Pursuing perspectives on ambient intelligence.

This paper takes a broad perspective on ambient, intelligent technologies in the context of contemporary European society at the turn of the 21st century. The underlying ideas and expectations of ambient intelligence in a period when Europe focuses progressively on the various social, economic, and ethical challenges facing the Information Society are discussed. The use of information and communication technologies in different organizational and economic settings are explored, with an illustrative focus on eHealth. It is particularly argued that more space, effort and facilities need to be created for a public social and ethical debate among European‟s citizens with regard to information and communication technologies development

Affective Medicine: a review of Affective Computing efforts in Medical Informatics

Background: Affective computing (AC) is concerned with emotional interactions performed with and through computers. It is defined as “computing that relates to, arises from, or deliberately influences emotions”. AC enables investigation and understanding of the relation between human emotions and health as well as application of assistive and useful technologies in the medical domain. Objectives: 1) To review the general state of the art in AC and its applications in medicine, and 2) to establish synergies between the research communities of AC and medical informatics. Methods: Aspects related to the human affective state as a determinant of the human health are discussed, coupled with an illustration of significant AC research and related literature output. Moreover, affective communication channels are described and their range of application fields is explored through illustrative examples. Results: The presented conferences, European research projects and research publications illustrate the recent increase of interest in the AC area by the medical community. Tele-home healthcare, AmI, ubiquitous monitoring, e-learning and virtual communities with emotionally expressive characters for elderly or impaired people are few areas where the potential of AC has been realized and applications have emerged. Conclusions: A number of gaps can potentially be overcome through the synergy of AC and medical informatics. The application of AC technologies parallels the advancement of the existing state of the art and the introduction of new methods. The amount of work and projects reviewed in this paper witness an ambitious and optimistic synergetic future of the affective medicine field

E-Health: Value Proposition and Technologies Enabling Collaborative Healthcare

E-health, enabled by ubiquitous computing and communication technologies, is facilitating a fundamental shift in the age old praxis of healthcare. It is revolutionizing healthcare in the 21st century in much the same way as the arrival of modern medicine and vaccines did in the 19th century. E-health lies at the intersection of diverse disciplines including healthcare, computer science, information systems, economics, and political science. The broad impact of E-health on diverse domains, complexity of supporting technologies, and the dizzying interplay of theories bridging multiple disciplines creates a rich problem space for information system researchers and calls on to conduct cross-disciplinary research. In the current paper we present salient characteristics of e-health and discuss its value proposition. The value proposition of e-health presents the entire range of processes supporting the healthcare sector. We also present research opportunities as e-health takes center stage in the delivery of healthcare

Evaluating the impact of physical activity apps and wearables: interdisciplinary review

Background: Although many smartphone apps and wearables have been designed to improve physical activity, their rapidly evolving nature and complexity present challenges for evaluating their impact. Traditional methodologies, such as randomized controlled trials (RCTs), can be slow. To keep pace with rapid technological development, evaluations of mobile health technologies must be efficient. Rapid alternative research designs have been proposed, and efficient in-app data collection methods, including in-device sensors and device-generated logs, are available. Along with effectiveness, it is important to measure engagement (ie, users’ interaction and usage behavior) and acceptability (ie, users’ subjective perceptions and experiences) to help explain how and why apps and wearables work. Objectives: This study aimed to (1) explore the extent to which evaluations of physical activity apps and wearables: employ rapid research designs; assess engagement, acceptability, as well as effectiveness; use efficient data collection methods; and (2) describe which dimensions of engagement and acceptability are assessed. Method: An interdisciplinary scoping review using 8 databases from health and computing sciences. Included studies measured physical activity, and evaluated physical activity apps or wearables that provided sensor-based feedback. Results were analyzed using descriptive numerical summaries, chi-square testing, and qualitative thematic analysis. Results: A total of 1829 abstracts were screened, and 858 articles read in full. Of 111 included studies, 61 (55.0%) were published between 2015 and 2017. Most (55.0%, 61/111) were RCTs, and only 2 studies (1.8%) used rapid research designs: 1 single-case design and 1 multiphase optimization strategy. Other research designs included 23 (22.5%) repeated measures designs, 11 (9.9%) nonrandomized group designs, 10 (9.0%) case studies, and 4 (3.6%) observational studies. Less than one-third of the studies (32.0%, 35/111) investigated effectiveness, engagement, and acceptability together. To measure physical activity, most studies (90.1%, 101/111) employed sensors (either in-device [67.6%, 75/111] or external [23.4%, 26/111]). RCTs were more likely to employ external sensors (accelerometers: P=.005). Studies that assessed engagement (52.3%, 58/111) mostly used device-generated logs (91%, 53/58) to measure the frequency, depth, and length of engagement. Studies that assessed acceptability (57.7%, 64/111) most often used questionnaires (64%, 42/64) and/or qualitative methods (53%, 34/64) to explore appreciation, perceived effectiveness and usefulness, satisfaction, intention to continue use, and social acceptability. Some studies (14.4%, 16/111) assessed dimensions more closely related to usability (ie, burden of sensor wear and use, interface complexity, and perceived technical performance). Conclusions: The rapid increase of research into the impact of physical activity apps and wearables means that evaluation guidelines are urgently needed to promote efficiency through the use of rapid research designs, in-device sensors and user-logs to assess effectiveness, engagement, and acceptability. Screening articles was time-consuming because reporting across health and computing sciences lacked standardization. Reporting guidelines are therefore needed to facilitate the synthesis of evidence across disciplines

Linking recorded data with emotive and adaptive computing in an eHealth environment

Telecare, and particularly lifestyle monitoring, currently relies on the ability to detect and respond to changes in individual behaviour using data derived from sensors around the home. This means that a significant aspect of behaviour, that of an individuals emotional state, is not accounted for in reaching a conclusion as to the form of response required. The linked concepts of emotive and adaptive computing offer an opportunity to include information about emotional state and the paper considers how current developments in this area have the potential to be integrated within telecare and other areas of eHealth. In doing so, it looks at the development of and current state of the art of both emotive and adaptive computing, including its conceptual background, and places them into an overall eHealth context for application and development

Model Driven Development of m-Health Systems (with a Touch of Formality)

We propose a model driven design and development methodology augmented with formal validation and verification (V&V) for the development of mobile health systems. Systems which deliver healthcare services remotely should be developed using robust and trusted engineering technologies. The methodology instantiates steps in the MDA trajectory using formal methods to verify critical properties of models, to test preservation of those properties in the derived implementations and to effect model transformations by correctness preserving transformations. The methodology is described and some initial modelling is reported

Intent and the Use of Wearables in the Workplace – A Model Development

Due to reasons like demographic changes and variations in the spectrum of illness, worldwide expenditures in the health market have exploded.Contemporary information systems are evolving rapidly in the field of ubiquitous computing and nowadays support health in various fields. Wearables and tracking technologies have emerged in private life for health and fitness support.This adoption reveals future possibilities for innovating the health-supporting systems in the workplace. The crucial point of introducing wearables in the occupational health management system is the acceptance of employees. This paper provides a literature-driven measurement model to explain the behavioral intention to use wearables in the occupational health management system. The model provided is supported by 17 hypothesized relationships between relevant constructs and validated by card-sorting