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Ethical Challenges in Modeling and Simulation of Nudging in Care

Due to the demographic change, there is a disproportionately increasing demand for professional care services in contrast to available caregivers. Consequently, innovative technologies, e.g., Internet-of-Things devices or robotics enabling a change of behavior, must be developed to strengthen patients’ independency for improving patients’ quality of life and for exonerating the caregivers. Therefore, nudging can be used to initiate beneficial behavior change. To evaluate the effectiveness of different nudging methods, modeling and simulation can be used. In this paper, we discuss ethical implications of such simulations with respect to the conflict of interest between the individuals’ autonomy, self-determined life, and duty of care. Thereby, challenges that developers have to face are identified and discussed.