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International Journal of AI for
            Materials and Design                                                Intelligent interactive textile in healthcare



            33 pose landmarks (including head and shoulder) in    of incorporating familiar elements like “Lion Rock
            real time without requiring additional custom training.   plus Lion Pavilion. plus flowers and green grass.” The
            The system operated on a Python-based software        strategic use of “eye-catching red, yellow, colorful”
            pipeline (version  3.12) deployed on a single-board   elements created visually comfortable environments
            computer (Raspberry Pi 4), achieving a processing rate   that facilitated connections with past experiences and
            of approximately 5 – 7 frames per second. This frame rate   community identity.
            satisfied the application requirement.             (ii)  Enhancing interaction through visual recognition:
              Regarding   algorithmic  transparency,  gesture     Visual recognition processes emerged as a crucial
            classification was performed through a custom rule-based   factor in ensuring effective user interaction with the
            algorithm that interprets the relative x- and y-coordinates   installation. Participant feedback revealed that “simple
            of the detected landmarks. Specific gestures were     things, let them associate them, and they can recognize
            classified based on thresholds of angular relationships,   them faster by looking at pictures than by reading
            spatial  distances  between  relevant  anatomical  points   words.” This insight demonstrated the importance of
            (e.g., distance from index fingertip to thumb), and limb   developing intuitive visual elements that users could
            orientation. A finite state machine governed the gesture-  readily identify, emphasizing how graphic recognition
            to-command mapping, enhancing robustness by tolerating   served as a primary pathway for engagement.
            minor variations in gesture and posture.           (iii) The  role  of  material  tactility  in  user  comfort
                                                                  and interaction: Material tactility emerged as a
              Concerning AI model transparency and performance    fundamental  consideration  that  shaped  the  physical
            evaluation,  the  system  utilized  MediaPipe’s  pre-trained   design and user comfort levels. Workshop participants
            models  without additional architectural modification   explicitly articulated that “hard objects will make
            or retraining. Detailed information regarding network   you nervous,” while “touch and hearing, flow and
            architecture, training datasets, accuracy metrics, and   sound” elicited “strong responses.” Their emphasis
            optimization techniques is publicly available through   on the need for “relaxing” elements and “soft music”
            official MediaPipe documentation.  Since the study focuses   underscored how material choices directly influenced
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            on real-time system integration and user interaction rather   user willingness to engage with the installation.
            than novel model development, quantitative benchmarking   (iv)  Gamification as a strategy for sustained engagement:
            (e.g., accuracy and latency) was not the primary evaluation   Interactive engagement through gamification emerged
            method. Instead, performance was assessed qualitatively   as an essential strategy for sustained user participation.
            through stakeholder feedback collected during co-design   Participants observed that when users “press it, find
            workshops and prototype trials conducted in actual    it fun,” indicating that “game elements attract the
            healthcare-related  contexts. This  approach facilitated   elderly” and should be “interesting, not preachy.” This
            iterative refinement of the system based on practical   emphasis on playful interaction revealed how carefully
            usability and user-centered design principles.        designed interactive elements could overcome initial
                                                                  hesitation and encourage active participation among
            4. Results and discussion                             elderly users.
            4.1. User preferences in textile materials, design   The  graphic illustration was created using Clip
            graphics, and gestures                             Studio Paint EX (version 2.0) and Adobe Photoshop CS6

            Analysis of the co-design session A revealed critical   (version 13), with Drafts 1 and 2 presented in Figure S1. Both
            insights into  how interactive textile installations  can   drafts featured signature landmarks from the Diamond
            effectively engage elderly users through visual, tactile, and   Hill and Lion Rock areas, including the Wong Tai Sin
            interactive elements. The associated interview transcript is   Temple, a lantern representing Lok Fu Plaza, and bamboo
            presented in Table S1. Through systematic examination of   symbolizing nature. Draft 1 included imagery of the Wong
            participant responses, four distinct themes emerged that   Tai Sin Temple and  a dragon, symbolizing Kowloon.
            significantly influenced the final design implementation:  However,  because  SKH  is  a  Christian  organization,  the
            (i)  Incorporating local landmarks for memory stimulation   depiction of the Wong Tai Sin Temple was replaced in
               and therapeutic engagement: The integration of local   Draft 2 with representations of public  housing estates,
               landmarks in graphic elements emerged as a powerful   sports  elements, and  parks.  The  final design,  shown  in
               catalyst for memory stimulation and therapeutic   Figure  2B,  emphasizes  local  neighborhood  landmarks,
               engagement. Workshop participants emphasized    including the Wong Tai Sin Cooked Food Stall and Kai Tak
               that “remembering the past” was “helpful to the   River. In addition, four color palettes composed of three
               condition,” specifically highlighting the significance   yarn colors each were proposed for the fabric knitting


            Volume 2 Issue 3 (2025)                         54                        doi: 10.36922/IJAMD025170013
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