End-user assessment of an innovative clothing-based sensor developed for pressure injury prevention: a mixed-method study

This study aimed to evaluate a clothing prototype that incorporates sensors for the evaluation of pressure, temperature, and humidity for the prevention of pressure injuries, namely regarding physical and comfort requirements. A mixed-method approach was used with concurrent quantitative and qualitative data triangulation. A structured questionnaire was applied before a focus group of experts to evaluate the sensor prototypes. Data were analyzed using descriptive and inferential statistics and the discourse of the collective subject, followed by method integration and meta-inferences. Nine nurses, experts in this topic, aged 32.66 ± 6.28 years and with a time of profession of 10.88 ± 6.19 years, participated in the study. Prototype A presented low evaluation in stiffness (1.56 ± 1.01) and roughness (2.11 ± 1.17). Prototype B showed smaller values in dimension (2.77 ± 0.83) and stiffness (3.00 ± 1.22). Embroidery was assessed as inadequate in terms of stiffness (1.88 ± 1.05) and roughness (2.44 ± 1.01). The results from the questionnaires and focus groups’ show low adequacy as to stiffness, roughness, and comfort. The participants highlighted the need for improvements regarding stiffness and comfort, suggesting new proposals for the development of sensors for clothing. The main conclusions are that Prototype A presented the lowest average scores relative to rigidity (1.56 ± 1.01), considered inadequate. This dimension of Prototype B was evaluated as slightly adequate (2.77 ± 0.83). The rigidity (1.88 ± 1.05) of Prototype A + B + embroidery was evaluated as inadequate. The prototype revealed clothing sensors with low adequacy regarding the physical requirements, such as stiffness or roughness. Improvements are needed regarding the stiffness and roughness for the safety and comfort characteristics of the device evaluated.The 4NoPressure project was co-financed by the Operational Program for Competitiveness and Internationalization (COMPETE 2020) under the PORTUGAL 2020 Partnership Agreement, with support from the European Regional Development Fund (ERDF), reference number POCI-01-0247- FEDER-039869

Towards the internet of smart clothing: a review on IoT wearables and garments for creating intelligent connected e-textiles

[Abstract] Technology has become ubiquitous, it is all around us and is becoming part of us. Togetherwith the rise of the Internet of Things (IoT) paradigm and enabling technologies (e.g., Augmented Reality (AR), Cyber-Physical Systems, Artificial Intelligence (AI), blockchain or edge computing), smart wearables and IoT-based garments can potentially have a lot of influence by harmonizing functionality and the delight created by fashion. Thus, smart clothes look for a balance among fashion, engineering, interaction, user experience, cybersecurity, design and science to reinvent technologies that can anticipate needs and desires. Nowadays, the rapid convergence of textile and electronics is enabling the seamless and massive integration of sensors into textiles and the development of conductive yarn. The potential of smart fabrics, which can communicate with smartphones to process biometric information such as heart rate, temperature, breathing, stress, movement, acceleration, or even hormone levels, promises a new era for retail. This article reviews the main requirements for developing smart IoT-enabled garments and shows smart clothing potential impact on business models in the medium-term. Specifically, a global IoT architecture is proposed, the main types and components of smart IoT wearables and garments are presented, their main requirements are analyzed and some of the most recent smart clothing applications are studied. In this way, this article reviews the past and present of smart garments in order to provide guidelines for the future developers of a network where garments will be connected like other IoT objects: the Internet of Smart Clothing.Xunta de Galicia; ED431C 2016-045Xunta de Galicia; ED341D R2016/012Xunta de Galicia; ED431G/01Agencia Estatal de Investigación de España; TEC2013-47141-C4-1-RAgencia Estatal de Investigación de España; TEC2016-75067-C4-1-RAgencia Estatal de Investigación de España; TEC2015-69648-RED

Designing wearable sensors for Preventative Health: An exploration of material, form and function

The financial burden on global healthcare systems has reached unprecedented levels and as a result, attention has been shifting from the traditional approach of disease management and treatment towards prevention (Swan, 2012). Wearable devices for Preventative Health have become a focus for innovation across academia and industry, thus this thesis explores the design of wearable biochemical and environmental sensors, which can provide users with an early warning, detection and monitoring system that could integrate easily into their existing lives. The research aims to generate new practical knowledge for the design and development of wearable sensors and, motivated by the identification of compelling design opportunities, merges three strands of enquiry. The research methodology supports this investigation into material, form and function through the use of key practice-based methods, which include Participatory Action Research (active immersion and participation in a particular community and user workshops) and the generation and evaluation of a diverse range of artefacts. Based on the user-centred investigation of the use case for biochemical and environmental sensing, the final collection of artefacts demonstrates a diverse range of concepts, which present biodegradable and recyclable nonwoven material substrates for the use in non-integrated sensors. These sensors can be skin-worn, body-worn or clothing-attached for in-situ detection and monitoring of both internal (from the wearer) and external (from the environment) stimuli. The research proposes that in order to engage a broad section of the population in a preventative lifestyle to significantly reduce the pressure on global healthcare systems, wearable sensors need to be designed so they can appeal to as many users as possible and integrate easily into their existing lifestyles, routines and outfits. The thesis argues that this objective could be achieved through the design and development of end-of-life considered and cost-effective substrate materials, non-integrated wearable form factors and meticulous consideration of a divergent range of user needs and preferences, during the early stages of design practice

Defining Requirements and Related Methods for Designing Sensorized Garments

Designing smart garments has strong interdisciplinary implications, specifically related to user and technical requirements, but also because of the very different applications they have: medicine, sport and fitness, lifestyle monitoring, workplace and job conditions analysis, etc. This paper aims to discuss some user, textile, and technical issues to be faced in sensorized clothes development. In relation to the user, the main requirements are anthropometric, gender-related, and aesthetical. In terms of these requirements, the user’s age, the target application, and fashion trends cannot be ignored, because they determine the compliance with the wearable system. Regarding textile requirements, functional factors—also influencing user comfort—are elasticity and washability, while more technical properties are the stability of the chemical agents’ effects for preserving the sensors’ efficacy and reliability, and assuring the proper duration of the product for the complete life cycle. From the technical side, the physiological issues are the most important: skin conductance, tolerance, irritation, and the effect of sweat and perspiration are key factors for reliable sensing. Other technical features such as battery size and duration, and the form factor of the sensor collector, should be considered, as they affect aesthetical requirements, which have proven to be crucial, as well as comfort and wearability

Conception and evaluation of a washable multimodal smart textile

Smart textiles can support people with specific needs and diseases, such as diabetes or heart disease. Currently there are efforts to combine continuous mobile monitoring with other health-related conditions. On this basis, algorithms could be developed that can be used to detect unusual or critical conditions. A study was to investigate whether a previously developed washable Multi-Modal Smart Textile (MMST), based on inexpensive materials, would provide valid and reliable results with regard to the vital parameters of pulse, temperature and mobility. The measurement of the vital parameters was carried out with the developed prototype MMST as well as with validated devices. All electronics including the rechargeable NiMH has been washed more than 30 times with different methods and it remained fully functional. The intraclass correlation coefficients (ICC) for pulse (temperature) measurement ranged between 0.036 and 0.232 (0.077 and 0.817) depending on the activity of the tested individuals (standing, sitting, lying down, moving). Cohen's Kappa for the detection of the body position was 0.765. For the parameter of pulse, the results indicated an insufficient derivation for both validity and reliability. Due to flaws in the methodology applied, the validly and reliably for the parameter of temperature could not be determined. Valid and reliable results were obtained for the parameter mobility/change of position. If the MMST (after modification of the prototype) achieves reliable results, there are many advantages for people giving and receiving care on a budget price, even in threatening emergency situations