An Ambient Assisted Living platform for supporting aging in place of pre-frail and frail older adults: Rationale, HomeAssist plaform, quasi-experimental design, and baseline characteristics. (Preprint)

2021 ◽  
Author(s):  
helene sauzeon ◽  
Arlette Edjolo ◽  
Hélène Amieva ◽  
Charles Consel ◽  
Karine Pérès
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Independent Living ◽  
Aging In Place ◽  
Ambient Assisted Living ◽  
Large Set ◽  
Everyday Functioning ◽  
Frail Older Adults ◽  
Outcomes Measures ◽  
Quasi Experimental

UNSTRUCTURED Background: Ambient Assisted Living (AAL) technology is expected as a promising way for prolonging the aging in place. Very few evidence-based results are provided support to its real value, notably for frail older adults who have high risk of autonomy loss and of entering in nursing home. Objective: HomeAssist (HA) is a human-centered AAL platform offering a large set of applications for three main age-related need domains (Activities of Daily Living, Safety and Social participation), relying on a basic set of entities (sensors, actuators...). The HA intervention involves monitoring as well as assistive services to support independent living at home. The primary outcomes measures are related to aging in place in terms of effectiveness (institutionalization and hospitalization rates) and efficiency (everyday functioning indices). Secondary outcomes measures include indices of frailty, cognitive functioning, and psychosocial health of participants and their caregivers. Every 6 months, user experience and attitudes towards HA are also collected in equipped participants. Concomitantly, HA usages are collected. Methods: A study assessing the HA efficacy has been designed and is now conducted with 131 older adults aged 81.9 (±6.0) years (from autonomous to frail) who lived alone. The study design is quasi-experimental with a duration of 12 months optionally extensible to 24 months. It includes equipped participants, matched with non-equipped participants (n= 474). Follow-up assessments occurred at 0, 12 and 24 months. Results: The expected results are to inform the AAL value for independent living, but also to yield informed analysis on AAL usages and adoption in frail older individuals.

scholarly journals Serious Motion-Based Exercise Games for Older Adults: Evaluation of Usability, Performance, and Pain Mitigation

10.2196/14182 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e14182
Author(s):  
Philipp Brauner ◽  
Martina Ziefle
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Assisted Living ◽  
Independent Living ◽  
Serious Games ◽  
Health Care Systems ◽  
Ambient Assisted Living ◽  
Well Being ◽  
Demographic Shift ◽  
Performance Effect

Background Many societies are facing demographic changes that challenge the viability of health and welfare systems. Serious games for health care and ambient assisted living (AAL) offer health benefits and support for older adults and may mitigate some of the negative effects of the demographic shift. Objective This study aimed to examine the acceptance of serious games to promote physical health in AAL environments. Since AAL environments are designed specifically to support independent living in older adults, we studied the relationship among age and user diversity, performance in the game, and overall usability and acceptance evaluation. Methods We developed a motion-based serious exercise game for prototypical AAL environments. In two evaluations, outside (n=71) and within (n=64) the AAL environment, we investigated the influence of age, gender, self-efficacy in interacting with technology, need for achievement on performance, effect of the game, usability evaluation of the game, and overall acceptance. Results Both games were evaluated as easy to use and fun to play. Both game interventions had a strong pain-mitigating effect in older adults (game 1: −55%, P=.002; game 2: −66%, P=.01). Conclusions Serious exercise games outside and inside AAL environments can contribute to individuals’ health and well-being and to the stability of health care systems.

scholarly journals A Systematic Review of Robotics Research in Support of In-Home Care for Older Adults

Information ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 75 ◽  
Author(s):  
Anas Abou Allaban ◽  
Maozhen Wang ◽  
Taşkın Padır
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Assisted Living ◽  
Independent Living ◽  
Ambient Assisted Living ◽  
Physical Support ◽  
The Social ◽  
Support Tools ◽  
Robotic Devices ◽  
Meta Analyses

The aging population is growing at an unprecedented rate globally and robotics-enabled solutions are being developed to provide better independent living for older adults. In this study, we report the results from a systematic review of the state-of-the-art in home robotics research for caring for older adults. This review aims to address two questions: (1) What research is being done towards integrating robotics for caring for older adults? (2) What are the research and technology challenges that robots are facing in the home? Sixty-three papers have been identified and studied in this review by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Common themes that are consistent across the reviewed papers are distinguished and consolidated as follows: (1) Ambient assisted living, where smart home environments and physical support tools are studied; (2) Robot ecosystem, where robotic devices are used to provide various services; (3) Social interaction, where the social isolation problem has been targeted. We also summarize the results of similar literature reviews we came across during our search. The results of this study present the current research trends and technologies used in each category. The challenges and limitations of robotics applications are also identified. Suggestions for accelerating the deployment of robots at home for providing older adults with independent care in the home are presented based on the results and insights from this study.

scholarly journals Passive Observer of Activities for Aging in Place Using a Network of RGB-D Sensors

2020 ◽  
Vol 2020 ◽  
pp. 1-15
Author(s):  
Shahram Payandeh ◽  
Jim Park
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Independent Living ◽  
Aging In Place ◽  
Graph Representation ◽  
The Novel ◽  
Depth Sensing ◽  
Visual Access ◽  
Before And After ◽  
High Level

Aging in place is a notion which supports the independent living of older adults at their own place of residence for as long as possible. To support this alternative living which can be in contrast to various other types of assisted living options, modes of monitoring technology need to be explored and studied in order to determine a balance between the preservation of privacy and adequacy of sensed information for better estimation and visualization of movements and activities. In this paper, we explore such monitoring paradigm on how a network of RGB-D sensors can be utilized for this purpose. This type of sensor offers both visual and depth sensing modalities from the scene where the information can be fused and coded for better protection of privacy. For this purpose, we introduce the novel notion of passive observer. This observer is only triggered by detecting the absence of movements of older adults in the scene. This is accomplished by classifying and localizing objects in the monitoring scene from both before and after the detection of movements. A deep learning tool is utilized for visual classification of known objects in the physical scene followed by virtual reality reconstructing of the scene where the shape and location of objects are recreated. Such reconstruction can be used as a visual summary in order to identify objects which were handled by an older adult in-between observation. The simplified virtual scene can be used, for example, by caregivers or monitoring personnel in order to assist in detecting any anomalies. This virtual visualization can offer a high level of privacy protection without having any direct visual access to the monitoring scene. In addition, using the scene graph representation, an automatic decision-making tool is proposed where spatial relationships between the objects can be used to estimate the expected activities. The results of this paper are demonstrated through two case studies.

Ambient Assisted Living Systems: The Scope of Research and Development

2017 ◽  
Vol 3 (2) ◽  
pp. 21
Author(s):  
Ashish D Patel ◽  
Jigarkumar H. Shah
Keyword(s):  
Assisted Living ◽  
Independent Living ◽  
Intelligent Systems ◽  
New Technologies ◽  
Ambient Assisted Living ◽  
Smart Devices ◽  
Economic Changes ◽  
Aged Population ◽  
The People ◽  
Living Person

The aged population of the world is increasing by a large factor due to the availability of medical and other facilities. As the number grows rapidly, requirements of this segment of age (65+) are increasing rapidly as well as the percentage of aged persons living alone is also increasing with the same rate due to the inevitable socio-economic changes. This situation demands the solution of many problems like loneliness, chronic conditions, social interaction, transportation, day-to-day life and many more for independent living person. A large part of aged population may not be able to interact directly with new technologies. This sought some serious development towards the use of intelligent systems i.e. smart devices which helps the people with their inability to use the available as well future solutions. Ambient Assisted Living (AAL) is the answer to these problems. In this paper, issues related to AAL systems are studied. Study of challenges and limitations of this comparatively new field will help the designers to remove the barriers of AAL systems.

scholarly journals Identification of Research Trends in Aging in Place Using Text Mining Analysis

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 50-50
Author(s):  
Ha Neul Kim ◽  
Seok In Nam
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Text Mining ◽  
Independent Living ◽  
Daily Life ◽  
Aging In Place ◽  
Research Trends ◽  
Life Activity ◽  
Daily Life Activity

Abstract Since 1980s professionals and social service providers have focused on aging at the place where people lived. This is the initial concept of the Aging in Place (AIP). Over 40 years, the topics have developed and extended to other disciplines welcoming different perspectives in the study of AIP. Therefore, this study aims to understand the overall research trends in Aging in Place (AIP) studies using text mining analysis to track the evolvement of AIP subtopics not only in Gerontology but also in various fields. To identify the topic trends, we collected the titles, abstracts, and keywords from 1,372 international articles that were published from 1981 to 2019. Then, keywords were extracted and cleaned based on precedent literature and discussions. We analyzed the keywords based on the degree of centrality and visualized the keyword-networks using VOSviewer and Pajek. Top-most popular keywords are “independent living”, “housing”, “older adults”, “home care”, “daily life activity” and “quality of life.” The change in topic trends shows that in the 1980s to early-2000s, research focused on organization and management level of intervention, home(housing) for the older adults, long term care. In the mid-2010s, health-related topics such as daily life activity, health service, health care delivery and quality of life have emerged. Recently, the topics have extended further to technology, caregiver, well-being, and environment design, environmental planning that support independent living of oneself. The research result shows that the interdisciplinary approach regarding AIP is not only inevitable but also encouraged for an in-depth discussion of the field.

scholarly journals Ambient Assisted Living as Support for Aging in Place: Quantitative Users’ Acceptance Study on Ultrasonic Whistles (Preprint)

2018 ◽  
Author(s):  
Hannah Biermann ◽  
Julia Offermann-van Heek ◽  
Simon Himmel ◽  
Martina Ziefle
Keyword(s):  
Home Care ◽  
Assisted Living ◽  
Emergency Service ◽  
Aging In Place ◽  
Ambient Assisted Living ◽  
Minor Role ◽  
Living Room ◽  
Home Automation ◽  
Skilled Workers ◽  
Care Needs

BACKGROUND Given the fact of an aging society, new supply measures and living concepts are needed, especially as health impairments along with care dependency increase with age. As many elderly people wish to stay at home for as long as possible, ambient assisted living (AAL) represents a support for aging in place. OBJECTIVE AAL combines medical and care technology within living environments and is, therefore, a promising approach to cope with demographic change in terms of fast-growing care needs and fewer skilled workers. Ultrasonic whistles represent one innovative technical possibility for such supportive housing solutions. Central fields of application are home automation, emergency service, and positioning. As AAL technologies affect sensitive areas of life, it is of great interest under which conditions they are accepted or rejected, taking individual user requirements into account. Hence, the aim of this study was to investigate users’ perception and evaluation of ultrasonic whistles. METHODS In this study, we examined the acceptance of ultrasonic whistles in home care by function and room using a Web-based questionnaire. Besides an evaluation of the overall usefulness, we focused on the intention to use ultrasonic whistles; 270 participants assessed home automation, emergency service, and positioning as specific functions of ultrasonic whistles. Furthermore, bathroom, bedroom, and living room were evaluated as specific usage locations (rooms). With regard to the user’s perspective, the focus was set on age and attitudes toward aging of care receivers. RESULTS This study revealed a significant influence of function (F2,269=60.444; P<.001), room (F2,269=41.388; P<.001), and the interaction of function and room (F4,269=8.701; P<.001) on the acceptance of ultrasonic whistles. The use of emergency services within the bathroom represented the most accepted alternative, whereas positioning within the living room received the comparably lowest evaluations. Although user diversity played a minor role for acceptance overall, the assessment of single applications differed among user groups, particularly with regard to age differences (F20,500=1.988; P<.01) in the evaluation of specific installation options such as automated doors. CONCLUSIONS The study revealed profound insights into the user-centered assessment of ultrasonic whistles in home care and discovered function and room as influencing acceptance parameters. Concerning user characteristics, age, and attitude toward aging partly affected these evaluations, forming the basis for and showing the importance of further investigations in this context.

scholarly journals Older Adults’ Loneliness, Social Isolation, and Physical Information and Communication Technology in the Era of Ambient Assisted Living: A Systematic Literature Review (Preprint)

2021 ◽  
Author(s):  
Rita Latikka ◽  
Rosana Rubio-Hernández ◽  
Elena Simona Lohan ◽  
Juho Rantala ◽  
Fernando Nieto Fernández ◽  
...  
Keyword(s):  
Older Adults ◽  
Literature Review ◽  
Social Isolation ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Systematic Literature Review ◽  
Assisted Living ◽  
Ambient Assisted Living ◽  
Smart Homes ◽  
Information And Communication

BACKGROUND Loneliness and social isolation can have severe effects on human health and well-being. Partial solutions to combat these circumstances in demographically aging societies have been sought from the field of information and communication technology (ICT). OBJECTIVE This systematic literature review investigates the research conducted on older adults’ loneliness and social isolation, and physical ICTs, namely robots, wearables, and smart homes, in the era of ambient assisted living (AAL). The aim is to gain insight into how technology can help overcome loneliness and social isolation other than by fostering social communication with people and what the main open-ended challenges according to the reviewed studies are. METHODS The data were collected from 7 bibliographic databases. A preliminary search resulted in 1271 entries that were screened based on predefined inclusion criteria. The characteristics of the selected studies were coded, and the results were summarized to answer our research questions. RESULTS The final data set consisted of 23 empirical studies. We found out that ICT solutions such as smart homes can help detect and predict loneliness and social isolation, and technologies such as robotic pets and some other social robots can help alleviate loneliness to some extent. The main open-ended challenges across studies relate to the need for more robust study samples and study designs. Further, the reviewed studies report technology- and topic-specific open-ended challenges. CONCLUSIONS Technology can help assess older adults’ loneliness and social isolation, and alleviate loneliness without direct interaction with other people. The results are highly relevant in the COVID-19 era, where various social restrictions have been introduced all over the world, and the amount of research literature in this regard has increased recently.

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