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      Negotiation in Automated E-Coaching : an Application in Mobile Insomnia Treatment

      1 , 1 , 2
      Proceedings of the 32nd International BCS Human Computer Interaction Conference (HCI)
      Human Computer Interaction Conference
      4 - 6 July 2018
      Persuasive Technology, Conversation, Negotiation, E-Coaching, Cognitive Behaviour Therapy, Insomnia, Sleep Restriction


            In this paper, we present the design of a negotiation protocol for behaviour change exercises that are supported by automated e-coaching systems. Negotiation is introduced as an interactive per-suasive strategy with the aim to improve adherence of exercises. The protocol is implemented in a mobile application, called SleepCare, that supports cognitive behaviour therapy for insomnia. The interaction design of the application is centred around the paradigm of Talk-and-Tools. Talk repre-sents personalized conversations with a virtual e-coach, while Tools are represented by special-ized modules that form a coherent structure of input and output facilities. We focus on the tech-nique of sleep restriction, an intensive form of behaviour change that requires strong perseverance from the user. Both user and e-coach may negotiate about the attributes of the sleep restriction technique, here the duration of the total time in bed. The algorithm that calculates the negotiation space is personalized on the basis of previous sleeping behaviour of the coachee, the stage of the program and general constraints of the insomnia therapy. The system is evaluated by means of au-tomated simulations and data from a randomized controlled trial. More than 50% of the subjects who did sleep restriction as a behaviour changing exercise used the protocol in the first round and negotiated with the system about an agreed time in bed. We expect that negotiation includes a number of important adherence enhancing strategies in e-coaching: increase of the coachee’s au-tonomy, a sense of shared decision making and commitment.


            Author and article information

            July 2018
            July 2018
            : 1-10
            [1 ] Utrecht University

            Princetonplein 5, Utrecht

            The Netherlands
            [2 ] University of Amsterdam

            PO box 15933, Amsterdam

            The Netherlands
            © Beun et al. Published by BCS Learning and Development Ltd. Proceedings of British HCI 2018. Belfast, UK.

            This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

            Proceedings of the 32nd International BCS Human Computer Interaction Conference
            Belfast, UK
            4 - 6 July 2018
            Electronic Workshops in Computing (eWiC)
            Human Computer Interaction Conference

            1477-9358 BCS Learning & Development

            Self URI (article page): https://www.scienceopen.com/hosted-document?doi=10.14236/ewic/HCI2018.24
            Self URI (journal page): https://ewic.bcs.org/
            Electronic Workshops in Computing

            Applied computer science,Computer science,Security & Cryptology,Graphics & Multimedia design,General computer science,Human-computer-interaction
            Persuasive Technology,Negotiation,Insomnia,E-Coaching,Cognitive Behaviour Therapy,Sleep Restriction,Conversation


            1. 1995 The DenK-architecture: a fundamental approach to user in-terfaces. AI Rev 8 431 445

            2. 2014 Modelling interaction in au-tomated e-coaching: A case from insomnia ther-apy In: Proc. of COGNITIVE’14 May 25-29 2014 Venice, Italy

            3. 2016 Improving Adherence in Automated e-Coaching: A Case from Insomnia Therapy In: Proc. of PERSUASIVE 2016. Meschtscherjakov, A, De Ruyter, B, Fuchsberger, V, Murer, M & Tscheligi, M (eds) LNCS 9638 Berlin: Springer 276 287

            4. 2017 Talk and Tools - The best of both worlds in mobile user interfaces for E-coaching Personal and Ubiquitous Computing 21 4 661 674

            5. 2005 Establishing and maintaining long-term human-computer rela-tionships ACM Transactions on Computer-Human Interaction 12 2 293 327

            6. 1997 Shared Decision-Making in the Medical Encounter: What Does It Mean? (Or It Takes At Least Two To Tango) Soc Sci Med 44 5 681 692

            7. 1993 Influence: Science and Prac-tice New York Pearson

            8. 2008 Overcoming insomnia: a cognitive-behavioral therapy ap-proach-therapist guide New York Oxford Uni-versity Press

            9. , Doug-las, NJ, 2012 A Randomized Placebo-Controlled Trial of Online Cognitive Behavioral Therapy for Chronic Insomnia Disorder Delivered via an Au-tomated Media-Rich Web Application SLEEP 35 6 769 781

            10. 2015 Automated dialogue genera-tion for behaviour intervention on mobile devic-es Procedia Comput Sci 63 236 243

            11. 2003 Persuasive Technology: Using Computers to Change What We Think and Do Amsterdam Morgan Kaufmann Publishers

            12. 2016 Testing for mobile e-health interventions SAC’16, April 4-8 2016 Pisa

            13. 2012 Towards the usage of per-suasive strategies in a virtual sleep coach Proc. of UKHCI 2012 Workshop on People Comput-ers & Psychotherapy Birmingham September 10 2012

            14. , Griffioen-eun, RJ & 2017 Mobile Phone-Delivered Cognitive Behavioral Therapy for Insomnia: A Randomized Waitlist Controlled Trial J Med Internet Res 19 4 e70

            15. 1989 Metaphors for interface de-sign (eds.) The structure of multimodal dialogue, North-Holland 11 28

            16. 2015 Why option gen-eration matters for the design of autonomous e-coaching systems AI & Society 30 1 77 88

            17. 2015 Consumer sleep technolo-gies: a review of the landscape J Clin Sleep Med 11 12 1455 1461

            18. 2018 A randomized controlled pilot study of CBT-I Coach: feasibility, acceptability, and po-tential impact of a mobile phone application for patients in cognitive behavioral therapy for in-somnia Health Inf J 24 1 3 13

            19. 2005 Towards standardisation and improved under-standing of sleep restriction therapy for insomnia disorder: A systematic examination of CBT-I trial content Sleep Med Rev 23 83 88

            20. 2008 Barriers and facilitators to implementing shared decision making in clinical practice: Update of a systematic review of health professionals’ per-ceptions Patient Educ. Couns. 73 526 35

            21. 2010 Can automated agents proficiently negotiate with humans? Communica-tions of the ACM 53 1 78 88

            22. 2012 Comparative effectiveness of cogni-tive behavioral therapy for insomnia: a systemat-ic review BMC Fam Pract 13 40

            23. 2014 The evidence base of sleep restriction therapy for treating in-somnia disorder Sleep Med Rev 18 5 415 424

            24. 2006 Psychological and behavioral treatment of insomnia: Update of the recent evidence (1998-2004) SLEEP 29 11 1398 1414

            25. 2003 Insomnia. A clinical Guide to Assessment and Treatment New York Springer

            26. 2016 Overview of smartphone applications for sleep analysis. World J of Otorhinolaryngology-Head and Neck Surgery 2 1 45 49

            27. 1994 A Course in Game Theory Cambridge (Mass) The MIT Press

            28. 1996 The media equation: how people treat computers, television and new media like real people and places Cambridge CUP

            29. 2001 Collagen: applying collaborative discourse theory to hu-man-computer interaction AI Mag 22 4 15 25

            30. 2009 The concept of negotiating in shared decision making Health Care Analysis 17 3 236 243

            31. 2006 Goal setting as a shared decision-making strategy among cli-nicians and their older patients Patient Educ Couns 63 145 51

            32. 2013 Guided Internet delivered cognitive be-havioural treatment for insomnia: a randomized trial Psychological Medicine 44 7 1521 1532

            33. 2017 Cog-nitive and behavioral therapies in the treatment of insomnia: A meta-analysis Sleep Med Rev 38 3 16

            34. 2001 Patient adherence to treatment: three decades of research: a comprehensive re-view J of Clin Pharm and Therap 26 331 342

            35. 1971 Procedures as a representation for data in a computer program for understand-ing natural language, MAC-TR-84, MIT Project MAC

            36. 2016 Efficacy of internet-delivered cogni-tive-behavioral therapy for insomnia: a systemat-ic review and meta-analysis of randomized con-trolled trials Sleep Med Rev 30 1 10

            37. 1978 On the importance of self-determination for intrinsically motivated behav-iour Pers & Soc Psych Bull 4 443 446


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