Designing LLM-Powered Multimodal Instructions to Support Rich Hands-on Skills Remote Learning: A Case Study with Massage Instructors and Learners

Authors

CJ

Hong Kong University of Science and Technology

YF

Hong Kong University of Science and Technology

JX

Hong Kong University of Science and Technology

EK

Rochester Institute of Technology

BF

Hong Kong University of Science and Technology

KZ

Hong Kong University of Science and Technology

MF

Hong Kong University of Science and Technology

Head-Up Display (HUD) & Advanced Driver Assistance Systems (ADAS)Full-Body Interaction & Embodied InputHuman-LLM CollaborationPhysical Therapists & Rehabilitation SpecialistsVocational Trainers & CoachesHCI Researchers

Research Background and Issues

What problems or challenges did the authors identify?

  1. Remote teaching struggles to effectively convey intricate hands-on skills:

    • Many hands-on skills (e.g., massage) require precise techniques and tactile feedback, which traditional visual-audio teaching methods (e.g., video courses) fail to deliver in detail.
    • Existing virtual reality/augmented reality-based remote learning systems are limited to gesture recognition and lack emphasis on critical tactile information, such as pressure control.
  2. Lack of real-time feedback:

    • Students cannot receive timely feedback from instructors during the learning process, leading to inefficiency.
    • Due to instructors' scheduling constraints and time zone differences, real-time guidance cannot be guaranteed.

Why is this issue important?

  • Crucial for teaching and learning hands-on skills: Skills like massage play a significant role in health and comfort, and precise teaching can enhance learning outcomes while avoiding potential side effects caused by technical errors.
  • Expanding remote education use cases: Solutions that replace traditional face-to-face teaching are vital for improving education equity, diversity, and flexibility.

Research Motivation and Related Work

  • Theoretical support: According to deliberate learning theory, real-time feedback is essential for mastering hands-on skills, necessitating effective solutions.
  • Limitations of existing technologies: Studies show that augmented reality-based systems enhance learning immersion but lack comprehensive support for physical data such as pressure.
  • Potential of large language models (LLMs): Research indicates that LLMs can provide real-time feedback and personalized learning experiences, improving learning efficiency and teaching effectiveness.

Solution

What methods or solutions did the authors propose?

  1. Multimodal teaching support:
    • Integrating video, gesture data (collected via Leap Motion devices), and pressure data (collected via pressure sensor gloves) to deliver detailed teaching content.
  2. Virtual Teaching Assistant (VTA):
    • Implementing a VTA based on OpenAI GPT-4 to process and analyze students' gesture and pressure data in real-time, providing instant feedback.
    • Summarizing students' performance to help instructors understand learning progress and weaknesses.

What are the innovative aspects of this solution?

  • Integration of multimodal data: Combining video, gesture, and pressure data to address the shortcomings of traditional remote teaching in conveying intricate activity details.
  • Utilization of large language models: Leveraging LLMs to provide real-time personalized feedback while generating summary reports to support remote teaching.
  • Automated analysis: Quantifying data to automatically identify gaps between students' performance and instructor standards.

What are the implementation steps and key technologies used?

  1. Hardware support:

    • A head-mounted camera to record teaching videos.
    • Leap Motion devices to capture gesture data.
    • Pressure sensor gloves to record pressure data from each finger and the palm.
  2. VTA implementation:

    • Using GPT-4 to analyze discrepancies in gestures and pressure between students and instructors and generate natural language improvement suggestions.
    • Employing the "Chain-of-Thought" prompting technique to produce dynamic feedback aligned with teaching logic.
  3. Experimental design:

    • Conducting a comparative experiment between multimodal information-based teaching (MI) and traditional video-based teaching (VI).
    • Evaluation metrics include student and instructor satisfaction, learning efficiency, and teaching accuracy.

Research Outcomes

What specific results were achieved?

  1. Improved teaching effectiveness:

    • Multimodal instructions (MI) significantly enhanced the richness and clarity of teaching content compared to traditional video instructions (VI).
    • Real-time feedback provided by VTA improved students' ability to correct errors promptly.
  2. Increased instructor and student satisfaction:

    • Instructor satisfaction: Median satisfaction score for MI was 6.5 (out of 7), higher than VI's score of 5.
    • Student satisfaction: MI scored significantly higher than VI in learning confidence and overall satisfaction.
  3. Accuracy and efficiency:

    • Students adjusted their gestures and pressure closer to instructor standards through VTA feedback.
    • Instructors saved approximately 20 minutes of evaluation time by using VTA-generated summary reports, improving analysis and feedback efficiency.

What advantages does it have compared to existing solutions?

  • Refined data analysis: Unlike VR/AR systems limited to gesture recognition, this study simultaneously collects and analyzes pressure data.
  • Integrated tools: A unified system platform simplifies data collection, processing, and feedback, reducing instructors' workload.
  • Real-time feedback: Addresses the critical issue of feedback absence caused by instructor unavailability in existing systems.

What are the experimental or evaluation results?

  • In the teaching of eight massage techniques, students under MI conditions learned faster and achieved higher accuracy compared to VI conditions.
  • Students' learning confidence significantly increased, with the median score rising from 3 under VI to 6 with VTA.

Limitations and Future Directions

  1. Limitations:

    • Small sample size: The study included only 4 instructors and 12 students, limiting generalizability.
    • Limited applicability: The system currently supports hand-related massage techniques and does not cover other body parts or complex skills.
    • System cost: The current equipment setup is relatively expensive, restricting scalability.
  2. Future directions:

    • Expanding to other hands-on skill teaching scenarios, such as cooking, mechanical assembly, and sign language instruction.
    • Developing low-cost sensors to enhance system accessibility.
    • Conducting longitudinal studies to observe the system's impact on long-term learning outcomes.
    • Designing data integration solutions to support multiple teaching styles for instructors.
    • Developing higher-resolution sensors to further improve pressure data accuracy.

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https://hci.top/en/papers/chi/188389/2025

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DOI: https://dl.acm.org/doi/10.1145/3706598.3713677
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CHI
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2025
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7 authors
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Subtopics
Head-Up Display (HUD) & Advanced Driver Assistance Systems (ADAS), Full-Body Interaction & Embodied Input, Human-LLM Collaboration
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Physical Therapists & Rehabilitation Specialists, Vocational Trainers & Coaches, HCI Researchers
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