Cognitively assistive robots (CARs) have great potential to extend the reach of clinical interventions to the home. Due to the wide variety of cognitive abilities and rehabilitation goals, these systems must be flexible to support rapid and accurate implementation of intervention content that is grounded in existing clinical practice. To this end, we detail the system architecture of CARMEN (Cognitively Assistive Robot for Motivation and Neurorehabilitation), a flexible robot system we developed in collaboration with our key stakeholders: clinicians and people with mild cognitive impairment (PwMCI). We implemented a well-validated compensatory cognitive training (CCT) intervention on CARMEN, which it autonomously delivers to PwMCI. We deployed CARMEN in the homes of these stakeholders to evaluate and gain initial feedback on the system. We found that CARMEN gave participants confidence to use cognitive strategies in their everyday life, and participants saw opportunities for CARMEN to exhibit greater levels of autonomy or be used for other applications. Furthermore, elements of CARMEN are open source to support flexible home-deployed robots. Thus, CARMEN will enable the HRI community to deploy quality interventions to robots, ultimately increasing their accessibility and extensibility.

Much research in healthcare robotics explores extending rehabilitative interventions to the home. However, for adults, little guidance exists on how to translate human-delivered, clinic-based interventions into robot-delivered, home-based ones to support longitudinal interaction. This is particularly problematic for neurorehabilitation, where adults with cognitive impairments require unique styles of interaction to avoid frustration or overstimulation. In this paper, we address this gap by exploring the design of robot-delivered neurorehabilitation interventions for people with mild cognitive impairment (PwMCI). Through a multi-year collaboration with clinical neuropsychologists and PwMCI, we developed robot prototypes which deliver cognitive training at home. We used these prototypes as design probes to understand how participants envision long-term deployment of the intervention, and how it can be contextualized to the lives of PwMCI. We report our findings and specify design patterns and considerations for translating neurorehabilitation interventions to robots. This work will serve as a basis for future endeavors to translate cognitive training and other clinical interventions onto a robot, support longitudinal engagement with home-deployed robots, and ultimately extend the accessibility of longitudinal health interventions for people with cognitive impairments.