Page 64 - IJAMD-2-3

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

gesture reliability, thus reducing variation due to angle or participants expressing a strong emotional resonance
environmental brightness. Although false positives were rooted in their personal histories and lifelong proximity to
not formally measured, gesture set definitions were refined landmarks, such as Lion Rock. Users A and B consistently
collaboratively with users to minimize misrecognition. reported high levels of comfort, positively evaluating the
Only movements that were clearly distinguishable in both system’s ease of access and intuitive interactions. They
posture and motion were selected as trigger gestures. This particularly praised the soft and approachable materials,
co-design-driven filtering process effectively reduced the noting their pleasant tactile qualities, which significantly
risk of unintended activations. contributed to overall user satisfaction and engagement. In
Regarding privacy and ethical considerations, the addition, users emphasized the system’s inclusive nature,
image-capturing software does not include any recording highlighting how effectively the design accommodated
or data storage functions. Images captured by the camera diverse physical abilities and age groups. The OT lead
are processed in real time for landmark detection and (co-design session B) reported improvements in therapeutic
are continuously overwritten with the next frame. No outcomes, specifically noting the system’s effectiveness in
visual data are stored locally or remotely, and all content enhancing rehabilitation processes. They acknowledged
is deleted immediately upon device shutdown. As the that the integration of diverse technologies and intelligent
textile panels are designed for use in public or semi-public solutions substantially increased rehabilitation efficiency
spaces (such as DHC), where CCTV systems are already and operational performance. Furthermore, OTs
in operation, and the use of non-recording cameras falls emphasized the system’s high level of accessibility and
within acceptable practices. Nonetheless, privacy concerns intuitive usability across a broad demographic, supporting
were considered during the design phase, and the current user within the age range of 6 to over 80 years old.
system meets ethical expectations for deployment in A detailed summary of stakeholder feedback is presented
environments frequented by elderly users and vulnerable in Table S2 for the research lead, Table S3 for the OT lead,
groups. Table S4 for co-designers, and Table S5 for the end-users.
Complete transcripts of stakeholder interviews are included
4.5. Stakeholders’ feedback in the supplementary materials to ensure comprehensive
Co-designers’ feedback (co-design session C) highlighted documentation and research transparency.
multiple significant advantages of integrating textile The participatory design approach effectively engaged
wall panels with the gesture recognition system. Table 2 stakeholders through structured activities and semi-
summarizes the stakeholders’ feedback during the pre- and structured discussions, capturing precise community
post-design stages of the co-design process. Co-designers insights and user preferences that informed the systematic
A and B contributed essential community insights that refinement of technical parameters. These structured
directly informed the integration of familiar local landmarks interactions enabled stakeholders to articulate specific
into the design. This incorporation notably enhanced needs clearly, contributing significantly to the development
emotional engagement, strengthened community identity, process. Content analysis of interview data further
and improved user connectivity. Their recommendations identified clear, recurrent themes that were translated
underscored the importance of visual familiarity, with into actionable design criteria, emphasizing user-driven

Table 2. Stakeholders’ feedback in pre‑ and post‑stages of the co‑design process

Design aspect Co‑design workshop input (2021) Post‑implementation feedback (2023 – 2024)
Community • Emphasis on incorporating district landmarks and natural • Strong emotional connection to implemented landmarks
integration elements • Enhanced sense of community identity
• Recognition of local cultural significance • Effective integration of neighborhood characteristics
• Strong advocacy for familiar environmental elements
Material and • Preference for soft, non‑threatening materials • Positive user response to textile‑based interfaces
interface • Emphasis on multi‑sensory engagement • Effective implementation of a gesture recognition system
• Identification of relaxation as a key design priority • Enhanced operational effectiveness in center activities
Visual design • Prioritization of pictorial over textual elements • High user comprehension rates
• Recommendation for vibrant, age‑appropriate color schemes • Effective visual communication strategy
• Focus on intuitive visual recognition • Effective age‑appropriate design implementation
User engagement • Emphasis on gamification elements • High accessibility across age groups
• Focus on enjoyment‑driven interaction • Widespread user adoption
• Recommendation for a non‑didactic approach • Effective integration into the center’s daily operation

Volume 2 Issue 3 (2025) 58 doi: 10.36922/IJAMD025170013