scholarly journals Implementation of unobtrusive sensing systems for elderly care: Scoping review (Preprint)

JMIR Aging ◽  
10.2196/27862 ◽  
2021 ◽  
Author(s):  
Nikita Sharma ◽  
Jeroen Klein Brinke ◽  
J.E.W.C. Van Gemert - Pijnen ◽  
L.M.A. Braakman - Jansen
2021 ◽  
Author(s):  
Nikita Sharma ◽  
Jeroen Klein Brinke ◽  
J.E.W.C. Van Gemert - Pijnen ◽  
L.M.A. Braakman - Jansen

BACKGROUND The continuous growth of the elderly population will have implications for the organization of health and social care. Potentially, in-home monitoring unobtrusive sensing systems (USSs) can be used to support (in)formal caregivers of elderlies as they can monitor deviant physical and physiological behavior changes. Most of the existing USSs are not specific to elderly care. Hence, for facilitating the implementation of existing USSs in elderly care, it is important to know which USSs would be more suitable for elderlies. OBJECTIVE Therefore, this scoping review aims to examine the literature a) to identify current unobtrusive sensing systems (USSs) for monitoring human activities and behaviors and b) then assess them for implementation readiness for elderly care. METHODS A structured search was conducted in 'Scopus', 'Web of Science', and 'ACM digital library' databases. Predefined inclusion criteria included studies: on unobtrusive sensor-based technology; experimental in nature; aiming to monitor human social, emotional, physical, and physiological behavior; having potential to be scalable in in-home care; having at least 5 adults as participants. By using these criteria, studies were screened by title, abstract and full-text. A deductive thematic analysis based on the implementation framework of Proctor E. et al. (2011) along with additional outcome ‘external validity’ was applied to the included studies to identify the factors contributing to successful implementation. Lastly, identified factors were used to report the implementation readiness of included studies for elderly care. RESULTS 52 studies were included in the review. Deductive analysis using Proctor’s implementation framework resulted in six factors that can contribute to the successful implementation of USSs in elderly care. They are study settings, age of participants, activities monitored, sensor setup, sensing technology used, and usefulness of USSs. These factors were associated with the implementation outcomes as follows: study settings and age of participants contribute to external validity; sensor setup contributes to acceptability; usefulness of USSs contributes to adoption; activities monitored contributes to appropriateness; sensing technology used contributes to implementation cost. Further, the implementation assessment of included 52 studies showed that none of the studies has addressed all the identified factors. But this assessment was useful in highlighting studies that have addressed multiple factors, thus making such studies a step ahead in the implementation process. CONCLUSIONS This review is the first to scope the state-of-the-art USSs suitable for elderly care. Though included 52 USSs studies fulfills the basic criteria to be suitable for elderly care, but systems leveraging radio frequency technology in no contact sensor setup for monitoring life-risk or health wellness activities appear to be more fit in elderly care. Lastly, this review has extended the discussion on the term ‘unobtrusiveness’ as 'a property of systems which cannot be measured in binary as it varies a lot with user perception and context’.


Author(s):  
Junhong Zhu ◽  
Kanyuan Shi ◽  
Chengyue Yang ◽  
Yanping Niu ◽  
Yingchun Zeng ◽  
...  

Gerontologia ◽  
2017 ◽  
Vol 31 (2) ◽  
pp. 87-99 ◽  
Author(s):  
Markus Karttunen ◽  
Maria Kääriäinen ◽  
Jari Jokelainen ◽  
Satu Elo

Tutkimuksen tarkoituksena oli kehittää turvallisen lääkehoidon toteuttamista arvioiva mittari. Mittarin sisältö laadittiin turvallisen lääkehoidon toteuttamisen osa-alueiden mukaisesti kirjallisuuskatsauksen avulla. Osa-alueita ovat: oikea lääke, oikea tarve lääkkeelle, oikea annos, oikea potilas, oikea lääkkeen antotapa, oikea lääkkeen käyttökuntoon saattaminen, oikea lääkkeen antoaika, oikea potilaan ohjaus, oikea lääkehoidon seuranta ja vaikutusten arviointi, oikea lääkehoidon dokumentointi ja kirjaaminen, oikea aseptiikka. Osa-alueista laadittiin mittari, joka käsitti 123 kysymystä. Asiantuntijapaneeli (n=7) arvioi mittarin sisältöä ja väittämien rakenteita. Pilot-testauksen aineisto kerättiin webropol-kyselynä yhden kaupungin kunnallisissa ikääntyneiden pitkäaikaishoidon yksiköissä lääkehoitoon osallistuvalta hoitohenkilökunnalta (N = 294). Vastausprosentti oli 24 %. Pilot-testauksessa arvioitiin vastaamiseen kuluvaa aikaa ja sähköisen kyselyn toimivuutta. Mittarin sisäisen johdonmukaisuuden arvioinnissa käytettiin Tarkkonen Rho -kerrointa, joka osoitti mittarin sisäisen johdonmukaisuuden hyväksi. Asiantuntijapaneelin arvioinnissa ja pilot-testauksessa saatiin tärkeää tietoa kehitetyn mittarin sisällöstä, selkeydestä, vastaamiseen kuluvasta ajasta ja käytettävyydestä. Turvallinen lääkehoito -mittari todettiin muokkauksen jälkeen turvallisen lääkehoidon toteuttamisen periaatteet hyvin huomioivaksi, toimivaksi ja luotettavaksi. Development process of the Safe medication – scale for elderly careThe aim of this study was to develop a safe medication administration assessment scale. The content of the scale was built according to divisions of safe medication administration by using scoping review method. The divisions are: right drug, right action, right dose, right patient, right route, right form, right time, right counselling, right response, right documentation, right aseptic. The scale consisted of 123 items. A panel of experts (n=7) determined the content of the scale and the structures of the items. The material for the pilot study was collected from the staff (N=294) of the communal long term elderly care wards of one town by using webropol questionnaire. The response rate was 24 %. The time used for responding and the usability of the online survey were evaluated. Tarkkonen’s rho was used for estimation of reliability and the internal consistency was noted to be good. The appraisal of the panel of experts and the pilot study produced essential information of the content and the clarity of the scale. After final editing the Safe Medication – scale was noted to be functional and reliable.


Author(s):  
J. Karthiyayini

Corona virus disease 2019 (COVID-19) has emerged as a pandemic with serious clinical manifestations including death. A pandemic at the large-scale like COVID-19 places extraordinary demands on the world’s health systems, dramatically devastates vulnerable populations, and critically threatens the global communities in an unprecedented way. While tremendous efforts at the frontline are placed on detecting the virus, providing treatments and developing vaccines, it is also critically important to examine the technologies and systems for tackling disease emergence, arresting its spread and especially the strategy for diseases prevention. The objective of this article is to review enabling technologies and systems with various application scenarios for handling the COVID-19 crisis. The article will focus specifically on 1) wearable devices suitable for monitoring the populations at risk and those in quarantine, both for evaluating the health status of caregivers and management personnel, and for facilitating triage processes for admission to hospitals; 2) unobtrusive sensing systems for detecting the disease and for monitoring patients with relatively mild symptoms whose clinical situation could suddenly worsen in improvised hospitals; and 3) telehealth technologies for the remote monitoring and diagnosis of COVID-19 and related diseases. Finally, further challenges and opportunities for future directions of development are highlighted.


BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018815 ◽  
Author(s):  
Jordan Abdi ◽  
Ahmed Al-Hindawi ◽  
Tiffany Ng ◽  
Marcela P Vizcaychipi

ObjectiveWith an elderly population that is set to more than double by 2050 worldwide, there will be an increased demand for elderly care. This poses several impediments in the delivery of high-quality health and social care. Socially assistive robot (SAR) technology could assume new roles in health and social care to meet this higher demand. This review qualitatively examines the literature on the use of SAR in elderly care and aims to establish the roles this technology may play in the future.DesignScoping review.Data sourcesSearch of CINAHL, Cochrane Library, Embase, MEDLINE, PsychINFO and Scopus databases was conducted, complemented with a free search using Google Scholar and reference harvesting. All publications went through a selection process, which involved sequentially reviewing the title, abstract and full text of the publication. No limitations regarding date of publication were imposed, and only English publications were taken into account. The main search was conducted in March 2016, and the latest search was conducted in September 2017.Eligibility criteriaThe inclusion criteria consist of elderly participants, any elderly healthcare facility, humanoid and pet robots and all social interaction types with the robot. Exclusions were acceptability studies, technical reports of robots and publications surrounding physically or surgically assistive robots.ResultsIn total, 61 final publications were included in the review, describing 33 studies and including 1574 participants and 11 robots. 28 of the 33 papers report positive findings. Five roles of SAR were identified: affective therapy, cognitive training, social facilitator, companionship and physiological therapy.ConclusionsAlthough many positive outcomes were reported, a large proportion of the studies have methodological issues, which limit the utility of the results. Nonetheless, the reported value of SAR in elderly care does warrant further investigation. Future studies should endeavour to validate the roles demonstrated in this review.Systematic review registrationNIHR 58672.


Author(s):  
Martin Peckerar ◽  
Anastasios Tousimis

Solid state x-ray sensing systems have been used for many years in conjunction with scanning and transmission electron microscopes. Such systems conveniently provide users with elemental area maps and quantitative chemical analyses of samples. Improvements on these tools are currently sought in the following areas: sensitivity at longer and shorter x-ray wavelengths and minimization of noise-broadening of spectral lines. In this paper, we review basic limitations and recent advances in each of these areas. Throughout the review, we emphasize the systems nature of the problem. That is. limitations exist not only in the sensor elements but also in the preamplifier/amplifier chain and in the interfaces between these components.Solid state x-ray sensors usually function by way of incident photons creating electron-hole pairs in semiconductor material. This radiation-produced mobile charge is swept into external circuitry by electric fields in the semiconductor bulk.


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