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Ares(2015)4919513 - 07/11/2015 I-SUPPORT HORIZON 2020 PHC-19 Research & Innovation Actions Grant agreement n°: 643666 I-Support: ICT-Supported Bath Robots Deliverable Title: I-Support Models of user abilities and behaviour, use cases and system functionalities Responsible Partner: FRA-UAS Research & Innovation Actions Horizon 2020 ICT-Supported Bath Robots RIA Project: I-SUPPORT Full title: ICT-Supported Bath Robots Project start date: 1 st March 2015 Duration of the 3 years project: Coordinator: ROBOTNIK Technical ICCS Coordinator: Project Partners: ICCS, INRIA, KIT, SSSA, OMEGA-TECHNOLOGIES, FSL, FRA-UAS, BETHANIEN, ROBOTNIK Project URL : http://www.i-support-project.eu EU Project Jan KOMAREK Officer: I-Support Models of user abilities and Report/Deliverable N R/D1.1 Title behaviour, use cases and system functionalities User Requirements, system functionalities, Work package N WP 1 Title safety and ethics Frankfurt University of Applied Science (FRA-UAS) Responsible Partner Barbara Klein Email [email protected] Barbara Klein, Sarah-Sabrina Kortekamp, Holger Roßberg (FRA-UAS), Responsible Klaus Hauer, Jochen Werle (Bethanien), Costas Tzafestas, Xanthi Authors Papageorgiou, Nancy Zlatintsi (ICCS), Angelo Sabatini, Vincenzo Genovese (SSSA), Panagiotis Vartholomeos (Omega) This project has received funding from the European Union‘s Horizon 2020 Research and Innovation Framework 2 Programme, Societal Challenge 1 (DG CONNECT/H) under grant agreement No 643666, Activity PHC-19-2014, ICT- Supported Bath Robots. www.i-support-project.eu. Horizon 2020 ICT-Supported Bath Robots In order to develop use cases and system functionalities a Abstract (for comprehensive approach was chosen comprising a clinical and a dissemination) sociological perspective: The first two chapters are from a clinical point of view. Based on literature analysis user definition for the I-SUPPORT robot system is provided. Here the inclusion criteria for the acquisition of participants for the validation studies are defined. The two inclusion criteria are 1) a dependency of the possible user regarding bathing tasks, and 2) a MMSE score of 18 or above. The health status of the targeted user group of primary users is then described from a clinical perspective by means of the International classification of Functioning, Disability and health (ICF). Further, the findings are transitioned to potential use cases. The third chapter is based on qualitative research in the framework of the Design Thinking Method which aims on shortening the product development process and the integration of user and stakeholder requirements. 30 interviews with primary users (e.g. frail, elderly persons) and 15 interviews with secondary users (formal and informal carers, healthcare professionals) were conducted in order to analyse the showering process, user abilities and needs and obtain a first feedback on I-SUPPORT ideas and materials. The findings of this study were mostly congruent with the developed use cases, but also added new perspectives. In the fourth chapter the final use cases (i.e. those use cases analysing the I-SUPPORT operations that will be executed during the pilot studies) are described in detail and technical requirements for the I-SUPPORT bath robot system are derived. Revision procedure Version # Implemented by Revision date Changes 0.1 Barbara Klein 29/10/2015 Draft version 0.2 Jochen Werle, 30/10/2015 First comments and corrections Klaus Hauer 0.3 Holger Roßberg 31/10/2015 First corrections, suggestions This project has received funding from the European Union‘s Horizon 2020 Research and Innovation Framework 3 Programme, Societal Challenge 1 (DG CONNECT/H) under grant agreement No 643666, Activity PHC-19-2014, ICT- Supported Bath Robots. www.i-support-project.eu. Horizon 2020 ICT-Supported Bath Robots 0.4 Jochen Werle 01/11.2015 Second comments and corrections 0.5 Holger Roßberg 01/11/2015 Second corrections, suggestions 0.6 Jochen Werle 04/11/2015 Last comments and corrections 0.7 Holger Roßberg 06/11/2015 Final corrections 0.8 Barbara Klein 06/11/2015 Final version Approval procedure Partners involved: the consortium Version # Report/Deliverable Approved by Approval date 1.0 D1.1 Panagiotis Vartholomeos 04/11/2015 Electronic filing procedure Document Name and I-Support Models of user abilities and behaviour, use cases and version system functionalities, V1.0 Location http://www.i-support-project.eu/internalworkspace/ Filing date 04/11/2015 This project has received funding from the European Union‘s Horizon 2020 Research and Innovation Framework 4 Programme, Societal Challenge 1 (DG CONNECT/H) under grant agreement No 643666, Activity PHC-19-2014, ICT- Supported Bath Robots. www.i-support-project.eu. Horizon 2020 ICT-Supported Bath Robots Table of Contents TABLE OF CONTENTS 5 1 I-SUPPORT USER DEFINITION 8 1.1 INTRODUCTION 8 1.2 DECLINE IN ADL-FUNCTION / BATHING 9 1.3 ASSESSMENT STRATEGIES 13 1.3.1 BATHING LIMITATIONS 13 1.3.2 COGNITIVE STATUS 14 1.3.3 FLOW CHART OF THE DEFINITION PROCESS 15 1.4 SUMMARY 16 REFERENCES 18 APPENDIX: CLINICAL ASSESSMENTS 20 2 MODELLING USER REQUIREMENTS AND ASSOCIATED USE CASE SCENARIOS - THE CLINICAL PERSPECTIVE 29 2.1 INTRODUCTION 29 2.2 INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH (ICF) AS FRAMEWORK FOR MODELING USER REQUIREMENTS 30 2.2.1 ASSESSMENT OF FUNCTIONS AND DISABILITIES – ICF CORE SETS 34 2.3 DESCRIPTION OF FREQUENT GERIATRIC IMPAIRMENTS 35 2.3.1 MENTAL FUNCTIONS (B1) 37 2.3.1.1 ORIENTATION FUNCTIONS (B114) 38 2.3.1.2 ATTENTION FUNCTIONS (B140) 38 2.3.1.3 MEMORY FUNCTIONS (B144) 38 2.3.1.4 BASIC AND HIGHER-LEVEL COGNITIV FUNCTIONS (B163, B164) 39 2.3.1.5 EMOIONAL FUNCTIONS (B152) 39 2.3.1.6 CONSEQUENCES FOR BATHING/SHOWERING ACTIVITIES 40 2.3.2 NEUROMUSCULOSKELETAL AND MOVEMENT-RELATED FUNCTIONS (B7) 41 2.3.2.1 MOBILITY OF JOINT AND BONE FUNCTIONS (B710, B720) 41 2.3.2.2 MUSCLE POWER FUNCTIONS (B730) 41 2.3.2.3 INVOLUNTARY MOVEMENT REACTION FUNCTIONS (B755) 42 2.3.2.4 CONTROL OF VOLUNTARY FUNCTIONS (B760) 42 2.3.2.5 GAITH PATTERN FUNCTIONS (B770) 42 2.3.2.6 CONSEQUENCES FOR BATHING/SHOWERING ACTIVITIES 43 2.3.3 SENSORY FUNCTIONS AND PAIN (B2) 44 2.3.3.1 SEEING FUNCTIONS (B210) 44 This project has received funding from the European Union‘s Horizon 2020 Research and Innovation Framework 5 Programme, Societal Challenge 1 (DG CONNECT/H) under grant agreement No 643666, Activity PHC-19-2014, ICT- Supported Bath Robots. www.i-support-project.eu. Horizon 2020 ICT-Supported Bath Robots 2.3.3.2 HEARING FUNCTIONS (B230) 45 2.3.3.3 VESTIBULAR FUNCTIONS (B235) 45 2.3.3.4 SENSATIONS ASSOCIATED WITH HEARING AND VESTIBULAR FUNCTION (B240) 45 2.3.3.5 PROPRIOCEPTIVE FUNCTIONS (B260) 46 2.3.3.6 SENSORY FUNCTIONS RELATED TO TEMPERATURE AND OTHER STIMULI (B270) 46 2.3.3.7 SENSATION OF PAIN (B280) 47 2.3.3.8 CONSEQUENCES FOR BATHING/SHOWERING 47 2.3.4 FUNCTIONS OF THE SKIN AND RELATED STRUCTURES (B8) 48 2.3.4.1 PROTECTIVE FUNCTIONS OF THE SKIN (B810) 48 2.3.4.2 CONSEQUENCES FOR BATHING/SHOWERING 48 2.3.5 URINATION AND DEFECATION FUNCTIONS (B620, B525) 48 2.3.5.1 URINARY CONTINENCE (B6202) 49 2.3.5.2 FECAL CONTINENCE (B5263) 49 2.3.5.3 CONSEQUENCES FOR BATHING/SHOWERING 49 2.4 MODELING OF USER REQUIREMENTS AND USE CASE SCENARIOS 50 2.5 SUMMARY 58 REFERENCES 59 3 USER ABILITIES AND NEEDS 69 3.1 INTRODUCTION 69 3.2 METHOD 69 3.2.1 DESIGN THINKING METHOD 69 3.2.2 METHODS APPLIED FOR THE USER REQUIREMENT ANALYSIS 70 3.2.3 OUTLOOK 71 3.2.4 WORDING AND DEFINITIONS 72 3.2.5 PARTICIPANTS 74 3.2.6 INTERVIEW GUIDELINES 75 3.2.7 INTERVIEWING PROCESS 75 3.3 RESULTS 78 3.3.1 PRIMARY USERS’ HEALTH AND PROBLEMS 78 3.3.2 USERS’ SHOWERING HABITS AND SITUATION/EQUIPMENT 81 3.3.3 RELIGIOUS AND CULTURAL DIFFERENCES REGARDING THE SHOWERING PROCESS 86 3.3.4 OPINIONS ON THE I-SUPPORT CONCEPT, FIRST IMPRESSIONS, AND MATERIALS 87 3.3.5 ACCEPTANCE 94 3.4 DISCUSSION 96 3.4.1 DERIVED USER REQUIREMENTS 96 3.4.2 SPECIAL CONCERNS 98 REFERENCES 99 This project has received funding from the European Union‘s Horizon 2020 Research and Innovation Framework 6 Programme, Societal Challenge 1 (DG CONNECT/H) under grant agreement No 643666, Activity PHC-19-2014, ICT- Supported Bath Robots. www.i-support-project.eu. Horizon 2020 ICT-Supported Bath Robots APPENDIX 100 4 USE CASES AND SYSTEM FUNCTIONALITIES 150 4.1 INTRODUCTION (BETHANIEN) 150 4.2 INITIAL USE CASE SCENARIOS AND USE CASES (BETHANIEN) 151 4.3 FINAL USE CASES AND TECHNICAL IMPLEMENTATION (OMEGA, ICCS, SSSA) 166 4.3.1 METHODOLOGY (OMEGA) 166 4.3.2 USE CASES, ASSOCIATED FUNCTIONALITIES AND TECHNICAL REQUIREMENTS (OMEGA, ICCS, SSSA) 167 4.3.2.1 USE CASE SCENARIO - STAND-TO-SIT, TRANSITION AND SIT-TO-STAND TRANSFER (OMEGA) 168 4.3.2.2 USE CASE SCENARIO - BACK REGION PROGRAM (OMEGA) 171 4.3.2.3 USE CASE SCENARIO - DISTAL REGION PROGRAM (OMEGA) 176 4.3.2.4 USE CASE SCENARIO - POSTERIOR REGION PROGRAM (OMEGA) 182 4.3.2.5 USE CASE SCENARIO - OPERATION, CONTROL AND MODIFICATION OF SYSTEMS FUNCTIONALITIES (ICCS, SSSA) 186 4.3.3 TREE DIAGRAM OF FUNCTIONALITIES AND TECHNICAL REQUIREMENTS (OMEGA) 192 4.4 SUMMARY (BETHANIEN) 193 5 SUMMARY OF REPORT 194 This project has received funding from the European Union‘s Horizon 2020 Research and Innovation Framework 7 Programme, Societal Challenge 1 (DG CONNECT/H) under grant agreement No 643666, Activity PHC-19-2014, ICT- Supported Bath Robots. www.i-support-project.eu. Horizon 2020 ICT-Supported Bath Robots 1 I-SUPPORT User Definition Authors: Dr. Jochen Werle, Prof.
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