Independent Aging with the Help of Smart Technology:Investigating the Acceptance of Ambient Assisted Living Technologies

Who takes care of our older adults? According to the European Union, smart technologies that support independent living and active aging, introduced as ‘Ambient Assisted Living’ (AAL), are the future for our aging population. Promises of AAL include saving long-term care costs, improving the quality of care, unburdening family caregivers, and increasing the older adults’ independence and overall quality of life. While the policy enthusiasm for AAL technology is high, it is unclear if the potential users of AAL are willing to embrace AAL technologies in their daily lives. This dissertation addressed this issue by focusing on the perspective of older adults and their caregivers. Using a combination of qualitative and quantitative approaches, we developed a comprehensive and theoretically grounded understanding of how and why users perceive AAL technologies in a certain way. Important factors that drive or hinder the acceptance were identified. These insights resulted in a model of AAL acceptance that was validated in a representative sample (n = 1296) of the Dutch older adult population. This dissertation contributes to a more user-driven approach in AAL research and development and has important implications for researchers, developers and policy makers alike. We hope that our results will guide future research efforts, design and policy directions in the AAL field

Acceptance of ambient assisted living (AAL) technologies among older Australians : a review of barriers in user experience

One of the great challenges facing Australian society is that of an ageing population. Amongst the issues involved in this drastic demographic change, the most significant aspect is the demand for older Australians to live independently at home. The development of Ambient Assisted Living (AAL) technologies aims to address this issue. The advancement of AAL applications have been done to support the users with their daily-life activities and health concerns by providing increased mobility, security, safety in emergencies, health-monitoring, improved lifestyle, and fall-detection through the use of sensors. However, the optimum uptake of these technologies among the end-users (the elderly Australians) still remains a big concern. Thus, there is an elevated need to understand the needs and preferences of the seniors in order to improve the acceptance of AAL applications. The aim of this study is to investigate the barriers and perceptions in the use of AAL applications amongst older Australians. Focus groups and quantitative surveys have been conducted to provide a detailed analysis of these impediments. The results show that there are different factors that restrict the use of these technologies along with the fact that elderly people have certain preferences when using them. An understanding of these factors has been gained and suggestions have been made to increase the acceptance of AAL devices. This work gives useful insights towards the design of AAL solutions according to user needs

A review of contemporary work on the ethics of ambient assisted living technologies for people with dementia

Ambient assisted living (AAL) technologies can provide assistance and support to persons with dementia. They might allow them the possibility of living at home for longer whilst maintaining their comfort and security as well as offering a way towards reducing the huge economic and personal costs forecast as the incidence of dementia increases worldwide over coming decades. However, the development, introduction and use of AAL technologies also trigger serious ethical issues. This paper is a systematic literature review of the on-going scholarly debate about these issues. More specifically, we look at the ethical issues involved in research and development (R&D), clinical experimentation, and clinical application of AAL technologies for people with dementia and related stakeholders. In the discussion we focus on: 1) the value of the goals of AAL technologies, 2) the special vulnerability of persons with dementia in their private homes, 3) the complex question of informed consent for the usage of AAL technologies

Acceptance and Privacy Perceptions Toward Video-based Active and Assisted Living Technologies: Scoping Review

Background: The aging society posits new socioeconomic challenges to which a potential solution is active and assisted living (AAL) technologies. Visual-based sensing systems are technologically among the most advantageous forms of AAL technologies in providing health and social care; however, they come at the risk of violating rights to privacy. With the immersion of video-based technologies, privacy-preserving smart solutions are being developed; however, the user acceptance research about these developments is not yet being systematized. Objective: With this scoping review, we aimed to gain an overview of existing studies examining the viewpoints of older adults and/or their caregivers on technology acceptance and privacy perceptions, specifically toward video-based AAL technology. Methods: A total of 22 studies were identified with a primary focus on user acceptance and privacy attitudes during a literature search of major databases. Methodological quality assessment and thematic analysis of the selected studies were executed and principal findings are summarized. The PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines were followed at every step of this scoping review. Results: Acceptance attitudes toward video-based AAL technologies are rather conditional, and are summarized into five main themes seen from the two end-user perspectives: caregiver and care receiver. With privacy being a major barrier to video-based AAL technologies, security and medical safety were identified as the major benefits across the studies. Conclusions: This review reveals a very low methodological quality of the empirical studies assessing user acceptance of video-based AAL technologies. We propose that more specific and more end user– and real life–targeting research is needed to assess the acceptance of proposed solutions.This work is funded by the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement number 861091 for the visuAAL project

Ambient Assisted Living:Benefits and Barriers From a User-Centered Perspective

Abstract—Older adults have a growing desire to remain independent and age in their own home environment. Policy makers support this wish, as the quality and quantity of institutional care cannot be guaranteed with the present health care budget. Ambient Assisted Living (AAL) technologies can meet the interests of both parties, by facilitating healthy and active aging in the home environment. However, those technologies are still in their infancy and the likelihood of their adoption remains uncertain. By conducting a literature study and a user-requirement study for a conceptual AAL application called SONOPA (Social Networks for Older Adults to Promote an Active Life), benefits and barriers to the adoption of AAL technologies, as perceived by the elderly user, were identified. The user-requirement study consisted of focus groups and interviews with older adults and elder care professionals, conducted in the UK, France and Belgium. Together, the literature study and the user-requirement study led to several design guidelines which direct the future development process of SONOPA and related AAL applications. Keywords-AAL; elderly; benefits; barriers; design. I

Non-Invasive Ambient Intelligence in Real Life: Dealing with Noisy Patterns to Help Older People

This paper aims to contribute to the field of ambient intelligence from the perspective of real environments, where noise levels in datasets are significant, by showing how machine learning techniques can contribute to the knowledge creation, by promoting software sensors. The created knowledge can be actionable to develop features helping to deal with problems related to minimally labelled datasets. A case study is presented and analysed, looking to infer high-level rules, which can help to anticipate abnormal activities, and potential benefits of the integration of these technologies are discussed in this context. The contribution also aims to analyse the usage of the models for the transfer of knowledge when different sensors with different settings contribute to the noise levels. Finally, based on the authors’ experience, a framework proposal for creating valuable and aggregated knowledge is depicted.This research was partially funded by Fundación Tecnalia Research & Innovation, and J.O.-M. also wants to recognise the support obtained from the EU RFCS program through project number 793505 ‘4.0 Lean system integrating workers and processes (WISEST)’ and from the grant PRX18/00036 given by the Spanish Secretaría de Estado de Universidades, Investigación, Desarrollo e Innovación del Ministerio de Ciencia, Innovación y Universidades

State of the art in privacy preservation in video data

Active and Assisted Living (AAL) technologies and services are a possible solution to address the crucial challenges regarding health and social care resulting from demographic changes and current economic conditions. AAL systems aim to improve quality of life and support independent and healthy living of older and frail people. AAL monitoring systems are composed of networks of sensors (worn by the users or embedded in their environment) processing elements and actuators that analyse the environment and its occupants to extract knowledge and to detect events, such as anomalous behaviours, launch alarms to tele-care centres, or support activities of daily living, among others. Therefore, innovation in AAL can address healthcare and social demands while generating economic opportunities. Recently, there has been far-reaching advancements in the development of video-based devices with improved processing capabilities, heightened quality, wireless data transfer, and increased interoperability with Internet of Things (IoT) devices. Computer vision gives the possibility to monitor an environment and report on visual information, which is commonly the most straightforward and human-like way of describing an event, a person, an object, interactions and actions. Therefore, cameras can offer more intelligent solutions for AAL but they may be considered intrusive by some end users. The General Data Protection Regulation (GDPR) establishes the obligation for technologies to meet the principles of data protection by design and by default. More specifically, Article 25 of the GDPR requires that organizations must "implement appropriate technical and organizational measures [...] which are designed to implement data protection principles [...] , in an effective manner and to integrate the necessary safeguards into [data] processing.” Thus, AAL solutions must consider privacy-by-design methodologies in order to protect the fundamental rights of those being monitored. Different methods have been proposed in the latest years to preserve visual privacy for identity protection. However, in many AAL applications, where mostly only one person would be present (e.g. an older person living alone), user identification might not be an issue; concerns are more related to the disclosure of appearance (e.g. if the person is dressed/naked) and behaviour, what we called bodily privacy. Visual obfuscation techniques, such as image filters, facial de-identification, body abstraction, and gait anonymization, can be employed to protect privacy and agreed upon by the users ensuring they feel comfortable. Moreover, it is difficult to ensure a high level of security and privacy during the transmission of video data. If data is transmitted over several network domains using different transmission technologies and protocols, and finally processed at a remote location and stored on a server in a data center, it becomes demanding to implement and guarantee the highest level of protection over the entire transmission and storage system and for the whole lifetime of the data. The development of video technologies, increase in data rates and processing speeds, wide use of the Internet and cloud computing as well as highly efficient video compression methods have made video encryption even more challenging. Consequently, efficient and robust encryption of multimedia data together with using efficient compression methods are important prerequisites in achieving secure and efficient video transmission and storage.This publication is based upon work from COST Action GoodBrother - Network on Privacy-Aware Audio- and Video-Based Applications for Active and Assisted Living (CA19121), supported by COST (European Cooperation in Science and Technology). COST (European Cooperation in Science and Technology) 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.e

A legal framework for an elderly healthcare platform: A privacy and data protection overview

[EN] Cognitive problems are increasingly affecting the population, with the elderly being the ones most affected. This problem requires a new approach in terms of medical and social actions, personalisation, and services. The Ambient Assisted Living area provides solutions to allow elderly people to stay in their homes safely and with the appropriate care. The number of Ambient Assisted Living projects is increasing rapidly, leading to large commercial deployment, and most of these projects disregard the privacy and data protection of the users and the information that they process and save. The iGenda project is a Cognitive Assistant inserted in the Ambient Assisted Living area that provides help to users in their daily lives. However, since it requires the transfer of a large amount of private and personal data between the modules of the platform, fundamental rights may be at stake. This paper presents the iGenda platform, the principle rights of data protection and transmission, legal guarantees and latent ethical concerns. Furthermore, the dichotomy between current developments and legal and ethical aspects are explained. To overcome this problem, legal considerations and ethical considerations are presented, embracing appropriate solutions to features that present any threat. (C) 2017 Angelo Costa, Aliaksandra Yelshyna, Teresa C. Moreira, Francisco C.P. Andrade, Vicente Julian, Paulo Novais. Published by Elsevier Ltd. All rights reserved.This work has been supported by FCT - Fundacao para a Ciencia e Tecnologia within the Project Scope UID/CEC/00319/2013. A. Costa thanks the Fundacao para a Ciencia e a Tecnologia (FCT) Post-Doc scholarship with the Ref. SFRH/BPD/102696/2014. This work is also partially supported by the MINECO/FEDER TIN2012-36586-C03-01.Costa, A.; Yelshyna, A.; Moreira, TC.; Andrade, FC.; Julian Inglada, VJ.; Novais, P. (2017). A legal framework for an elderly healthcare platform: A privacy and data protection overview. Computer Law & Security Review. 33(5):647-658. https://doi.org/10.1016/j.clsr.2017.03.02164765833