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Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
Scalable Intervention Technology for Older Adults
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Scalable Intervention Technology for Older Adults

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  • 1. Scalable Intervention Technology for Older Adults in the Home Holly Jimison, PhD Department of Medical Informatics, OHSUFunding: National Science Foundation, National Institute on Aging,Alzheimer’s Association, and the Intel Corporation
  • 2. Scalable Approach to Delivering Interventions to the Home Remote, just-in-time, continuous care Incorporate principles of health behavior change Optimal use of lower cost personnel Integrate family & informal caregivers into the health care team (untapped resource) Platform for testing sustained interventions in the home
  • 3. Home Monitoring Data
  • 4. Platform to Deliver a Scalable Coaching Intervention to the Home System to facilitate a single coach in managing a large number of clients Semi-automated tailored messaging based on home monitoring and self-report data User assessment  user model  tailored data sharing, action plan, coaching messages Multiple modules – not single condition or approach
  • 5. Modular Software for Multiple Protocols Cognitive Exercise (computer game format) Novelty exercise Physical Exercise Sleep Management Socialization Medication Management Mood Management
  • 6. Participant Home PageParticipant home page• Messages from coach• Featured story• Weekly goals – Activities – Surveys• Access modules – Physical Activity – Sleep – Socialization – Novelty Mental Exercises – Cognitive Games• Coaching Process• Participant Materials 6
  • 7. Coach Messaging• Messages from Coach • Messages to Coach 7
  • 8. Physical Activity Module 8
  • 9. Physical Activity Module-continued 9
  • 10. Sleep Module 10
  • 11. Socialization Module 11
  • 12. Socialization Protocols for Cognitive Health  Web cams and Skype software given to participants and their remote family partner  Frequent spontaneous use among participants
  • 13. Cognitive Computer Games - embedded monitoring algorithms
  • 14. Health Coaching Platform Architecture
  • 15. Health Coaching Platform Architecture Family Interface• Safety monitoring • Soft alerts •Team-based care • Socialization
  • 16. In-Home Cognitive Health Coaching Studies Needs Assessment Coach Messaging Study Ongoing Usability Testing Feedback on Cognitive Games and Novelty Exercise Current Coaching Study  20 participants in the ORCATECH Living Lab  20 additional participants from larger monitoring study  Average age 78.3 ± 7.8 years  70% femaleORCATECH 16
  • 17. Lessons Learned: Important Software Issues  User centered design – ease of use  Inference algorithms for assessing patient state and context  Sophisticated User Models  Privacy / Security – tailored privacy models for the sharing of home monitoring data  User models for tailoring interventions and coaching messages • Intelligent Interoperability
  • 18. Summary: Benefits of Technology for Remote Coaching Scalable approach to delivering interventions to the home  Extends the reach of lower cost professionals  Community-based culturally-specific coach  Timely and continuous  Aim to keep people independent ( QoL &  costs) Integrates untapped resource of family and informal caregivers into the care team Tailors interventions to individuals Integrates health and wellness interventions

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