AGING IN PLACE National Institutes of Health September 9-10 th , - - PowerPoint PPT Presentation

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Jul 19, 2023 199 likes •400 views

AGING IN PLACE National Institutes of Health September 9-10 th , 2014 PANEL 3 Health transition trajectories: Data to action Dan Siewiorek, Jeff Kaye, Maureen Schmitter-Edgecomb TECHNOLOGIES TO SUPPORT PHYSICAL HEALTH Dan Siewiorek Buhl

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AGING IN PLACE

National Institutes of Health September 9-10th, 2014

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PANEL 3

Health transition trajectories: Data to action Dan Siewiorek, Jeff Kaye, Maureen Schmitter-Edgecomb

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TECHNOLOGIES TO SUPPORT PHYSICAL HEALTH

Dan Siewiorek Buhl University Professor Computer Science and Electrical and Computer Engineering Carnegie Mellon University

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PHYSICAL THERAPY

A growing need

By 2030, 4% of the population will experience a stroke at a cost of over $180 billion

In 2004 there were 450,000 total knee replacements and 230,000 total hip replacements

In 2006 250,000 rotator cuff surgeries

In 2009 250,000 anterior cruciate injuries

Six or more months of rehabilitation commonly required

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BLOOD PRESSURE CUFF

Is it on correctly

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GENERATION SMARTPHONE: IEEE SPECTRUM 9/12

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User Centered Design Prototype Robust Prototype Laboratory Prototype Field- deployed System Commercial Product Smart Orthotics Gastro-enterology Vital Clip Walker stride coach Woodworking Angle Gage Office Ergonomics Ergobuddy Wheelchair Propulsion PT Coach Carpal Tunnel Coach Stroke Rehabilitation Coach IMPACT MemExerciser HeadCoach First Person Vision Seating Coach "#$%&'!()$*+! ,+-./*$0! 1+#2$3-!()$*+! "42)5#!1+#2$3-! ()$*+! 6#$7()$*+! 8$05#2! "42/7#! ()$*+!

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STOKE REHABILITATION EXERCISES

Normalized Hidden Markov Model recognizes correct and erroneous exercise movements

Encouragement and corrections are provided by audio and textual feedback

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STROKE REHABILITATION VIRTUAL REALITY GAMES

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STROKE REHABILITATION WITH EMOTION DETECTION

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VIRTUAL COACH TEAM COMPOSITION

Biomedical Engineering

Computer Science

Electrical and Computer Engineering

Human-Computer Interaction

Nursing

Occupational Therapy

Physical Therapy

Psychology

Rehabilitation Engineering

Robotics

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A TALE OF TWO PASSAGES

Nursing Home, CHF

Medications – doctors did not

check each others list

Model of what going on in body

not conveyed – Confusing to be told one day to drink as much as you like, next day no water

Extraordinary Measures

– Dialysis to remove water – Doctor told him going to amputate both legs without checking with family – passed away six hours later Independent Living, Hospice

Loss of control

– Once in nursing home under nursing home doctor who did not return calls – Had to work with physical therapist to get release – Blood sugar reading – if can not do herself have to go into nursing home – Wanted to do feeding tube

Lack of sensitivity

– Placed in room next to where her husband died, roommate pleading to die

Hospice

– Removed IV, medications, talking and sipping ice chips in 24 hours – Did not know of home care possibility – passed away in a home setting with children, community events

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A TALE OF TWO PASSAGES – POTENTIAL TECHNOLOGIES

Nursing Home, CHF

Medications - Communications
Model of what going on in body

not conveyed – Descriptive Models

Extraordinary Measures

– Dialysis to remove water – Descriptive Models – Doctor told him going to amputate both legs without checking with family – Communications Independent Living, Hospice

Loss of control

– Under nursing home doctor who did not return calls- Communications – Had to work with physical therapist to get release - Communications – Blood sugar reading – if can not do herself have to go into nursing home – Virtual Coaches

Lack of sensitivity

– Placed in room next to where her husband died, roommate pleading to die - History

Hospice

– Removed IV, medications, talking and sipping ice chips in 24 hours- Descriptive Models – Did not know of home care possibility – Match

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RESEARCH BARRIERS

Fundamental Knowledge –! Individual differences and unpredictability –! Models of noise and uncertainty –! Contextual variability –! Complex Interactions

Technology –! Safety assurance –! Robustness and Generality –! Interoperability –! Multidisciplinary collaboration challenges

Technology Integration –! Privacy concerns –! Market factors –! User acceptance –! Demonstrating value

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RESEARCH QUESTIONS

How can technology be made more engaging thereby avoiding early abandonment

How can complexity of interactions be simplified

How can technology adapt as my ability changes

How can technology interactions be personalized

How can technology motivate to change behavior

How can interactions be more like exchanges with humans

How can the technology interactions modify interaction within a session as my mood changes

How can technology ease the burden of caregivers

How can the support team (doctors, nurses, engineers) be unified and synchronized from design to implementation to development

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