Enriched elderly virtual profiles by means of a multidimensional integrated assessment platform

The pressure over Healthcare systems is increasing in most developed countries. The generalized aging of the population is one of the main causes. This situation is even worse in underdeveloped, sparsely populated regions like Extremadura in Spain or Alentejo in Portugal. The authors propose to use the Situational-Context, a technique to seamlessly adapt Internet of Things systems to the needs and preferences of their users, for virtually modeling the elderly. These models could be used to enhance the elderly experience when using those kind of systems without raising the need for technical skills or the costs of implementing such systems by the regional healthcare systems. In this paper, the integration of a multidimensional integrated assessment platform with such virtual profiles is presented. The assessment platform provides and additional source of information for the virtual profiles that is used to better adapt existing systems to the elders needs

Study of scenarios and technical requirements of a social assistive robot for Alzheimer's disease patients and their caregivers

Robots have begun to assist elders and patients suffering dementia. In particular, recent studies have shown how robots can benefit Alzheimer's disease (AD) patients. This is a novel area with a promising future but lot of researching needs to be done. The RobAlz project is aimed to assist AD patients and their caregivers by social robots. This project is divided in three phases: the definition of the requirements and scenarios, the development of a new robotic platform, and the evaluation. This work presents the results obtained in the first phase, in which several meetings were conducted with a set of subject-matter experts in the areas of Alzheimer's Disease and social robotics. The meetings were classified according to the application areas they covered: general aspects, safety, entertainment, personal assistance, and stimulation. The meetings ended up with a repertory of scenarios where robots can be applied to Alzheimer's patients and their caregivers at their home or in longterm care facilities. These scenarios present different psychological, social and technical concerns that must be addressed for the design of the robot. In this work we perform an analysis on the scenarios and present the technical requirements for the development of a first robotic prototype. This prototype will be constructed and tested in real environments in the subsequent phases of the RobAlz project.The authors gratefully acknowledge the collaboration of the Spanish Alzheimer Foundation (FAE) and the funds provided by the Spanish Government through the project Aplicaciones de los robots sociales DPI2011-26980, from the Spanish Ministry of Economy and Competitiveness

Designing assisted living technologies 'in the wild' : preliminary experiences with cultural probe methodology

Background There is growing interest in assisted living technologies to support independence at home. Such technologies should ideally be designed ‘in the wild’ i.e. taking account of how real people live in real homes and communities. The ATHENE (Assistive Technologies for Healthy Living in Elders: Needs Assessment by Ethnography) project seeks to illuminate the living needs of older people and facilitate the co-production with older people of technologies and services. This paper describes the development of a cultural probe tool produced as part of the ATHENE project and how it was used to support home visit interviews with elders with a range of ethnic and social backgrounds, family circumstances, health conditions and assisted living needs. Method Thirty one people aged 60 to 98 were visited in their homes on three occasions. Following an initial interview, participants were given a set of cultural probe materials, including a digital camera and the ‘Home and Life Scrapbook’ to complete in their own time for one week. Activities within the Home and Life Scrapbook included maps (indicating their relationships to people, places and objects), lists (e.g. likes, dislikes, things they were concerned about, things they were comfortable with), wishes (things they wanted to change or improve), body outline (indicating symptoms or impairments), home plan (room layouts of their homes to indicate spaces and objects used) and a diary. After one week, the researcher and participant reviewed any digital photos taken and the content of the Home and Life Scrapbook as part of the home visit interview. Findings The cultural probe facilitated collection of visual, narrative and material data by older people, and appeared to generate high levels of engagement from some participants. However, others used the probe minimally or not at all for various reasons including limited literacy, physical problems (e.g. holding a pen), lack of time or energy, limited emotional or psychological resources, life events, and acute illness. Discussions between researchers and participants about the materials collected (and sometimes about what had prevented them completing the tasks) helped elicit further information relevant to assisted living technology design. The probe materials were particularly helpful when having conversations with non-English speaking participants through an interpreter. Conclusions Cultural probe methods can help build a rich picture of the lives and experiences of older people to facilitate the co-production of assisted living technologies. But their application may be constrained by the participant’s physical, mental and emotional capacity. They are most effective when used as a tool to facilitate communication and development of a deeper understanding of older people’s needs

Socially assistive robots adoption

Mestrado em Gestão de Sistemas de InformaçãoCom o rápido envelhecimento da população mundial verifica-se um aumento do número de pessoas a requerer cuidados da parte de outrem. Contudo, o fenómeno mencionado traz, também, uma redução do número de pessoas disponíveis para prestar tais cuidados. Como tal, as sociedades são cada vez mais forçadas a lidar com esta discrepância que deve ser colmatada de modo a permitir aos idosos envelhecer com a dignidade que estes merecem. Uma forma de o fazer pode ser encontrada no campo das tecnologias de apoio, nomeadamente na figura dos Socially Assistive Robots (SAR): robots que apoiam os humanos através da interação social. O objetivo do presente estudo é investigar a propensão da população idosa portuguesa para a adoção destes robots. Para esse fim, primeiro, foi levada a cabo uma revisão da literatura onde foi recolhida informação relativa às formas em que os SAR podem apoiar os idosos, fatores que afetam a adoção destes robots e as principais preocupações que se afiguram num processo de adoção. De seguida, um estudo quantitativo baseado na aplicação de questionários à população portuguesa com 65 ou mais anos foi conduzido. De modo a estudar os fatores que influenciam a adoção dos robots, uma adaptação da segunda versão do modelo Unified Theory of Acceptance and Use of Technology foi criada e operacionalizada. Os resultados do estudo, não sendo tão abrangentes como inicialmente desejado, servem para complementar a base de conhecimento a ser constituída em torno deste tópico, iluminando e informando o trabalho daqueles que desenvolvem SAR.With the world population ageing rapidly comes an increase in the number of people requiring care from others. However, this phenomenon also brings a decrease in the number of people capable of providing such care. Societies are then increasingly left with a gap which must be bridged for the elderly to be afforded to age with the dignity which they deserve. One way to close said gap can be found in the field of assistive technologies, namely in the form of Socially Assistive Robots (SAR): robots designed to aid humans through social interaction. The aim of the current study is to investigate the propension of elderly Portuguese people for SAR adoption. Thus, firstly a review of literature focused on the ways in which SAR can aid the elderly, robot acceptance factors and common adoption concerns was put together. Secondly, a quantitative study based on the application of questionnaires to the Portuguese population aged 65 and over was conducted. In order to study the robot acceptance factors, an adaptation of the second version of Unified Theory of Acceptance and Use of Technology was created and deployed. The study results, while not as encompassing as initially desired, serve to complement the knowledge base being currently built around this topic, illuminating and informing the work of individuals focused on designing Socially Assistive Robots.info:eu-repo/semantics/publishedVersio

Technological solutions for older people with Alzheimer’s disease : Review

Funding Information: The authors would like to acknowledge networking support from COST Action CA16226: Indoor living space improvement: Smart Habitat for the Elderly. COST (European Cooperation in Science and Technol-ogy) is a funding agency for research and innovation networks. Our Actions help connect research initiatives across Europe and enable scientists to grow their ideas by sharing them with their peers. This boosts their research, career and innovation. www.cost.eu. Furthermore, authors acknowledge the internal research project Excellence 2018, Faculty of Informatics and Management, University of Hradec Kralove, Czech Republic. Authors acknowledge the funding provided by FCT through the scholarship SFRH/BPD/115112/2016 (Joana Madureira) as well as to Solange Costa and João Paulo Teixeira, both from EPIUnit – Instituto de Saúde Pública da Universidade do Porto and National Institute of Heath, Environmental Health Department. Authors also acknowledge the funding from the University of Sts. Cyril and Methodius in Skopje, Faculty of Computer Science and Engineering. Publisher Copyright: © 2018 Bentham Science Publishers.In the nineties, numerous studies began to highlight the problem of the increasing number of people with Alzheimer’s disease in developed countries, especially in the context of demographic progress. At the same time, the 21st century is typical of the development of advanced technologies that penetrate all areas of human life. Digital devices, sensors, and intelligent applications are tools that can help seniors and allow better communication and control of their caregivers. The aim of the paper is to provide an up-to-date summary of the use of technological solutions for improving health and safety for people with Alzheimer’s disease. Firstly, the problems and needs of senior citizens with Alzheimer’s disease (AD) and their caregivers are specified. Secondly, a scoping review is performed regarding the technological solutions suggested to assist this specific group of patients. Works obtained from the following libraries are used in this scoping review: Web of Science, PubMed, Springer, ACM and IEEE Xplore. Four independent reviewers screened the identified records and selected relevant articles which were published in the period from 2007 to 2018. A total of 6,705 publications were selected. In all, 128 full papers were screened. Results obtained from the relevant studies were furthermore divided into the following categories according to the type and use of technologies: devices, processing, and activity recognition. The leading technological solution in the category of devices are wearables and ambient non-invasive sensors. The introduction and utilization of these technologies, however, bring about challenges in acceptability, durability, ease of use, communication, and power requirements. Furthermore, it needs to be pointed out that these technological solutions should be based on open standards.publishersversionPeer reviewe

An Ambient Assisted Living Approach in Designing Domiciliary Services Combined With Innovative Technologies for Patients With Alzheimer’s Disease: A Case Study

Background: Alzheimer’s disease (AD) is one of the most disabling diseases to affect large numbers of elderly people worldwide. Because of the characteristics of this disease, patients with AD require daily assistance from service providers both in nursing homes and at home. Domiciliary assistance has been demonstrated to be cost effective and efficient in the first phase of the disease, helping to slow down the course of the illness, improve the quality of life and care, and extend independence for patients and caregivers. In this context, the aim of this work is to demonstrate the technical effectiveness and acceptability of an innovative domiciliary smart sensor system for providing domiciliary assistance to patients with AD which has been developed with an Ambient Assisted Living (AAL) approach. Methods: The design, development, testing, and evaluation of the innovative technological solution were performed by a multidisciplinary team. In all, 15 sociomedical operators and 14 patients with AD were directly involved in defining the endusers’ needs and requirements, identifying design principles with acceptability and usability features and evaluating the technological solutions before and after the real experimentation. Results: A modular technological system was produced to help caregivers continuously monitor the health status, safety, and daily activities of patients with AD. During the experimentation, the acceptability, utility, usability, and efficacy of this system were evaluated as quite positive. Conclusion: The experience described in this article demonstrated that AAL technologies are feasible and effective nowadays and can be actively used in assisting patients with AD in their homes. The extensive involvement of caregivers in the experimentation allowed to assess that there is, through the use of the technological system, a proven improvement in care performance and efficiency of care provision by both formal and informal caregivers and consequently an increase in the quality of life of patients, their relatives, and their caregivers

The Ethical Implications of Employing Socially Assitive Robots in the Aged-care Sector in Japan

Ground-breaking innovations in technology depict a promising future for humanity. In particular, the robotic industry is expected to solve many of our modern challenges especially with regard to the health sector. As expected, when introducing human-robot interactions in our daily lives, we need to renegotiate our human values in terms of autonomy, control and privacy. This paper aims to explore the ethical dilemmas occurring when employing socially assistive robots in the aged-care sector. It will also make recommendations for future ethical use of social robots. The cultural background is set in Japan, a leader in robotic development.“Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted under the conditions of the Creative Commons Attribution-Share Alike (CC BY-SA) license and that copies bear this notice and the full citation on the first page” Connection with SDG 9The Sustainable Development Goals number 9 refers to building resilient infrastructure, promote sustainable industrialization and foster innovation. These actions are highly dependent on technological innovations. In order to create long-term sustainable structures, we need to welcome advancements in our life but in the same time treat them carefully. This paper tackles one of the recent technological advancements in the field of robotics. Socially Assitive Robots have been designed to help children, people with disabilities and elders in a social, non-intrusive and positive way. In spite of this, ethical dilemmas which clash with the design of the robots are not often taken into account. That is why, the research is meant to fill in the gap and prove that an ethical sustainable goal can be met by responsible advancements in technology

Increase of mild disability in Japanese elders: A seven year follow-up cohort study

BACKGROUND: Japan has the highest life expectancy in the world. In a 2002 census government report, 18.5% of Japanese were 65 years old and over and 7.9% were over 75 years old. In this ageing population, the increase in the number of dependent older persons, especially those with mild levels of disability, has had a significant impact on the insurance budget. This study examines the increase of mild disability and its related factors. METHODS: All community-dwelling residents aged 65 and over and without functional decline (n = 1560), of Omishima town, Japan, were assessed in 1996 using a simple illustrative measure, "the Typology of the Aged with Illustrations" to establish a baseline level of function and were followed annually until 2002. The prevalence and incidence of low to severe disability, and their association with chronic conditions present at the commencement of the study, was analyzed. A polychotomous logistic regression model was constructed to estimate the association of each chronic condition with two levels of disability. RESULTS: An increase in mild functional decline was more prevalent than severe functional decline. The accumulation of mild disability was more prominent in women. The major chronic conditions associated with mild disability were chronic arthritis and diabetes in women, and cerebrovascular accident and malignancy in men. CONCLUSION: This study showed a tendency for mild disability prevalence to increase in Japanese elders, and some risk factors were identified. As mild disability increasingly prevalent, these findings will help determine priorities for its prevention in Japanese elders