Virtual human (VH) experiences are receiving increased attention for training real-world interpersonal scenarios. Communication in interpersonal scenarios consists of not only speech and gestures, but also relies heavily on haptic interactioninterpersonal touch. By adding haptic interaction to VH experiences, the bandwidth of human-VH communication can be increased to approach that of human-human communication.To afford haptic interaction, a new species of embodied agent is proposed -mixed reality humans (MRHs). A MRH is a virtual human embodied by a tangible interface that shares the same registered space. The tangible interface affords the haptic interaction that is critical to effective simulation of interpersonal scenarios. We applied MRHs to simulate a virtual patient requiring a breast cancer screening (medical interview and physical exam). The design of the MRH patient is presented. This paper also presents the results of a pilot study in which eight (n = 8) physician-assistant students performed a clinical breast exam on the MRH patient. Results show that when afforded haptic interaction with a MRH patient, users demonstrated interpersonal touch and social engagement similarly to interacting with a human patient.
INTRODUCTIONVirtual human (VH) experiences are increasingly being used for training real-human interpersonal scenarios, for example, military leadership [13] and doctor-patient interviews [15]. These human-VH interactions simulate a human-human interaction by providing two-way verbal and gestural communication. Prior research using these systems has shown that the efficacy of a VH experience would be significantly enhanced by integrating the haptic component of interpersonal communication [15]. This would, in effect, increase the bandwidth of human-VH communication.We expand on current VH experiences by affording haptic interaction with the VH. This paper proposes a new species of embodied agent that affords haptic interaction by combining virtual and real spaces -mixed reality humans.A mixed reality human (MRH) is a virtual human with a physical embodiment in the form of a tangible interface. By merging virtual and real spaces, MRHs afford haptic interaction between human and VH (Figure 1).Mixed reality humans allow for: 1. Interpersonal touch between the human and VH.Interpersonal touch is a critical component of non-verbal communication which affects how people perceive those they communicate with, increases information flow, and aids in conveying empathy [11,7]. Affording haptic interaction with a VH will allow VH experiences to more accurately and effectively simulate interpersonal communication. 2. VH experiences to train interpersonal scenarios which require interpersonal touch. Without affording touch, the domain of current VH experiences is limited. By affording haptic interaction, VH experiences can simulate a wider range of real-human interpersonal scenarios, such as medical physical exams. This paper presents the design of a MRH breast exam patient and the results of a pilot...