Shamim Umber, Woodcock Alan, Nair Ajoy, Spinelli Gabriella
College of Engineering, Design and Physical Science, Brunel University, London, UK.
Alderbourne Rehabilitation Unit, The Hillingdon Hospital Trust, Uxbridge, UK.
Disabil Rehabil Assist Technol. 2025 Jul 23:1-30. doi: 10.1080/17483107.2025.2530195.
Well-designed assistive devices improve the quality of life of individuals with severe and permanent impairments and reduce the burden on their caregivers. This study investigated whether interactive smart agents (ISAs) are effective in supporting individuals who are affected by neurological conditions causing severe mobility issues, and the factors aiding ISAs' adoption.
The North Thames Regional Environmental Control Equipment Services (NTRECES) supported this study by recruiting service users (people with severe mobility impairments due to neurological ailments) in the study. Health Research Authority approval was obtained (255096). NTRECES prescribes medical-grade environmental control (EC) devices, unlike smart speakers (ISAs). Research on ISA adoption by NTRECES users could support prescribing ISAs as assistive EC devices in the future. Through secondary research and exploratory primary data, this user-centred study developed an initial technology adoption model, subsequently revised in light of the insights from a multi-point qualitative primary research.
This research uncovered that novelty, ease of voice interaction and its entertainment value play a key role in the adoption decision. Willingness to overlook reliability, privacy and security attributes was identified, providing that the service users had back-up devices for security and privacy critical tasks. The originality of this work consists in the development of a technology adoption model tailored to consider the characteristics of service users with severe physical disabilities and the attributes of ISAs technology. The research contributes to the discussion on contextual factors and technology design features that may improve the inclusivity of ISAs and their use as medical devices.
精心设计的辅助设备可提高严重永久性损伤患者的生活质量,并减轻其护理人员的负担。本研究调查了交互式智能代理(ISA)在支持受导致严重行动不便的神经系统疾病影响的个体方面是否有效,以及有助于ISA采用的因素。
北泰晤士地区环境控制设备服务中心(NTRECES)通过招募本研究的服务用户(因神经疾病导致严重行动不便的人)来支持这项研究。获得了健康研究管理局的批准(255096)。与智能音箱(ISA)不同,NTRECES规定使用医疗级环境控制(EC)设备。对NTRECES用户采用ISA的研究可以支持未来将ISA作为辅助EC设备进行规定。通过二次研究和探索性原始数据,这项以用户为中心的研究开发了一个初始技术采用模型,随后根据多点定性原始研究的见解进行了修订。
本研究发现,新颖性、语音交互的便利性及其娱乐价值在采用决策中起着关键作用。研究发现,只要服务用户有用于安全和隐私关键任务的备用设备,他们愿意忽略可靠性、隐私和安全属性。这项工作的独创性在于开发了一个技术采用模型,该模型专门考虑了严重身体残疾服务用户的特征以及ISA技术的属性。该研究有助于讨论可能提高ISA包容性及其作为医疗设备使用的情境因素和技术设计特征。