scholarly journals TECHNOLOGY FOR HOME MONITORING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S32-S32
Author(s):  
Neil H Charness
Keyword(s):  
Home Monitoring ◽  
Instructional Materials ◽  
Just In Time ◽  
Multiple Chronic Conditions ◽  
Technology Support ◽  
Health Monitoring System ◽  
Pressure Cuff ◽  
Home Health Monitoring ◽  
Aging Adults ◽  
Sensor Package

Abstract Healthcare is increasingly moving away from expensive hospitals into the home. Although there are advantages to managing chronic health conditions in homes, there are also a number of disadvantages, beginning with aging adults’ unfamiliarity with the technologies being deployed. Too often, designs and instructional materials are not developed with aging users’ capabilities in mind. Health technology also confronts users with significant challenges including just-in-time learning when users are under significant stress. Technology support is often lacking. Also, care coordination for multiple chronic conditions is challenging. For instance, patients are often provided with multiple electronic health record portals. I discuss the reliability of and some of the practical challenges for a home health monitoring system used by older adults and those with heart failure over a 6-month interval. The system featured components such as a wrist-worn sensor package, daily tablet surveys, blood pressure cuff, weight scale, and bed sensors.

Usability of a Home-Use Blood Pressure Monitor System: An Evaluation of the Device and Instructional Materials

2019 ◽  
Vol 8 (1) ◽  
pp. 147-151
Author(s):  
Isis Chong ◽  
Jackie Cha ◽  
Frank Peng ◽  
Denny Yu
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Home Blood Pressure ◽  
Instructional Materials ◽  
Monitor System ◽  
Blood Pressure Cuff ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Pressure Cuff ◽  
Blood Pressure Monitors

Although advancements in home-use technologies have allowed users to take control over how they monitor their health, their likely inexperience with such technologies can lead to use errors. The study aimed to determine the usability of a home-use blood pressure monitor, which included the device and instructional materials. Nineteen participants completed a 45-minute study which included an out-of-the-box handling scenario without moderator facilitation. The primary goal of this scenario was to determine if participants would be able to classify their heart rate reading obtained from the heart rate monitor as either low, average, or high in accordance to the thresholds set by the device. Although a majority of users were able to complete the use scenario, users nonetheless experienced major use errors and had difficulty with correctly placing the blood pressure cuff on their arm or inadvertently inflated the cuff when simply trying to turn on the device. There were also differences in the instructional materials such as how users should place the cuff around their arm. These inconsistencies were exacerbated by ambiguous wording without any pictorial clarifications. Additionally, 10% of users were unable to locate information on how to interpret their blood pressure readings. These findings highlight the importance of studying the usability of at-home blood pressure monitors to ensure more accurate health monitoring of users.

scholarly journals Passive longitudinal weight and cardiopulmonary monitoring in the home bed

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nicholas Harrington ◽  
Quan M. Bui ◽  
Zhe Wei ◽  
Brandon Hernandez-Pacheco ◽  
Pamela N. DeYoung ◽  
...  
Keyword(s):  
Heart Failure ◽  
Body Weight ◽  
Artery Bypass ◽  
Home Monitoring ◽  
Total Body Weight ◽  
Sleep Studies ◽  
Cardiopulmonary Monitoring ◽  
Home Health Monitoring ◽  
Total Body ◽  
Central Apneas

AbstractHome health monitoring has the potential to improve outpatient management of chronic cardiopulmonary diseases such as heart failure. However, it is often limited by the need for adherence to self-measurement, charging and self-application of wearables, or usage of apps. Here, we describe a non-contact, adherence-independent sensor, that when placed beneath the legs of a patient’s home bed, longitudinally monitors total body weight, detailed respiratory signals, and ballistocardiograms for months, without requiring any active patient participation. Accompanying algorithms separate weight and respiratory signals when the bed is shared by a partner or a pet. Validation studies demonstrate quantitative equivalence to commercial sensors during overnight sleep studies. The feasibility of detecting obstructive and central apneas, cardiopulmonary coupling, and the hemodynamic consequences of non-sustained ventricular tachycardia is also established. Real-world durability is demonstrated by 3 months of in-home monitoring in an example patient with heart failure and ischemic cardiomyopathy as he recovers from coronary artery bypass grafting surgery. BedScales is the first sensor to measure adherence-independent total body weight as well as longitudinal cardiopulmonary physiology. As such, it has the potential to create a multidimensional picture of chronic disease, learn signatures of impending hospitalization, and enable optimization of care in the home.

scholarly journals Multiple Chronic Conditions in Spousal Caregivers of Older Adults With Functional Disability: Associations With Caregiving Difficulties and Gains

2017 ◽  
Vol 75 (1) ◽  
pp. 160-172 ◽  
Author(s):  
Courtney A Polenick ◽  
Amanda N Leggett ◽  
Noah J Webster ◽  
Benjamin H Han ◽  
Steven H Zarit ◽  
...  
Keyword(s):  
Chronic Conditions ◽  
Functional Disability ◽  
Management Strategies ◽  
Later Life ◽  
Spousal Caregivers ◽  
National Study ◽  
Multiple Chronic Conditions ◽  
Spousal Caregiving ◽  
Care Recipients ◽  
Aging Adults

Abstract Objectives Multiple chronic conditions (MCCs) are common and have harmful consequences in later life. Along with managing their own health, many aging adults care for an impaired partner. Spousal caregiving may be more stressful when caregivers have MCCs, particularly those involving complex management. Yet, little is known about combinations of conditions that are most consequential for caregiving outcomes. Method Using a U.S. sample of 359 spousal caregivers and care recipients from the 2011 National Aging Trends Study and National Study of Caregiving, we examined three categories of MCCs based on similarity of management strategies (concordant only, discordant only, and both concordant and discordant) and their associations with caregiving difficulties and gains. We also considered gender differences. Results Relative to caregivers without MCCs, caregivers with discordant MCCs reported fewer gains, whereas caregivers with both concordant and discordant MCCs reported greater emotional and physical difficulties. Wives with discordant MCCs only reported a trend for greater physical difficulties. Caregivers with concordant MCCs did not report more difficulties or gains. Discussion Spousal caregivers with MCCs involving discordant management strategies appear to be at risk for adverse care-related outcomes and may benefit from support in maintaining their own health as well as their caregiving responsibilities.

Development of Home Health Monitoring System using Digital Telemetry

1997 ◽  
Vol 3 (2) ◽  
pp. 125
Author(s):  
Jee Hun Ham ◽  
Young Joon Chee ◽  
Sang Hyun Yim ◽  
Kwang Suk Park
Keyword(s):  
Monitoring System ◽  
Health Monitoring ◽  
Home Health ◽  
Health Monitoring System ◽  
Home Health Monitoring

Human factors and aging: A 20-year retrospective and prospective from CREATE researchers

2020 ◽  
Vol 64 (1) ◽  
pp. 23-26
Author(s):  
Wendy A. Rogers ◽  
Sara J. Czaja ◽  
Neil Charness ◽  
Walter R. Boot ◽  
Joseph Sharit
Keyword(s):  
Social Engagement ◽  
Emerging Technologies ◽  
Interdisciplinary Collaboration ◽  
Life Time ◽  
Technology Support ◽  
Future Directions ◽  
Research And Education ◽  
Aging Adults ◽  
Evidence Based Guidelines

The Center for Research and Education on Aging and Technology Enhancement (CREATE) was founded in 1999 and is funded by the National Institute on Aging (National Institutes of Health; PO1 AG017211). This interdisciplinary team of psychologists and engineers focuses on design and deployment of technology with aging adults. In this panel session, we will provide an overview of CREATE research in the domains of health, leisure, work, and social engagement. We will discuss current and emerging technologies. CREATE research has provided insights about the needs and preferences of older adults; design requirements for successful technology support; the necessity of proper instruction and training; and the value of technology tools for all facets of life. This interdisciplinary collaboration has generated evidence-based guidelines for designing, training, and deploying technology to enhance quality of life. Time will be provided for general audience discussion regarding future directions and challenges for design of emerging technologies.

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