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Search Results (352)

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Keywords = user-centric design

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18 pages, 825 KB  
Article
Preliminary User-Centred Evaluation of a Bio-Cooperative Robotic Platform for Cognitive Rehabilitation in Parkinson’s Disease and Mild Cognitive Impairment: Insights from a Focus Group and Living Lab in the OPERA Project
by Ylenia Crocetto, Simona Abagnale, Giulia Martinelli, Sara Della Bella, Eleonora Pavan, Cristiana Rondoni, Alfonso Voscarelli, Marco Pirini, Francesco Scotto di Luzio, Loredana Zollo, Giulio Cicarelli, Cristina Polito and Anna Estraneo
J. Clin. Med. 2025, 14(19), 7042; https://doi.org/10.3390/jcm14197042 - 5 Oct 2025
Viewed by 148
Abstract
Background: Mild cognitive impairment (MCI) affects up to 40% of patients with Parkinson’s disease (PD), yet conventional rehabilitation often lacks engagement. The OPERA project developed a novel Bio-cooperative Robotic Platform (PRoBio), integrating a service robot and a virtual reality-based rehabilitation for personalized cognitive [...] Read more.
Background: Mild cognitive impairment (MCI) affects up to 40% of patients with Parkinson’s disease (PD), yet conventional rehabilitation often lacks engagement. The OPERA project developed a novel Bio-cooperative Robotic Platform (PRoBio), integrating a service robot and a virtual reality-based rehabilitation for personalized cognitive training. This work presents two preliminary user-centred studies aimed to assess PRoBio usability and acceptability. Methods: to gather qualitative feedback on robotic and virtual reality technologies, through ad hoc questionnaires, developed according to participatory design principles and user-centered evaluation literature, Study 1 (Focus group) involved 23 participants: 10 PD patients (F = 6; mean age = 68.9 ± 8.2 years), 5 caregivers (F = 3; mean age = 49.0 ± 15.5), 8 healthcare professionals (F = 6; mean age = 40.0 ± 12.0). Study 2 (Living Lab) tested the final version of PRoBio platform with 6 healthy volunteers (F = 3; mean age = 50.3 ± 11.0) and 8 rehabilitation professionals (F = 3; mean age = 32.8 ± 9.9), assessing usability and acceptability through validated questionnaires. Results: The focus group revealed common priorities across the three groups, including ease of use, emotional engagement, and personalization of exercises. Living Lab unveiled PRoBio as user-friendly, with high usability, hedonic quality, technology acceptance and low workload. No significant differences were found between groups, except for minor concerns on system responsiveness. Discussion: These preliminary findings support the feasibility, usability, and emotional appeal of PRoBio as a cognitive rehabilitation tool. The positive convergence among the groups suggests its potential for clinical integration. Conclusions: These preliminary results support the feasibility and user-centred design of the PRoBio platform for cognitive rehabilitation in PD. The upcoming usability evaluation in a pilot study with patients will provide critical insights into its suitability for clinical implementation and guide further development. Full article
(This article belongs to the Section Clinical Neurology)
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31 pages, 1452 KB  
Article
A User-Centric Context-Aware Framework for Real-Time Optimisation of Multimedia Data Privacy Protection, and Information Retention Within Multimodal AI Systems
by Ndricim Topalli and Atta Badii
Sensors 2025, 25(19), 6105; https://doi.org/10.3390/s25196105 - 3 Oct 2025
Viewed by 208
Abstract
The increasing use of AI systems for face, object, action, scene, and emotion recognition raises significant privacy risks, particularly when processing Personally Identifiable Information (PII). Current privacy-preserving methods lack adaptability to users’ preferences and contextual requirements, and obfuscate user faces uniformly. This research [...] Read more.
The increasing use of AI systems for face, object, action, scene, and emotion recognition raises significant privacy risks, particularly when processing Personally Identifiable Information (PII). Current privacy-preserving methods lack adaptability to users’ preferences and contextual requirements, and obfuscate user faces uniformly. This research proposes a user-centric, context-aware, and ontology-driven privacy protection framework that dynamically adjusts privacy decisions based on user-defined preferences, entity sensitivity, and contextual information. The framework integrates state-of-the-art recognition models for recognising faces, objects, scenes, actions, and emotions in real time on data acquired from vision sensors (e.g., cameras). Privacy decisions are directed by a contextual ontology based in Contextual Integrity theory, which classifies entities into private, semi-private, or public categories. Adaptive privacy levels are enforced through obfuscation techniques and a multi-level privacy model that supports user-defined red lines (e.g., “always hide logos”). The framework also proposes a Re-Identifiability Index (RII) using soft biometric features such as gait, hairstyle, clothing, skin tone, age, and gender, to mitigate identity leakage and to support fallback protection when face recognition fails. The experimental evaluation relied on sensor-captured datasets, which replicate real-world image sensors such as surveillance cameras. User studies confirmed that the framework was effective, with over 85.2% of participants rating the obfuscation operations as highly effective, and the other 14.8% stating that obfuscation was adequately effective. Amongst these, 71.4% considered the balance between privacy protection and usability very satisfactory and 28% found it satisfactory. GPU acceleration was deployed to enable real-time performance of these models by reducing frame processing time from 1200 ms (CPU) to 198 ms. This ontology-driven framework employs user-defined red lines, contextual reasoning, and dual metrics (RII/IVI) to dynamically balance privacy protection with scene intelligibility. Unlike current anonymisation methods, the framework provides a real-time, user-centric, and GDPR-compliant method that operationalises privacy-by-design while preserving scene intelligibility. These features make the framework appropriate to a variety of real-world applications including healthcare, surveillance, and social media. Full article
(This article belongs to the Section Intelligent Sensors)
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17 pages, 1563 KB  
Article
Applying the Case-Based Axiomatic Design Assistant (CADA) to a Pharmaceutical Engineering Task: Implementation and Assessment
by Roland Wölfle, Irina Saur-Amaral and Leonor Teixeira
Computers 2025, 14(10), 415; https://doi.org/10.3390/computers14100415 - 1 Oct 2025
Viewed by 198
Abstract
Modern custom machine construction and automation projects face pressure to shorten innovation cycles, reduce durations, and manage growing system complexity. Traditional methods like Waterfall and V-Model have limits where end-to-end data traceability is vital throughout the product life cycle. This study introduces the [...] Read more.
Modern custom machine construction and automation projects face pressure to shorten innovation cycles, reduce durations, and manage growing system complexity. Traditional methods like Waterfall and V-Model have limits where end-to-end data traceability is vital throughout the product life cycle. This study introduces the implementation of a web application that incorporates a model-based design approach to assess its applicability and effectiveness in conceptual design scenarios. At the heart of this approach is the Case-Based Axiomatic Design Assistant (CADA), which utilizes Axiomatic Design principles to break down complex tasks into structured, analyzable sub-concepts. It also incorporates Case-Based Reasoning (CBR) to systematically store and reuse design knowledge. The effectiveness of the visual assistant was evaluated through expert-led assessments across different fields. The results revealed a significant reduction in design effort when utilising prior knowledge, thus validating both the efficiency of CADA as a model and the effectiveness of its implementation within a user-centric application, highlighting its collaborative features. The findings support this approach as a scalable solution for enhancing conceptual design quality, facilitating knowledge reuse, and promoting agile development. Full article
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36 pages, 2113 KB  
Article
Self-Sovereign Identities and Content Provenance: VeriTrust—A Blockchain-Based Framework for Fake News Detection
by Maruf Farhan, Usman Butt, Rejwan Bin Sulaiman and Mansour Alraja
Future Internet 2025, 17(10), 448; https://doi.org/10.3390/fi17100448 - 30 Sep 2025
Viewed by 450
Abstract
The widespread circulation of digital misinformation exposes a critical shortcoming in prevailing detection strategies, namely, the absence of robust mechanisms to confirm the origin and authenticity of online content. This study addresses this by introducing VeriTrust, a conceptual and provenance-centric framework designed to [...] Read more.
The widespread circulation of digital misinformation exposes a critical shortcoming in prevailing detection strategies, namely, the absence of robust mechanisms to confirm the origin and authenticity of online content. This study addresses this by introducing VeriTrust, a conceptual and provenance-centric framework designed to establish content-level trust by integrating Self-Sovereign Identity (SSI), blockchain-based anchoring, and AI-assisted decentralized verification. The proposed system is designed to operate through three key components: (1) issuing Decentralized Identifiers (DIDs) and Verifiable Credentials (VCs) through Hyperledger Aries and Indy; (2) anchoring cryptographic hashes of content metadata to an Ethereum-compatible blockchain using Merkle trees and smart contracts; and (3) enabling a community-led verification model enhanced by federated learning with future extensibility toward zero-knowledge proof techniques. Theoretical projections, derived from established performance benchmarks, suggest the framework offers low latency and high scalability for content anchoring and minimal on-chain transaction fees. It also prioritizes user privacy by ensuring no on-chain exposure of personal data. VeriTrust redefines misinformation mitigation by shifting from reactive content-based classification to proactive provenance-based verification, forming a verifiable link between digital content and its creator. VeriTrust, while currently at the conceptual and theoretical validation stage, holds promise for enhancing transparency, accountability, and resilience against misinformation attacks across journalism, academia, and online platforms. Full article
(This article belongs to the Special Issue AI and Blockchain: Synergies, Challenges, and Innovations)
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33 pages, 20632 KB  
Article
A Complex Network Science Perspective on Urban Parcel Locker Placement
by Enrico Corradini, Mattia Mandorlini, Filippo Mariani, Paolo Roselli, Samuele Sacchetti and Matteo Spiga
Big Data Cogn. Comput. 2025, 9(10), 249; https://doi.org/10.3390/bdcc9100249 - 30 Sep 2025
Viewed by 198
Abstract
The rapid rise of e-commerce is intensifying pressure on last-mile delivery networks, making the strategic placement of parcel lockers an urgent urban challenge. In this work, we adapt multilayer two-mode Social Network Analysis to the parcel-locker siting problem, modeling city-scale systems as bipartite [...] Read more.
The rapid rise of e-commerce is intensifying pressure on last-mile delivery networks, making the strategic placement of parcel lockers an urgent urban challenge. In this work, we adapt multilayer two-mode Social Network Analysis to the parcel-locker siting problem, modeling city-scale systems as bipartite networks linking spatially resolved demand zones to locker locations using only open-source demographic and geographic data. We introduce two new Social Network Analysis metrics, Dual centrality and Coverage centrality, designed to identify both structurally critical and highly accessible lockers within the network. Applying our framework to Milan, Rome, and Naples, we find that conventional coverage-based strategies successfully maximize immediate service reach, but tend to prioritize redundant hubs. In contrast, Dual centrality reveals a distinct set of lockers whose presence is essential for maintaining overall connectivity and resilience, often acting as hidden bridges between user communities. Comparative analysis with state-of-the-art multi-criteria optimization baselines confirms that our network-centric metrics deliver complementary, and in some cases better, guidance for robust locker placement. Our results show that a network-analytic lens yields actionable guidance for resilient last-mile locker siting. The method is reproducible from open data (potential-access weights) and plug-in compatible with observed assignments. Importantly, the path-based results (Coverage centrality) are adjacency-driven and thus largely insensitive to volumetric weights. Full article
14 pages, 283 KB  
Article
Veterinarians’ Perspectives on the Antimicrobial Resistance (AMR) Dashboard: A Survey of Needs and Preferences to Inform Development
by Abraham Joseph Pellissery, Thomas Denagamage, Maura Pedersen and Subhashinie Kariyawasam
Vet. Sci. 2025, 12(10), 940; https://doi.org/10.3390/vetsci12100940 - 28 Sep 2025
Viewed by 356
Abstract
Antimicrobial resistance (AMR) poses a significant global threat to human and animal health, necessitating robust surveillance and stewardship tools. While existing systems address aspects of veterinary AMR, a comprehensive, user-centric dashboard for U.S. veterinarians remains a critical unmet need. This study aimed to [...] Read more.
Antimicrobial resistance (AMR) poses a significant global threat to human and animal health, necessitating robust surveillance and stewardship tools. While existing systems address aspects of veterinary AMR, a comprehensive, user-centric dashboard for U.S. veterinarians remains a critical unmet need. This study aimed to identify U.S. veterinarians’ preferences and perceived needs for such a dashboard, to help guide its design and development. A cross-sectional survey was conducted between January and March 2024, targeting U.S. veterinarians through professional channels. The survey instrument captured demographics, experiences with existing tools, preferences for data types and visualizations, desired technical specifications, and open-ended feedback. Of the 677 respondents, a near-unanimous consensus (over 75%) emerged on the importance of functionalities like antimicrobial stewardship education, off-label use guidance, surveillance data, and empirical treatment support. Over 70% expressed comfort sharing aggregated geographic and de-identified animal data. A strong preference was observed for making the dashboard accessible by veterinary colleges (78.87%), diagnostic laboratories (72.61%), and federal agencies (USDA: 71.47%, CDC: 66.67%, FDA: 62.11%), indicating a desire for a collaborative, authoritative system. The findings provide a robust foundation for developing a U.S. veterinary AMR dashboard. Future phases should adopt an iterative, user-centered design, incorporating qualitative research with diverse stakeholders and piloting a prototype with preferred institutional partners. This approach will ensure a trusted, sustainable tool that effectively translates surveillance data into actionable insights for improved animal and public health. Full article
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34 pages, 550 KB  
Article
System Requirements for Flexibility Markets Participation: A Stakeholder-Centric Survey from REEFLEX Project
by Gregorio Fernández, Ahmed Samir Hedar, Miguel Torres, Nena Apostolidou, Nikolaos Koltsaklis and Nikolas Spiliopoulos
Appl. Sci. 2025, 15(19), 10426; https://doi.org/10.3390/app151910426 - 25 Sep 2025
Viewed by 177
Abstract
The transition of electric systems from a centralized, fossil-based model toward a decentralized, renewable-powered architecture is reshaping the way electricity is generated, managed and consumed. As distributed energy resources (DERs) proliferate, grid management becomes increasingly complex, especially at the distribution level. In this [...] Read more.
The transition of electric systems from a centralized, fossil-based model toward a decentralized, renewable-powered architecture is reshaping the way electricity is generated, managed and consumed. As distributed energy resources (DERs) proliferate, grid management becomes increasingly complex, especially at the distribution level. In this context, flexibility emerges as a key enabler for more stable and efficient grid operation, while also facilitating greater integration of DER and supporting the electrification of energy demand. Local flexibility markets (LFMs) are gaining importance as structured mechanisms that allow grid operators to procure flexibility services from prosumers, aggregators and other actors. However, to ensure widespread participation, it is essential to develop digital tools that accommodate users of different profiles, regardless of their size, technical background or market experience. The REEFLEX project addresses this challenge by designing and developing 14 interoperable flexibility tools tailored to diverse stakeholder needs. To ensure that these tools are aligned with real market conditions and user expectations, REEFLEX conducted extensive stakeholder-centric surveys. This paper presents the methodology and key findings of those surveys, providing insights into user perceptions, technical requirements and adoption barriers. Results are contextualized within existing literature and other funded initiatives, highlighting implications for the design of inclusive and scalable flexibility markets. Full article
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16 pages, 2357 KB  
Article
Applying Design Thinking for Co-Designed Health Solutions: A Case Study on Chronic Kidney Disease in Regional Australia
by Anita Stefoska-Needham, Jessica Nealon, Karen Charlton, Karen Fildes and Kelly Lambert
Int. J. Environ. Res. Public Health 2025, 22(10), 1475; https://doi.org/10.3390/ijerph22101475 - 24 Sep 2025
Viewed by 251
Abstract
(1) Background: This paper outlines key issues to consider when implementing Design Thinking methodology in health-based qualitative research to achieve a meaningful outcome. The purpose is to share our learnings with others. (2) Methods: Using the case study of an Australian region with [...] Read more.
(1) Background: This paper outlines key issues to consider when implementing Design Thinking methodology in health-based qualitative research to achieve a meaningful outcome. The purpose is to share our learnings with others. (2) Methods: Using the case study of an Australian region with high rates of chronic kidney disease, we describe a design-led methodological approach (co-design) that ensures end users remain central to research for the lifespan of the project; from conception of the research question and protocol design, through to solution generation and change implementation. (3) Results: Representation of the four Design Voices—people with lived experience, expertise, intent, and design knowledge—was imperative to minimise bias towards researchers as the main drivers of the project. A commitment to the five core elements of design thinking (empathising, defining, ideating, prototyping, and testing) was maintained throughout the research. Empathising through direct interaction with users was crucial to creating a meaningful understanding of their problems and challenges. Ideation ensured user-centred solution generation, with solutions aligned with addressing the ‘real’ problem and creating an improved future state. (4) Conclusions: Incorporation of Design Thinking principles in health research is a valuable adjunct to traditional qualitative methodologies, with the potential to facilitate meaningful outcomes for people in our community experiencing a wicked health problem. Full article
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19 pages, 4247 KB  
Article
Dynamic Visual Privacy Governance Using Graph Convolutional Networks and Federated Reinforcement Learning
by Chih Yang, Wei-Xun Lu and Ray-I Chang
Electronics 2025, 14(19), 3774; https://doi.org/10.3390/electronics14193774 - 24 Sep 2025
Viewed by 293
Abstract
The proliferation of image sharing on social media poses significant privacy risks. Although some previous works have proposed to detect privacy attributes in image sharing, they suffer from the following shortcomings: (1) reliance only on legacy architectures, (2) failure to model the label [...] Read more.
The proliferation of image sharing on social media poses significant privacy risks. Although some previous works have proposed to detect privacy attributes in image sharing, they suffer from the following shortcomings: (1) reliance only on legacy architectures, (2) failure to model the label correlations (i.e., semantic dependencies and co-occurrence patterns among privacy attributes) between privacy attributes, and (3) adoption of static, one-size-fits-all user preference models. To address these, we propose a comprehensive framework for visual privacy protection. First, we establish a new state-of-the-art (SOTA) architecture using modern vision backbones. Second, we introduce Graph Convolutional Networks (GCN) as a classifier head to counter the failure to model label correlations. Third, to replace static user models, we design a dynamic personalization module using Federated Learning (FL) for privacy preservation and Reinforcement Learning (RL) to continuously adapt to individual user preferences. Experiments on the VISPR dataset demonstrate that our approach can outperform the previous work by a substantial margin of 6% in mAP (52.88% vs. 46.88%) and improve the Overall F1-score by 10% (0.770 vs. 0.700). This provides more meaningful and personalized privacy recommendations, setting a new standard for user-centric privacy protection systems. Full article
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23 pages, 2836 KB  
Article
Ergo4Workers: A User-Centred App for Tracking Posture and Workload in Healthcare Professionals
by Inês Sabino, Maria do Carmo Fernandes, Ana Antunes, António Monteny, Bruno Mendes, Carlos Caldeira, Isabel Guimarães, Nidia Grazina, Phillip Probst, Cátia Cepeda, Cláudia Quaresma, Hugo Gamboa, Isabel L. Nunes and Ana Teresa Gabriel
Sensors 2025, 25(18), 5854; https://doi.org/10.3390/s25185854 - 19 Sep 2025
Viewed by 379
Abstract
Healthcare professionals (namely, occupational therapists) face ergonomic risk factors that may lead to work-related musculoskeletal disorders (WRMSD). Ergonomic assessments are crucial to mitigate this occupational issue. Wearable devices are a potential solution for such assessments, providing continuous measurement of biomechanical and physiological parameters. [...] Read more.
Healthcare professionals (namely, occupational therapists) face ergonomic risk factors that may lead to work-related musculoskeletal disorders (WRMSD). Ergonomic assessments are crucial to mitigate this occupational issue. Wearable devices are a potential solution for such assessments, providing continuous measurement of biomechanical and physiological parameters. Ergo4workers (E4W) is a mobile application designed to integrate data from independent wearable sensors—motion capture system, surface electromyography, force platform, and smartwatch—to provide an overview of the posture and workload of occupational therapists. It can help identify poor work practices and raise awareness about ergonomic risk factors. This paper describes the development of E4W by following a User-Centred Design (UCD) approach. The initial stage focused on specifying the context of use in collaboration with six occupational therapists. Then the app was implemented using WordPress. Three iterations of the UCD cycle were performed. The usability test of prototype 1 was carried out in a laboratory environment, while the others were tested in a real healthcare work environment. The Cognitive Walkthrough was applied in the usability tests of prototypes 1 and 2. The System Usability Scale evaluated prototype 3. Results evidenced positive feedback, reflecting an easy-to-use and intuitive smartphone app that does not interfere with daily work activities. Full article
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21 pages, 2603 KB  
Article
Sensing What You Do Not See: Alerting of Approaching Objects with a Haptic Vest
by Albina Rurenko, Devbrat Anuragi, Ahmed Farooq, Marja Salmimaa, Zoran Radivojevic, Sanna Kumpulainen and Roope Raisamo
Sensors 2025, 25(18), 5808; https://doi.org/10.3390/s25185808 - 17 Sep 2025
Viewed by 624
Abstract
Workplace accidents in high-risk environments remain a major safety concern, particularly when workers’ visual and auditory channels are overloaded. Haptic feedback offers a promising alternative for alerting individuals to unseen dangers and enhancing situational awareness. Motivated by challenges commonly observed in construction, this [...] Read more.
Workplace accidents in high-risk environments remain a major safety concern, particularly when workers’ visual and auditory channels are overloaded. Haptic feedback offers a promising alternative for alerting individuals to unseen dangers and enhancing situational awareness. Motivated by challenges commonly observed in construction, this study investigates haptic alerting strategies applicable across dynamic, attentionally demanding contexts. We present two empirical experiments exploring how wearable vibration cues can inform users about approaching objects outside their field of view. The first experiment evaluated variations of pattern-based vibrations to simulate motion and examined the relationship between signal parameters and perceived urgency. A negative correlation between urgency and pulse duration emerged, identifying a key design factor. The second experiment conducted a novel comparison of pattern-based and location-based haptic alerts in a complex virtual environment, with tasks designed to simulate cognitive engagement with work processes. Results indicate that location-based alerts were more efficient for hazard detection. These findings offer insights into the design of effective user-centred haptic-based safety systems and provide a foundation for future development and deployment in real-world settings. This work contributes a generalisable step toward wearable alerting technologies for safety-critical occupations, including but not limited to construction. Full article
(This article belongs to the Section Wearables)
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41 pages, 3847 KB  
Article
Designing Sustainable Digital Platforms for Ageing Societies: A User-Centred Multi-Level Theoretical Framework
by Langqian Pan and Xin Hu
Sustainability 2025, 17(18), 8305; https://doi.org/10.3390/su17188305 - 16 Sep 2025
Viewed by 568
Abstract
With the intensification of population ageing and the increasingly diverse service needs of older adults, existing digital elderly care platforms generally exhibit fragmentation in functional integration, understanding of needs, and service coordination, making it difficult to effectively respond to the complex challenges faced [...] Read more.
With the intensification of population ageing and the increasingly diverse service needs of older adults, existing digital elderly care platforms generally exhibit fragmentation in functional integration, understanding of needs, and service coordination, making it difficult to effectively respond to the complex challenges faced by urban ageing populations. To fill this gap, this study starts from a service design perspective and adopts Constructivist Grounded Theory (CGT) to construct a theoretical model, proposing a three-tier framework that encompasses seven core user needs, four platform response mechanisms, and three categories of service outcomes. A questionnaire survey was subsequently conducted in the Pearl River Delta region of China, collecting 352 responses, of which 322 were valid. Through Exploratory Factor Analysis (EFA), correlation analysis, and multiple regression analysis, the structural stability and predictive validity of the proposed “User Needs-Platform Mechanisms-Service Outcomes” (UN-PM-SO) model were verified. The research results confirm that the theoretical model constructed in this study has good logical consistency and empirical support. Based on this model, a series of concrete design framework recommendations are further proposed, aiming to guide the sustainable and inclusive development of future smart elderly care platforms. The findings of this study not only respond to the urgent global demand for age-friendly digital infrastructure but also demonstrate the sustainable value of smart elderly care platform design in terms of social inclusion, resource efficiency, and environmental friendliness, providing a feasible and theory-based design logic and governance pathway for promoting social sustainability. Full article
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36 pages, 576 KB  
Review
A Review of Explainable Artificial Intelligence from the Perspectives of Challenges and Opportunities
by Sami Kabir, Mohammad Shahadat Hossain and Karl Andersson
Algorithms 2025, 18(9), 556; https://doi.org/10.3390/a18090556 - 3 Sep 2025
Viewed by 2756
Abstract
The widespread adoption of Artificial Intelligence (AI) in critical domains, such as healthcare, finance, law, and autonomous systems, has brought unprecedented societal benefits. Its black-box (sub-symbolic) nature allows AI to compute prediction without explaining the rationale to the end user, resulting in lack [...] Read more.
The widespread adoption of Artificial Intelligence (AI) in critical domains, such as healthcare, finance, law, and autonomous systems, has brought unprecedented societal benefits. Its black-box (sub-symbolic) nature allows AI to compute prediction without explaining the rationale to the end user, resulting in lack of transparency between human and machine. Concerns are growing over the opacity of such complex AI models, particularly deep learning architectures. To address this concern, explainability is of paramount importance, which has triggered the emergence of Explainable Artificial Intelligence (XAI) as a vital research area. XAI is aimed at enhancing transparency, trust, and accountability of AI models. This survey presents a comprehensive overview of XAI from the dual perspectives of challenges and opportunities. We analyze the foundational concepts, definitions, terminologies, and taxonomy of XAI methods. We then review several application domains of XAI. Special attention is given to various challenges of XAI, such as no universal definition, trade-off between accuracy and interpretability, and lack of standardized evaluation metrics. We conclude by outlining the future research directions of human-centric design, interactive explanation, and standardized evaluation frameworks. This survey serves as a resource for researchers, practitioners, and policymakers to navigate the evolving landscape of interpretable and responsible AI. Full article
(This article belongs to the Section Algorithms for Multidisciplinary Applications)
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17 pages, 1234 KB  
Article
Co-Designing a DSM-5-Based AI-Powered Smart Assistant for Monitoring Dementia and Ongoing Neurocognitive Decline: Development Study
by Fareed Ud Din, Nabaraj Giri, Namrata Shetty, Tom Hilton, Niusha Shafiabady and Phillip J. Tully
BioMedInformatics 2025, 5(3), 49; https://doi.org/10.3390/biomedinformatics5030049 - 2 Sep 2025
Viewed by 1166
Abstract
Background/Objectives: Dementia is a leading cause of cognitive decline, with significant challenges for early detection and timely intervention. The lack of effective, user-centred technologies further limits clinical response, particularly in underserved areas. This study aimed to develop and describe a co-design process for [...] Read more.
Background/Objectives: Dementia is a leading cause of cognitive decline, with significant challenges for early detection and timely intervention. The lack of effective, user-centred technologies further limits clinical response, particularly in underserved areas. This study aimed to develop and describe a co-design process for creating a Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-compliant, AI-powered Smart Assistant (SmartApp) to monitor neurocognitive decline, while ensuring accessibility, clinical relevance, and responsible AI integration. Methods: A co-design framework was applied using a novel combination of Agile principles and the Double Diamond Model (DDM). More than twenty iterative Scrum sprints were conducted, involving key stakeholders such as clinicians (psychiatrist, psychologist, physician), designers, students, and academic researchers. Prototype testing and design workshops were organised to gather structured feedback. Feedback was systematically incorporated into subsequent iterations to refine functionality, usability, and clinical applicability. Results: The iterative process resulted in a SmartApp that integrates a DSM-5-based screening tool with 24 items across key cognitive domains. Key features include longitudinal tracking of cognitive performance, comparative visual graphs, predictive analytics using a regression-based machine learning module, and adaptive user interfaces. Workshop participants reported high satisfaction with features such as simplified navigation, notification reminders, and clinician-focused reporting modules. Conclusions: The findings suggest that combining co-design methods with Agile/DDM frameworks provides an effective pathway for developing AI-powered clinical tools as per responsible AI standards. The SmartApp offers a clinically relevant, user-friendly platform for dementia screening and monitoring, with potential to support vulnerable populations through scalable, responsible digital health solutions. Full article
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23 pages, 8324 KB  
Article
EmotiCloud: Cloud System to Monitor Patients Using AI Facial Emotion Recognition
by Ana-María López-Echeverry, Sebastián López-Flórez, Jovany Bedoya-Guapacha and Fernando De-La-Prieta
Systems 2025, 13(9), 750; https://doi.org/10.3390/systems13090750 - 29 Aug 2025
Viewed by 593
Abstract
Comprehensive healthcare seeks to uphold the right to health by providing patient-centred care in both personal and work environments. However, the unequal distribution of healthcare services significantly restricts access in remote or underserved areas—a challenge that is particularly critical in mental health care [...] Read more.
Comprehensive healthcare seeks to uphold the right to health by providing patient-centred care in both personal and work environments. However, the unequal distribution of healthcare services significantly restricts access in remote or underserved areas—a challenge that is particularly critical in mental health care within low-income countries. On average, there is only one psychiatrist for every 200,000 people, which severely limits early diagnosis and continuous monitoring in patients’ daily environments. In response to these challenges, this research explores the feasibility of implementing an information system that integrates cloud computing with an intelligent Facial Expression Recognition (FER) module to enable psychologists to remotely and periodically monitor patients’ emotional states. This approach enhances comprehensive clinical assessments, supporting early detection, ongoing management, and personalised treatment in mental health care. This applied research follows a descriptive and developmental approach, aiming to design, implement, and evaluate an intelligent cloud-based solution that enables remote monitoring of patients’ emotional states through Facial Expression Recognition (FER). The methodology integrates principles of user-centred design, software engineering best practices, and machine learning model development, ensuring a robust and scalable solution aligned with clinical and technological requirements. The development process followed the Software Development Life Cycle (SDLC) and included functional, performance, and integration testing. To assess overall system quality, we defined an evaluation framework based on ISO/IEC 25010 quality characteristics: functional suitability, performance efficiency, usability, and security. The intelligent FER model achieved strong validation results, with a loss of 0.1378 and an accuracy of 96%, as confirmed by the confusion matrix and associated performance metrics. Full article
(This article belongs to the Section Artificial Intelligence and Digital Systems Engineering)
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