes in order to provide general design guidance. Focusing on real-time video data visualization, we evaluated two important design factors--video placement method and spatial context presentation method--through a user study. In addition, we evaluated the effect of spatial knowledge of the environment. Participants' performance was measured through path reconstruction tasks, where the participants followed a target through simulated surveillance videos and marked the target paths on the environment model. We found that embedding videos inside the model enabled realtime strategies and led to faster performance. With the help of contextualized videos, participants not familiar with the real environment achieved similar task performance to participants that worked in that environment. We discuss design implications and provide general design recommendations for traffic and security surveillance system interfaces.

Evaluation of pictorial assembly instructions for young children.

OBJECTIVE: We examined the usability of common formats of pictorial toy assembly instructions for 6- and 9-year-old children. BACKGROUND: Interlocking building toys and models are increasingly prevalent and important for developing spatial abilities and fine motor skills among children. Little is known about how effectively the intended child users can interpret and carry out the instructions. METHOD: Twenty-four children used five sets of manufacturer-supplied pictorial toy assembly instructions. We evaluated the impact of toy instruction set, age, gender, and previous experience on usability problems, assembly speed and accuracy, instruction gaze time, and subjective ratings. RESULTS: The children had difficulty with all but the simplest instructions and assemblies. As predicted, older participants assembled more quickly, with fewer errors and fewer instruction looks. However, the 6-year-old girls assembled the fewest parts correctly, and the 9-year-old girls reported having the least fun. Instruction look time and frequency revealed differences in instruction complexity and were correlated with subjective ratings of fun. Thirty-two usability problems were observed, and 10 are described in detail. CONCLUSION: Product age recommendations may not reflect developmentally appropriate instructions. Small design changes should contribute to improved instruction usability among young children. For instance, designers should avoid complex graphic syntax, depict colors accurately, select clear angles of view, and support natural tendencies to assemble top to bottom. APPLICATION: This research provides pictorial assembly instruction guidelines to inform instruction designers and describes performance and look-time benchmarks for future usability studies.

Effects of psychosocial and individual factors on physiological risk factors for upper extremity musculoskeletal disorders while typing.

Psychosocial factors are hypothesized to contribute to work-related musculoskeletal disorder (WMSD) development, although previous research has been largely epidemiological or has focused primarily on the shoulders, back and neck. The objective of this study was to quantify the effects of mental workload and time pressure on perceived workload and physiological responses of the distal upper extremity. A total of 18 typists completed nine 5-min typing sessions representing three levels of time pressure and mental workload. Levels were manipulated by adjusting typing speed and by requiring participants to perform arithmetic tasks while typing. Outcomes were measured in muscle activation levels, wrist postures and movements, key strike force and subjective assessments of workload. In general, increased time pressure increased muscle activation, key strike force and wrist deviations; and increased mental workload increased key strike force. Mental workload and time pressure mediated physical risk factors during typing to increase WMSD risk for the distal upper extremity.

Accessible cell phone design: development and application of a needs analysis framework.

PURPOSE: This research describes the development and use of the Needs Analysis and Requirements Acquisition (NARA) framework to elicit and construct user requirements for the design of cell phones (which are a type of assistive technology) that are both usable and accessible to persons with disabilities. METHOD: Semi-structured interviews and a focus group were used to elicit information and a systematic approach was used to translation information into requirements (construct). Elicitation and construction are the first two stages of NARA. RESULTS: Requirements for general and feature-specific phone attributes were identified, and several requirements were found to match six of the seven universal design principles. CONCLUSIONS: The study demonstrated that NARA is both a straight-forward and cost-effective method to develop user requirements and can be used throughout the development cycle.

Research-based guidelines for warning design and evaluation.

During the past two decades, the body of empirical research on warning design and evaluation has grown. Consequently, there are now basic principles and guidelines addressing warning design (e.g., signal words, color, symbols, and text/content), placement (e.g., location within product instructions), and how to enhance the usability of designs by considering factors internal to the user (e.g., beliefs, perceptions of risk, stress). Similarly, evaluation methods have been developed that can be used to measure the effectiveness of warnings such as the degree to which warnings are communicated to recipients and the degree to which they encourage or influence behavioral compliance. An overview of the empirical literature on warning guidelines and evaluation approaches is provided. Researchers, practitioners, and manufacturers can use these guidelines in various contexts to reduce the likelihood that injury and product damage from exposure to a hazard will occur.

Cultural ergonomics in Ghana, West Africa: a descriptive survey of industry and trade workers' interpretations of safety symbols.

Globalization and technology transfer have led to the diffusion of risk communications to users from cultures that were not initially viewed as the target users. This study examined industry and trade workers' overall impressions of symbols used to convey varying degrees of hazardousness. Six symbols, including symbols from the American National Standards Institute (ANSI) Z535 Standard (ANSI, 1998) and the International Organization for Standardization (ISO) 3864:1984 Standard (ISO, 1984) were selected. With the exception of the SKULL symbol, results showed wide discrepancies between users' perceptions of the symbols and their intended meanings. Implications for cross-cultural research on warning components and risk communications are discussed.