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Assistive Technology: The Official Journal of RESNA
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                                  Assistive Technology: The Official Journal of RESNA
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                                  The Design of an Interactive Assistive Kitchen System
                                                         a                      b c
                                  Maurizio Ficocelli Ph.D & Goldie Nejat Ph.D
                                  a
                                   Department of Mechanical Engineering, State University of New York, Stony Brook, New
                                  York, USA
                                  b
                                   Department of Mechanical and Industrial Engineering, University of Toronto, Toronto,
                                  Ontario, Canada
                                  c
                                   Toronto Rehabilitation Institute, Toronto, Ontario, Canada
                                  Accepted author version posted online: 13 Feb 2012.Version of record first published: 27 Sep
                                  2012.

To cite this article: Maurizio Ficocelli Ph.D & Goldie Nejat Ph.D (2012): The Design of an Interactive Assistive Kitchen System,
Assistive Technology: The Official Journal of RESNA, 24:4, 246-258

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Assistive Technology: The Official Journal of RESNA
Assistive Technology® , 24:246–258, 2012
                                                        Copyright © 2012 RESNA
                                                        ISSN: 1040-0435 print/1949-3614 online
                                                        DOI: 10.1080/10400435.2012.659834

                                                                              The Design of an Interactive Assistive
                                                                                                   Kitchen System
                                                         Maurizio Ficocelli, Ph.D1 and
                                                         Goldie Nejat, Ph.D2,3                     ABSTRACT As the world’s elderly population drastically increases,
                                                         1
                                                           Department of Mechanical                aging-related cognitive impairments have become one of the biggest
                                                         Engineering, State University of          healthcare concerns. In this paper, we present the design of an assistive kitchen
                                                         New York at Stony Brook, Stony
                                                                                                   system consisting of a user interface with two-way speech communication and
                                                         Brook, New York
                                                         2
                                                           Department of Mechanical
                                                                                                   an automated cabinet system to help promote aging-in-place. The assistive
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                                                         and Industrial Engineering,               kitchen system incorporates a cognitive assistance feature that helps the user
                                                         University of Toronto, Toronto,           in overcoming initiation, planning, attention, and memory deficits, while
                                                         Ontario, Canada                           performing kitchen-based activities of daily living (ADLs) such as storing and
                                                         3
                                                           Toronto Rehabilitation                  retrieving items, and obtaining recipes for meal preparation. This feature works
                                                         Institute, Toronto, Ontario,              synchronously with the automated kitchen cabinet to directly provide the
                                                         Canada
                                                                                                   location of an item to a user, bring the item in closer reach and also prompt
                                                                                                   the user to retrieve the item. An initial prototype of the assistive kitchen
                                                                                                   system has been developed and performance testing has been conducted.
                                                                                                   The testing has shown high success rates for users’ retrieving and storing
                                                                                                   specified kitchen items. A small scale study was also conducted measuring the
                                                                                                   acceptance and use of the proposed system by older adults. The results show
                                                                                                   promise for the further development and use of the system for the outlined
                                                                                                   kitchen ADLs.

                                                                                                   KEYWORDS assistive kitchen system, automated cabinet, item retrieval/storage

                                                                                                                                 INTRODUCTION
                                                                                                      In the next few decades, 20%–32% of the population of a number of coun-
                                                                                                   tries such as Canada, France, Germany, Italy, Japan, and the U.S. will be over
                                                                                                   the age of 65 (Kinsella & Velkolt, 2001; Dobriansky, Suzman, & Hodes, 2007).
                                                                                                   For this aging population, there is a high prevalence of cognitive impairment.
                                                                                                   Cognitive impairment can progressively diminish a person’s memory, orienta-
                                                                                                   tion, verbal skills, visuospatial ability, abstract reasoning, and attentional skills
                                                                                                   (Tatemichi et al., 1994), hence, increasing the need for assistance with everyday
                                                        Address correspondence to Goldie           activities. In general, this population overwhelmingly prefers to stay in their
                                                        Nejat, Mechanical and Industrial           homes and age-in-place as independently as possible (Mahoney, Mahoney, &
                                                        Engineering, 5 King’s College Road,
                                                                                                   Liss, 2009). However, a decline in cognitive abilities may make it difficult to
                                                        Toronto, Ontario, M5S 3G8 Canada.
                                                        E-mail: nejat@mie.utoronto.ca              maintain such independence in the comfort of their own homes.

                                                                                                                        246
Assistive Technology: The Official Journal of RESNA
To date, research has been conducted to provide              In the last few decades, kitchen designs and
                                                        solutions to promote aging-in-place. In order to match      appliances have become more automated using
                                                        the high demand for health care services; various           microprocessors and an assortment of sensor and
                                                        “Smart Home” initiatives are being developed. These         actuator technologies, however, these kitchens have
                                                        initiatives can broadly be divided into three different     still been designed without considering the needs of
                                                        categories: (1) projects focused on providing a means       elderly users. When considering designing an assistive
                                                        of telecommunication or “virtual visits” between the        kitchen for the elderly there are four main requirements
                                                        elderly and their relatives using remote monitoring         that should be considered: (1) information providing,
                                                        (Mahoney, Mutchler, Tarlow, & Liss, 2008), (2) systems      (2) storing and retrieving of items, (3) meal prepara-
                                                        that help users with cognitive and physical impair-         tion and cooking, and (4) meal monitoring. In this
                                                        ments perform activities of daily living (ADLs) inde-       paper, we present the design and initial prototype of
                                                        pendently (Lesser et al., 1999; Rantz et al., 2006;         an interactive assistive kitchen system for the elderly
                                                        Yamazaki, 2006; Mihailidis, Boger, Craig, & Hoey,           focusing on the following main activities: (1) informa-
                                                        2008), and (3) wearable accessories or devices that can     tion providing in terms of recalling items’ availability
                                                        monitor the health of a person (Park & Jayaraman,           and locations, (2) storing and retrieving items from cab-
                                                        2003; Korhonen, Parkka, & Van Gils, 2003; Asada,            inet shelves, and (3) recipe providing. A performance
                                                        Shaltis, Reisner, Rhee, & Hutchinson, 2003; Tierney,        study is also presented to verify the feasibility of the
                                                        Tamada, Potts, Jovanovic, & Garg, 2001).                    proposed system and its acceptance and future use.
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                                                           Our research focuses on the second category of               This paper addresses the need for an assistive kitchen
                                                        smart home systems, namely on the development of            system that incorporates a cognitive assistance feature
                                                        assistive technologies for the elderly in order to assist   to help a user overcome initiation, planning, attention,
                                                        them with ADLs to promote aging-in-place (Nejat &           and memory deficits, while performing the regular
                                                        Ficocelli, 2008; Chan, Nejat, & Chen, 2011; McColl,         kitchen activities of storing and retrieving items, and
                                                        Chan, & Nejat, 2012). ADLs can be defined as (Lawton        recipe finding. This feature works synchronously with
                                                        & Brody, 1969; Rogers, Meyer, Walker, & Fisk, 1998):        an automated kitchen cabinet that enhances a user’s
                                                        (1) self-maintenance activities which include the abil-     accessibility in physically finding, retrieving and stor-
                                                        ity to eat, dress, groom, and bathe; (2) instrumental       ing kitchen items. Our intended user population for
                                                        activities which include the ability to prepare food,       the assistive kitchen system will range from individuals
                                                        do housekeeping, organize finances, buy necessities         having mild to moderate cognitive decline as defined
                                                        and manage medications; and (3) enhanced activities         by the Global Deterioration Scale (Reisberg, Ferris, de
                                                        which include participation in cognitively and socially     Leon, & Crook, 1982).
                                                        stimulating leisure activities.                                 To date, only a handful of other assistive tech-
                                                           Even though a number of smart home technolo-             nologies have been developed to assist individuals in
                                                        gies have been developed to assist the elderly with         kitchen environments. These technologies can be cate-
                                                        ADLs around the home, few have actually focused             gorized as either providing cognitive assistance or phys-
                                                        on what particularly happens in the kitchen envi-           ical assistance. With respect to aids that can be utilized
                                                        ronment. Our recent work focuses on the develop-            in the kitchen for people with cognitive impairments,
                                                        ment of an assistive kitchen environment to enable          PDAs and touch screens providing step-by-step meal
                                                        the elderly with cognitive impairments to indepen-          preparation instructions have been a popular approach
                                                        dently carry out regular kitchen activities. Our design     such as the Visual Assistant (2011). However, these sys-
                                                        aims at incorporating the following two essential fea-      tems do not use natural communication modes that
                                                        tures of an assistive kitchen system: (1) Cognitive         elderly individuals are familiar with and require that
                                                        Assistance: which assists users in kitchen activities       the items needed for meal preparation be found in
                                                        such as remembering the locations of items and              the kitchen solely by the user. This latter task can
                                                        assisting step-by-step in the meal preparation process,     be particularly difficult for someone with cognitive
                                                        by using voice and visual prompting interfaces, and         impairment as there are a number of cabinets and draw-
                                                        (2) Increased Accessibility: which allows easy access to    ers in the kitchen. Other systems designed for memory
                                                        out of reach items in the kitchen through automated         aids also include the Cook’s Collage visual display sys-
                                                        devices.                                                    tem (Tran, Calcaterra, & Mynatt, 2005), and Archipel

                                                        247                                                                  Design of an Interactive Assistive Kitchen System
Assistive Technology: The Official Journal of RESNA
touch screen system (Giroux, Bauchet, Pigot, Lussier-         of interest and recipes in order to prepare meals via
                                                        Desrochers, & Lachappelle, 2008). The Cook’s Collage          a unique user interface and automated cabinet sys-
                                                        display system provides to the user a visual summary          tem. The automated cabinet has been designed with
                                                        of ongoing kitchen activities taking place on a coun-         the ability to only lower a single shelf at a time
                                                        tertop, as recorded from two webcams, to remind the           within the original fixed frame of a cabinet. This is an
                                                        user of actions he/she has already performed such as          important unique design feature as the system directly
                                                        which ingredients were already added and the count            provides the location of an item to a user, brings the
                                                        for each ingredient used. The Archipel system provides        item in closer reach and also prompts the user to
                                                        instructions to a user to complete a predefined task          retrieve the item. Our aim in developing the assistive
                                                        chosen by the user by interfacing to devices placed           kitchen system is to provide elderly individuals with
                                                        in the environment that use lights or sounds to draw          a tool that can aid them in accomplishing instru-
                                                        the attention of the user to a particular location in         mental ADLs required in a kitchen environment. The
                                                        the kitchen. Robot assistants are currently also being        system can be integrated into an intelligent environ-
                                                        developed to undertake such tasks in the future such          ment or with other complementary systems such as
                                                        as setting the table, cooking and washing the dishes          the Cook’s Collage and Archipel, where context-aware
                                                        (Beetz et al., 2008; Asfour et al., 2006). However, it will   sensors placed in the kitchen such as cameras, LEDs,
                                                        be several years before these robotic systems are readily     acoustic devices and RFID tags can be used to aid and
                                                        available as well as cost-effective enough to be placed in    monitor an individual in additional meal preparation
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                                                        the homes of elderly individuals. In addition, a number       tasks or other related complex ADLs such as cooking,
                                                        of safety concerns also still need to be considered with      eating, and washing the dishes.
                                                        this technology as the robots will be performing these
                                                        tasks autonomously in human occupied environments.
                                                           Currently, two popular accessible automated cabi-                         METHODS
                                                        net designs are available for kitchens known as the               Assistive Kitchen System Design
                                                        DIAGO 504 Adjustable Height Cabinet (2010) and
                                                        the VERTI Adjustable Height Shelving (2010). The                 The design of our initial prototype of the
                                                        DIAGO 504 system automatically moves an entire                assistive kitchen system consists of two main sub-
                                                        cabinet unit down over counter space for a user to            systems: (1) user interface, and (2) automated cabinet.
                                                        reach items whereas the VERTI system simultaneously           An overview of the overall system is presented in
                                                        lowers all the shelves in a cabinet through the open          Figure 1. This initial prototype has been designed with
                                                        bottom of the cabinet. These systems can be con-              the following specific aims: (1) to develop an easy to
                                                        trolled by a remote control, or a push button placed          use interface to promote natural communications dur-
                                                        either beside the cabinets or on the wall. The main           ing kitchen tasks, and (2) design a cost-effective and
                                                        target consumer for these products are people with            easy to use automated cabinet system using existing
                                                        limited mobility in their lower body. The Personal
                                                        Mobility and Manipulation Appliance (Grindle, Wang,                                   Automated Cabinet
                                                        Salatin, Vazquez, & Cooper, 2011) has been designed
                                                        for individuals with both lower and upper limb dis-
                                                        abilities. The system consists of two robotic arms that
                                                                                                                                                                         Micro controller
                                                        are mounted on a mobile robotic base. Preliminary                        Speakers
                                                        tests have been conducted with this system for tasks
                                                        such as opening a refrigerator, retrieving and opening a
                                                        container and then putting it in the microwave.                      Visual Display
                                                                                                                                                  Visual Interface and
                                                                                                                                                  Speech Synthesizer                Databases
                                                           Our proposed interactive kitchen system focuses                                                                                  Internet
                                                                                                                                                                     High-level Control
                                                        on providing cognitive assistance as well as increased
                                                        accessibility to elderly individuals in order to encour-               Microphone           Speech Recognition
                                                        age as well as aid these individuals in performing                                          and Analysis

                                                        instrumental ADLs. In particular, the system provides
                                                        an interactive environment to find and retrieve items         FIGURE 1     System overview (color figure available online).

                                                        M. Ficocelli and G. Nejat                                                                                                                248
cabinet components and available off-the-shelf com-                     Speech Recognition and
                                                        ponents. The prototype provides the perfect platform                       Analysis Module
                                                        to obtain feedback regarding functionality, acceptance,
                                                        and usability of such a system.                                  User speech is recognized via the Speech
                                                           The assistive kitchen system prototype is initiated        Recognition and Analysis module. Recognition is
                                                        through the detection of close-range sound or when            performed utilizing Julius, which is a two-pass large
                                                        intentionally verbally prompted by a user. All requests       vocabulary continuous speech recognition (LVCSR)
                                                        from users are verbal and are registered by the Speech        decoder (Lee & Kawahara, 2009). Words are recognized
                                                        Recognition and Analysis module, and are also dis-            based on their phonemes and their approximate loca-
                                                        played visually to the user for verification and recall via   tion in an utterance. Speech analysis then compares
                                                        the Visual Interface and Speech Synthesizer module.           corresponding synsets to its own database of words.
                                                        Three specific cases are identified by the system: (1) the    The LVCSR software has been customized to sup-
                                                        user wants to retrieve an item(s) from the kitchen,           port the vocabulary, dialog and action-based context
                                                        (2) the user wants a recipe to retrieve the items to          needed during the proposed kitchen activities. We have
                                                        prepare a meal, and/or (3) the user wants to store an         incorporated the person independent VoXForge (2009)
                                                        item(s).                                                      acoustic model into our module. This acoustic model
                                                           The overall system consists of a database that stores      is composed of statistical representations, created via
                                                        the names of available kitchen items and their locations      Hidden Markov Models, for each phoneme in the
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                                                        within a cabinet. If the user is requesting to retrieve       English language to account for persons with different
                                                        items, the user interface then provides the user with         accents and speaking styles. The acoustic model has
                                                        the location of a required item(s) within a correspond-       been trained using 625 unique voices.
                                                        ing cabinet. This information is provided to the user
                                                        both verbally through a speech synthesizer and non-
                                                                                                                             Visual Interface and Speech
                                                        verbally as text on the display. The interface can also
                                                        provide a list of stored items that the user can eas-
                                                                                                                                 Synthesizer Module
                                                        ily choose from to retrieve. Once the location of the            The Visual Interface and Speech Synthesizer Module
                                                        item is determined, the automated cabinet sub-system          was developed in a C++ software framework and is
                                                        is used to bring the cabinet shelf that the item is           used to both visually display the status of the interac-
                                                        stored on to an accessible ergonomic height for the           tion as well as also provide verbal cues and prompts
                                                        user. All shelves have the ability to translate horizon-      to the user. The visual display provides information
                                                        tally out towards the user to provide easy reach for a        regarding the following parameters: (1) Mode: which
                                                        requested item. A similar procedure is implemented            is used to indicate the activity at hand, that is, item
                                                        when a user would like to place items on shelves in           retrieval, (2) Item to Get: defines which item of inter-
                                                        the cabinet.                                                  est that needs to be retrieved at a certain time, that
                                                           With respect to recipe finding, a high-level con-          is, a can of chicken soup or a plate, (3) Recipe:
                                                        trol module looks up a specific recipe name for the           Defines the recipe name for the meal preparation
                                                        user. Two recipe-searching approaches are incorpo-            task, (4) Items: Outlines all the items needed for the
                                                        rated: an internal database search and an online search       recipe, and (5) Cabinet shows on which of the three
                                                        using ehow-recipes (http://www.ehow.com/recipes/).            shelves in the cabinet a particular item is located.
                                                        If a recipe is not found in the database, the Google          In addition, the visual interface displays three more
                                                        RSS (Really Simple Syndication) reader is utilized to         textboxes which include the verbal request from the
                                                        extract RSS feed information from the eHow—Recipes            user as recognized by the speech recognition mod-
                                                        website. Once the recipe is found, the system can com-        ule (User Input), the speech spoken by the system
                                                        municate the items that are needed for the recipe to a        (System Output) and guides for answering the sys-
                                                        user one at a time. The automated cabinet sub-system          tem’s questions (Answer Guide). The Answer Guide
                                                        runs simultaneously in order to help the user retrieve        is used to provide users with options, including pro-
                                                        these items. The following sub-sections will discuss the      viding activity/food options based on the time of the
                                                        development of the sub-systems and modules of the             day. For example, in the morning, the system may
                                                        assistive kitchen system.                                     ask what the user would like to eat for breakfast and

                                                        249                                                                   Design of an Interactive Assistive Kitchen System
(a)                                                                                    Automated Cabinet
                                                          Item Retrieval                                                           The automated cabinet requires that adjustments be
                                                          Plate
                                                                                                                                made directly to an existing kitchen cabinet in order
                                                                                                                                for all three shelves to be automated one at a time to
                                                                                                                                an accessible height. The cabinet can be placed at a
                                                                                            System                              height at which the bottom shelf is within the optimum
                                                                                                                                reach envelope of the user. The top two shelves have
                                                                                         Answer Guide
                                                                                                                                also been designed to translate vertically downwards to
                                                                                          User Input                            an acceptable height within this reach envelope using
                                                          I would like a plate
                                                                                                                                a lifting mechanism. Each shelf will de-couple from
                                                        (b)                                                                     the shelf supports and lock into the lifting mechanism.
                                                          Item Retrieval
                                                                                                                                At the required height, all shelves have the ability to
                                                                                                                                translate horizontally out towards the user to provide
                                                          Plate                                                                 easy reach for a requested item. Figure 3 illustrates the
                                                                                                                                steps utilized to bring the top shelf of the automated
                                                                                                                                cabinet to an acceptable height.
                                                                                            System
                                                          Okay, let’s get a PLATE                                                  The overall movement of each shelf is controlled
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                                                                                          Answer Guide                          by three major elements which are the ‘shelf roller
                                                                                                                                mechanism’ that rolls the shelf horizontally in and
                                                                                           User Input
                                                          I would like a plate                                                  out, the ‘lifting mechanism’ used to raise/lower a shelf
                                                                                                                                as needed, and the ‘coupling and de-coupling mech-
                                                        FIGURE 2           Visual display (color figure available online).      anism’ used to couple/de-couple a shelf with respect
                                                                                                                                to the shelf supports and also lock/disengage the shelf
                                                                                                                                to/from the lifting mechanism. One of the main design
                                                        the Answer Guide could provide food options such as                     criteria is to ensure that all the components needed for
                                                        cereal, bread, and so forth. This information, similar                  this application can fit within the cabinet space.
                                                        to the other parameters, is also verbally presented to
                                                        the user via the speech synthesizer in addition to being
                                                        displayed in the textbox under the heading Answer                       The shelf roller mechanism
                                                        Guide.                                                                     In order to provide the horizontal translation
                                                           An example scenario using the Visual Display is                      motion of all three shelves, a DC motor driven roller
                                                        shown in Figure 2. In particular, a user tells the sys-                 system is designed to be placed underneath each shelf.
                                                        tem that he/she would like a plate, the system’s Mode                   Namely, a shelf roller mechanism consisting of a motor
                                                        parameter indicates the item retrieval sub-task and the                 driven roller can move the shelf horizontally in both
                                                        Item to Get parameter states that the item of interest is               directions. To aid the motion of the shelf, four free-
                                                        a plate. The system confirms this action and identifies                 rolling rollers are distributed along the width of the
                                                        that this item is on the bottom shelf (i.e., shelf #3).                 shelf and placed at the same height as the driving

                                                                                   (a)                               (b)                      (c)

                                                        FIGURE 3     (a) Lifting arm raised to required shelf position, (b) shelf de-coupled into lifting arm, and (c) desired shelf lowered to an
                                                        acceptable height (color figure available online).

                                                        M. Ficocelli and G. Nejat                                                                                                             250
roller to assist the horizontal motion by minimizing          shelf has machined tapered edges in order to easily
                                                        friction and keeping the shelf in a stable configura-         slide into the tapered openings in the locking riders.
                                                        tion. The advantage of this actuation system is that it       Once the shelf has rolled into the riders, the riders then
                                                        is compact, cost-effective and can be placed directly         start moving outwards until the shelf is completely
                                                        underneath each shelf. In order to design an appro-           de-coupled from the shelf supports. When the shelf is
                                                        priate motorized roller system, the minimum motor             commanded to be inserted back to its original position,
                                                        power (in watts) required to move an individual shelf         the locking riders will start to move in the opposite
                                                        with various kitchen items placed on top of it needs to       direction until the driving roller from the shelf roller
                                                        be determined:                                                mechanism makes contact with the shelf. The motor
                                                                                                                    torque required to move the shelf during coupling and
                                                                   WL              nwμdv × 103 1                      decoupling is:
                                                          Pmr   =      (2k + μr) +                + Fp v,
                                                                  367D                102D      η
                                                                                                        (1)                                          Fp + Ffr
                                                                                                                                             Tls =             ,                 (3)
                                                                                                                                                     2π Ps nls
                                                        where W is the combined weight of the items on the
                                                        shelf and the shelf itself, L is the total length of all      where Ffr is the friction forces internal to the leadscrew
                                                        the rollers, and D is the roller diameter; k is the rolling   mechanism, Fp is the resistive forces encountered when
                                                        friction factor (in meters), μ is the coefficient of fric-    moving the shelf into and out of the riders, Ps is the
                                                                                                                      leadscrew pitch, and ηls is the leadscrew efficiency. Ffr
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                                                        tion at the roller shaft and the bearing interface, and r
                                                        is the roller journal radius (d is the journal diameter);     can be defined as:
                                                        n is the number of rollers supporting the total weight
                                                        of the shelf and items, w is the weight of the rotat-                             Ffr = μls W cos(γ ),                   (4)
                                                        ing part of each roller, v is the linear velocity of the
                                                        shelf moving across the rollers, and η is the efficiency      where γ = 0◦ for horizontal motion and μls is the
                                                        of the drive system. Lastly, Fp is the resistive forces in    coefficient of friction in the leadscrew mechanism.
                                                        the free-rolling rollers that must be overcome by the         Alternatively, Fp can be defined as:
                                                        motor driven roller:
                                                                                                                                              Fp = μw W ,                        (5)
                                                                           Fp = F1 + F2 + F3 ,                  (2)
                                                                                                                      where μw is the coefficient of sliding friction. The min-
                                                        where,                                                        imum power rating, in watts, for an appropriate motor
                                                                                                                      can be found using:
                                                                       k                μr      nwv2
                                                              F1 = W     , F2 = (W + wn) , F3 =      .
                                                                       R                R        gL                                            pls = Tls ωls ,                   (6)

                                                        F1 is the resistance to rolling of the shelf on the free-     where ωls is the angular velocity of the leadscrew, which
                                                        rolling rollers, F2 is the frictional resistance in the       can be found from the required linear velocity, vls , of
                                                        free-rolling rollers’ bearings, F3 is the resistance due to   the shelf, that is, ωls = 2π pls vls . Herein, pls is the pitch
                                                        sliding of the shelf on the free-rolling rollers and the      of the thread in the leadscrew defined in rev/m (rev/ft).
                                                        force required to impart kinetic energy to those roller.
                                                        R is the roller radius and g is gravity.
                                                                                                                      Lifting mechanism
                                                                                                                         A lead-screw-based linear track actuator is used to
                                                        Shelf coupling and de-coupling                                translate vertically and individually the top two shelves
                                                        mechanism                                                     to an acceptable reach range (bottom shelf’s height).
                                                            In order to lower the top two shelves and bring           A lifting arm can be connected to the linear track actu-
                                                        forward the bottom shelf; each shelf will need to             ator on one side and a guide mechanism on the other
                                                        de-couple from the shelf supports and lock into the           side. For translation of the shelf, the lifting arm must
                                                        lifting mechanism. To achieve this, two locking riders        stay parallel to the shelf supports with minimal deflec-
                                                        are placed on the lifting arm, one at each end. Each          tion. A pulley system ensures the arm is straight and
                                                        251                                                                    Design of an Interactive Assistive Kitchen System
two free rolling bearings in the guide system restrict                                   composed of eight states, Figure 4(a). Each FSM action
                                                        the motion of the arm to the vertical axis. In order to                                  represents a set of actions performed by the system
                                                        determine the minimum required motor power, first                                        in order to achieve a specific state. The FSM initi-
                                                        the motor torque required to lift the shelf vertically is                                ates from the Standby state. An input command is
                                                        determined:                                                                              provided from the Speech Recognition and Analysis
                                                                                                                                                 module to retrieve/store an item or find a recipe. The
                                                                                           Fg + Ffr                                              Enter Search action is then performed to achieve the
                                                                                 Tla =               ,                               (7)
                                                                                           2π Ps nls                                             Search state. Since the FSM we utilized was devel-
                                                                                                                                                 oped using a heterogeneous design approach, it allows
                                                        where the force due to gravity is Fg = W sin γ , and                                     for a hierarchy in the FSM design. In particular, the
                                                        γ is 90◦ for vertical motion. Ffr consists of the sliding                                Search state is refined into logical sub-states forming
                                                        friction forces of the guide and pulley system. The min-                                 a sub-FSM as shown in Figure 4(b). Once the Search
                                                        imum power rating, in watts, for an appropriate motor                                    state is entered, the sub-FSM initiates from its own
                                                        can then be determined to be:                                                            Standby state. From this state, the system can per-
                                                                                                                                                 form an item location search or a recipe search using
                                                                                     Pla = Tla ωls ,                                 (8)         the corresponding database or also the online option
                                                                                                                                                 for the latter. For example, it can move to the Search
                                                        where ωls can be found from the required linear vertical                                 Recipe Database State via the Search for Stored Recipe
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                                                        velocity of the shelf.                                                                   action. If the recipe is found in the database, the
                                                           The minimum required power for the motors of all                                      sub-FSM returns to its Standby state via the Return
                                                        three systems are multiplied by a 1.5 safety factor.                                     action. The Return action sends the recipe items to
                                                                                                                                                 the Visual Interface and Speech Synthesizer module
                                                                                                                                                 to display and verbally state to the user. If the recipe
                                                            High-Level Control Architecture                                                      is not in the recipe database, the sub-FSM moves to
                                                           We utilize a finite-state machine (FSM) approach                                      the Search Internet for Recipe state via the Search
                                                        to design the high-level controller for the assistive                                    for On-line Recipe action. Within this state, the RSS
                                                        kitchen system. The FSM is a mathematical abstrac-                                       reader is used to obtain the corresponding recipe from
                                                        tion consisting of a set of states and actions which                                     the internet. Once the recipe is found, the sub-FSM
                                                        match the system’s output behavior to a given user                                       returns to its Standby state via the Return action, while
                                                        input. The FSM for the assistive kitchen system is                                       also sending the recipe items to the Visual Interface

                                                            (a)
                                                                                                                                                             (b)
                                                                                                               Item
                                                                                                               received                                                Search
                                                                                             Shelf #3                           Shelf #3
                                                                                               in                                 out                                 Shelves
                                                                                                                                                                      Database
                                                                                                      Shelf #3
                                                                                          Fault                                                                                 Return Shelf
                                                                                                      returned       Fault
                                                                              Shelf #1                                                                        Search for          Number
                                                                              returned                           Fault                                          Item
                                                                  Shelf #1                                                      Shelf #2
                                                                                             Standby                                                                                  Return
                                                                    up                                                            up                                                              Search
                                                                               Fault                             Shelf #2
                                                                                                                                                                      Standby                     Internet for
                                                                                                                 returned
                                                                                                                                                                                     Search for   Recipe
                                                           Item              Fault        Fault       Enter         Fault             Item                                            On-line
                                                           received                                   search                          received                Search for              Recipe
                                                                                                                                                               Stored       Return
                                                                  Shelf #1                                                      Shelf #2                       Recipe
                                                                                                  Search
                                                                   down        Item on                         Item on           down
                                                                                                                                                                     Search
                                                                               Shelf #1                        Shelf #2
                                                                                                                                                                     Recipe
                                                                                                                                                                     Database
                                                                                                                         Item on
                                                                                                                         Shelf #3

                                                        FIGURE 4       (a) FSM for the Assistive Kitchen System, and (b) sub-FSM for the Search state.

                                                        M. Ficocelli and G. Nejat                                                                                                                                252
and Speech Synthesizer module. The sub-FSM is also
                                                        utilized to identify the location of items via the Search
                                                        Shelves Database state. It enters this state using the
                                                        Search for Item action. Within this state, a search algo-
                                                        rithm is used to find the corresponding shelf the item
                                                        is stored on. Once an item’s location is found, the
                                                        Return Shelf Number action returns the sub-FSM to
                                                        the Standby state and sends this shelf number to the
                                                        Visual Interface and Speech Synthesizer module to
                                                        communicate to the user. The master FSM can then            FIGURE 5      Overview of automated cabinet system (color figure
                                                        lower the appropriate shelf to allow the user to retrieve   available online).
                                                        the item by using the corresponding Item on Shelf
                                                        action. For example, if the item is located on shelf            TABLE 1   Cabinet specifications
                                                        #2 (middle shelf), the Item on Shelf #2 action is per-
                                                                                                                        Cabinet height                     77 cm (30.3 inches)
                                                        formed and the system enters the Shelf #2 Down state
                                                        in which the appropriate signal is sent to the micro-           Cabinet width                      76 cm (29.9 inches)
                                                        processor to move this shelf from its position in the           Shelf length                       28 cm (11 inches)
                                                                                                                        Shelf width                        56 cm (22 inches)
                                                        cabinet into the reach envelope of the user. When the
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                                                                                                                        Mass of shelf                      2.27 kg (5 lbs)
                                                        system has confirmed that the user has removed the              Shelf load capacity                11.4 kg (25 lbs)
                                                        requested item from the shelf, the system performs the          Maximum shelf                      3cm/s (1.18 inches/s)
                                                        Item Received action to move Shelf #2 back to its                 travelling speed
                                                        original position via the Shelf #2 Up state, in which
                                                        the corresponding signal is sent to the microprocessor
                                                        to move the shelf up and back into its original posi-       TABLE 2   Motor selection
                                                        tion in the cabinet. The FSM then performs the Shelf                                                              Power
                                                        #2 returned action and moves the FSM back to the            Mechanism                       Motor               output (W)
                                                        Standby state, where it waits for the next input. Similar
                                                                                                                    The shelf roller        ZHENGKE ZGA 42 RH                5
                                                        actions and states exist for shelves #1 (top shelf) and
                                                                                                                      mechanism
                                                        #3 (bottom shelf). If the search request was to find a      Shelf coupling and      ZHENGKE ZGA 42 RH                5
                                                        recipe, once the items in the recipe have been found,         de-coupling
                                                        the FSM sequentially repeats the aforementioned pro-          mechanism
                                                        cedure to retrieve all the necessary items. It should be    Lifting mechanism       Firgelli Automations            13
                                                        noted that if there is any fault detected when moving                                 FA-200-TR-24
                                                                                                                                              (Linear Actuator)
                                                        the shelves of the cabinet via the onboard sensors, the
                                                        FSM will move back to its Standby state using the Fault
                                                        action. Once the Fault is cleared, the FSM moves back
                                                        to its previous state via the same path and continues its      As previously mentioned, the user will be able to ask
                                                        previous actions.                                           for kitchen items already stored on the shelves of the
                                                                                                                    cabinet through the Speech Recognition and Analysis
                                                                                                                    module. The item retrieval and storage search will look
                                                              Automated Cabinet Prototype
                                                                                                                    through its database of stored items to identify the
                                                                    Development                                     item and its location. Once the location of the item
                                                          Based on the aforementioned design, we have devel-        is known, it will send a signal to the microcontroller
                                                        oped a physical prototype of the cabinet, Figure 5.         in order to lower and/or move forward the specified
                                                        The specifications of this cabinet are presented in         shelf on which the item sits. During this time the
                                                        Table 1. Based on the specifications in Table 1 and the     user will also be provided with information about the
                                                        motor requirements in Equations (1)–(8), the motors         actions taken by the overall system through the Visual
                                                        presented in Table 2 were chosen for the automated          Interface. When an item is placed onto the shelf, the
                                                        cabinet.                                                    shelf is moved back to its initial location.

                                                        253                                                                   Design of an Interactive Assistive Kitchen System
PROTOTYPE TESTING PROTOCOL                             the workplace. However, it has been designed so that it
                                                                                                                   can be adapted to any technology of interest. For exam-
                                                           Preliminary experiments were conducted to evalu-
                                                                                                                   ple, Heerink, Krosë, Wielinga, and Evers (2009) revised
                                                        ate the performance of the overall proposed assistive
                                                                                                                   the model to measure users’ acceptance of assistive
                                                        kitchen system. An interaction scenario between par-
                                                                                                                   robots. This included adding additional new constructs
                                                        ticipants and the kitchen system was developed, where
                                                                                                                   such as Trust and Perceived Adaptability as well as
                                                        each participant asked the system to locate an item,
                                                                                                                   incorporating the Perceived Ease of Use and Perceived
                                                        retrieve that item, and then restore the item. This list
                                                                                                                   Usefulness constructs from the Technology Acceptance
                                                        included common items that potentially can be found
                                                                                                                   Model (TAM) (Davis, 1989). These additional con-
                                                        on kitchen shelves such as cans of soup and tuna, tea
                                                                                                                   structs haven been shown to be important constructs
                                                        boxes, small cereal boxes and cracker boxes. The cabi-
                                                                                                                   for users of assistive technology. The model was tested
                                                        net was placed approximately 137 cm (54 inches) from
                                                                                                                   with elderly participants and the assistive robot iCat
                                                        the ground, and the laptop controlling the system and
                                                                                                                   in a long-term care facility. In our own study, eight of
                                                        displaying the interface was placed on a table near the
                                                                                                                   the revised UTAUT constructs (for a total of 24 ques-
                                                        cabinet (as shown in Figure 5). The height of the cabi-
                                                                                                                   tions) which we found to be directly applicable to the
                                                        net was chosen to reflect the average floor-to-bottom
                                                                                                                   quality of life of elderly users were used to measure the
                                                        of cabinet height of wall kitchen cabinets in North
                                                                                                                   acceptance and use of the assistive kitchen system on a
                                                        America. The food items were distributed on the three
                                                                                                                   5-point Likert scale ranging from 1 (not at all) to 5 (very
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                                                        shelves. The shelves were lowered and brought forward
                                                                                                                   much). The constructs and corresponding questions are
                                                        at a height of approximately 142 cm (56 inches) from
                                                                                                                   presented in Table 3.
                                                        the floor. Fifteen healthy participants (10 within the
                                                        ages of 20–35, and 5e within the ages of 56–68) took
                                                        part in the experiments (mean = 38.13; std. dev. =               RESULTS AND DISCUSSIONS
                                                        17.75). Six of the participants were females (three of
                                                        whom were from the older cohort) and nine were males
                                                                                                                       Preliminary Performance Testing
                                                        (two of whom were from the older cohort). None of             Results of the system performance experiments are
                                                        the participants had any prior experience with assistive   presented in Table 4. It can be seen that the system was
                                                        technologies for kitchen environments. All participants    successful at selecting and executing the appropriate
                                                        could speak English, however, for four of the par-         behaviors throughout the interactions with the partici-
                                                        ticipants, English was not their first language. The       pants. The number of trials represents the total number
                                                        participants were given a tutorial on how the system       of opportunities that existed for each of the behaviors
                                                        operates prior to testing. Each participant interacted     of the system.
                                                        with the system a total of five times.                        The acoustic model we utilized for speech recog-
                                                           A detailed analysis was conducted on the per-           nition was not trained to be participant-dependent
                                                        formance of the Speech Recognition and Analysis            and thus, inherently, as a general limitation to per-
                                                        Module, Visual Interface Module and Automated              son independent speech recognition techniques, it may
                                                        Cabinet. In addition to the performance experiments,       experience difficulty correctly recognizing different
                                                        acceptance of the interactive system by elderly users      pronunciations of the same words. This was evident in
                                                        was also measured via a questionnaire. In particular, a    the achieved success rate of 93% amongst the 15 par-
                                                        modified version of the Unified Theory of Acceptance       ticipants. In particular, the six failures are a result of
                                                        and Use of Technology (UTAUT) scale (Venkatesh,            the system not being able to correctly recognize cer-
                                                        Morris, Davis, & Davis, 2003) was provided to the five     tain words spoken by two male non-native English
                                                        older participants to complete after their interactions    speakers, one from the older cohort and one from the
                                                        were finished.                                             younger cohort. Our findings are consistent with previ-
                                                           The UTAUT combines eight previous models of             ous research that has found that English speech recog-
                                                        technology acceptance into one model incorporat-           nition systems have more trouble recognizing words
                                                        ing measurable factors such as Behavioral Intention,       spoken by males than females (Goldwater, Jurafsky, &
                                                        Anxiety, and Attitude. The UTAUT was first developed       Manning, 2010). The two words spoken by these two
                                                        to measure technology acceptance and predict usage in      participants that were the most difficult for the system

                                                        M. Ficocelli and G. Nejat                                                                                         254
TABLE 3    Modified UTAUT constructs                                       TABLE 4   System performance results

                                                        Anxiety (ANX)∗ :                                                           Expected system              No. of      No. of    Success
                                                         1. When using the kitchen system, I am afraid to make                     behavior                     trials     failures    rate
                                                            mistakes with it
                                                                                                                                   Recognize speech input         80          6         93%
                                                         2. When using the kitchen system, I am afraid to break
                                                                                                                                   Displays item location         75          0        100%
                                                            something
                                                                                                                                   Rolls shelf out/in            150          0        100%
                                                         3. I find the kitchen system scary
                                                                                                                                   De-couples/couples shelf      150          7         95%
                                                         4. I find the kitchen system intimidating
                                                                                                                                     (on the first try)
                                                        Attitude towards using the system (ATT):                                   Lifts/lowers shelf            150          0        100%
                                                         5. I think it’s a good idea to use the kitchen system
                                                         6. The kitchen system would make my life more
                                                            interesting                                                            to recognize were “want” and “tea.” Even though 93%
                                                         7. It’s good to make use of the kitchen system
                                                                                                                                   is a high success rate, we would like to see success rates
                                                        Facilitating Conditions (FC):                                              of 100% for our particular application. To address this
                                                         8. I have everything I need to make good use of the
                                                                                                                                   limitation for our future work, we have been focusing
                                                            system
                                                         9. I know enough of the system to make good use of it                     on the utilization of acoustic models that are opti-
                                                                                                                                   mized specifically for older adults (Anderson et al.,
                                                        Behavioral Intention to use the system (BI):
                                                        10. I think I’ll use the kitchen system during the next few                1999). Furthermore, if the users are known in advance,
                                                                                                                                   which is true for personal home settings, we can also
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                                                            months
                                                        11. I am certain to use the kitchen system during the next                 train the speech recognition system for the identified
                                                            few months                                                             users.
                                                        12. I’m planning to use the kitchen system during the next                    The main mechanical issue that was noted during
                                                            few months
                                                                                                                                   testing was that the shelf’s tapered edges sometimes
                                                        Perceived Adaptability (PA):                                               failed to completely slide into the locking riders, mak-
                                                        13. I think the kitchen system can be adaptive to what I
                                                                                                                                   ing it difficult during these instances to reliably decou-
                                                            need
                                                        14. I think the kitchen system will only do what I need at                 ple the shelf from the shelf supports. Namely, as the
                                                            that particular moment                                                 locking riders started to move away from the cabinet
                                                        15. I think the kitchen system will help me when I consider                to de-couple a shelf, the shelf would not move the
                                                            it to be necessary                                                     required distance in order to de-couple from the shelf
                                                        Perceived Ease of Use (PEU):                                               supports. This scenario occurred in 7 out of the 150 tri-
                                                        16. I think I will know quickly how to use the kitchen                     als on the system’s first try at de-coupling the shelf.
                                                            system                                                                 However, the system was able to de-couple the shelf
                                                        17. I find the kitchen system easy to use
                                                                                                                                   either on the second or third try. Although de-coupling
                                                        18. I think I can use the kitchen system without any help
                                                        19. I think I can use the kitchen system when there is                     was achieved on subsequent tries by the system, this
                                                            someone around to help me                                              issue is being addressed by installing electromagnets on
                                                        20. I think I can use the kitchen system when I have a                     the locking riders and corresponding metal strips on
                                                            good manual                                                            the sides of the shelves. These electromagnets can then
                                                        Perceived Usefulness (PU):                                                 be energized only during coupling/de-coupling of the
                                                        21. I think the kitchen system is useful to me                             shelves.
                                                        22. It would be convenient for me to have the kitchen                         Once the participants were finished interacting with
                                                            system
                                                                                                                                   the system, they were each asked if there were any other
                                                        Trust (TU):                                                                features they would like to see incorporated into the
                                                        23. I would trust the instructions of the kitchen
                                                                                                                                   system. Sixty-seven percent of the participants stated
                                                            system
                                                        24. I would follow the instructions the kitchen system                     that pictures of available items and/or video clips
                                                            gives me                                                               of various meal preparation activities could also be
                                                         ∗ Scores on negative questions such as for Anxiety have reverse scores,
                                                                                                                                   included in the visual display.
                                                        where a stronger agreement leads to a lower score.                            The current initial prototype allowed us to test our
                                                                                                                                   conceptual design focusing on such aspects as speech
                                                                                                                                   recognition, visual interface and the mechanical design
                                                                                                                                   of the automated cabinet for accessibility. We are in

                                                        255                                                                                  Design of an Interactive Assistive Kitchen System
the process of adding additional sensors to individ-         be automated. Furthermore, sensors could be placed
                                                        ual shelves for directly monitoring a particular item’s      at the different shelf locations in the refrigerator and
                                                        placement or retrieval off of a shelf. This will help us     freezer to also guide the user to an appropriate shelf on
                                                        update the database as needed as well as monitor that        which a particular item is on. In addition to optimizing
                                                        items are properly placed on corresponding shelves.          the internal modules of the system, the overall system
                                                        Each shelf can be divided into grids and force sensors       can be integrated within an intelligent environment,
                                                        can be used for each grid in order to detect a change        where environmental sensors placed in the kitchen can
                                                        in weight locally on the shelf as well as in the total       be used along with the proposed system to aid and
                                                        weight of the shelf to determine if items have been          monitor an individual in sequential ADLs related to
                                                        placed onto or retrieved from the shelf. Cameras and         meal preparation, cooking, eating and cleaning up.
                                                        feature recognition algorithms can also be used to visu-
                                                        ally identify a particular item on a shelf and its exact
                                                        location. Long-term use items such as plates, cups and
                                                                                                                                     Modified UTAUT
                                                        utensils can have RFID tags placed on them in order to          The modified UTAUT questionnaire was completed
                                                        identify their exact locations. For our initial prototype,   by all five older participants (mean = 61.40; std. dev. =
                                                        the system had asked a user to confirm that an item          5.13). Cronbach’s alpha (Santos, 1999) was determined
                                                        had been removed from or placed onto a shelf.                for each of the constructs in order to verify inter-
                                                           As our proposed automated cabinet has been                reliability between the questions for the participant
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                                                        designed to be incorporated within an original fixed         group. The alpha values are presented in Table 5.
                                                        frame of a standard cabinet, it can be integrated into       In general, an alpha greater than 0.7 is considered
                                                        a number of cabinets in the kitchen and controlled by        to be acceptable for this type of study (Nunnally &
                                                        the same high-level controller. The user interface can       Bernstein, 1978). From Table 5 we can see that the
                                                        be updated to present the information not only of the        alpha value for trust is the only one below 0.7. This can
                                                        shelf that an item is on but also the appropriate cabinet    be a result of the small number of questions (i.e., 2) for
                                                        or drawer based on an updated database which stores          this particular construct as well as the speech recogni-
                                                        the names of available kitchen items, their locations        tion results. There were two instances for this particular
                                                        in the kitchen as well as within a respective cabinet        group that the speech recognition and analysis mod-
                                                        or drawer. In order to direct a person to a particular       ule was unable to register the particular item the user
                                                        cabinet or drawer of interest in the kitchen, context-       wanted.
                                                        aware sensors can be used. For example, light/LED               The descriptive statistics for the individual questions
                                                        sensors can be affixed to the outside of cabinets or         of the modified UTAUT scale are presented in Table 6.
                                                        drawers and light up or blink when a particular item         Based on the results, it is worth noting that, overall, the
                                                        of interest is in these locations. Our automated cab-        participants found the assistive kitchen system to be
                                                        inet system can then bring the appropriate shelf the         useful and easy to use on their own. Furthermore, they
                                                        item is on within the reach envelope of the person.          also experienced little anxiety towards it. In particular,
                                                        We can also automate drawers to slide out along their        they were not intimidated or afraid of using the new
                                                        guides when an item of interest is in them. If a kitchen
                                                        consists of a combination of both automated and stan-                       TABLE 5 Cronbach’s alpha
                                                        dard cabinets and drawers, for the standard cabinets                        for constructs

                                                        and drawers, we can still incorporate context-aware sen-                    Modified UTAUT
                                                        sors to aid users to identify the appropriate cabinet                       construct             Alpha
                                                        or drawer location for a particular item. The system                        ANX                    0.78
                                                        can also prompt a user to obtain an item from a par-                        ATT                    0.95
                                                        ticular shelf in a standard cabinet, however, the shelf                     FC                     0.77
                                                        itself will not be automated. In addition to cabinets                       BI                     0.85
                                                        and drawers, the kitchen also includes storage appli-                       PA                     0.79
                                                                                                                                    PEU                    0.71
                                                        ances such as a refrigerator and a freezer. To date, there
                                                                                                                                    PU                     0.89
                                                        are refrigerators that are being manufactured that have                     TU                     0.63
                                                        manually sliding shelves, which could potentially also

                                                        M. Ficocelli and G. Nejat                                                                                           256
TABLE 6   Descriptive statistics for modified UTAUT results       identify the advantages of the assistive kitchen system
                                                        Question #        Min        Max         Mean         Std. dev.   during the initial short interactions in order for them
                                                                                                                          to want to use the system again in the future.
                                                         1                 3           4          3.6            0.54
                                                         2                 3           5          4.2            0.83
                                                         3                 4           5          4.6            0.55
                                                         4                 3           5          4.2            0.83                             CONCLUSION
                                                         5                 3           4          3.4            0.54        In this paper, we present the design of an assistive
                                                         6                 3           4          3.4            0.54
                                                                                                                          kitchen system to assist elderly individuals with cogni-
                                                         7                 3           5          3.6            0.89
                                                         8                 4           5          4.4            0.54
                                                                                                                          tive impairments to complete ADLs such as retrieving
                                                         9                 3           4          4              0.7      and storing items, and obtaining recipes for meal
                                                        10                 2           4          3.4            0.89     preparation. An initial prototype was developed con-
                                                        11                 2           5          3.4            1.14     sisting of a user interface and automated cabinet to
                                                        12                 3           5          4.2            0.83     test the functionality and feasibility of the proposed
                                                        13                 3           5          3.8            0.83
                                                                                                                          design. In addition, a modified UTAUT scale was used
                                                        14                 3           5          4.2            0.83
                                                        15                 3           5          4              0.70
                                                                                                                          to measure acceptance and potential use of the pro-
                                                        16                 3           4          3.8            0.44     posed system by a group of older adults. The results
                                                        17                 3           5          4              0.70     from the modified UTAUT, though only focusing on a
                                                        18                 3           5          4.2            0.83     small sample of older adults, show promise for the use
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                                                        19                 3           5          4              1        of the system for the outlined kitchen ADLs, and moti-
                                                        20                 3           5          4.2            0.83
                                                                                                                          vate further development and testing of the proposed
                                                        21                 3           5          4.2            0.83
                                                        22                 4           5          4.4            0.54
                                                                                                                          system for the intended population. Our future work
                                                        23                 3           5          4              1        will consist of optimizing and adding additional func-
                                                        24                 2           5          3.8            1.09     tionalities to the prototype in order to conduct large
                                                                                                                          scale studies with user group participants.
                                                        TABLE 7   Correlation

                                                                                             Pearson
                                                        Independent       Dependent         correlation         Sig.
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