Behavior analysis for aging-in-place using similarity heatmaps

The demand for healthcare services for an increasing population of older adults is faced with the shortage of skilled caregivers and a constant increase in healthcare costs. In addition, the strong preference of the elderly to live independently has been driving much research on "ambient-assisted living" (AAL) systems to support aging-in-place. In this paper, we propose to employ a low-resolution image sensor network for behavior analysis of a home occupant. A network of 10 low-resolution cameras (30x30 pixels) is installed in a service flat of an elderly, based on which the user's mobility tracks are extracted using a maximum likelihood tracker. We propose a novel measure to find similar patterns of behavior between each pair of days from the user's detected positions, based on heatmaps and Earth mover's distance (EMD). Then, we use an exemplar-based approach to identify sleeping, eating, and sitting activities, and walking patterns of the elderly user for two weeks of real-life recordings. The proposed system achieves an overall accuracy of about 94%

Detection of visitors in elderly care using a low-resolution visual sensor network

Loneliness is a common condition associated with aging and comes with extreme health consequences including decline in physical and mental health, increased mortality and poor living conditions. Detecting and assisting lonely persons is therefore important-especially in the home environment. The current studies analyse the Activities of Daily Living (ADL) usually with the focus on persons living alone, e.g., to detect health deterioration. However, this type of data analysis relies on the assumption of a single person being analysed, and the ADL data analysis becomes less reliable without assessing socialization in seniors for health state assessment and intervention. In this paper, we propose a network of cheap low-resolution visual sensors for the detection of visitors. The visitor analysis starts by visual feature extraction based on foreground/background detection and morphological operations to track the motion patterns in each visual sensor. Then, we utilize the features of the visual sensors to build a Hidden Markov Model (HMM) for the actual detection. Finally, a rule-based classifier is used to compute the number and the duration of visits. We evaluate our framework on a real-life dataset of ten months. The results show a promising visit detection performance when compared to ground truth

Use of nonintrusive sensor-based information and communication technology for real-world evidence for clinical trials in dementia

Cognitive function is an important end point of treatments in dementia clinical trials. Measuring cognitive function by standardized tests, however, is biased toward highly constrained environments (such as hospitals) in selected samples. Patient-powered real-world evidence using information and communication technology devices, including environmental and wearable sensors, may help to overcome these limitations. This position paper describes current and novel information and communication technology devices and algorithms to monitor behavior and function in people with prodromal and manifest stages of dementia continuously, and discusses clinical, technological, ethical, regulatory, and user-centered requirements for collecting real-world evidence in future randomized controlled trials. Challenges of data safety, quality, and privacy and regulatory requirements need to be addressed by future smart sensor technologies. When these requirements are satisfied, these technologies will provide access to truly user relevant outcomes and broader cohorts of participants than currently sampled in clinical trials

Prediction of sustained harmonic walking in the free-living environment using raw accelerometry data

Objective. Using raw, sub-second level, accelerometry data, we propose and validate a method for identifying and characterizing walking in the free-living environment. We focus on the sustained harmonic walking (SHW), which we define as walking for at least 10 seconds with low variability of step frequency. Approach. We utilize the harmonic nature of SHW and quantify local periodicity of the tri-axial raw accelerometry data. We also estimate fundamental frequency of observed signals and link it to the instantaneous walking (step-to-step) frequency (IWF). Next, we report total time spent in SHW, number and durations of SHW bouts, time of the day when SHW occurred and IWF for 49 healthy, elderly individuals. Main results. Sensitivity of the proposed classification method was found to be 97%, while specificity ranged between 87% and 97% and prediction accuracy between 94% and 97%. We report total time in SHW between 140 and 10 minutes-per-day distributed between 340 and 50 bouts. We estimate the average IWF to be 1.7 steps-per-second. Significance. We propose a simple approach for detection of SHW and estimation of IWF, based on Fourier decomposition. The resulting approach is fast and allows processing of a week-long raw accelerometry data (approx. 150 million measurements) in relatively short time (~half an hour) on a common laptop computer (2.8 GHz Intel Core i7, 16 GB DDR3 RAM)

An Unsupervised Approach for Automatic Activity Recognition based on Hidden Markov Model Regression

Using supervised machine learning approaches to recognize human activities from on-body wearable accelerometers generally requires a large amount of labelled data. When ground truth information is not available, too expensive, time consuming or difficult to collect, one has to rely on unsupervised approaches. This paper presents a new unsupervised approach for human activity recognition from raw acceleration data measured using inertial wearable sensors. The proposed method is based upon joint segmentation of multidimensional time series using a Hidden Markov Model (HMM) in a multiple regression context. The model is learned in an unsupervised framework using the Expectation-Maximization (EM) algorithm where no activity labels are needed. The proposed method takes into account the sequential appearance of the data. It is therefore adapted for the temporal acceleration data to accurately detect the activities. It allows both segmentation and classification of the human activities. Experimental results are provided to demonstrate the efficiency of the proposed approach with respect to standard supervised and unsupervised classification approache

The OCarePlatform : a context-aware system to support independent living

Background: Currently, healthcare services, such as institutional care facilities, are burdened with an increasing number of elderly people and individuals with chronic illnesses and a decreasing number of competent caregivers. Objectives: To relieve the burden on healthcare services, independent living at home could be facilitated, by offering individuals and their (in)formal caregivers support in their daily care and needs. With the rise of pervasive healthcare, new information technology solutions can assist elderly people ("residents") and their caregivers to allow residents to live independently for as long as possible. Methods: To this end, the OCarePlatform system was designed. This semantic, data-driven and cloud based back-end system facilitates independent living by offering information and knowledge-based services to the resident and his/her (in)formal caregivers. Data and context information are gathered to realize context-aware and personalized services and to support residents in meeting their daily needs. This body of data, originating from heterogeneous data and information sources, is sent to personalized services, where is fused, thus creating an overview of the resident's current situation. Results: The architecture of the OCarePlatform is proposed, which is based on a service-oriented approach, together with its different components and their interactions. The implementation details are presented, together with a running example. A scalability and performance study of the OCarePlatform was performed. The results indicate that the OCarePlatform is able to support a realistic working environment and respond to a trigger in less than 5 seconds. The system is highly dependent on the allocated memory. Conclusion: The data-driven character of the OCarePlatform facilitates easy plug-in of new functionality, enabling the design of personalized, context-aware services. The OCarePlatform leads to better support for elderly people and individuals with chronic illnesses, who live independently. (C) 2016 Elsevier Ireland Ltd. All rights reserved

Information and communication technology solutions for outdoor navigation in dementia

INTRODUCTION: Information and communication technology (ICT) is potentially mature enough to empower outdoor and social activities in dementia. However, actual ICT-based devices have limited functionality and impact, mainly limited to safety. What is an ideal operational framework to enhance this field to support outdoor and social activities? METHODS: Review of literature and cross-disciplinary expert discussion. RESULTS: A situation-aware ICT requires a flexible fine-tuning by stakeholders of system usability and complexity of function, and of user safety and autonomy. It should operate by artificial intelligence/machine learning and should reflect harmonized stakeholder values, social context, and user residual cognitive functions. ICT services should be proposed at the prodromal stage of dementia and should be carefully validated within the life space of users in terms of quality of life, social activities, and costs. DISCUSSION: The operational framework has the potential to produce ICT and services with high clinical impact but requires substantial investment

Wheelchair-based game design for older adults

Few leisure activities are accessible to institutionalized older adults using wheelchairs; in consequence, they experience lower levels of perceived health than able-bodied peers. Video games have been shown to be an engaging leisure activity for older adults. In our work, we address the design of wheelchair-accessible motion-based games. We present KINECTWheels, a toolkit designed to integrate wheelchair movements into motion-based games, and Cupcake Heaven, a wheelchair-based video game designed for older adults using wheelchairs. Results of two studies show that KINECTWheels can be applied to make motion-based games wheelchair-accessible, and that wheelchair-based games engage older adults. Through the application of the wheelchair as an enabling technology in play, our work has the potential of encouraging older adults to develop a positive relationship with their wheelchair. Copyright 2013 ACM