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Browsing by Author "Buimer, H.P."
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to be submitted An explorative study on possible determinants which explaining adherence to portal supported rehabilitation treatments. To be submitted Journal of Internet Medical Research. 2021, Article / Letter to editor (Journal of Internet Services and Information Security, (2021)) -
Opportunities and Pitfalls in Applying Emotion Recognition Software for Persons With a Visual Impairment: Simulated Real Life Conversations Geest, Th.M. van der ; Buimer, H.P. ; Schellens, R. ; Kostelijk, T. ; Nemri, A. ; Zhao, Y. ; Wezel, R.J.A. van2019, Article / Letter to editor ((2019))Background: A large part of the communication cues exchanged between persons is nonverbal. Persons with a visual impairment are often unable to perceive these cues, such as gestures or facial expression of emotions. In a previous study, we have determined that visually impaired persons can increase their ability to recognize facial expressions of emotions from validated pictures and videos by using an emotion recognition system that signals vibrotactile cues associated with one of the six basic emotions. Objective: The aim of this study was to determine whether the previously tested emotion recognition system worked equally well in realistic situations and under controlled laboratory conditions. Methods: The emotion recognition system consists of a camera mounted on spectacles, a tablet running facial emotion recognition software, and a waist belt with vibrotactile stimulators to provide haptic feedback representing Ekman’s six universal emotions. A total of 8 visually impaired persons (4 females and 4 males; mean age 46.75 years, age range 28-66 years) participated in two training sessions followed by one experimental session. During the experiment, participants engaged in two 15 minute conversations, in one of which they wore the emotion recognition system. To conclude the study, exit interviews were conducted to assess the experiences of the participants. Due to technical issues with the registration of the emotion recognition software, only 6 participants were included in the video analysis. Results: We found that participants were quickly able to learn, distinguish, and remember vibrotactile signals associated with the six emotions. A total of 4 participants felt that they were able to use the vibrotactile signals in the conversation. Moreover, 5 out of the 6 participants had no difficulties in keeping the camera focused on the conversation partner. The emotion recognition was very accurate in detecting happiness but performed unsatisfactorily in recognizing the other five universal emotions. Conclusions: The system requires some essential improvements in performance and wearability before it is ready to support visually impaired persons in their daily life interactions. Nevertheless, the participants saw potential in the system as an assistive technology, assuming their user requirements can be met. Schematic overview of the used system. Schematic overview of the used system. … Emotion mapping. The mapping of Ekman's universal emotions on the waist band. Emotion mapping. The mapping of Ekman's universal emotions on the waist band. … Crosstabs of agreement between coders and software. The table shows a tally of the number of time the coders and FaceReader classified a fragment as a particular emotion. The diagonal shows the number of times that the coders and FaceReader classified a fragment as the same emotion. Crosstabs of agreement between coders and software. The table shows a tally of the number of time the coders and FaceReader classified a fragment as a particular emotion. The diagonal shows the number of times that the coders and FaceReader classified a fragment as the same emotion. … Figures - uploaded by Hendrik BuimerAuthor content Content may be subject to copyright. ResearchGate Logo Discover the world's research 20+ million members 135+ million publications 700k+ research projects Join for free
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Conveying facial expressions to blind and visually impaired persons through a wearable vibrotactile device. Geest, Th.M. van der ; Buimer, H.P. ; Bittner, M. ; Kostelijk, T. ; Nemri, A. ; Wezel, R.J.A. van ; Zhao, Y.2018, Article / Letter to editor (vol. 13, iss. 3, (2018))In face-to-face social interactions, blind and visually impaired persons (VIPs) lack access to nonverbal cues like facial expressions, body posture, and gestures, which may lead to impaired interpersonal communication. In this study, a wearable sensory substitution device (SSD) consisting of a head mounted camera and a haptic belt was evaluated to determine whether vibrotactile cues around the waist could be used to convey facial expressions to users and whether such a device is desired by VIPs for use in daily living situations. Ten VIPs (mean age: 38.8, SD: 14.4) and 10 sighted persons (SPs) (mean age: 44.5, SD: 19.6) participated in the study, in which validated sets of pictures, silent videos, and videos with audio of facial expressions were presented to the participant. A control measurement was first performed to determine how accurately participants could identify facial expressions while relying on their functional senses. After a short training, participants were asked to determine facial expressions while wearing the emotion feedback system. VIPs using the device showed significant improvements in their ability to determine which facial expressions were shown. A significant increase in accuracy of 44.4% was found across all types of stimuli when comparing the scores of the control (mean±SEM: 35.0±2.5%) and supported (mean±SEM: 79.4±2.1%) phases. The greatest improvements achieved with the support of the SSD were found for silent stimuli (68.3% for pictures and 50.8% for silent videos). SPs also showed consistent, though not statistically significant, improvements while supported. Overall, our study shows that vibrotactile cues are well suited to convey facial expressions to VIPs in real-time. Participants became skilled with the device after a short training session. Further testing and development of the SSD is required to improve its accuracy and aesthetics for potential daily use.
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Exploring Determinants of Patient Adherence to a Portal-Supported Oncology Rehabilitation Program: Interview and Data Log Analyses. 2017, Article / Letter to editor ((2017))Original PaperExploring Determinants of Patient Adherence to aPortal-Supported Oncology Rehabilitation Program:Interview andData Log AnalysesHendrik P Buimer1,2, MSc; Monique Tabak1,3, PhD; Lex van Velsen1,3, PhD; Thea van der Geest4, PhD; HermieHermens1,3, PhD1Department of Biomedical Signals & Systems, Faculty of Electrical Engineering, Mathematics and Computer Science, University of Twente, Enschede,Netherlands2Department of Biophysics, Faculty of Science, Radboud University, Nijmegen, Netherlands3Telemedicine Group, Roessingh Research & Development, Enschede, Netherlands4Research Center IT + Media, HAN University of Applied Sciences, Arnhem, NetherlandsCorresponding Author:Hendrik P Buimer, MScDepartment of BiophysicsFaculty of ScienceRadboud UniversityHeijendaalseweg 135Nijmegen, 6525 AJ NijmegenNetherlandsPhone: 31 24 3652428Email: h.buimer@donders.ru.nlAbstractBackground: Telemedicine applications often do not live up to their expectations and often fail once they have reached theoperational phase.Objective: The objective of this study was to explore the determinants of patient adherence to a blended care rehabilitationprogram, which includes a Web portal, from a patient’s perspective.Methods: Patients were enrolled in a 12-week oncology rehabilitation treatment supported by a Web portal that was developedin cooperation with patients and care professionals. Semistructured interviews were used to analyze thought processes and behaviorconcerning patient adherence and portal use. Interviews were conducted with patients close to the start and the end of the treatment.Besides, usage data from the portal were analyzed to gain insights into actual usage of the portal.Results: A total of 12 patients participated in the first interview, whereas 10 participated in the second round of interviews.Furthermore, portal usage of 31 patients was monitored. On average, 11 persons used the portal each week, with a maximum of20 in the seventh week and a drop toward just one person in the weeks in the follow-up period of the treatment. From the interviews,it was derived that patients’ behavior in the treatment and use of the portal was primarily determined by extrinsic motivation cues(eg, stimulation by care professionals and patient group), perceived severity of the disease (eg, physical and mental condition),perceived ease of use (eg, accessibility of the portal and the ease with which information is found), and perceived usefulness (eg,fit with the treatment).Conclusions: The results emphasized the impact that care professionals and fellow patients have on patient adherence and portalusage. For this reason, the success of blended care telemedicine interventions seems highly dependent on the willingness of careprofessionals to include the technology in their treatment and stimulate usage among patients.(JMIR Rehabil Assist Technol 2017;4(2):e12) doi:10.2196/rehab.6294KEYWORDStelemedicine; rehabilitation; patient portals; treatment adherence; complianceJMIR Rehabil Assist Technol 2017 | vol. 4 | iss. 2 | e12 | p.1http://rehab.jmir.org/2017/2/e12/(page number not for citation purposes)Buimer et alJMIR REHABILITATION AND ASSISTIVE TECHNOLOGIESXSL•FORenderX
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Making facial expressions of emotions accessible for visually impaired persons 2017, Article in monograph or in proceedings (Poster presented at the ACM conference ASSETS '17, October 29-November 1, 2017, Baltimore, MD, USA, pp. 331-332)One of the big problems visually impaired persons experience in their daily lives, is the inability to see non-verbal cues of conversation partners. In this study, a wearable assistive technology is presented and evaluated which supports visually impaired persons with the recognition of facial expressions of emotions. The wearable assistive technology consists of a camera clipped on spectacles, emotion recognition software, and a vibrotactile belt with six tactors. An earlier controlled experimental study showed that users of the system improved significantly in their ability to recognize emotions from validated stimuli. In this paper, the next iteration in testing the system is presented, in which a more realistic usage situation was simulated. Eight visually impaired persons were invited to participate in conversations with an actor, who was instructed not to exaggerate his facial expressions. Participants engaged in two 15-minute mock job interview conversations, during one of which they were wearing the system. In the other conversation, no assistive technologies were used. The preliminary results showed that the concept of such wearable assistive technologies remains feasible. Participants within the study found it easy to learn and interpret the vibrotactile cues, which was also shown in their training performance. Furthermore, most participants could use the vibrotactile cues, while being able to stay engaged in the conversation. Nevertheless, some improvements are needed before the system can be used as assistive technology. The accuracy of the system was negatively affected by the lighting and movement conditions present in realistic conversations, compared to the controlled experiment condition. Furthermore, participants requested developments to improve the wearability of the system.
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Enhancing Emotion Recognition in VIPs with Haptic Feedback. 2016, Article in monograph or in proceedings (Project: Smart glasses for visually impaired persons, pp. 157-163)The rise of smart technologies has created new opportunities to support blind and visually impaired persons (VIPs). One of the biggest problems we identified in our previous research on problems VIPs face during activities of daily life concerned the recognition of persons and their facial expressions. In this study we developed a system to detect faces, recognize their emotions, and provide vibrotactile feedback about the emotions expressed. The prototype system was tested to determine whether vibrotactile feedback through a haptic belt is capable of enhancing social interactions for VIPs. The system consisted of commercially available technologies. A Logitech C920 webcam mounted on a cap, a Microsoft Surface Pro 4 carried in a mesh backpack, an Elitac tactile belt worn around the waist, and the VicarVision FaceReader software application, which recognizes facial expressions. In preliminary tests with the systems both visually impaired and sighted persons were presented with sets of stimuli consisting of actors displaying six emotions (e.g. joy, surprise, anger, sadness, fear, and disgust) derived from the validated Amsterdam Dynamic Facial Expression Set and Warsaw Set of Emotional Facial Expression Pictures with matching audio by using nonlinguistic affect bursts. Subjects had to determine the emotions expressed in the videos without and, after a training period, with haptic feedback. An exit survey was conducted aimed to gain insights into the opinion of the users, on the perceived usefulness and benefits of the emotional feedback, and their willingness of using the prototype as assistive technology in daily life. Haptic feedback about facial expressions may improve the ability of VIPs to determine emotions expressed by others and, as a result, increase the confidence of VIPs during social interactions. More studies are needed to determine whether this is a viable method to convey information and enhance social interactions in the daily life of VIPs.
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Enhancing Emotion Recognition in VIPs with Haptic Feedback. 2016, Article in monograph or in proceedings (Poster presented at the HCI International conference 2016, Toronto, 19-22 July 2016.)
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