Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable Devices

Robotic technology to assist rehabilitation provides practical advantages compared with traditional rehabilitation treatments, but its efficacy is still disputed. This controversial effectiveness is due to different factors, including a lack of guidelines to adapt devices to users’ individual needs....

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Main Authors: Margherita Bertuccelli, Stefano Tortora, Edoardo Trombin, Liliana Negri, Patrizia Bisiacchi, Emanuele Menegatti, Alessandra Del Felice
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Multimodal Technologies and Interaction
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Online Access:https://www.mdpi.com/2414-4088/9/1/5
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author Margherita Bertuccelli
Stefano Tortora
Edoardo Trombin
Liliana Negri
Patrizia Bisiacchi
Emanuele Menegatti
Alessandra Del Felice
author_facet Margherita Bertuccelli
Stefano Tortora
Edoardo Trombin
Liliana Negri
Patrizia Bisiacchi
Emanuele Menegatti
Alessandra Del Felice
author_sort Margherita Bertuccelli
collection DOAJ
description Robotic technology to assist rehabilitation provides practical advantages compared with traditional rehabilitation treatments, but its efficacy is still disputed. This controversial effectiveness is due to different factors, including a lack of guidelines to adapt devices to users’ individual needs. These needs include the specific clinical conditions of people with disabilities, as well as their psychological and cognitive profiles. This pilot study aims to investigate the relationships between psychological, cognitive, and robot-related factors playing a role in human–robot interaction to promote a human-centric approach in robotic rehabilitation. Ten able-bodied volunteers were assessed for their anxiety, experienced workload, cognitive reserve, and perceived exoskeleton usability before and after a task with a lower-limb exoskeleton (i.e., 10 m path walking for 10 trials). Pre-trial anxiety levels were higher than post-trial ones (<i>p</i> < 0.01). While trait anxiety levels were predictive of the experienced effort (Adjusted-r<sup>2</sup> = 0.43, <i>p</i> = 0.02), the state anxiety score was predictive of the perceived overall workload (Adjusted-r<sup>2</sup> = 0.45, <i>p</i> = 0.02). High–average cognitive reserve scores were predictive of the perception of exoskeleton usability (Adjusted-r<sup>2</sup> = 0.45, <i>p</i> = 0.02). A negative correlation emerged between the workload and the perception of personal identification with the exoskeleton (r = −0.67, <i>p</i>-value = 0.03). This study provides preliminary evidence of the impact of cognitive and psychoaffective factors on the perception of workload and overall device appreciation in exoskeleton training. It also suggests pragmatic measures such as familiarization time to reduce anxiety and end-user selection based on cognitive profiles. These assessments may provide guidance on the personalization of training.
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spelling doaj-art-557f0c065f484fe6a79ca3277895ac092025-01-24T13:44:02ZengMDPI AGMultimodal Technologies and Interaction2414-40882025-01-0191510.3390/mti9010005Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable DevicesMargherita Bertuccelli0Stefano Tortora1Edoardo Trombin2Liliana Negri3Patrizia Bisiacchi4Emanuele Menegatti5Alessandra Del Felice6Department of Information Engineering, University of Padua, 35131 Padua, ItalyDepartment of Information Engineering, University of Padua, 35131 Padua, ItalyDepartment of Information Engineering, University of Padua, 35131 Padua, ItalySchool of Medicine and Surgery, University of Padua, 35128 Padua, ItalyDepartment of General Psychology, University of Padua, 35131 Padua, ItalyDepartment of Information Engineering, University of Padua, 35131 Padua, ItalyPadova Neuroscience Center, University of Padova, 35129 Padua, ItalyRobotic technology to assist rehabilitation provides practical advantages compared with traditional rehabilitation treatments, but its efficacy is still disputed. This controversial effectiveness is due to different factors, including a lack of guidelines to adapt devices to users’ individual needs. These needs include the specific clinical conditions of people with disabilities, as well as their psychological and cognitive profiles. This pilot study aims to investigate the relationships between psychological, cognitive, and robot-related factors playing a role in human–robot interaction to promote a human-centric approach in robotic rehabilitation. Ten able-bodied volunteers were assessed for their anxiety, experienced workload, cognitive reserve, and perceived exoskeleton usability before and after a task with a lower-limb exoskeleton (i.e., 10 m path walking for 10 trials). Pre-trial anxiety levels were higher than post-trial ones (<i>p</i> < 0.01). While trait anxiety levels were predictive of the experienced effort (Adjusted-r<sup>2</sup> = 0.43, <i>p</i> = 0.02), the state anxiety score was predictive of the perceived overall workload (Adjusted-r<sup>2</sup> = 0.45, <i>p</i> = 0.02). High–average cognitive reserve scores were predictive of the perception of exoskeleton usability (Adjusted-r<sup>2</sup> = 0.45, <i>p</i> = 0.02). A negative correlation emerged between the workload and the perception of personal identification with the exoskeleton (r = −0.67, <i>p</i>-value = 0.03). This study provides preliminary evidence of the impact of cognitive and psychoaffective factors on the perception of workload and overall device appreciation in exoskeleton training. It also suggests pragmatic measures such as familiarization time to reduce anxiety and end-user selection based on cognitive profiles. These assessments may provide guidance on the personalization of training.https://www.mdpi.com/2414-4088/9/1/5robotic rehabilitationcognitive reserveexoskeletonanxietyusability
spellingShingle Margherita Bertuccelli
Stefano Tortora
Edoardo Trombin
Liliana Negri
Patrizia Bisiacchi
Emanuele Menegatti
Alessandra Del Felice
Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable Devices
Multimodal Technologies and Interaction
robotic rehabilitation
cognitive reserve
exoskeleton
anxiety
usability
title Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable Devices
title_full Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable Devices
title_fullStr Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable Devices
title_full_unstemmed Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable Devices
title_short Human–Robot Interactions: A Pilot Study of Psychoaffective and Cognitive Factors to Boost the Acceptance and Usability of Assistive Wearable Devices
title_sort human robot interactions a pilot study of psychoaffective and cognitive factors to boost the acceptance and usability of assistive wearable devices
topic robotic rehabilitation
cognitive reserve
exoskeleton
anxiety
usability
url https://www.mdpi.com/2414-4088/9/1/5
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