Can "Smart Homes" change the future of how older adults live?

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  • Globally the United Nations Second World Assembly on Ageing that took place in April 2002 predicts that: One out of every ten persons is now 60 years or older; by 2050, one out of every three persons will over 60
  • Globally the United Nations Second World Assembly on Ageing that took place in April 2002 predicts that: One out of every ten persons is now 60 years or older; by 2050, one out of every three persons will over 60
  • Add a slide here Zennith TV remote in 1950, First washing machines ….
  • Add a slide here Zennith TV remote in 1950, First washing machines ….
  • Add a slide here Zennith TV remote in 1950, First washing machines ….
  • Millenium Home – Brunel University in the UK Smart Medical Home Research Laboratory – U of Rochester Research driven homes with no apparent indication of planning to build a functional prototype. Although, they do have a broader goal of ‘Ubiquitous Computing’
  • Begun in 1988 Ubiquitous Computing Research. how we live now and how we might live in the future health in the home - health care and health care delivery - recommend a healthy meal based on what's in the fridge… (and even) high- tech gloves that identify objects for the blind... help older adults better communicate with their family” [Image 8] No one lives in the aware home full time, and most of the products won't be available to the public or a few more years, but it may be a glimpse of a new way to live” (CNN June 24, 2009) Context Awareness and Ubiquitous Sensing Radio Frequency Identification (RFID) sensors “to augment the location infrastructure” with “the eventual goal…(of being able) to provide non-intrusive location sensing inside the home to explore future applications…” This is a significant addition, though only in its seminal phases. FRAME – whereabouts, caregiver http://awarehome.imtc.gatech.edu/about-us/GT_ahri-overview_1-13-2011.pdf
  • FRAME – whereabouts, caregiver HELPING HAND- Accessibility for independence, helping hand identifies objects for the visually impaired SMS architecture Complexion – long term trends http://awarehome.imtc.gatech.edu/about-us/GT_ahri-overview_1-13-2011.pdf
  • “ multi-disciplinary project” Stanford and Boston Medical Centers, the University of North Carolina’s School of Public Health, other departments at MIT and Intel Research. “ how the design of the home and its related technologies, products, and services should evolve to better meet the opportunities and challenges of the future…the widespread adoption of digital technologies is leading to profound changes in how we communicate with others, shop…deliver and receive medical care…manage resources… (and) maintain autonomy as we age”. “ living lab” not a home. . Volunteer subjects do however live in House_n for different lengths of time, and the subsequent data that is gathered is used to examine design strategies and technologies. It is also used for the “study of people and their interaction patterns with new technologies and home environments” House_n is a condominium in a multi-use building in Cambridge, MA [Image 7, 8]
  • Most focused on “programmable pervasive spaces”. “creating a … space specifically designed for the elderly and disabled” and “an assistive environment for independence and wellbeing, with focus on the elderly population” learn the resident’s habit patterns The “Gator Tech Smart House” is in its second iteration and is of a computational and engineering complexity far beyond the scope of this paper or the knowledge of this writer.
  • Self sensing is virtually impossible in the current computing technology Most smart available appliances in the market today do not contain a controllable interface RFID tags smart plugs … intelligent way to sense electrical devices in an intelligent space. Low cost RFID connected to computer … Lamps, clocks, have a unique identifying informatino … when a user plugs the device into a outline … the reader tags and forwards the data to the main computer
  • “ Smart mailbox” that “senses mail arrival and notifies the occupant” “ Smart phone" that integrates traditional telephone functions with remote control of all appliances and media players in the living room" and can "convey reminders and important information to home owners while they are away" “ Smart bathroom” with a shower that prevents scalding by regulating the water temperature as well as a “Smart” toilet that detects use “ Smart front door” that enables "keyless entry" by residents (and approved others) with the use of a RFID tag “ Smart floors” and “Smart beds” monitor the resident through adapted pressure sensors (Helal, S. et al. 2005. p. 66)
  • Kindle and books Emotion and trust … too much technology
  • Video: http://video.nytimes.com/video/2010/06/29/us/1247468152153/bonding-with-paro.html Eileen – Mother – Calm Paro full of sensors “ I am the only one who can put him to sleep” $6000, $2, responsiveness, shimmies and opens his eyes Paro’s charms did not work on everyone. Syntethic emotion “ We as a species have to learn how to deal with this new range of synthetic emotions that we’re experiencing — synthetic in the sense that they’re emanating from a manufactured object,” ” When something responds to us, we are built for our emotions to trigger, even when we are 110 percent certain that it is not human,” said Clifford Nass, a professor of computer science at Stanford University. “Which brings up the ethical question: Should you meet the needs of people with something that basically suckers them?” --------------------- Nothing Eileen Oldaker tried could calm her mother when she called from the nursing home, disoriented and distressed in what was likely the early stages of dementia. So Ms. Oldaker hung up, dialed the nurses’ station and begged them to get Paro. Paro is a Two microprocessors under its artificial white fur adjust its behavior based on information from dozens of hidden sensors that monitor sound, light, temperature and touch. It perks up at the sound of its name, praise and, over time, the words it hears frequently. I’m the only one who can put him to sleep,” Mrs. Lesek would tell her daughter when the battery ran out.“He was very therapeutic for her, and for me too,” Ms. Oldaker said. “It was nice just to see her enjoying something.” Paro’s charms did not work on everyone. Marleen Dean, the activities manager at Vincentian Home, where Mrs. Lesek was a resident, was not easily won over. When the home bought six Paro seals with a grant from a local government this year, “I thought, ‘What are they doing, paying $6,000 for a toy that I could get at a thrift store for $2?’ ” she said. So she did her own test, giving residents who had responded to Paro a teddy bear with the same white fur and eyes that also opened and closed. “No reaction at all,” she reported. “ It’s something about how it shimmies and opens its eyes when they talk to it,” Ms. Dean said, still somewhat mystified. “It seems like it’s responding to them.” Vincentian now includes “Paro visits” in its daily roster of rehabilitative services, including aromatherapy and visits from real pets. Agitated residents are often calmed by Paro; perpetually unresponsive patients light up when it is placed in their hands.
  • "It takes this type of toilet one week to learn when the people living in the house are using it -- in the morning, at noon or in the evening," said Kuno. So the temperature of the seat is raised only at that time of day."   "We are targeting the luxury market, the top 10 percent."  
  • http://techland.time.com/2010/08/26/forget-to-take-your-pills-dont-worry-theyll-call-you/ 2mins
  • A robot named Charlie rolled into a New Zealand retirement village on Monday to take residents' vital signs, deliver their medication reminders, and call for assistance if they fall. Synthetic emotion – does not look like a living object – other side of synthetic emotion At retirement village in new zealand Results showed respondents felt most comfortable with robots taking vital signs such as blood pressure, calling for help, lifting heavy objects, cleaning, and making phone calls to a doctor or nurse. They did not identify personal care, medical advice, and assessing emotions as tasks they'd like to see taken over by robots. The robot shouldn't be too human-like, they suggested, with some residents explicitly saying they'd rather be tended to by a robot without a face.
  • Hacking To avoid that, have cameras- but we all know what happened to Granny Cams Issue of Ethics Security and Privacy is “intertwingled” Privacy
  • House is taking care of me In the meantime, the existing “Smart House” systems are being bought independently by Baby Boomers with ageing parents to help maintain family ties, monitor the wellbeing of increasingly frail parents and in that support their own quality of life
  • Expensive because it is new If it is available Will it work for our homes, or will we have to built new homes? Designing home for Charlie? What happened to my home? I want to age in my home!
  • Q and A
  • Can "Smart Homes" change the future of how older adults live?

    1. 1. Can “ Smart Homes” change the future of how older adults live?
    2. 2. About Dharmesh Mistry Kate Fleming Acquia, Inc. Drupal Bentley Usability Computer Science Desserts, Photography Liberty Mutual BBNT Bentley Usability B.F.A Mass. Art Gardener Twitter: @dcmistry
    3. 3. Agenda Need History Current Prototypes Emerging Devices Outlook and Concerns Next Steps
    4. 4. 60 + | 2010 Statistics
    5. 5. 80 + | 2050 Statistics
    6. 6. Shift in Aging
    7. 7. “ Problems with strength, dexterity, gait and mobility” “ the elderly are far more prone to accidents in the home… with falls presenting the greatest danger” “ often lie injured and undiscovered” “ accidents such as these may lead to decline in self confidence and increasing social isolation” Other reasons 1 2 3
    8. 8. Other reasons “ the ratio between the non working elderly and the working population is dramatically increasing” Nursing home? Assisted living? Home Health Care? 1 2 3
    9. 9. [there is a]”…a rapid increase in healthcare costs [beginning] between the ages of 55 and 65 years” “ the average healthcare expenditure per person is currently $2,536/year, but increases almost TENFOLD for those aged 75 years and over ... 25% of the population by 2051” Emotional, Physical and Financials (personal & civic) benefits of “Aging in place” Other reasons 1 2 3
    10. 10. History “ Smart House ” | 1984 “ Rich Assisted Living Environments” | 1991
    11. 12. History
    12. 13. Current Prot o types
    13. 14. Aware Home Georgia Tech., USA “ creating a home environment that is aware of its occupants’ whereabouts and activities” “ help them to maintain independence as they age ” “ remote monitoring devices that link house sensors with off-site web-connected visual status displays” and also, peace of mind for …the busy family members who care for them”
    14. 15. Aware Home Georgia Tech., USA
    15. 16. Place lab MIT, USA “ the home of today cannot meet… [the] demands of [ the home of the future ]” “ widespread adoption of digital technologies is leading to profound changes” [this lab is a place to]“…study…people and their interaction patterns with new technologies and home environments”
    16. 17. Smart home Gator Tech., USA “ an assistive environment for independence and wellbeing, with focus on the elderly population” [the gator tech smart house] “… is in its second iteration” [this house]“… integrate system components ” to be “easily implement(ed) or extend(ed)”
    17. 18. Smart home Gator Tech., USA
    18. 19. Smart home Gator Tech., USA
    19. 20. Emer g ing Devices
    20. 21. Paro Japan, USA Costs about $6,000 USD . About 1,400 Paros are in use around the world, 40 of them reside in US nursing homes. Certified in 2010 as a class 2 medical device, a “product used in rehabilitation” Developed 16 years ago, Paro is responsive to voice, sound, light, temperature, posture and touch In use
    21. 22. Intelligent Toilet Japan Measures sugar levels in urine, blood pressure, body fat and weight and is sent to your home computer in form of graphs and charts Prices begin at $3,500 USD. Over 70% of Japanese household possess this device In use
    22. 23. Communicating Pill Bottles USA <ul><li>Alert system: </li></ul><ul><li>Glow </li></ul><ul><li>Sound </li></ul><ul><li>Text / Call </li></ul>To refill, button inside the cap to send your order to the pharmacy Embedded wireless chip alerts you to take medicine when scheduled In use
    23. 24. Korea, New Zealand Charlie Research Phase Checks home for safety and security ; both internal and external Best for houses that have been designed with robotic assistants in mind Intended to solve the shortage of staff for nursing homes and in-home care
    24. 25. Concerns Sec u rity
    25. 26. Concerns Ad op tion
    26. 27. Concerns Finance who the heck is going to pay for all of this?
    27. 28. Outlook “ Smart Houses” in popular media…generally, not a happy story, even when done by Disney!
    28. 29. What’s next? MedCottage | Granny Pod “… supports this idea of family-managed healthcare.  A mobile, modular medical home designed to be temporarily placed on a caregiver’s property for rehabilitation and extended care …a state-of-the-art hospital room with remote monitoring available so caregivers and family members have peace of mind…”
    29. 30. What’s next? Winner of the Solar Decathlon in Madrid in June 2010 A “…balance [of] design quality, resource conservation and energy efficiency” Virginia Tech.
    30. 32. Q and A

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