Digital Health Technology for Better Aging - A multidisciplinary approach
von: Giuseppe Andreoni, Cinzia Mambretti
Springer-Verlag, 2021
ISBN: 9783030726638
Sprache: Englisch
364 Seiten, Download: 7891 KB
Format: PDF, auch als Online-Lesen
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| Preface | 6 | ||
| Contents | 10 | ||
| Older Persons in Europe 2020: Needs and Challenges for an Interdisciplinary Polytechnic Approach | 13 | ||
| 1 Ageing in Europe 2020 | 13 | ||
| 2 Status, Needs and Challenges for the Design and Implementation of Effective Active Healthy Ageing Solutions | 16 | ||
| 3 A Polytechnic Approach to Design of Intuitive and Integrated AHA Services: The NESTORE Case Study | 19 | ||
| References | 21 | ||
| Designing mHealth Solutions for Better Ageing: Clinical and Methodological Perspective | 23 | ||
| The Multi-domain Coaching Approach to Counteract Ageing Decline | 24 | ||
| 1 Introduction | 25 | ||
| 2 General Framework for the Design of the NESTORE Coaching Plans | 26 | ||
| 3 Physical Activity | 27 | ||
| 4 Nutrition | 30 | ||
| 5 Cognitive Status and Social Behaviour | 34 | ||
| 6 Conclusions | 35 | ||
| References | 36 | ||
| Found in Translation: Innovative Methods of Co-design in the Development of Digital Systems for Promoting Healthy Aging | 39 | ||
| 1 Introduction | 39 | ||
| 1.1 Aims of the Research | 40 | ||
| 1.2 Methods of Engagement | 41 | ||
| 2 Design of the Research | 42 | ||
| 3 Methods | 44 | ||
| 4 The Study | 45 | ||
| 4.1 Phase One | 45 | ||
| 4.2 User Workshop Findings | 46 | ||
| 4.3 Phase Two | 50 | ||
| 4.4 Analysis of Phase One and Two | 52 | ||
| 5 Transferability of User Requirements to Technologists | 53 | ||
| 5.1 Digital Probes | 53 | ||
| 5.2 Personas | 55 | ||
| 5.3 Pathways | 57 | ||
| 5.4 Co-designing the Tangible Coach | 58 | ||
| 6 Discussion and Conclusion | 59 | ||
| References | 61 | ||
| Technology Applied to Solutions for Healthy Ageing | 63 | ||
| Monitoring in the Physical Domain to Support Active Ageing | 64 | ||
| 1 Design Requirements and Guidelines | 64 | ||
| 2 Wearable Wristband Architecture Overview | 67 | ||
| 2.1 Industrial Design and User Interface Solution | 70 | ||
| 2.2 Technology Selection | 73 | ||
| 2.3 Wristband Mechanical Description | 73 | ||
| 2.4 Mechanical Drawing for Charging Station | 75 | ||
| 2.5 Hardware Solution | 75 | ||
| 2.6 Charging Station | 78 | ||
| 3 Environmental Sensors for Physical Activity | 79 | ||
| 3.1 BLE Beacons | 80 | ||
| 3.2 Ballistocardiography | 81 | ||
| 3.3 Smart Scale | 82 | ||
| 4 Firmware Solution | 82 | ||
| 4.1 For the Beacons | 83 | ||
| 4.2 For the Smartphone | 83 | ||
| 4.3 Data Management | 84 | ||
| References | 85 | ||
| Nutritional Monitoring in Older People Prevention Services | 86 | ||
| 1 Introduction | 87 | ||
| 2 Related Works | 89 | ||
| 2.1 Nutrition Monitoring Systems | 89 | ||
| 2.2 Food Recognition | 91 | ||
| 3 LogMeal—A Food Intake Monitoring Tool Integrated in the NESTORE Platform | 92 | ||
| 3.1 Production Environment | 92 | ||
| 3.2 Development Environment | 93 | ||
| 3.3 LogMeal Integration into NESTORE | 94 | ||
| 4 Constructing LogMeal Food Dataset | 95 | ||
| 4.1 Public Food Datasets | 96 | ||
| 4.2 Food Hierarchy | 97 | ||
| 4.3 The Dataset Construction | 99 | ||
| 4.4 Nutritional Food Composition of Recipes | 101 | ||
| 4.5 Nationality | 102 | ||
| 4.6 API Images | 102 | ||
| 5 System Validation | 102 | ||
| 5.1 Performance Insights During Development | 103 | ||
| 5.2 Performance Insights During Production | 104 | ||
| 6 Conclusions | 105 | ||
| References | 106 | ||
| Social Behaviour and Cognitive Monitoring in Healthy Ageing | 112 | ||
| 1 Introduction | 112 | ||
| 2 Monitoring of Social Behaviour in NESTORE | 114 | ||
| 2.1 Self-reported Social Integration and Behaviour | 114 | ||
| 2.2 Sensor-Based Social Behaviour Assessments | 114 | ||
| 3 Monitoring of Cognitive Functioning in NESTORE | 118 | ||
| 3.1 Assessing Cognitive Status at Baseline and Posttest | 118 | ||
| 3.2 Assessing Cognitive Performance Throughout the Coaching Phase | 119 | ||
| 4 Conclusion | 121 | ||
| References | 122 | ||
| Perspective and Experiences of Decision Support Systems (DSS) and AI in Prevention and Care for Older Adults | 124 | ||
| 1 Introduction | 124 | ||
| 2 DSS Design in Healthcare: The Importance of Experts’ Involvement | 126 | ||
| 3 Methods to Build a Robust DSS | 127 | ||
| 3.1 Preventing the Cold-Start Problem | 127 | ||
| 3.2 Harmonisation and Integration | 129 | ||
| 3.3 AI Technologies Present in DSSs Approaches | 129 | ||
| 4 NESTORE DSS as a Whole | 130 | ||
| 4.1 Target Variables and Data Sources | 130 | ||
| 4.2 Architecture and Derived Workflows | 132 | ||
| 4.3 Data Analysis Pipelines | 133 | ||
| 4.4 Validation | 133 | ||
| 5 Conclusion | 134 | ||
| References | 135 | ||
| System Interoperability for Next Gen Services at Home. A Challenge/Opportunity for Integration | 138 | ||
| 1 Introduction | 138 | ||
| 2 Requirements of Interoperable Environments | 140 | ||
| 3 Interoperable Technologies | 143 | ||
| 4 Challenges and Opportunities for a Seamless Integration | 147 | ||
| 5 Conclusions | 152 | ||
| References | 152 | ||
| Lifestyle Improvement and Virtual Coaching and ICT Services in the Human Domains Through Friendly Technology | 154 | ||
| Physical Activity Promotion and Coaching to Support Healthy Ageing | 155 | ||
| 1 Introduction | 156 | ||
| 2 Overview of NESTORE Coaching System in Physical Activity Domain | 156 | ||
| 3 Coaching Personalisation and Implementation Strategies | 158 | ||
| 4 NESTORE Technological Solutions for the Physical Activity Domain | 161 | ||
| 5 Conclusions | 166 | ||
| References | 166 | ||
| Coaching Older Adults Towards a Healthier Lifestyle: Psychological and Technological Methods | 169 | ||
| 1 Introduction | 169 | ||
| 2 Theoretical Behaviour Change Models in Health Psychology | 170 | ||
| 3 Behaviour Change Techniques and General Coaching Strategies for Health and Well-Being | 177 | ||
| 4 Health-Related e-Coaching and Digital Intervention Strategies | 177 | ||
| 5 e-Coaching in NESTORE | 181 | ||
| 6 Conclusion | 183 | ||
| References | 183 | ||
| Understanding Older Adults’ Affect States in Daily Life for Promoting Self-reflection About Mental Wellbeing | 186 | ||
| 1 Introduction | 186 | ||
| 2 The Affective Dimension | 188 | ||
| 2.1 Beyond Basic Emotions: Love, Grief and Positive Affect | 190 | ||
| 2.2 Sentiment Analysis for Emotion Recognition | 192 | ||
| 3 Emotions and the NESTORE e-Coach | 193 | ||
| 4 Emotional Wellbeing Recognition in the NESTORE System | 195 | ||
| 4.1 Implementation of the Emotion Engine | 196 | ||
| 5 Discussion and Future Work | 197 | ||
| References | 198 | ||
| Building Trust and Companionship in e-Coaching Through Embodiment | 201 | ||
| 1 Introduction | 201 | ||
| 2 Background on Tangible Conversational Agents in Increasing Trust and Companionship | 202 | ||
| 3 Design Process Method | 203 | ||
| 4 NESTORE Tangible Coach Co-design | 204 | ||
| 4.1 Preliminary Designs | 204 | ||
| 5 Conclusion | 208 | ||
| References | 209 | ||
| Challenges, Limitations and Methodologies to Be Applied in the Development of an ICT-Based Intervention for Older People | 211 | ||
| 1 Introduction | 211 | ||
| 2 Data and Methods | 214 | ||
| 2.1 Integration of the Recruitment Strategies | 215 | ||
| 3 Results | 218 | ||
| 3.1 Building Trust | 219 | ||
| 3.2 Identify Individual Barriers | 220 | ||
| 3.3 Offer Incentives | 221 | ||
| 3.4 Be Responsive | 221 | ||
| 3.5 Identified Barriers | 222 | ||
| 4 Conclusions | 227 | ||
| References | 230 | ||
| Innovation Impact Measured in Subjective (Usability and Experience), Social (Community Level) and Business (Companies and Institutions) Opportunities | 232 | ||
| Practicing the Test of New System-Services for Elderly Care: How to Introduce and Measure User Experience and Related Outcomes | 233 | ||
| 1 Introduction | 233 | ||
| 2 HCD Approach in Designing Interactive System-Services for Elderly | 234 | ||
| 3 Nestore Experience of Use | 237 | ||
| 4 Integrated Framework for the Evaluating Nestore Experience of Use | 238 | ||
| 5 Conclusions | 244 | ||
| References | 245 | ||
| SROI Methods for Impact Assessment in Economy of Wellbeing | 248 | ||
| 1 Introduction | 249 | ||
| 2 Methodology for the Calculation of SROI of Virtual Coaches Fostering Healthy Ageing | 249 | ||
| 3 Results | 259 | ||
| 4 Discussion | 259 | ||
| 5 Theoretical and Managerial Contribution | 263 | ||
| 6 Limitations and Further Development | 264 | ||
| References | 266 | ||
| Building a Network Around Wellbeing Services that Empower Older Adults | 270 | ||
| 1 Every Pathway to Ageing Counts | 270 | ||
| 2 The NESTORE Community | 271 | ||
| 3 Empowering Means also Avoiding Self-inducted Ageism | 273 | ||
| 4 Conclusions | 274 | ||
| References | 275 | ||
| Exploitation, Dissemination, and Communication: An Integrated Framework in EU Research | 276 | ||
| 1 Introduction | 276 | ||
| 2 The Empirical Context and Research Design | 278 | ||
| 3 An Integrated Conceptual Framework for Setting an Effective Exploitation and Dissemination Strategy | 279 | ||
| 4 Discussion and Conclusions | 297 | ||
| References | 299 | ||
| Aspects of Ethics and Data Management in Healthy Ageing Digital Services | 301 | ||
| Data Treatment in Complex Research Studies in Light of the GDPR Rules. A Critical Analysis | 302 | ||
| 1 Introduction | 302 | ||
| 2 The Data Protection Impact Assessment (DPIA) | 305 | ||
| 3 The Data Sharing Agreement (DSA) | 307 | ||
| 4 The Informed Consent | 310 | ||
| 5 Conclusions | 311 | ||
| References | 312 | ||
| Ethical, Legal and Societal Issues of Research and Innovation in NESTORE | 314 | ||
| 1 Introduction | 314 | ||
| 2 Autonomy, Information and Informed Consent | 316 | ||
| 3 Personal Data Protection in Digital Environments | 318 | ||
| 4 Ethics and Research Integrity | 321 | ||
| 5 Responsible Research and Innovation | 322 | ||
| References | 324 | ||
| From Research to Action: What’s Next? | 326 | ||
| Other Advanced Research Initiatives in Elderly Care and Fragility Prevention | 327 | ||
| 1 Introduction | 328 | ||
| 2 Technology for Aging in Place: The CAPTAIN Solution as an Answer to Existing Challenges | 333 | ||
| 2.1 Challenges on Technology Supported Active and Healthy Ageing in Place | 333 | ||
| 2.2 The CAPTAIN Vision and Solution | 333 | ||
| 2.3 Design and Development Methodology | 334 | ||
| 2.4 Envisaged Impact | 335 | ||
| 2.5 Towards Business Exploitation of CAPTAIN | 335 | ||
| 3 Council of Coaches promotes elderly health | 336 | ||
| 3.1 Engagement with Supporting Technologies Is the Challenge for Healthy Ageing e-Coaches | 336 | ||
| 3.2 A Vision of Collaborative Coaches | 336 | ||
| 3.3 The COUCH Web Application Design | 337 | ||
| 3.4 The Envisaged Impact of COUCH Solution | 338 | ||
| 3.5 Exploitation Strategies for COUCH | 338 | ||
| 4 The Empathic Promotion of a Satisfying and Independent Lifestyle | 339 | ||
| 4.1 Social Challenges and Innovation Opportunities to Support Elderly Independency and Wellbeing | 339 | ||
| 4.2 Vision of the EMPATHIC Project | 340 | ||
| 4.3 Main Concepts and Outcomes of EMPATHIC Project | 341 | ||
| 4.4 Expected Impact of EMPATHIC Project | 341 | ||
| 4.5 Exploitation of the Results and Concluding Remarks | 342 | ||
| 5 The Solutions of HOLOBALANCE to Manage Equilibrium Disorders | 343 | ||
| 5.1 Challenges in Active and Healthy Ageing | 343 | ||
| 5.2 The HOLOBALANCE Vision in Ageing and Healthcare | 344 | ||
| 5.3 The Proposed Solution for AHA by HOLOBALANCE | 344 | ||
| 5.4 The Expected Impact for HOLOBALANCE Project | 345 | ||
| 5.5 The Proposed Exploitation Model for HOLOBALANCE Solutions | 345 | ||
| 6 The Multimodal Coaching of SAAM Project | 345 | ||
| 6.1 What Are the Challenges on Aging and Healthcare for Europe in 2030? | 345 | ||
| 6.2 What Is the Vision of Your Project About Aging and Healthcare to Tackle These Challenges and Transform Them into Opportunities? | 346 | ||
| 6.3 What Are the Main Concepts of the Project, the Methodology, the Developed Tools, the Outcomes? | 346 | ||
| 6.4 What Is the Expected Impact of Your Project? | 348 | ||
| 6.5 Please Describe the Exploitation Models and/or Channels and/or Opportunities | 348 | ||
| 7 Virtual Coaching for Telerehabilitation: Insight to the European vCare-Project | 349 | ||
| 7.1 Project Context Introduction | 349 | ||
| 7.2 Principle Project Approach and Methodology | 349 | ||
| 7.3 The vCare Project’s Perspective on the Future of Ageing | 351 | ||
| 8 WellCO Recommends Healthier Behaviour Change | 352 | ||
| 8.1 Ageing Challenges for 2030: The WellCo Perspective | 352 | ||
| 8.2 WellCo Supports Elderly Empowerment | 353 | ||
| 8.3 The WellCO Approach | 354 | ||
| 8.4 The Expected Impact of the WellCO Affective-Aware Coach | 355 | ||
| 8.5 Exploitation Model for WellCo Coaching System | 355 | ||
| 9 Conclusions | 356 | ||
| References | 357 | ||
| Conclusions | 360 | ||
| 1 The Demographic Perspective | 360 | ||
| 2 The Research Perspective | 361 | ||
| 3 The European Perspective | 363 | ||
| 4 The Data Perspective | 364 | ||
| References | 364 |