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Goal-Oriented Design Methodology Applied to User
     Interfaces in AmI Systems for Functional
                    Assessment
                                             G. Cea#1, E. Gaeta#2, M.T. Arredondo#3
                               #
                                   Life Supporting Technologies, Universidad Politécnica de Madrid.
                                           Ciudad Universitaria s/n, 28040, Madrid, Spain.
                                                       1
                                                         gcea@lst.tfo.upm.es
                                                2
                                                    eugenio.gaeta@lst.tfo.upm.es
                                                        3
                                                          mta@lst.tfo.upm.es

                                                                     The Goal-Oriented Design methodology [1] follows the
Abstract - Currently, the functional assessment of aerobic fitness   general tendency of giving more importance to the user in the
is very expensive, time consuming and needs to be done in            process of designing and developing interactive products. The
specialized laboratories. There are still no solutions based on
                                                                     method revolves around three fundamental aspects: the
mobile applications that allow people to perform this assessment
on their own. This paper describes the User-Interface design of      characters, the goals and the scenarios. Goals are represented
an Android application as a key element of the Functional            by characters and these characters appear on scenarios, which
Assessment System (FAS) [4], an innovative, intuitive and usable     in turn are used to achieve design solutions iteratively [3].
AmI System for functional assessment of aerobic endurance. The          The characters are fictitious and imaginary models created
FAS has been developed using the Goal-Oriented Design [1]            by Alan Cooper‟s methodology [2], which have a name, an
methodology and is intended to be used by people who exercise        appearance, a specific age, education, motivations,
very often. The obtained results after evaluating the user           preferences, life histories, and so on. There must not be some
interaction with the system have been satisfactory.                  arbitrary attributes, but should be based on studies of real
                       I. INTRODUCTION                               users and real-world observations [2]. Cooper‟s reasoning is
                                                                     that the „user‟ concept is too broad, and while a user can
Nowadays, there is neither the knowledge nor the valid               assume all kinds of knowledge, attitudes and behaviours, a
methods to carry out the functional assessment of aerobic            real and concrete person cannot [1]. Thus, he suggested
endurance without medical support in a simple, friendly and          designing for a few people, with specific needs, goals,
intuitive way. In general, this assessment analyses the              knowledge and context. That is, the method replace the
functional adaptation of the organism when it undergoes to a         definition of average user, for an accurate representation: a
certain physical effort. The aerobic capacity of the organism        model of user called „Persona‟.
to maintain a given exercise intensity for a fixed time is a            The character-based scenarios are concise narrative
direct reflection of cardiorespiratory functional capacity. The      descriptions of one or more characters using a product to
best quantitative measure of this capacity is the maximum            achieve specific goals [1]. Thus, designers play with
oxygen consumption (VO2max). Normally, this evaluation is            characters‟ role and the characters in these scenarios, similar
carried out by means of stress testing [5], which is expensive       to how the actors play improvisations on theatre. The use of
and requires specialized resources. These tests measure              contextual scenarios help to understand how they affect users'
parameters such as heart rate, electrocardiogram or maximal          motivations, how users prioritize the tasks and accordingly
oxygen consumption (VO2max).                                         will help them to answer the following questions: What
   Following the Ambient Intelligent (AmI) [6] approach, a           should this product do? Or, how should this product come up
prototype of a medical application that allows users to conduct      and behave?
the functional assessment of aerobic endurance by themselves            Finally, the goals are the driving forces behind the
has been designed and validated, the Functional Assessment           behaviour obtained from the user; therefore, a person without
System (FAS). This application had two main objectives: the          goals is not an effective communication tool. The characters
first one was to propose an alternative solution to the current      allow the designer to understand and differentiate task goals.
stress tests avoiding the devices invasiveness, while the            A goal is a final condition, while a task is an intermediate
second was to promote personal self-care in people who often         stage, a way to achieve a goal. The goals are directed by the
practice sports.                                                     motivation and are perennial, while the tasks are almost
                 II. MATERIALS AND METHODS                           completely determined by existing technology at that time.
                                                                     Consequently, Cooper argues that we must focus primarily on
  The application design has involved the use of two main            goals, and later design tasks (the functionality of the product)
methods: the Goal-Oriented Design methodology [1] and the            that allow the user to achieve their goals [2].
usability questionnaire called AttrakDiff ([9], [10]).
The second method used, the AttrakDiff questionnaire ([9],        deviation indicates that the data points are spread out over a
[10]) is based on the Hassenzahl model [12] and allowed a            large range of values.
relevant approach to this study, since it takes into account            The standard deviation of a statistical population, data set,
both the pragmatic aspects (quality and usability) and hedonic       or probability distribution is the square root of its variance. It
aspects, namely, those aspects relating to what the application      is algebraically simpler though practically less robust than the
provides the user (autonomy, security, competition or                average absolute deviation [14]. A useful property of standard
relationships with others).                                          deviation is that, unlike variance, it is expressed in the same
   The AttrakDiff questionnaire consists of 28 lines with two        units as the data. The formula applied to calculate the standard
opposing concepts in each of them, such as simple / complex.         deviation is:
Each line is composed by 7 holes and the user must indicate
one of them based on their product opinion. When a user
marks the fourth hole, means that the product is balanced
between the two concepts (in the example above, neither too
simple nor too complex). If the user indicates one of the first
three holes, it would be because his opinion about the product          Where n is the number of elements, xi is the value of each
is closer to the left concept (e.g. simple). Conversely, if the      element, is the average and σ is the standard deviation.
user marks one of the last three holes, his opinion would be
close to the right concept (e.g. complex). The results are                                    III. RESULTS
divided into 4 dimensions:                                              Based on the Goal-Oriented Design methodology, the
    Pragmatic Q gives us insight into what users have felt          Functional Assessment System (FAS) has been designed and
        in relation to learning and using the application, if they   developed, an AmI system developed for performing a
        have found it easy or difficult.                             functional assessment of aerobic endurance. It is composed by
    Identity refers to the user's feeling with the application.     three main elements (Fig. 1): an intelligent textile that records
        It analyses if having it makes them feel special or just     the user‟s data (GOW Running [7] from Weartech Company
        the opposite.                                                [8]), and an electronic module that collects data and send them,
    Stimulation is related to the motivation that brings the        via Bluetooth®, to the Android application, that displays data
        user to use the application frequently or the opposite.      to the user.
    Attractivity refers to the visual appeal of the
        application.
   The AttrakDiff dimensions are measured from 0 to 6,
where 0 is the lowest score and 6 is the highest.
   To provide quantitative results of the AttrakDiff
questionnaire, two statistical parameters have been studied:
the average and standard deviation. An average is a single
value that is meant to typify a list of values. In mathematics,
an average of a data set is a measure of the middle value of the
data set. If all the numbers in the list are the same, then this
number should be used. If the numbers are not the same, the
average is calculated by combining the values from the set in
a specific way and computing a single number as being the                          Fig. 1 Functional Assessment System (FAS)
average of the set [13].
   The formula applied to calculate the average is:
                                                                     A. User description
                                                                        The FAS has been designed to be used by men and women
                                                                     of any age who practice sports regularly. These users are
                                                                     normally interested in knowing how their hearts react to the
                                                                     demands of exercise and if they are training correctly or not.
   Where n is the number of elements, xi is the value of each        In general, users are familiar with technologies such as mobile
element and is the average.                                          phones, smartphones, personal computers and PDA's.
   The other statistical measure is the standard deviation and          To learn how to use the FAS, users do not need a very high
is a widely used measure of variability or diversity used in         number of attempts for handle it almost perfectly since the
statistics and probability theory. It shows how much variation       application automatically assume many functions and it is
or "dispersion" there is from the average (mean, or expected         more comfortable for the user. The terminology used in the
value). A low standard deviation indicates that the data points      application is known by the users, because some are very
tend to be very close to the mean, whereas high standard             general concepts and others are specific to their sport.
                                                                        Following the Goal Oriented Design methodology, the
                                                                     following description of “Persona” was used to design the
application: “My name is Laura, I am 29 years old and I live        same, real-time registering of various parameters such as heart
together my partner in Barcelona. I work at a day-care during       rate, electrocardiogram from a lead, duration and maximum
8 hours per day from Monday to Friday. I practice sports            oxygen consumption (VO2max). Finally the user would review
regularly, about 3 times a week. I like running and gym             the recorded data. Moreover, the FAS would allow the user to
activities such as spinning, lift-training and body-tonic. For      navigate by graphics of the vital signs (ECG and HR) to keep
several years, I cared for my fitness and my diet, so I would       track of sports training.
love to have some information about my cardiovascular health           Taking into consideration the previous requirements, it was
at any time, in a simple, convenient and reliable way. I don´t      decided to the Smartphone to be used for developing the
like to go to a specialized place for a basic control of            application would be Android based equipped with Bluetooth,
physiological parameters during exercise such as maximum            touch screen and high process capacity.
heart rate or oxygen consumption, because it is expensive and
very time consuming.”
                                                                    D. Description of the interaction framework
B. Scenario Description                                                 The application running on the Smartphone is divided into
    Once the user description was completed, the scenarios of       3 functional levels: main screen, secondary screens and pop-
use where depicted. Users would use the FAS whenever they           ups. The main screen contains the main menu through which
carried out a stress test or practiced exercise. They would         users access all the application tasks. It includes the menu
wear a smart shirt with the electronic module complemented          buttons: Perform Test, Data Review, User Settings and
with a Smartphone.                                                  Connection.
    To start using the system, user would have to enter their           Each of the features of the main screen takes users within a
data into the system and then, connect the smart shirt and the      workflow though different secondary screens. The lower
Smartphone via Bluetooth. Additionally, before performing a         levels in the hierarchy of screens are the pop-up which are a
test for functional assessment, they should select the protocol     text in the top of the screen with a question, and two buttons
to be implemented depending on the place, the parameters to         to answer it at the bottom. Pop-ups can have different formats
evaluate and the duration of the test.                              such as a progress bar, a list of elements for selection and a
    Once the test or exercise training begins, the system would     confirmation dialog. Fig. 2 shows the previously described
record different parameters in real time: heart rate,               hierarchy of screens where different levels are represented by
electrocardiogram, duration, and VO2max. Users would be able        colours.
to visualize real-time instantaneous heart rate and its relation
to the theoretical maximum frequency using a colour code.
    When the test is finished, users could review all data that
were stored in the memory of the Smartphone. They could
also transfer the generated file to their computer to bring
greater scrutiny of its exercise. Finally, the Smartphone and
the smart shirt would be disconnected.


C. System Requirements
   The next step in the design of the FAS was the definition of
the system requirement for the smartphone application, that
was made based on the previous user and scenario
descriptions.
   The application should be friendly, consistent and intuitive
to use. The user should have full control of the interaction and
the FAS should provide assistance with unfamiliar terms for                             Fig. 2 Hierarchy of screens
them. It also needed to meet the eight usability guidelines [12]:
easy to learn, flexibility, error recovery, consistency,               The first step in the design process of the interaction
robustness, response time, adaptation to work and reduced           framework was the creation of a simple mock-up of the user‟s
cognitive load.                                                     interface which served to document the main layout of the
   The application was designed to help the user perform four       different screens. The mock-up consisted of several boxes
main tasks. The first one was to fill in the form of the            representing each functional group and/or containers with
configuration screen. The data to be introduced here are            names and descriptions of the relationships between different
relevant for a correct functional assessment of aerobic             areas.
endurance, and include age, weight, sex, height, the                   The bottom of all screens, except those graphs that included
theoretical maximum heart rate and heart rate at rest. After        the vital signs (ECG and Heart Rate), were reserved for the
completing the form, the user should connect the smartphone         interaction buttons between the user and the application (e.g.
and the smart shirt via the wireless technology Bluetooth. The      save data, connect, disconnect, start stress test, etc.). Fig. 3
third task would be to perform the stress test, or what is the      shows the main screen mock-up at the left and secondary
screen mock-up, exactly the User Settings mock-up, located to
the right.




                                                                             Fig. 6 Buttons, from top to bottom: normal, selected and pressed

                                                                          Additionally, Fig. 7 shows final design of the tabs after
                                                                        applying styles, colors and icons.


     Fig. 3 Mock-ups: main screen (left) and secondary screen (right)

   The next step according to the Goal-Oriented Design
methodology was the description of the key path, that is, the
actions to be done in order to complete a task of the
application in a case where everything goes fine. Fig. 4 shows
an example of one defined key path. In this case, it
corresponds to the revision of the recorded data, where the
squares represent the application elements and the circles
                                                                                  Fig. 7 Tabs, from top to bottom: normal and selected
represent the buttons that perform a specific action.
                                                                           The dialog windows are used in various formats. They all
                                                                        include a title at the top of the window whose content can be a
                                                                        question or a simple title. Fig. 8 shows the final design of the
                                                                        dialog window after applying styles, colors and icons. At top,
                                                                        from left to right, the elements are: a progress bar and a list of
                                                                        selectable elements. A questionnaire is place at the bottom.




                      Fig. 4 Key Path: Data Review

To properly follow the Goal-Oriented Design methodology,
the next step was the „Refinement‟ of the graphical elements.
Here the Main Menu was designed with four buttons, whose
appearance would change depending on the state (normal,
selected, or pressed). Fig. 6 shows the final design of the
menu buttons after applying styles, colors and icons. It shows                                        Fig. 8 Pop-up
the change in color of the fonts, the icon and background.
                                                                           The final step was the definition of the 'look & feel', which
                                                                        shows the final aesthetics of all screens. A background
                                                                        composed of three different grades of blue color was chosen.
                                                                        To provide a good contrast, white was the color selected for
                                                                        the fonts. In all screens, except the main one, there is a gray
bar at the top with a text informing the user the screen where       During the evaluation, the users were working with the
they are.                                                         FAS to complete all possible tasks. First, they received a little
   In Fig. 9 two screenshots are presented, each of them          explanation about how to use the application along with the
belongs to a hierarchical level. These images represent the       smart shirt and the electronic module. Then they were allowed
final outcome of the application after the whole design           to utilize it freely and, afterwards, they completed the
process applying the GOD methodology. The main screen is          AttrakDiff questionnaire.
located at left and a secondary screen is located at right.          The results obtained with this questionnaire indicate the
Additionally, Fig. 10 shows two different screenshots with the    user sensations when using the application. This is the
final appearance, on the left is the Connection Screen and the    difference between the feeling while users were testing the
right is the Data Review Screen.                                  FAS and their expectations before using it.
                                                                     As the dimensions of the AttrakDiff questionnaire are
                                                                  valued from 0 to 6, the average value is 3. Table 1 shows the
                                                                  results of each parameter with its average and standard
                                                                  deviation. All dimensions average are upper than 3, so users
                                                                  have valued very well the application.
                                                                                              TABLE I
                                                                                         ATTRAKDIFF RESULTS

                                                                               Pragmatic
                                                                                             Identity     Stimulation   Attractivity
                                                                               Q
                                                                   Average     4.3           4.3          4.9           5.3
                                                                   Standard
                                                                               0.4           0.5          0.4           0.4
                                                                   Deviation

                                                                     Fig. 11 shows that all results are above average and
                                                                  therefore they can be considered acceptable. Given that the
                                                                  scores of 98% of users surveyed are between the mean value
                                                                  and double of the standard deviation is even above average,
                                                                  we can conclude that most users have good scored the
           Fig. 9 Look & Feel: Main Menu and User Settings        application evaluation, mainly in Stimulation and Attractivity
                                                                  parameters.




                                                                                       Fig. 11 AttrakDiff results

                                                                                          V. CONCLUSIONS
        Fig. 10 Look & Feel: Connection and Data Review ECG          This paper has presented the application of the Goal-
                                                                  Oriented Design methodology to the design and development
                       IV. VALIDATION                             of a medical application that allows people who practice
   In an application development is crucial know how users        sports frequently.to perform a functional assessment of their
react when use it. The AttrakDiff ([9], [10]) questionnaire was   aerobic endurance. The final system has been validated using
employed to evaluate the user experience when using the           the AttrakDiff questionnaire and the outcomes have been very
developed system FAS.                                             positive. Attractivity and Stimulation parameters have been the
   The study was carried out with 11 users, 8 men and 3           best evaluated.
women, whose ages were between 24 and 33 years.                      Based on the outcome of the performed test it can be
                                                                  derived that the FAS system has resulted to be quite
innovative, very intuitive and highly usable. It is expected that               [6]    W. Weber; J.M. Rabaey and E. Aarts. Ambient Intelligence. New York:
                                                                                       Springer, 2005.
this application will benefit people who practice sports
                                                                                [7]    (2011) The GOW Trainer website. [Online]. Available:
regularly by providing them with a tool for completing                                 http://www.gowtrainer.com/ (Last access: 18th November 2011).
functional assessments of the aerobic endurance by their own                    [8]    (2011)      The    WearTech       website.    [Online].    Available:
and, therefore, helping them to exercise in a healthier and                            http://www.weartech.es/ (Last access: 18th November 2011).
                                                                                [9]    M. Hassenzahl; M. Burmester and F. Koller. AttrakDiff: Ein
safer way
                                                                                       Fragebogen zur Messung wahrgenommener hedonischer und
                                                                                       pragmatischer Qualität. In Mensch & Computer 2003: Stuttgart,
                              REFERENCES                                               Leipzig, 187-196.
[1]   A. Cooper (Ed.). The Inmates Are Running the Asylum: Why High Tech        [10]   M. Hassenzahl; A. Platz; M. Burmester and K. Lehner. Hedonic and
      Products Drive Us Crazy and How to Restore the Sanity. Indiana,                  Ergonomic Quality Aspects Determine a Software’s Appeal. Proc. of
      EEUU: Sam-Pearson Education, 1999.                                               the CHI 2000 Conference on Human Factors in Computing. ACM,
[2]   A. Cooper; R. Reimann and D. Cronin. About Face 3: The Essentials                New York, NY, 201-208.
      of Interaction Design. Indiana, EEUU: Wiley Publishing, 2007.             [11]   M. Hassenzahl (Ed.). The thing and I: Understanding the relationship
[3]   Peinado I, Arredondo MT, Villalba E, Salvi D, Ottaviano M., "Patient             between users and product. In Funology, 2003: From usability to
      interaction in homecare systems to treat cardiovascular diseases in the          enjoyment, M.A. Blythe, K. Overbeeke, A.F. Monk, P.C. Wright, Eds.
      long term", Conf Proc IEEE Eng Med Biol Soc. 2009;2009:308-11.                   Kluwer, The Netherlands, 31-42.
[4]   G. Cea. “Desarrollo de una aplicación médica para la valoración           [12]   J. Nielsen and R.L. Mack. (Eds.) Usability Inspection Methods. New
      funcional durante pruebas de esfuerzo en cardiología y medicina                  York: John Wiley & Sons, 1994.
      deportiva” M. Eng. thesis, Universidad Politécnica de Madrid, Spain,      [13]   J. Bibby. Axiomatisations of the average and a further generalization
      Jul. 2011.                                                                       of monotonic sequences, Glasgow Mathematical Journal, 1974. vol. 15.
[5]   G. Rodas Font; E. Garrido Marín. Valoración funcional y cardiología       [14]   S. Ghahramani. Fundamentals of Probability. New Jersey: Prentice
      previa al entrenamiento físico, ser. Prescripción del ejercicio físico           Hall, 2000.
      para la salud. Barcelona, Spain: Centro de Estudios de Alto
      Rendimiento Deportivo (CEARE), 2005. Cap. 2.

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Paper Gloria Cea - Goal-Oriented Design Methodology Applied to User Interfaces in AmI Systems for Functional Assessment

  • 1. Goal-Oriented Design Methodology Applied to User Interfaces in AmI Systems for Functional Assessment G. Cea#1, E. Gaeta#2, M.T. Arredondo#3 # Life Supporting Technologies, Universidad Politécnica de Madrid. Ciudad Universitaria s/n, 28040, Madrid, Spain. 1 gcea@lst.tfo.upm.es 2 eugenio.gaeta@lst.tfo.upm.es 3 mta@lst.tfo.upm.es The Goal-Oriented Design methodology [1] follows the Abstract - Currently, the functional assessment of aerobic fitness general tendency of giving more importance to the user in the is very expensive, time consuming and needs to be done in process of designing and developing interactive products. The specialized laboratories. There are still no solutions based on method revolves around three fundamental aspects: the mobile applications that allow people to perform this assessment on their own. This paper describes the User-Interface design of characters, the goals and the scenarios. Goals are represented an Android application as a key element of the Functional by characters and these characters appear on scenarios, which Assessment System (FAS) [4], an innovative, intuitive and usable in turn are used to achieve design solutions iteratively [3]. AmI System for functional assessment of aerobic endurance. The The characters are fictitious and imaginary models created FAS has been developed using the Goal-Oriented Design [1] by Alan Cooper‟s methodology [2], which have a name, an methodology and is intended to be used by people who exercise appearance, a specific age, education, motivations, very often. The obtained results after evaluating the user preferences, life histories, and so on. There must not be some interaction with the system have been satisfactory. arbitrary attributes, but should be based on studies of real I. INTRODUCTION users and real-world observations [2]. Cooper‟s reasoning is that the „user‟ concept is too broad, and while a user can Nowadays, there is neither the knowledge nor the valid assume all kinds of knowledge, attitudes and behaviours, a methods to carry out the functional assessment of aerobic real and concrete person cannot [1]. Thus, he suggested endurance without medical support in a simple, friendly and designing for a few people, with specific needs, goals, intuitive way. In general, this assessment analyses the knowledge and context. That is, the method replace the functional adaptation of the organism when it undergoes to a definition of average user, for an accurate representation: a certain physical effort. The aerobic capacity of the organism model of user called „Persona‟. to maintain a given exercise intensity for a fixed time is a The character-based scenarios are concise narrative direct reflection of cardiorespiratory functional capacity. The descriptions of one or more characters using a product to best quantitative measure of this capacity is the maximum achieve specific goals [1]. Thus, designers play with oxygen consumption (VO2max). Normally, this evaluation is characters‟ role and the characters in these scenarios, similar carried out by means of stress testing [5], which is expensive to how the actors play improvisations on theatre. The use of and requires specialized resources. These tests measure contextual scenarios help to understand how they affect users' parameters such as heart rate, electrocardiogram or maximal motivations, how users prioritize the tasks and accordingly oxygen consumption (VO2max). will help them to answer the following questions: What Following the Ambient Intelligent (AmI) [6] approach, a should this product do? Or, how should this product come up prototype of a medical application that allows users to conduct and behave? the functional assessment of aerobic endurance by themselves Finally, the goals are the driving forces behind the has been designed and validated, the Functional Assessment behaviour obtained from the user; therefore, a person without System (FAS). This application had two main objectives: the goals is not an effective communication tool. The characters first one was to propose an alternative solution to the current allow the designer to understand and differentiate task goals. stress tests avoiding the devices invasiveness, while the A goal is a final condition, while a task is an intermediate second was to promote personal self-care in people who often stage, a way to achieve a goal. The goals are directed by the practice sports. motivation and are perennial, while the tasks are almost II. MATERIALS AND METHODS completely determined by existing technology at that time. Consequently, Cooper argues that we must focus primarily on The application design has involved the use of two main goals, and later design tasks (the functionality of the product) methods: the Goal-Oriented Design methodology [1] and the that allow the user to achieve their goals [2]. usability questionnaire called AttrakDiff ([9], [10]).
  • 2. The second method used, the AttrakDiff questionnaire ([9], deviation indicates that the data points are spread out over a [10]) is based on the Hassenzahl model [12] and allowed a large range of values. relevant approach to this study, since it takes into account The standard deviation of a statistical population, data set, both the pragmatic aspects (quality and usability) and hedonic or probability distribution is the square root of its variance. It aspects, namely, those aspects relating to what the application is algebraically simpler though practically less robust than the provides the user (autonomy, security, competition or average absolute deviation [14]. A useful property of standard relationships with others). deviation is that, unlike variance, it is expressed in the same The AttrakDiff questionnaire consists of 28 lines with two units as the data. The formula applied to calculate the standard opposing concepts in each of them, such as simple / complex. deviation is: Each line is composed by 7 holes and the user must indicate one of them based on their product opinion. When a user marks the fourth hole, means that the product is balanced between the two concepts (in the example above, neither too simple nor too complex). If the user indicates one of the first three holes, it would be because his opinion about the product Where n is the number of elements, xi is the value of each is closer to the left concept (e.g. simple). Conversely, if the element, is the average and σ is the standard deviation. user marks one of the last three holes, his opinion would be close to the right concept (e.g. complex). The results are III. RESULTS divided into 4 dimensions: Based on the Goal-Oriented Design methodology, the  Pragmatic Q gives us insight into what users have felt Functional Assessment System (FAS) has been designed and in relation to learning and using the application, if they developed, an AmI system developed for performing a have found it easy or difficult. functional assessment of aerobic endurance. It is composed by  Identity refers to the user's feeling with the application. three main elements (Fig. 1): an intelligent textile that records It analyses if having it makes them feel special or just the user‟s data (GOW Running [7] from Weartech Company the opposite. [8]), and an electronic module that collects data and send them,  Stimulation is related to the motivation that brings the via Bluetooth®, to the Android application, that displays data user to use the application frequently or the opposite. to the user.  Attractivity refers to the visual appeal of the application. The AttrakDiff dimensions are measured from 0 to 6, where 0 is the lowest score and 6 is the highest. To provide quantitative results of the AttrakDiff questionnaire, two statistical parameters have been studied: the average and standard deviation. An average is a single value that is meant to typify a list of values. In mathematics, an average of a data set is a measure of the middle value of the data set. If all the numbers in the list are the same, then this number should be used. If the numbers are not the same, the average is calculated by combining the values from the set in a specific way and computing a single number as being the Fig. 1 Functional Assessment System (FAS) average of the set [13]. The formula applied to calculate the average is: A. User description The FAS has been designed to be used by men and women of any age who practice sports regularly. These users are normally interested in knowing how their hearts react to the demands of exercise and if they are training correctly or not. Where n is the number of elements, xi is the value of each In general, users are familiar with technologies such as mobile element and is the average. phones, smartphones, personal computers and PDA's. The other statistical measure is the standard deviation and To learn how to use the FAS, users do not need a very high is a widely used measure of variability or diversity used in number of attempts for handle it almost perfectly since the statistics and probability theory. It shows how much variation application automatically assume many functions and it is or "dispersion" there is from the average (mean, or expected more comfortable for the user. The terminology used in the value). A low standard deviation indicates that the data points application is known by the users, because some are very tend to be very close to the mean, whereas high standard general concepts and others are specific to their sport. Following the Goal Oriented Design methodology, the following description of “Persona” was used to design the
  • 3. application: “My name is Laura, I am 29 years old and I live same, real-time registering of various parameters such as heart together my partner in Barcelona. I work at a day-care during rate, electrocardiogram from a lead, duration and maximum 8 hours per day from Monday to Friday. I practice sports oxygen consumption (VO2max). Finally the user would review regularly, about 3 times a week. I like running and gym the recorded data. Moreover, the FAS would allow the user to activities such as spinning, lift-training and body-tonic. For navigate by graphics of the vital signs (ECG and HR) to keep several years, I cared for my fitness and my diet, so I would track of sports training. love to have some information about my cardiovascular health Taking into consideration the previous requirements, it was at any time, in a simple, convenient and reliable way. I don´t decided to the Smartphone to be used for developing the like to go to a specialized place for a basic control of application would be Android based equipped with Bluetooth, physiological parameters during exercise such as maximum touch screen and high process capacity. heart rate or oxygen consumption, because it is expensive and very time consuming.” D. Description of the interaction framework B. Scenario Description The application running on the Smartphone is divided into Once the user description was completed, the scenarios of 3 functional levels: main screen, secondary screens and pop- use where depicted. Users would use the FAS whenever they ups. The main screen contains the main menu through which carried out a stress test or practiced exercise. They would users access all the application tasks. It includes the menu wear a smart shirt with the electronic module complemented buttons: Perform Test, Data Review, User Settings and with a Smartphone. Connection. To start using the system, user would have to enter their Each of the features of the main screen takes users within a data into the system and then, connect the smart shirt and the workflow though different secondary screens. The lower Smartphone via Bluetooth. Additionally, before performing a levels in the hierarchy of screens are the pop-up which are a test for functional assessment, they should select the protocol text in the top of the screen with a question, and two buttons to be implemented depending on the place, the parameters to to answer it at the bottom. Pop-ups can have different formats evaluate and the duration of the test. such as a progress bar, a list of elements for selection and a Once the test or exercise training begins, the system would confirmation dialog. Fig. 2 shows the previously described record different parameters in real time: heart rate, hierarchy of screens where different levels are represented by electrocardiogram, duration, and VO2max. Users would be able colours. to visualize real-time instantaneous heart rate and its relation to the theoretical maximum frequency using a colour code. When the test is finished, users could review all data that were stored in the memory of the Smartphone. They could also transfer the generated file to their computer to bring greater scrutiny of its exercise. Finally, the Smartphone and the smart shirt would be disconnected. C. System Requirements The next step in the design of the FAS was the definition of the system requirement for the smartphone application, that was made based on the previous user and scenario descriptions. The application should be friendly, consistent and intuitive to use. The user should have full control of the interaction and the FAS should provide assistance with unfamiliar terms for Fig. 2 Hierarchy of screens them. It also needed to meet the eight usability guidelines [12]: easy to learn, flexibility, error recovery, consistency, The first step in the design process of the interaction robustness, response time, adaptation to work and reduced framework was the creation of a simple mock-up of the user‟s cognitive load. interface which served to document the main layout of the The application was designed to help the user perform four different screens. The mock-up consisted of several boxes main tasks. The first one was to fill in the form of the representing each functional group and/or containers with configuration screen. The data to be introduced here are names and descriptions of the relationships between different relevant for a correct functional assessment of aerobic areas. endurance, and include age, weight, sex, height, the The bottom of all screens, except those graphs that included theoretical maximum heart rate and heart rate at rest. After the vital signs (ECG and Heart Rate), were reserved for the completing the form, the user should connect the smartphone interaction buttons between the user and the application (e.g. and the smart shirt via the wireless technology Bluetooth. The save data, connect, disconnect, start stress test, etc.). Fig. 3 third task would be to perform the stress test, or what is the shows the main screen mock-up at the left and secondary
  • 4. screen mock-up, exactly the User Settings mock-up, located to the right. Fig. 6 Buttons, from top to bottom: normal, selected and pressed Additionally, Fig. 7 shows final design of the tabs after applying styles, colors and icons. Fig. 3 Mock-ups: main screen (left) and secondary screen (right) The next step according to the Goal-Oriented Design methodology was the description of the key path, that is, the actions to be done in order to complete a task of the application in a case where everything goes fine. Fig. 4 shows an example of one defined key path. In this case, it corresponds to the revision of the recorded data, where the squares represent the application elements and the circles Fig. 7 Tabs, from top to bottom: normal and selected represent the buttons that perform a specific action. The dialog windows are used in various formats. They all include a title at the top of the window whose content can be a question or a simple title. Fig. 8 shows the final design of the dialog window after applying styles, colors and icons. At top, from left to right, the elements are: a progress bar and a list of selectable elements. A questionnaire is place at the bottom. Fig. 4 Key Path: Data Review To properly follow the Goal-Oriented Design methodology, the next step was the „Refinement‟ of the graphical elements. Here the Main Menu was designed with four buttons, whose appearance would change depending on the state (normal, selected, or pressed). Fig. 6 shows the final design of the menu buttons after applying styles, colors and icons. It shows Fig. 8 Pop-up the change in color of the fonts, the icon and background. The final step was the definition of the 'look & feel', which shows the final aesthetics of all screens. A background composed of three different grades of blue color was chosen. To provide a good contrast, white was the color selected for the fonts. In all screens, except the main one, there is a gray
  • 5. bar at the top with a text informing the user the screen where During the evaluation, the users were working with the they are. FAS to complete all possible tasks. First, they received a little In Fig. 9 two screenshots are presented, each of them explanation about how to use the application along with the belongs to a hierarchical level. These images represent the smart shirt and the electronic module. Then they were allowed final outcome of the application after the whole design to utilize it freely and, afterwards, they completed the process applying the GOD methodology. The main screen is AttrakDiff questionnaire. located at left and a secondary screen is located at right. The results obtained with this questionnaire indicate the Additionally, Fig. 10 shows two different screenshots with the user sensations when using the application. This is the final appearance, on the left is the Connection Screen and the difference between the feeling while users were testing the right is the Data Review Screen. FAS and their expectations before using it. As the dimensions of the AttrakDiff questionnaire are valued from 0 to 6, the average value is 3. Table 1 shows the results of each parameter with its average and standard deviation. All dimensions average are upper than 3, so users have valued very well the application. TABLE I ATTRAKDIFF RESULTS Pragmatic Identity Stimulation Attractivity Q Average 4.3 4.3 4.9 5.3 Standard 0.4 0.5 0.4 0.4 Deviation Fig. 11 shows that all results are above average and therefore they can be considered acceptable. Given that the scores of 98% of users surveyed are between the mean value and double of the standard deviation is even above average, we can conclude that most users have good scored the Fig. 9 Look & Feel: Main Menu and User Settings application evaluation, mainly in Stimulation and Attractivity parameters. Fig. 11 AttrakDiff results V. CONCLUSIONS Fig. 10 Look & Feel: Connection and Data Review ECG This paper has presented the application of the Goal- Oriented Design methodology to the design and development IV. VALIDATION of a medical application that allows people who practice In an application development is crucial know how users sports frequently.to perform a functional assessment of their react when use it. The AttrakDiff ([9], [10]) questionnaire was aerobic endurance. The final system has been validated using employed to evaluate the user experience when using the the AttrakDiff questionnaire and the outcomes have been very developed system FAS. positive. Attractivity and Stimulation parameters have been the The study was carried out with 11 users, 8 men and 3 best evaluated. women, whose ages were between 24 and 33 years. Based on the outcome of the performed test it can be derived that the FAS system has resulted to be quite
  • 6. innovative, very intuitive and highly usable. It is expected that [6] W. Weber; J.M. Rabaey and E. Aarts. Ambient Intelligence. New York: Springer, 2005. this application will benefit people who practice sports [7] (2011) The GOW Trainer website. [Online]. Available: regularly by providing them with a tool for completing http://www.gowtrainer.com/ (Last access: 18th November 2011). functional assessments of the aerobic endurance by their own [8] (2011) The WearTech website. [Online]. Available: and, therefore, helping them to exercise in a healthier and http://www.weartech.es/ (Last access: 18th November 2011). [9] M. Hassenzahl; M. Burmester and F. Koller. AttrakDiff: Ein safer way Fragebogen zur Messung wahrgenommener hedonischer und pragmatischer Qualität. In Mensch & Computer 2003: Stuttgart, REFERENCES Leipzig, 187-196. [1] A. Cooper (Ed.). The Inmates Are Running the Asylum: Why High Tech [10] M. Hassenzahl; A. Platz; M. Burmester and K. Lehner. Hedonic and Products Drive Us Crazy and How to Restore the Sanity. Indiana, Ergonomic Quality Aspects Determine a Software’s Appeal. Proc. of EEUU: Sam-Pearson Education, 1999. the CHI 2000 Conference on Human Factors in Computing. ACM, [2] A. Cooper; R. Reimann and D. Cronin. About Face 3: The Essentials New York, NY, 201-208. of Interaction Design. Indiana, EEUU: Wiley Publishing, 2007. [11] M. Hassenzahl (Ed.). The thing and I: Understanding the relationship [3] Peinado I, Arredondo MT, Villalba E, Salvi D, Ottaviano M., "Patient between users and product. In Funology, 2003: From usability to interaction in homecare systems to treat cardiovascular diseases in the enjoyment, M.A. Blythe, K. Overbeeke, A.F. Monk, P.C. Wright, Eds. long term", Conf Proc IEEE Eng Med Biol Soc. 2009;2009:308-11. Kluwer, The Netherlands, 31-42. [4] G. Cea. “Desarrollo de una aplicación médica para la valoración [12] J. Nielsen and R.L. Mack. (Eds.) Usability Inspection Methods. New funcional durante pruebas de esfuerzo en cardiología y medicina York: John Wiley & Sons, 1994. deportiva” M. Eng. thesis, Universidad Politécnica de Madrid, Spain, [13] J. Bibby. Axiomatisations of the average and a further generalization Jul. 2011. of monotonic sequences, Glasgow Mathematical Journal, 1974. vol. 15. [5] G. Rodas Font; E. Garrido Marín. Valoración funcional y cardiología [14] S. Ghahramani. Fundamentals of Probability. New Jersey: Prentice previa al entrenamiento físico, ser. Prescripción del ejercicio físico Hall, 2000. para la salud. Barcelona, Spain: Centro de Estudios de Alto Rendimiento Deportivo (CEARE), 2005. Cap. 2.