BMC Med Inform Decis Mak - Deployment of assistive living technology in a nursing home environment: methods and lessons learned.


{ monitor(1329) mobil(1314) devic(1160) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ design(1359) user(1324) use(1319) }
{ health(1844) social(1437) communiti(874) }
{ research(1085) discuss(1038) issu(1018) }
{ learn(2355) train(1041) set(1003) }
{ first(2504) two(1366) second(1323) }
{ implement(1333) system(1263) develop(1122) }
{ time(1939) patient(1703) rate(768) }
{ sampl(1606) size(1419) use(1276) }
{ decis(3086) make(1611) patient(1517) }
{ system(1976) rule(880) can(841) }
{ take(945) account(800) differ(722) }
{ studi(1119) effect(1106) posit(819) }
{ patient(1821) servic(1111) care(1106) }
{ import(1318) role(1303) understand(862) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(2315) diseas(1263) diabet(1191) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ algorithm(1844) comput(1787) effici(935) }
{ data(1714) softwar(1251) tool(1186) }
{ system(1050) medic(1026) inform(1018) }
{ research(1218) medic(880) student(794) }
{ age(1611) year(1155) adult(843) }
{ process(1125) use(805) approach(778) }
{ method(2212) result(1239) propos(1039) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ imag(2830) propos(1344) filter(1198) }
{ treatment(1704) effect(941) patient(846) }
{ error(1145) method(1030) estim(1020) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ risk(3053) factor(974) diseas(938) }
{ compound(1573) activ(1297) structur(1058) }
{ ehr(2073) health(1662) electron(1139) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ use(2086) technolog(871) perceiv(783) }
{ structur(1116) can(940) graph(676) }
{ drug(1928) target(777) effect(648) }
{ survey(1388) particip(1329) question(1065) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ perform(999) metric(946) measur(919) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ state(1844) use(1261) util(961) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ gene(2352) biolog(1181) express(1162) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }


CKGROUND: With an ever-growing ageing population, dementia is fast becoming the chronic disease of the 21st century. Elderly people affected with dementia progressively lose their autonomy as they encounter problems in their Activities of Daily Living (ADLs). Hence, they need supervision and assistance from their family members or professional caregivers, which can often lead to underestimated psychological and financial stress for all parties. The use of Ambient Assistive Living (AAL) technologies aims to empower people with dementia and relieve the burden of their caregivers.The aim of this paper is to present the approach we have adopted to develop and deploy a system for ambient assistive living in an operating nursing home, and evaluate its performance and usability in real conditions. Based on this approach, we emphasise on the importance of deployments in real world settings as opposed to prototype testing in laboratories.METHODS: We chose to conduct this work in close partnership with end-users (dementia patients) and specialists in dementia care (professional caregivers). Our trial was conducted during a period of 14 months within three rooms in a nursing home in Singapore, and with the participation of eight dementia patients and two caregivers. A technical ambient assistive living solution, consisting of a set of sensors and devices controlled by a software platform, was deployed in the collaborating nursing home. The trial was preceded by a pre-deployment period to organise several observation sessions with dementia patients and focus group discussions with professional caregivers. A process of ground truth and system's log data gathering was also planned prior to the trial and a system performance evaluation was realised during the deployment period with the help of caregivers. An ethical approval was obtained prior to real life deployment of our solution.RESULTS: Patients' observations and discussions allowed us to gather a set of requirements that a system for elders with mild-dementia should fulfil. In fact, our deployment has exposed more concrete requirements and problems that need to be addressed, and which cannot be identified in laboratory testing. Issues that were neither forecasted during the design phase nor during the laboratory testing surfaced during deployment, thus affecting the effectiveness of the proposed solution. Results of the system performance evaluation show the evolution of system precision and uptime over the deployment phases, while data analysis demonstrates the ability to provide early detection of the degradation of patients' conditions. A qualitative feedback was collected from caregivers and doctors and a set of lessons learned emerged from this deployment experience.CONCLUSION: Lessons learned from this study were very useful for our research work and can serve as inspiration for developers and providers of assistive living services. They confirmed the importance of real deployment to evaluate assistive solutions especially with the involvement of professional caregivers. They also asserted the need for larger deployments. Larger deployments will allow to conduct surveys on assistive solutions social and health impact, even though they are time and manpower consuming during their first phases.

Resumo Limpo

ckground evergrow age popul dementia fast becom chronic diseas st centuri elder peopl affect dementia progress lose autonomi encount problem activ daili live adl henc need supervis assist famili member profession caregiv can often lead underestim psycholog financi stress parti use ambient assist live aal technolog aim empow peopl dementia reliev burden caregiversth aim paper present approach adopt develop deploy system ambient assist live oper nurs home evalu perform usabl real condit base approach emphasis import deploy real world set oppos prototyp test laboratoriesmethod chose conduct work close partnership endus dementia patient specialist dementia care profession caregiv trial conduct period month within three room nurs home singapor particip eight dementia patient two caregiv technic ambient assist live solut consist set sensor devic control softwar platform deploy collabor nurs home trial preced predeploy period organis sever observ session dementia patient focus group discuss profession caregiv process ground truth system log data gather also plan prior trial system perform evalu realis deploy period help caregiv ethic approv obtain prior real life deploy solutionresult patient observ discuss allow us gather set requir system elder milddementia fulfil fact deploy expos concret requir problem need address identifi laboratori test issu neither forecast design phase laboratori test surfac deploy thus affect effect propos solut result system perform evalu show evolut system precis uptim deploy phase data analysi demonstr abil provid earli detect degrad patient condit qualit feedback collect caregiv doctor set lesson learn emerg deploy experienceconclus lesson learn studi use research work can serv inspir develop provid assist live servic confirm import real deploy evalu assist solut especi involv profession caregiv also assert need larger deploy larger deploy will allow conduct survey assist solut social health impact even though time manpow consum first phase

Resumos Similares

Telemed J E Health - Reaching rural communities with culturally appropriate care: a model for adapting remote monitoring to American Indian veterans with posttraumatic stress disorder. ( 0,694488704328271 )
Artif Intell Med - Wheelchair collaborative control for disabled users navigating indoors. ( 0,680013004858481 )
Med Biol Eng Comput - A P300-based brain-computer interface aimed at operating electronic devices at home for severely disabled people. ( 0,657057842114336 )
Telemed J E Health - Challenges of a mobile application for asthma and allergic rhinitis patient enablement-interface and synchronization. ( 0,651549118424414 )
Artif Intell Med - Transferring brain-computer interfaces beyond the laboratory: successful application control for motor-disabled users. ( 0,640752344506505 )
Artif Intell Med - Advanced portable remote monitoring system for the regulation of treadmill running exercises. ( 0,628065585949395 )
J Telemed Telecare - Remote monitoring of nursing home residents using a humanoid robot. ( 0,623227137744944 )
J Med Syst - An awareness approach to analyze ECG streaming data. ( 0,61567612871948 )
Appl Clin Inform - Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation. ( 0,611232458874112 )
J Biomed Inform - Usability standards meet scenario-based design: challenges and opportunities. ( 0,604841954398352 )
J Am Med Inform Assoc - The effects of a hands-free communication device system in a surgical suite. ( 0,601275347330408 )
Int J Med Inform - Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. ( 0,60099342522349 )
BMC Med Inform Decis Mak - Stroke patients' utilisation of extrinsic feedback from computer-based technology in the home: a multiple case study realistic evaluation. ( 0,595554093259354 )
J Am Med Inform Assoc - Evaluation of an Android-based mHealth system for population surveillance in developing countries. ( 0,590804732453742 )
Int J Med Inform - Disrupted rhythms and mobile ICT in a surgical department. ( 0,590531807267383 )
BMC Med Inform Decis Mak - Comparing a paper based monitoring and evaluation system to a mHealth system to support the national community health worker programme, South Africa: an evaluation. ( 0,58719878369083 )
Telemed J E Health - Increasing clinical presence of mobile communication technology: avoiding the pitfalls. ( 0,582982655147579 )
Int J Comput Assist Radiol Surg - Design, implementation and evaluation of an independent real-time safety layer for medical robotic systems using a force-torque-acceleration (FTA) sensor. ( 0,580211486068181 )
Comput. Aided Surg. - RapidSplint: virtual splint generation for orthognathic surgery - results of a pilot series. ( 0,579557160898947 )
Telemed J E Health - Technology-based suicide prevention: current applications and future directions. ( 0,578351744823806 )
Int J Med Inform - Instant messaging at the hospital: supporting articulation work? ( 0,57806922478866 )
J Am Med Inform Assoc - Multidimensional evaluation of a radio frequency identification wi-fi location tracking system in an acute-care hospital setting. ( 0,576625192181643 )
Telemed J E Health - Training of beauty salon professionals in disease prevention using interactive tele-education. ( 0,573551310809869 )
Med Biol Eng Comput - A comprehensive survey of wearable and wireless ECG monitoring systems for older adults. ( 0,573210940930008 )
J Med Syst - mHealthMon: toward energy-efficient and distributed mobile health monitoring using parallel offloading. ( 0,572074459756252 )
Artif Intell Med - User-centered design in brain-computer interfaces-a case study. ( 0,570394346677226 )
AMIA Annu Symp Proc - Usage analysis of a shared care planning system. ( 0,57015301721575 )
J Biomed Inform - Discovery of high-level tasks in the operating room. ( 0,569888319022052 )
J Med Syst - A comprehensive survey of Wireless Body Area Networks : on PHY, MAC, and Network layers solutions. ( 0,569667604390437 )
J. Med. Internet Res. - Physicians interrupted by mobile devices in hospitals: understanding the interaction between devices, roles, and duties. ( 0,568746610347508 )
J. Med. Internet Res. - Perceptions and experiences of heart failure patients and clinicians on the use of mobile phone-based telemonitoring. ( 0,568493726592513 )
Int J Med Inform - CareCoor: augmenting the coordination of cooperative home care work. ( 0,568422640472208 )
J Biomed Inform - Collaborative co-design of emerging multi-technologies for surgery. ( 0,561104470079014 )
J. Med. Internet Res. - A web-based non-intrusive ambient system to measure and classify activities of daily living. ( 0,560052435943129 )
BMC Med Inform Decis Mak - Quality of prenatal and maternal care: bridging the know-do gap (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa. ( 0,558264158982338 )
J Clin Monit Comput - FaceTime(?) for teaching ultrasound-guided anesthetic procedures in remote place. ( 0,554361077282399 )
J Clin Monit Comput - Exploration of key stakeholders' preferences for pre-hospital physiologic monitoring by emergency rescue services. ( 0,553775150961093 )
BMC Med Inform Decis Mak - Attitudes among healthcare professionals towards ICT and home follow-up in chronic heart failure care. ( 0,552970093898697 )
Int J Comput Assist Radiol Surg - Task and crisis analysis during surgical training. ( 0,552196233260645 )
Int J Comput Assist Radiol Surg - Surgical model-view-controller simulation software framework for local and collaborative applications. ( 0,551952564819137 )
Int J Med Inform - Mobile health IT: the effect of user interface and form factor on doctor-patient communication. ( 0,551629085806242 )
Telemed J E Health - Evaluation of txt2MEDLINE and development of short messaging service-optimized, clinical practice guidelines in Botswana. ( 0,551582188993819 )
Comput Methods Programs Biomed - A generic telemedicine infrastructure for monitoring an artificial pancreas trial. ( 0,551234438106169 )
Telemed J E Health - Telemedicine and pediatric radiology: a new environment for training, learning, and interactive discussions. ( 0,551020408163265 )
Med Biol Eng Comput - Design of a novel mobility device controlled by the feet motion of a standing child: a feasibility study. ( 0,550837265954034 )
Int J Med Inform - Addressing critical issues in the development of an Oncology Information System. ( 0,549790378096978 )
Health Informatics J - A product-service system approach to telehealth application design. ( 0,549507388885917 )
J. Med. Internet Res. - Two complementary personal medication management applications developed on a common platform: case report. ( 0,549502896184709 )
Appl Clin Inform - Healthy Gaming - Video Game Design to promote Health. ( 0,545804667955772 )
J Clin Monit Comput - An active one-lobe pulmonary simulator with compliance control for medical training in neonatal mechanical ventilation. ( 0,545422584581589 )
Int J Comput Assist Radiol Surg - The impact of missing sensor information on surgical workflow management. ( 0,544905207665336 )
AMIA Annu Symp Proc - Health Weaver Mobile: Designing a Mobile Tool for Managing Personal Health Information during Cancer Care. ( 0,543396855863431 )
Int J Comput Assist Radiol Surg - GPU-based physical cut in interactive haptic simulations. ( 0,543285731515633 )
Int J Med Robot - Augmented reality and haptic interfaces for robot-assisted surgery. ( 0,542410216015343 )
Med Biol Eng Comput - A robotic system to train activities of daily living in a virtual environment. ( 0,541798262226037 )
Int J Med Robot - Failure mode and effects analysis in designing a virtual reality-based training simulator for bilateral sagittal split osteotomy. ( 0,540750657115184 )
Comput Methods Programs Biomed - RFID-initiated workflow control to facilitate patient safety and utilization efficiency in operation theater. ( 0,539993685594627 )
Perspect Health Inf Manag - Health information: what can mobile phone assessments add? ( 0,53873221254693 )
J Biomed Inform - Healthcare in the pocket: mapping the space of mobile-phone health interventions. ( 0,537216641727841 )
J Am Med Inform Assoc - Ear-worn body sensor network device: an objective tool for functional postoperative home recovery monitoring. ( 0,536251765608998 )
Neural Comput - Machine-learning-based coadaptive calibration for brain-computer interfaces. ( 0,535474454228803 )
Comput Methods Programs Biomed - Control of a 2 DoF robot using a brain-machine interface. ( 0,535439463346048 )
Comput Methods Programs Biomed - Voice controlled wheelchairs: fine control by humming. ( 0,534058497662908 )
Comput Methods Programs Biomed - SafeNet: a methodology for integrating general-purpose unsafe devices in safe-robot rehabilitation systems. ( 0,533567534183471 )
Int J Med Robot - Conceptual design of a novel multi-DoF manual instrument for laparoscopic surgery. ( 0,533231366714161 )
J Med Syst - Computerized disease profiling using GPS-linked multi-function sensor cartridges. ( 0,530670484372093 )
Comput Methods Programs Biomed - CAROTID - a web-based platform for optimal personalized management of atherosclerotic patients. ( 0,530627216344505 )
AMIA Annu Symp Proc - Mobile Health Systems that Optimize Resources in Emergency Response Situations. ( 0,530583699107089 )
Int J Med Inform - Innovations in health care services: the CAALYX system. ( 0,530362264954805 )
Int J Med Inform - Mobile personal health records: an evaluation of features and functionality. ( 0,529924390359322 )
Telemed J E Health - The tele-intensive care unit during a disaster: seamless transition from routine operations to disaster mode. ( 0,529840444860495 )
Int J Med Robot - Challenges facing totally endoscopic robotic coronary artery bypass grafting. ( 0,529319206702237 )
Telemed J E Health - A review on telemedicine-based WBAN framework for patient monitoring. ( 0,529262213956114 )
BMC Med Inform Decis Mak - Methods to identify, study and understand end-user participation in HIT development. ( 0,529229405608513 )
Int J Med Robot - A robotic endoscope based on minimally invasive locomotion and wireless techniques for human colon. ( 0,528361629794669 )
Telemed J E Health - Usability and feasibility of smartphone video capabilities for telehealth care in the U.S. military. ( 0,528286251088404 )
Methods Inf Med - Employment of telemedicine in emergency medicine. Clinical requirement analysis, system development and first test results. ( 0,527080568642254 )
J Biomed Inform - Making sense: sensor-based investigation of clinician activities in complex critical care environments. ( 0,526734594857299 )
J Med Syst - Integration of RFID and web service for assisted living. ( 0,526139341707234 )
J Am Med Inform Assoc - The SMART Platform: early experience enabling substitutable applications for electronic health records. ( 0,526066227626156 )
J Clin Monit Comput - Feedback control for clinicians. ( 0,525006694827179 )
Telemed J E Health - Smart devices and a future of hybrid tobacco cessation programs. ( 0,524998595467652 )
Int J Med Robot - Virtual reality training and assessment in laparoscopic rectum surgery. ( 0,52404197357382 )
Telemed J E Health - The design and implementation of a rescue terminal with vital signs telemonitoring based on Beidou 1 navigation satellite system. ( 0,523646422376363 )
Telemed J E Health - Low-cost remote patient monitoring system based on reduced platform computer technology. ( 0,522595894948081 )
Telemed J E Health - A usability study of patients setting up a cardiac event loop recorder and BlackBerry gateway for remote monitoring at home. ( 0,522554999475237 )
Artif Intell Med - Smart wearable systems: current status and future challenges. ( 0,521227406493575 )
Int J Comput Assist Radiol Surg - Objective assessment of operator performance during ultrasound-guided procedures. ( 0,520820273201076 )
Int J Med Inform - Agents applied in health care: A review. ( 0,520734117534103 )
J. Med. Internet Res. - Community attitudes to the appropriation of mobile phones for monitoring and managing depression, anxiety, and stress. ( 0,520500693036049 )
Telemed J E Health - NHS connecting for health: healthcare professionals, mobile technology, and infection control. ( 0,520068652077075 )
J Biomed Inform - A three stage ontology-driven solution to provide personalized care to chronic patients at home. ( 0,52000994489178 )
IEEE Trans Neural Netw Learn Syst - Opportunistic Behavior in Motivated Learning Agents. ( 0,517703179083008 )
Telemed J E Health - Wireless medical sensor networks: design requirements and enabling technologies. ( 0,51709021482616 )
Int J Med Inform - Design and implementation of a seamless and comprehensive integrated medical device interface system for outpatient electronic medical records in a general hospital. ( 0,516961011806491 )
Telemed J E Health - Can information technology improve the performance of remote monitoring systems? ( 0,515930767265643 )
J Biomed Inform - Intra-operative decision making: more than meets the eye. ( 0,515873015873016 )
J Clin Monit Comput - A system for portable sleep apnea diagnosis using an embedded data capturing module. ( 0,515220283020063 )
AMIA Annu Symp Proc - Improving patient care by unshackling telemedicine: adaptively aggregating wireless networks to facilitate continuous collaboration. ( 0,515105320401167 )
Telemed J E Health - Therapy in virtual environments--clinical and ethical issues. ( 0,51468313679057 )