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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
health is our most precious asset
The Paradox
Living longer… …but sicker
Percentage
of Deaths
[United	
  Na+ons,	
  2009;	
  WHO,	
  2009]	
  
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
Smartphone Factor
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
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	
  ]	
  
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?
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
9
AAL-2 TraiNutri
TRAINing and NUTRItion
senior social platform
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
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]	
  
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]	
  
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
13
AAL-3 WayFiS
Way Finding Seniors
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
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
15
WayFiS Application
[Papers:	
  ERCIM’12,	
  WIGPT‘11]	
  
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
16
AAL-4 MyGuardian
A Pervasive Guardian for Elderly
with Mild Cognitive Impairments
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
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
18
Locations/Zones & Rules
MyGuardian Example Use Case
Source:	
  Dutch	
  Freeband	
  AWARENESS	
  project	
  
MyGuardian
interaction
algorithms
speed
accuracy
complexity
interactionstatistical
signif. tests
historical data
policies
user preferences
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]	
  
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	
  ]	
  
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	
  
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
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	
  
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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Smartphone as a Personal Pervasive Health Information Services Platform

  • 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. health is our most precious asset
  • 3. The Paradox Living longer… …but sicker Percentage of Deaths [United  Na+ons,  2009;  WHO,  2009]  
  • 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
  • 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. 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. 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. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 9 AAL-2 TraiNutri TRAINing and NUTRItion senior social platform
  • 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. 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. 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. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 13 AAL-3 WayFiS Way Finding Seniors
  • 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. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 15 WayFiS Application [Papers:  ERCIM’12,  WIGPT‘11]  
  • 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. 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. FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science 18 Locations/Zones & Rules
  • 19. MyGuardian Example Use Case Source:  Dutch  Freeband  AWARENESS  project  
  • 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. 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. 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. 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. 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. 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