The rapid aging of the population worldwide requires increased attention from health care providers and the entire society. For the elderly to live independently, many health issues related to old age, such as frailty and risk of falling, need increased attention and monitoring. When monitoring daily routines for older adults, it is desirable to detect the early signs of health changes before serious health events, such as hospitalizations, happen, so that timely and adequate preventive care may be provided. By deploying multi-sensor systems in homes of the elderly, we can track trajectories of daily behaviors in a feature space defined using the sensor data. In this work, we investigate a methodology for learning data distribution from streaming data and tracking the evolution of the behavior trajectories over long periods (years) using high dimensional streaming clustering and provide very early indicators of changes in health. If we assume that habitual behaviors correspond to clusters in feature space and diseases produce a change in behavior, albeit not highly specific, tracking trajectory deviations can provide hints of early illness. Retrospectively, we visualize the streaming clustering results and track how the behavior clusters evolve in feature space with the help of two dimension-reduction algorithms, Principal Component Analysis (PCA) and t-distributed Stochastic Neighbor Embedding (t-SNE). Moreover, our tracking algorithm in the original high dimensional feature space generates early health warning alerts if a negative trend is detected in the behavior trajectory. We validated our algorithm on synthetic data, real-world data and tested it on a pilot dataset of four TigerPlace residents monitored with a collection of motion, bed, and depth sensors over ten years. We used the TigerPlace electronic health records (EHR) to understand the residents' behavior patterns and to evaluate and explain the health warnings generated by our algorithm. The results obtained on the TigerPlace dataset show that most of the warnings produced by our algorithm can be linked to health events documented in the EHR, providing strong support for a prospective deployment of the approach.Includes bibliographical references
