arXiv subjects

Leanne Chukoskie

Publications and source records attributed to Leanne Chukoskie.

6 recordsLinked to original sources

arXiv2026

It Depends: Re_Authoring Play Through Clinical Reasoning in Wearable AR Rehab Games

Augmented reality games hold promise for rehabilitation, yet most remain confined to laboratory studies with limited clinical uptake. Recent advances in spatial computing, especially lightweight, glasses_form_factor AR, create a timely opportunity to embed rehabilitative play into clinical practice and daily contexts. To investigate this potential, we systematically reviewed 132 applications and conducted playtesting with 14 licensed physical therapists. Our analysis revealed three ways therapists re_authored AR games: co_authored play (reshaping movements, progressions, and difficulty), situated play (adapting across specialties, conditions, and contexts), and dual play (mediating both physical recovery and psychological support). We reframe therapists' frequent phrase_It depends_as a generative design principle. This study contributes a clinical reasoning_based framework and design principles and guidelines for creating personalized, situated forms of play that align with therapists' everyday workflows and inform future lab_to_clinic translation.

cs.HC↗

arXiv2026

Reimagining Wearable AR Gesture Design: Physical Therapy Reasoning in Everyday Contexts

Lightweight augmented reality (AR) glasses are increasingly entering everyday use, extending interaction design beyond short, isolated sessions. However, most existing gesture vocabularies are inherited from VR headsets or early AR goggles. These systems tend to prioritize recognizer accuracy while overlooking fatigue, sustainability, and social legibility in daily contexts. To address this gap, we collaborated with physical therapists (PTs) to reimagine gesture design for everyday AR, drawing on their expertise in safe and sustainable movement. Through a review of 104 AR applications, we identified 15 common gesture intents and implemented an on-device gesture generator. Ten licensed physical therapists, with an average of 14.8 years of professional experience, then shaped these gesture intents through three iterative stages: unaided gesture performance, PT-guided gesture substitution, and stage-aware card sorting. This work contributes (1) a PT-informed gesture translation method, (2) the Everyday-AR Golden Ergonomic Canvas, and (3) a stage-aware social legibility framework that illustrates how gesture suitability shifts with social readability. Together, these contributions provide a recognizer-agnostic reference framework for designing sustainable and socially coherent gesture vocabularies for lightweight AR glasses.

cs.HC↗

arXiv2025

Supporting Aging Well through Accessible Digital Games: The Supplemental Role of AI in Game Design for Older Adults

As the population continues to age, and gaming continues to grow as a hobby for older people, heterogeneity among older adult gamers is increasing. We argue that traditional game-based accessibility features, such as simplified input schemes, redundant information channels, and increased legibility of digital user interfaces, are increasingly limited in the face of this heterogeneity. This is because such features affect all older adult players simultaneously and therefore are designed generically. We introduce artificial intelligence, although it has its own limitations and ethical concerns, as a method of creating player-based accessibility features, given the adaptive nature of the emerging technology. These accessibility features may help to address unique assemblage of accessibility needs an individual may accumulate through age. We adopt insights from gerontology, HCI, and disability studies into the digital game design discourse for older adults, and we contribute insight that can guide the integration of player-based accessibility features to supplement game-based counterparts. The accessibility of digital games for heterogenous older adult audience is paramount, as the medium offers short-term social, emotional, psychological, cognitive, and physical that support the long-term goal of aging well.

cs.HC↗

arXiv2025

Integrating Artificial Intelligence as Assistive Technology for Older Adult Gamers: A Pilot Study

With respect to digital games, older adults are a demographic that is often underserved due to an industry-wide focus on younger audiences' preferences and skill sets. Meanwhile, as artificial intelligence (AI) continues to expand into everyday technologies, its assistive capabilities have been recognized, suggesting its potential in improving the gaming experience for older gamers. To study this potential, we iteratively developed a pilot survey aimed at understanding older adult gamers' current gameplay preference, challenges they are facing, and their perspectives of AI usage in gaming. This article contributes an overview of our iterative survey-design workflow, and pilot results from 39 participants. During each iteration, we analyzed the survey's efficacy and adjusted the content, language, and format to better capture meaningful data, and was able to create a refined survey for a larger, more representative future parent study. At the same time, preliminary findings suggest that for older adult gamers, usability issues in gaming remain key obstacles, while this demographic's perceptions of AI are shaped by both its practical benefits and concerns about autonomy and complexity. These findings also offer early insights for the design of age-inclusive, AI-supported gaming experiences.

cs.HC↗

arXiv2025

Designing VR Simulation System for Clinical Communication Training with LLMs-Based Embodied Conversational Agents

VR simulation in Health Professions (HP) education demonstrates huge potential, but fixed learning content with little customization limits its application beyond lab environments. To address these limitations in the context of VR for patient communication training, we conducted a user-centered study involving semi-structured interviews with advanced HP students to understand their challenges in clinical communication training and perceptions of VR-based solutions. From this, we derived design insights emphasizing the importance of realistic scenarios, simple interactions, and unpredictable dialogues. Building on these insights, we developed the Virtual AI Patient Simulator (VAPS), a novel VR system powered by Large Language Models (LLMs) and Embodied Conversational Agents (ECAs), supporting dynamic and customizable patient interactions for immersive learning. We also provided an example of how clinical professors could use user-friendly design forms to create personalized scenarios that align with course objectives in VAPS and discuss future implications of integrating AI-driven technologies into VR education.

cs.HC↗

arXiv2024

Exploring Eye Tracking to Detect Cognitive Load in Complex Virtual Reality Training

Virtual Reality (VR) has been a beneficial training tool in fields such as advanced manufacturing. However, users may experience a high cognitive load due to various factors, such as the use of VR hardware or tasks within the VR environment. Studies have shown that eye-tracking has the potential to detect cognitive load, but in the context of VR and complex spatiotemporal tasks (e.g., assembly and disassembly), it remains relatively unexplored. Here, we present an ongoing study to detect users' cognitive load using an eye-tracking-based machine learning approach. We developed a VR training system for cold spray and tested it with 22 participants, obtaining 19 valid eye-tracking datasets and NASA-TLX scores. We applied Multi-Layer Perceptron (MLP) and Random Forest (RF) models to compare the accuracy of predicting cognitive load (i.e., NASA-TLX) using pupil dilation and fixation duration. Our preliminary analysis demonstrates the feasibility of using eye tracking to detect cognitive load in complex spatiotemporal VR experiences and motivates further exploration.

cs.HC↗