Progress in ambient assisted systems for independent living by the elderly

One of the challenges of the ageing population in many countries is the efficient delivery of health and care services, which is further complicated by the increase in neurological conditions among the elderly due to rising life expectancy. Personal care of the elderly is of concern to their relatives, in case they are alone in their homes and unforeseen circumstances occur, affecting their wellbeing. The alternative; i.e. care in nursing homes or hospitals is costly and increases further if specialized care is mobilized to patients’ place of residence. Enabling technologies for independent living by the elderly such as the ambient assisted living systems (AALS) are seen as essential to enhancing care in a cost-effective manner. In light of significant advances in telecommunication, computing and sensor miniaturization, as well as the ubiquity of mobile and connected devices embodying the concept of the Internet of Things (IoT), end-to-end solutions for ambient assisted living have become a reality. The premise of such applications is the continuous and most often real-time monitoring of the environment and occupant behavior using an event-driven intelligent system, thereby providing a facility for monitoring and assessment, and triggering assistance as and when needed. As a growing area of research, it is essential to investigate the approaches for developing AALS in literature to identify current practices and directions for future research. This paper is, therefore, aimed at a comprehensive and critical review of the frameworks and sensor systems used in various ambient assisted living systems, as well as their objectives and relationships with care and clinical systems. Findings from our work suggest that most frameworks focused on activity monitoring for assessing immediate risks while the opportunities for integrating environmental factors for analytics and decision-making, in particular for the long-term care were often overlooked. The potential for wearable devices and sensors, as well as distributed storage and access (e.g. cloud) are yet to be fully appreciated. There is a distinct lack of strong supporting clinical evidence from the implemented technologies. Socio-cultural aspects such as divergence among groups, acceptability and usability of AALS were also overlooked. Future systems need to look into the issues of privacy and cyber security

Long-term use of motion-based video games in care home settings

Recent research suggests that motion-based video games have the potential to provide both mental and physical stimulation for older adults in residential care. However, little research has explored the practical challenges and opportunities that arise from integrating these games within existing schedules of activities in these contexts. In our work, we report on a qualitative enquiry that was conducted over a three month period at two long-term care facilities. Findings suggest that older adults enjoyed playing video games, and that games can be a valuable means of re-introducing challenge in late life, but that the impact of age-related changes and impairment can influence people’s ability to engage with games in a group setting. We outline core challenges in the design for care context and discuss implications of our work regarding the suitability of games as a self-directed leisure activity

Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions.

Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preventing future falls. Recent advances in internet of things (IoT) and mobile technologies offer ample opportunities for integrating contextual information about patient behavior and environment along with physiological health data for predicting falls. This article reviews the state-of-the-art in fall detection and prediction systems. It also describes the challenges, limitations, and future directions in the design and implementation of effective fall prediction and prevention systems

Designing a gamified social platform for people living with dementia and their live-in family caregivers

In the current paper, a social gamified platform for people living with dementia and their live-in family caregivers, integrating a broader diagnostic approach and interactive interventions is presented. The CAREGIVERSPRO-MMD (C-MMD) platform constitutes a support tool for the patient and the informal caregiver - also referred to as the dyad - that strengthens self-care, and builds community capacity and engagement at the point of care. The platform is implemented to improve social collaboration, adherence to treatment guidelines through gamification, recognition of progress indicators and measures to guide management of patients with dementia, and strategies and tools to improve treatment interventions and medication adherence. Moreover, particular attention was provided on guidelines, considerations and user requirements for the design of a User-Centered Design (UCD) platform. The design of the platform has been based on a deep understanding of users, tasks and contexts in order to improve platform usability, and provide adaptive and intuitive User Interfaces with high accessibility. In this paper, the architecture and services of the C-MMD platform are presented, and specifically the gamification aspects. © 2018 Association for Computing Machinery.Peer ReviewedPostprint (author's final draft

Improved multi-user interaction in a smart environment through a preference-based conflict resolution virtual assistant

In this work we will examine and develop a system that can assist people in Activities of Daily Life (ADL). This study focuses on resolving conflicts for the requests from different users’ profiles, for instance - elderly, adult and young. The objective of the system is to present a dialogue manager which is able to detect multi-user semantic conflict and to resolve the conflict for improved dialogue informing about its decisions using a system interface Avatar. The system is also able to prioritize requests that occurred among the services of multiple home appliances, as well as to deal with conflicting entities involving a single device. We investigated whether the multi-user context awareness by a Virtual Assistant adds value to the Smart Home concept in recognizing multi-user conflicts dynamically. This work has proposed a preference based method for resolving conflict and evaluated the developed system in a smart home environmen

Improved multi-user interaction in a smart environment through a preference-based conflict resolution virtual assistant

In this work we will examine and develop a system that can assist people in Activities of Daily Life (ADL). This study focuses on resolving conflicts for the requests from different users’ profiles, for instance - elderly, adult and young. The objective of the system is to present a dialogue manager which is able to detect multi-user semantic conflict and to resolve the conflict for improved dialogue informing about its decisions using a system interface Avatar. The system is also able to prioritize requests that occurred among the services of multiple home appliances, as well as to deal with conflicting entities involving a single device. We investigated whether the multi-user context awareness by a Virtual Assistant adds value to the Smart Home concept in recognizing multi-user conflicts dynamically. This work has proposed a preference based method for resolving conflict and evaluated the developed system in a smart home environmen

A caregiver support platform within the scope of an ambient assisted living ecosystem

The Ambient Assisted Living (AAL) area is in constant evolution, providing new technologies to users and enhancing the level of security and comfort that is ensured by house platforms. The Ambient Assisted Living for All (AAL4ALL) project aims to develop a new AAL concept, supported on a unified ecosystem and certification process that enables a heterogeneous environment. The concepts of Intelligent Environments, Ambient Intelligence, and the foundations of the Ambient Assisted Living are all presented in the framework of this project. In this work, we consider a specific platform developed in the scope of AAL4ALL, called UserAccess. The architecture of the platform and its role within the overall AAL4ALL concept, the implementation of the platform, and the available interfaces are presented. In addition, its feasibility is validated through a series of tests.Project “AAL4ALL”, co-financed by the European Community Fund FEDER, through COMPETE—Programa Operacional Factores de Competitividade (POFC). Foundation for Science and Technology (FCT), Lisbon, Portugal, through Project PEst-C/CTM/LA0025/2013. Project CAMCoF—Context-Aware Multimodal Communication Framework funded by ERDF—European Regional Development Fund through the COMPETE Programme (operational programme for competitiveness) and by National Funds through the FCT—Fundação para a Ciência e a Tecnologia (Portuguese Foundation for Science and Technology) within project FCOMP-01-0124-FEDER-028980. This work is part-funded by National Funds through the FCT - Fundação para a Ciência e a Tecnologia (Portuguese Foundation for Science and Technology) within project PEst-OE/EEI/UI0752/201

Cognitive assisted living ambient system: a survey

The demographic change towards an aging population is creating a significant impact and introducing drastic challenges to our society. We therefore need to find ways to assist older people to stay independently and prevent social isolation of these population. Information and Communication Technologies (ICT) provide various solutions to help older adults to improve their quality of life, stay healthier, and live independently for a time. Ambient Assisted Living (AAL) is a field to investigate innovative technologies to provide assistance as well as healthcare and rehabilitation to impaired seniors. The paper provides a review of research background and technologies of AAL

CONTEXT MANAGEMENT: TOWARD ASSESSING QUALITY OF CONTEXT PARAMETERS IN A UBIQUITOUS AMBIENT ASSISTED LIVING ENVIRONMENT

This paper provides an approach to assessing Quality of Context (QoC) parameters in a ubiquitous Ambient Assisted Living (AAL) environment. Initially, the study presents a literature review on QoC, generating taxonomy. Then it introduces the context management architecture used. The proposal is verified with the Siafu simulator in an AAL scenario where the user’s health is monitored with information about blood pressure, heart rate and body temperature. Considering some parameters, the proposed QoC assessment allows verifying the extent to which the context information is up-to-date, valid, accurate, complete and significant. The implementation of this proposal might mean a big social impact and a technological innovation applied to AAL, at the disposal and support of a significant number of individuals such as elderly or sick people, and with a more precise technology