When technology cares for people with dementia:A critical review using neuropsychological rehabilitation as a conceptual framework

Clinicians and researchers have become increasingly interested in the potential of technology in assisting persons with dementia (PwD). However, several issues have emerged in relation to how studies have conceptualized who the main technology user is (PwD/carer), how technology is used (as compensatory, environment modification, monitoring or retraining tool), why it is used (i.e., what impairments and/or disabilities are supported) and what variables have been considered as relevant to support engagement with technology. In this review we adopted a Neuropsychological Rehabilitation perspective to analyse 253 studies reporting on technological solutions for PwD. We analysed purposes/uses, supported impairments and disabilities and how engagement was considered. Findings showed that the most frequent purposes of technology use were compensation and monitoring, supporting orientation, sequencing complex actions and memory impairments in a wide range of activities. The few studies that addressed the issue of engagement with technology considered how the ease of use, social appropriateness, level of personalization, dynamic adaptation and carers' mediation allowed technology to adapt to PWD's and carers' preferences and performance. Conceptual and methodological tools emerged as outcomes of the analytical process, representing an important contribution to understanding the role of technologies to increase PwD's wellbeing and orient future research.University of Huddersfield, under grants URF301-01 and URF506-01

Air pollution, a rising environmental risk factor for cognition, neuroinflammation and neurodegeneration: The clinical impact on children and beyond

International audienceAir pollution (indoors and outdoors) is a major issue in public health as epidemiological studies have highlighted its numerous detrimental health consequences (notably, respiratory and cardiovascular pathological conditions). Over the past 15 years, air pollution has also been considered a potent environmental risk factor for neurological diseases and neuropathology. This review examines the impact of air pollution on children's brain development and the clinical, cognitive, brain structural and metabolic consequences. Long-term potential consequences for adults’ brains and the effects on multiple sclerosis (MS) are also discussed. One challenge is to assess the effects of lifetime exposures to outdoor and indoor environmental pollutants, including occupational exposures: how much, for how long and what type. Diffuse neuroinflammation, damage to the neurovascular unit, and the production of autoantibodies to neural and tight-junction proteins are worrisome findings in children chronically exposed to concentrations above the current standards for ozone and fine particulate matter (PM2.5), and may constitute significant risk factors for the development of Alzheimer's disease later in life. Finally, data supporting the role of air pollution as a risk factor for MS are reviewed, focusing on the effects of PM10 and nitrogen oxide

Ambient assisted living deployment aims to empower people living with dementia (AnAbEL)

Ambient Assisted Living aims to support the wellbeing of people with special needs by offering assistive solutions. Those systems focused on dementia claim to increase the autonomy of people living with dementia by monitoring their activities. Thus, topics such as Activity Recognition related to dementia and specific solutions such as reminders and tracking users by Global Positioning System offer great advances that seek users' safety and to preserve their healthier lifestyle. However, these solutions address secondary parties by providing useful activities logs or alerts but excluding the main interested user: the person living with dementia. Although primary users are taken into consideration at some design stages by using user-centred design frameworks, final products tend not to fully address the user's needs. This paper presents an Ambient Intelligent system aimed to reduce this limitation by developing a final solution more strongly focused on enhancing a healthy lifestyle by empowering the user's autonomy. Through continued activities monitoring in real-time, the system can provide reminders to the users by coaching them to keep healthy routines. Continuous monitoring also provides a complete user's behaviour tracking and the context-awareness logic used involves the caregivers through alerts when necessary to ensure the user's safety. This article describes the process followed to develop the system aimed to cover the previous concerns and the practical feedback from health professionals over the system deployment working in a real environment

Location estimation in smart homes setting with RFID systems

Indoor localisation technologies are a core component of Smart Homes. Many applications within Smart Homes benefit from localisation technologies to determine the locations of things, objects and people. The tremendous characteristics of the Radio Frequency Identification (RFID) systems have become one of the enabler technologies in the Internet of Things (IOT) that connect objects and things wirelessly. RFID is a promising technology in indoor positioning that not only uniquely identifies entities but also locates affixed RFID tags on objects or subjects in stationary and real-time. The rapid advancement in RFID-based systems has sparked the interest of researchers in Smart Homes to employ RFID technologies and potentials to assist with optimising (non-) pervasive healthcare systems in automated homes. In this research localisation techniques and enabled positioning sensors are investigated. Passive RFID sensors are used to localise passive tags that are affixed to Smart Home objects and track the movement of individuals in stationary and real-time settings. In this study, we develop an affordable passive localisation platform using inexpensive passive RFID sensors. To fillful this aim, a passive localisation framework using minimum tracking resources (RFID sensors) has been designed. A localisation prototype and localisation application that examined the affixed RFID tag on objects to evaluate our proposed locaisation framework was then developed. Localising algorithms were utilised to achieve enhanced accuracy of localising one particular passive tag which that affixed to target objects. This thesis uses a general enough approach so that it could be applied more widely to other applications in addition to Health Smart Homes. A passive RFID localising framework is designed and developed through systematic procedures. A localising platform is built to test the proposed framework, along with developing a RFID tracking application using Java programming language and further data analysis in MATLAB. This project applies localisation procedures and evaluates them experimentally. The experimental study positively confirms that our proposed localisation framework is capable of enhancing the accuracy of the location of the tracked individual. The low-cost design uses only one passive RFID target tag, one RFID reader and three to four antennas

Evaluation studies of robotic rollators by the user perspective: A systematic review

Background: Robotic rollators enhance the basic functions of established devices by technically advanced physical, cognitive, or sensory support to increase autonomy in persons with severe impairment. In the evaluation of such Ambient Assisted Living solutions, both the technical and user perspectives are important to prove usability, effectiveness, and safety, and to ensure adequate device application.Objective: The aim of this systematic review is to summarize the methodology of studies evaluating robotic rollators with focus on the user perspective and to give recommendations for future evaluation studies.Methods: A systematic literature search up to December 31, 2014 was conducted based on the Cochrane Review methodology using the electronic databases PubMed and IEEE Xplore. Articles were selected according to the following inclusion criteria: Evaluation studies of robotic rollators documenting human-robot interaction, no case reports, published in English language.Results: Twenty-eight studies were identified that met the predefined inclusion criteria. Large heterogeneity in the definitions of the target user group, study populations, study designs, and assessment methods was found across the included studies. No generic methodology to evaluate robotic rollators could be identified. We found major methodological shortcomings related to insufficient sample descriptions and sample sizes, and lack of appropriate, standardized and validated assessment methods. Long-term use in habitual environment was also not evaluated.Conclusions: Apart from the heterogeneity, methodological deficits in most of the identified studies became apparent. Recommendations for future evaluation studies include: clear definition of target user group, adequate selection of subjects, inclusion of other assistive mobility devices for comparison, evaluation of the habitual use of advanced prototypes, adequate assessment strategy with established, standardized and validated methods, and statistical analysis of study results. Assessment strategies may additionally focus on specific functionalities of the robotic rollators allowing an individually tailored assessment of innovative features to document their added value

Employing Information and Communications Technologies in Homes and Cities for the Health and Well-Being of Older People

YesHe X and Sheriff RE (Eds.) Employing ICT in Homes and Cities for the Health and Well-Being of Older People. Workshop Proceedings of ICT4HOP’16. 15-17 Aug 2016. Sichuan University, Chengdu, China.British Council, Researcher Links, Newton Fund, NSF