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Smartphone as a Personal Pervasive Health Information Services Platform

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Reference/Citation for a latest scientific paper: Katarzyna Wac, Maddalena Fiordelli, Mattia Gustarini, Homero Rivas, Quality of Life Technologies: Experiences from the Field and Key Research Challenges, IEEE Internet Computing, Special Issue: Personalized Digital Health, July/August 2015.

Reference/Citation for the talk: Katarzyna Wac, Smartphone as a Personal Pervasive Health Information Services Platform, The International Conference on Using Advanced Technologies for Elderly Care: A New Paradigm (ElderlyTech 2013), Tel Aviv, Israel, Feb 2013

Reference/Citation for a scientific paper: Katarzyna Wac, Smartphone as a Personal, Pervasive Health Informatics Services Platform: Literature Review, IMIA Yearbook 2012: Personal Health Informatics, 7(1), pp.83-93.

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Smartphone as a Personal Pervasive Health Information Services Platform

  1. 1. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science Smartphones & Apps for Older Adults Quality of Life research group Dr Katarzyna Wac katarzyna.wac@unige.ch CODATA, 25th - 27th February 2013
  2. 2. health is our most precious asset
  3. 3. The Paradox Living longer… …but sicker Percentage of Deaths [United  Na+ons,  2009;  WHO,  2009]  
  4. 4. Healthcare: Today & Tomorrow older society unhealthy lifestyle chronic diseases high cost centralized episodic cure affordable health for everyone continuous care patient empowerment & continuous efficient effective healthcare
  5. 5. Smartphone Factor
  6. 6. Smartphones Users [Smith,  A.,  Smartphone  Adop+on  and  Usage,  Pew  Research  Center's  Internet  &  American  Life  Project,  Pew  Internet  &  American  Life  Project,  July  2011]   •  6 billion mobile phone subscribers •  83% US adults have a cell phone of some kind: 42% - smartphone –  87% of smartphone owners access Internet/email on phone, 68% - daily
  7. 7. Smartphones Users •  How far is your phone? •  53% arm & 88% room level •  What factors influence your smartphone experience? [S.  Ickin,  K.  Wac,  et  al.,  Factors  Influencing  Quality  of  Experience  of  Commonly-­‐Used  Mobile  Applica+ons,  IEEE  COMMAG,  2012  ]   [A.  Dey,  K.  Wac,  et  al.,  Ge[ng  Closer:  An  Empirical  Inves+ga+on  of  the  Proximity  of  User  to  Their  Smart  Phones,  ACM  UBICOMP,  2011  ]  
  8. 8. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 8 QoL Research Projects Ambient Assisted Living •  TraiNutri (AAL-2) •  WayFiS (AAL-3) •  MyGuardian (AAL-4)  User-centered design?
  9. 9. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 9 AAL-2 TraiNutri TRAINing and NUTRItion senior social platform
  10. 10. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 10 TraiNutri Targets •  Raise consciousness about self wellness •  Help people (50-65 years old) to develop healthy habits •  Enable the exchange of knowledge related to healthy physical activity and nutritional habits •  Consortium –  Spain, Greece, Switzerland, the Netherlands
  11. 11. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 11 ALE Algorithm: Raw Data & Sample Median [Papers:  GHF’12,  AAAI‘12,  IWFAR’11,  SAA‘11]  
  12. 12. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 12 QoL: Physical Activity Level Monitoring [Papers:  GHF’12,  AAAI‘12,  IWFAR’11,  SAA‘11]  
  13. 13. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 13 AAL-3 WayFiS Way Finding Seniors
  14. 14. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 14 WayFiS Targets •  Improving the capability of seniors to plan, manage and execute travel and transportation projects taking into account their specific limitations and healthy habits •  Facilitating the elderly feel healthy-well and safe •  Human-centric approach •  Consortium –  Spain, Switzerland, Hungary
  15. 15. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 15 WayFiS Application [Papers:  ERCIM’12,  WIGPT‘11]  
  16. 16. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 16 AAL-4 MyGuardian A Pervasive Guardian for Elderly with Mild Cognitive Impairments
  17. 17. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 17 MyGuardian Targets •  Facilitate safe & secure mobility of seniors with mild cognitive impairments while preserving their autonomy and dignity •  Improving wellbeing and efficiency of voluntary caregivers by ensuring their peace of mind and keeping them informed •  Human-centric approach •  Consortium –  Spain, Switzerland, France, the Netherlands
  18. 18. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 18 Locations/Zones & Rules
  19. 19. MyGuardian Example Use Case Source:  Dutch  Freeband  AWARENESS  project  
  20. 20. MyGuardian interaction algorithms speed accuracy complexity interactionstatistical signif. tests historical data policies user preferences
  21. 21. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 21 AAL: Example Technical Challenges •  Performance –  ‘Best-effort’network infrastructures –  Delays: one way or round- trip delays –  Throughput: consumer- producer paradigm •  Mobility: horizontal and vertical handovers –  Intra- and inter-operator •  Scalability •  Data priority over voice •  Communication costs –  Per MByte vs.‘flat-rate’ •  Security and Privacy –  Data encryption •  Power consumption •  Miniaturization of sensors/actuators •  Service personalization –  Individual user’s needs •  Standardization and interoperability [Papers:  Wac  et  al.,  IEEE  COMMAG‘12,  IEEE  TMC‘12,  ACM  UBICOMP’11,  IEEE  JSAC’09]  
  22. 22. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 22 Recommendations •  Challenges Ahead –  User acceptance –  Privacy, trust –  Interoperability, standardization –  Evaluation methods vs RCT –  Organizational issues, pathways –  Legalization, liability –  Financial aspects, reimbursements •  Recommendations –  mobile solutions technologically feasible for non-critical cases –  Inter/trans-disciplinary approach needed •  User-centered design –  Bridge the gap via an open, trustworthy dialogue –  Encode implicit expectations & requirements –  Innovation: “who’s turn is now”? •  Innovating the intervention content vs the IT infra. [K.Wac,  Smartphone  as  a  Personal,  Pervasive  Health  Informa+cs  Services  Plaborm:  Literature  Review,  IMIA  Yearb  Med  Inform  2012  ]  
  23. 23. Healthcare Processes vs Smartphone older society unhealthy lifestyle chronic diseases high cost centralized episodic cure affordable health for everyone continuous care patient empowerment & continuous efficient effective healthcare self-­‐management            via  mHealth  
  24. 24. Note on Android OS •  Hardware Sensors –  Acceleration forces in XYZ –  Gyroscope - rotation along XYZ –  Ambient light (lux) –  Pressure sensor (barometer), vibrometer –  Compass - ambient magnetic field in XYZ –  Proximity - near/far the object –  Temperature of battery –  Applications running, currently used application –  GPS, microphone (noise), camera, rotation, screen brightness –  WiFi, 2.5G/3G/4G, Bluetooth, Near Field Communication –  …and the phone itself (call received, missed, originated) and SMS/MMS
  25. 25. g.MobiLab+  by   Ac+veTwo  by  LifeShirt  by   BioHarness  by   ATLASense  by   NeXus-­‐4  by   TeleCliniq  by   [K.  Wac,  A.  Dey,  BodyNets  2010]   EMERGE  by   NeuroSky  
  26. 26. Thank You! •  Quality of Life group •  Researching efficient and effective mobile systems in the healthcare domain delivering validated services to patients and healthcare professionals "anywhere-anytime-anyhow” •  Publications & information http://www.qol.unige.ch

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