Designing assistive technology for getting more independence for blind people when performing everyday tasks: an auditory-based tool as a case study

Everyday activities and tasks should in theory be easily carried by everyone, including the blind. Information and Communication Technology (ICT) has been widely used for supporting solutions. However, the solutions can be problematic for the visually impaired since familiarity with digital devices is often required. Or, indeed the procedure can be perceived as fiddly or impractical particularly for repetitive tasks due to the number/type of steps required to complete the task. This paper introduces a simple audio-based tool aimed at supporting visually-impaired people in the seemingly simple activity of checking whether the light in a room is on or off. It is an example of potential low tech devices that can be designed without the need for specific skills or knowledge by the user, and that functions in a practical way. In this context, we discuss the main issues and considerations for totally blind users in identifying whether a light is switched on. The proposed prototype is based on a simple circuit and a form of auditory feedback which informs the user whether they are switching on or off the light. Two prototypes have been designed and built for two different kinds of installation. For the subsequent second prototype, three different versions are proposed to provide a blind person with further support in easily identifying the light status at home. The new design includes enhanced auditory feedback and modifications to the dimensions. The evaluation conducted by involving various groups of end-users revealed the usefulness of the proposed tool. In addition, a survey conducted with 100 visually-impaired people reported the limitations and difficulties encountered by the blind in using existing devices. Moreover, the study revealed the interest from 94% of the participants for a potential (new) basic tool integrable with the existing lighting system. This study gives a contribution in the ambient intelligence field by (1) showing how an auditory-based tool can be used to support totally blind people to check the lights in an autonomous and relatively simple way; (2) proposing an idea that can be exploited in other application cases that use light feedback; and (3) proposing seven potential recommendations for designing assistive technology tools and common everyday devices, based on information gathered from the online survey

A Mimetic Strategy to Engage Voluntary Physical Activity In Interactive Entertainment

We describe the design and implementation of a vision based interactive entertainment system that makes use of both involuntary and voluntary control paradigms. Unintentional input to the system from a potential viewer is used to drive attention-getting output and encourage the transition to voluntary interactive behaviour. The iMime system consists of a character animation engine based on the interaction metaphor of a mime performer that simulates non-verbal communication strategies, without spoken dialogue, to capture and hold the attention of a viewer. The system was developed in the context of a project studying care of dementia sufferers. Care for a dementia sufferer can place unreasonable demands on the time and attentional resources of their caregivers or family members. Our study contributes to the eventual development of a system aimed at providing relief to dementia caregivers, while at the same time serving as a source of pleasant interactive entertainment for viewers. The work reported here is also aimed at a more general study of the design of interactive entertainment systems involving a mixture of voluntary and involuntary control.Comment: 6 pages, 7 figures, ECAG08 worksho

Designing with and for People with Dementia: Wellbeing, Empowerment and Happiness

Designing with and for People with Dementia: Wellbeing, Empowerment and Happiness is the International Conference 2019 of the MinD Consortium, the DRS Special Interest Group on Behaviour Change and the DRS Special Interest Group on Wellbeing and Happiness, hosted by the Technische Universität Dresden, in Dresden, Germany. The conference proceedings provide trans-disciplinary contributions for researchers, practitioners, end-users and policy makers from the design and health care professions in terms of new findings, approaches and methods for using design to improve dementia care and to support people with dementia and their carers. The conference has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 691001, and from the DFG German Research Foundation

A review of the potential of smart homes to support independent living

Between 2015 and 2050, the proportion of the world's population over 60 years of age is expected to nearly double, from 12% to 22%. Whilst hospitals offer care to people with health problems, support at home is generally limited to carers, a costly labour intensive method that impacts on the ability of many elderly patients to live independently. This pushes the demand for housing that caters for elderly people allowing them to remain in their homes but with some level of healthcare support. In the UK, the domestic sector currently accounts for around 30% of total energy consumption and contributes in the region of 27% of total carbon dioxide and greenhouse gas emissions. With an ageing population, offering healthy environments with a cushion against rising energy prices will be essential for people spending most of their time at home and often living on limited budgets. In this context, the drive to reduce energy consumption and associated greenhouse gas emissions from housing has acted as a catalyst in the increasing installation of meters and sensors for monitoring energy use and indoor environmental conditions in buildings. These monitoring technologies can track and record a range of parameters such as temperature, air quality, occupant behaviour etc. Many of these could be optimised to help create environments that assist people such as the elderly to live at home. This paper aims to review relevant studies and technologies in the areas of smart, energy-efficient and lifetime homes, identifying some of the health needs of elderly people who could live at home if provided with adequate support, the range and type of technologies that could be employed to this objective, and suitable metrics to be used to measure the effectiveness of these technologies. The paper concludes that there is a limited evidence base on the health effects of energy-efficient homes, highlighting the need for more research and post occupancy evaluation using indoor environmental quality monitoring technology and wearable devices to analyse not only the energy performance of ‘green’ housing but also the possible effects of indoor environmental conditions on the subjective and objective wellbeing of occupants

Using an Accessible Room Multisensory Stimulation Environment to Reduce Dementia Associated Behaviors

Objectives: To reveal whether an accessible open floorplan Multisensory Stimulation Environment (MSSE) room design has a positive impact as a nonpharmacologic intervention for episodes of Behavioral and Psychological Symptoms of Dementia (BPSD) in older adults living in a Memory Care Assisted Living (MCAL) facility as well as reducing the need for direct care supervision. Methods: Retrospective pre/post cohort design of 24 residents living in a Midwest MCAL facility in the United States with a diagnosis of dementia and over 65 years of age, analyzed by secondary medical chart review for 12 months to assess impact of an accessible open floorplan MSSE room design. The pre/post design analyzed secondary data over two periods of time; 6 months prior to the MSSE installation and 6 months following the MSSE installation. Results: Following the installation of an open floorplan MSSE, the number of observed BPSD episodes changed from 367 (17%) pre-test to 298 (10%) post-test over a 12-month time period. The Comparison of Proportions test determined that the difference in the proportion of BPSD episodes documented was statistically significant with clinical implications. Conclusions: The accessible open floorplan MSSE room design, located within a single-site MCAL facility, utilized as a nonpharmacological intervention for BPSD, was found in this explorative study to be effective and potentially clinically meaningful in improving behavioral episodes for older adults diagnosed with dementia in MCAL settings

Patterns of behavior in Alzheimer units: examining the role of the physical environment interface

Includes bibliographical references.2015 Summer.The purpose of this study was to examine the relationship among the physical environment and behaviors within individuals with Alzheimer’s in a Special Care Unit (SCU). The SCU was located in a skilled nursing facility in Fort Collins, CO providing care for individuals with mid to late stage dementia, including individuals with Alzheimer’s. Of interest in this research study was the impact of this relationship to influence positive, and negative, behaviors contributing to positive quality of life, or positive behaviors supported by one’s physical surroundings creating a living environment directed at acknowledging the person’s life experiences, opportunities for choice and decision, and activities replicating prior home/work activities for residents with Alzheimer’s or dementia. This study sought to enhance the existing body of knowledge about environmental impacts on behavior in care for individuals with Alzheimer’s. Day, Carreon, and Stump (2000) suggested design of the physical environment should be therapeutic, promoting well-being and functionality for individuals with Alzheimer’s or dementia. The research design was an instrumental case study investigating issues surrounding a specific phenomenon (i.e., the relationship of environment and behavior in the SCU) and collected both qualitative and quantitative data. Data collection began with a physical inventory documenting the environment through photographs noting furniture locations, lighting, colors, contrast, materials and finishes, and wear within the space. Observational data were collected over a 10 week consecutive period, during non-randomized times to accommodate the facility (three times a week) for 30 minutes each. Finally, the e-Survey with qualitative and quantifiable data obtained from staff (ns = 6) perceptions of the physical environment and residents’ (nr = 9) behaviors. Findings suggested staff behavior reinforcing a medical model of care in contrast to contemporary approaches providing person-centered care; staff perceptions of communications differed from observed instances of communication; resident wandering and communication were the two most frequently occurring behaviors recorded during observations. Instances where the physical environment impacted resident behaviors considered: a flooring transition strip instigated frustration by a resident in a wheelchair unable to move over the height difference; areas with greater levels of lighting, whether natural or artificial, appeared to promote greater socialization; and furniture placement and corridor planning in the unit shaped the pathways for movement through the unit. Two specific behaviors, not identified in the empirical literature, were found in the study to potentially contribute to a positive quality of life for residents with Alzheimer’s: physical touch and cleaning. Observed body language and facial expressions, of residents, during these behaviors suggest possible connection supporting in individual’s positive quality of life. The study revealed positive quality of life and person-centered care to be interlaced and not separate entities due to their concentration on personalization of care and establishing a connection to the individual’s past experiences