The interactional coordination of virtual and personal assistants in a homecare setting

Saul Albert, Magnus Hamann & Elizabeth Stokoe (for the 6th Copenhagen Multimodality Day), October 2021.

Abstract

Policymakers and care service providers are increasingly looking to technological developments in AI and robotics to augment or replace health and social care services in the context of a demographic ageing crisis (House of Lords, 2021; Kingston et al., 2018; Topol, 2019, pp. 54–55). However, there is still little evidence as to how these technologies might be applied to everyday social care situations (Maguire et al., 2021). This paper uses conversation analysis of ~100 hours of video recorded interactions between a disabled person, their virtual assistant (Alexa), and their (human) personal assistant to explore how routine care tasks are organized in a domestic setting. We focus on how the human participants organize conversational turn-space around ‘turns-at-use’ with the virtual assistant. Specifically, how turns-at-use ostensibly designed for the virtual assistant can recruit overhearing others. Further, we show how participants include the virtual assistant in their shared taskscape by, for example, putting ongoing activities and conversations on hold, visibly reorienting their bodies, or explicitly making themselves available for – or requesting – assistance when coordination trouble emerges between the machine-human dyad. Our findings show that virtual assistants expand the affordances of a homecare environment but do not replace the work of personal assistants.

References

Alač, M., Gluzman, Y., Aflatoun, T., Bari, A., Jing, B., & Mozqueda, G. (2020). How Everyday Interactions with Digital Voice Assistants Resist a Return to the Individual. Evental Aesthetics, 9(1), 51.

Amazon Echo. (2019). Amazon Alexa: Sharing is Caring. https://www.youtube.com/watch?v=225Wlg3pkdo

Archibald, M. M., & Barnard, A. (2018). Futurism in nursing: Technology, robotics and the fundamentals of care. Journal of Clinical Nursing, 27(11–12), 2473–2480. https://doi.org/10.1111/jocn.14081

Bedaf, S., Gelderblom, G. J., de Witte, L., Syrdal, D., Lehmann, H., Amirabdollahian, F., Dautenhahn, K., & Hewson, D. (2013). Selecting services for a service robot: Evaluating the problematic activities threatening the independence of elderly persons. 2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR), 1–6. https://doi.org/10.1109/ICORR.2013.6650458

Casey, D., Felzmann, H., Pegman, G., Kouroupetroglou, C., Murphy, K., Koumpis, A., & Whelan, S. (2016). What People with Dementia Want: Designing MARIO an Acceptable Robot Companion. In K. Miesenberger, C. Bühler, & P. Penaz (Eds.), Computers Helping People with Special Needs (pp. 318–325). Springer International Publishing. https://doi.org/10.1007/978-3-319-41264-1_44

Chappell, N. L., Dlitt, B. H., Hollander, M. J., Miller, J. A., & McWilliam, C. (2004). Comparative Costs of Home Care and Residential Care. The Gerontologist, 44(3), 389–400. https://doi.org/10.1093/geront/44.3.389

Dowling, S., Williams, V., Webb, J., Gall, M., & Worrall, D. (2019). Managing relational autonomy in interactions: People with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 32(5), 1058–1066. https://doi.org/10.1111/jar.12595

García-Soler, Á., Facal, D., Díaz-Orueta, U., Pigini, L., Blasi, L., & Qiu, R. (2018). Inclusion of service robots in the daily lives of frail older users: A step-by-step definition procedure on users’ requirements. Archives of Gerontology and Geriatrics, 74, 191–196. https://doi.org/10.1016/j.archger.2017.10.024

Goodwin, C. (2000). Action and embodiment within situated human interaction. Journal of Pragmatics, 32(10), 1489–1522. https://doi.org/10.1016/S0378-2166(99)00096-X

Harmo, P., Taipalus, T., Knuuttila, J., Vallet, J., & Halme, A. (2005). Needs and solutions—Home automation and service robots for the elderly and disabled. 2005 IEEE/RSJ International Conference on Intelligent Robots and Systems, 3201–3206. https://doi.org/10.1109/IROS.2005.1545387

House of Lords. (2021). Ageing: Science, Technology and Healthy Living (p. 132). House of Lords Science and Technology Select Committee. https://publications.parliament.uk/pa/ld5801/ldselect/ldsctech/183/183.pdf

Kachouie, R., Sedighadeli, S., Khosla, R., & Chu, M.-T. (2014). Socially Assistive Robots in Elderly Care: A Mixed-Method Systematic Literature Review. International Journal of Human–Computer Interaction, 30(5), 369–393. https://doi.org/10.1080/10447318.2013.873278

Kendrick, K. H., & Drew, P. (2016). Recruitment: Offers, Requests, and the Organization of Assistance in Interaction. Research on Language and Social Interaction, 49(1), 1–19. https://doi.org/10.1080/08351813.2016.1126436

Kingston, A., Comas-Herrera, A., & Jagger, C. (2018). Forecasting the care needs of the older population in England over the next 20 years: Estimates from the Population Ageing and Care Simulation (PACSim) modelling study. The Lancet Public Health, 3(9), e447–e455. https://doi.org/10.1016/S2468-2667(18)30118-X

Krummheuer, A. L., Rehm, M., & Rodil, K. (2020). Triadic Human-Robot Interaction. Distributed Agency and Memory in Robot Assisted Interactions. Companion of the 2020 ACM/IEEE International Conference on Human-Robot Interaction, 317–319. https://doi.org/10.1145/3371382.3378269

Levine, D. M., Ouchi, K., Blanchfield, B., Diamond, K., Licurse, A., Pu, C. T., & Schnipper, J. L. (2018). Hospital-Level Care at Home for Acutely Ill Adults: A Pilot Randomized Controlled Trial. Journal of General Internal Medicine, 33(5), 729–736. https://doi.org/10.1007/s11606-018-4307-z

Maguire, D., Honeyman, M., Fenney, D., & Jabbal, J. (2021). Shaping the future of digital technology in health and social care. The King’s Fund. https://www.kingsfund.org.uk/publications/future-digital-technology-health-social-care

Share, P., & Pender, J. (2018). Preparing for a Robot Future? Social Professions, Social Robotics and the Challenges Ahead. Irish Journal of Applied Social Studies, 18(1). https://doi.org/10.21427/D7472M

Stokoe, E., Sikveland, R. O., Albert, S., Hamann, M., & Housley, W. (2020). Can humans simulate talking like other humans? Comparing simulated clients to real customers in service inquiries. Discourse Studies, 22(1), 87–109. https://doi.org/10.1177/1461445619887537

Topol, E. (2019). The Topol Review: Preparing the healthcare workforce to deliver the digital future (p. 103). Health Education England. https://topol.hee.nhs.uk/wp-content/uploads/HEE-Topol-Review-2019.pdf

Tuisku, O., Pekkarinen, S., Hennala, L., & Melkas, H. (2018). “Robots do not replace a nurse with a beating heart”: The publicity around a robotic innovation in elderly care. Information Technology & People, 32(1), 47–67. https://doi.org/10.1108/ITP-06-2018-0277

White, G. W., Lloyd Simpson, J., Gonda, C., Ravesloot, C., & Coble, Z. (2010). Moving from Independence to Interdependence: A Conceptual Model for Better Understanding Community Participation of Centers for Independent Living Consumers. Journal of Disability Policy Studies, 20(4), 233–240. https://doi.org/10.1177/1044207309350561

Leave a Comment

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.