Andreoni / Mambretti Digital Health Technology for Better Aging

A multidisciplinary approach
1. Auflage 2021
ISBN: 978-3-030-72663-8
Verlag: Springer International Publishing
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, 364 Seiten

Reihe: Research for Development

This book describes the multidisciplinary approach needed to tackle better aging. Aging populations are one of the 21st century's biggest challenges. National health systems are forced to adapt in order to provide adequate and affordable care. Innovation, driven by digital technology, is a key to improving quality of life and encouraging healthy living. Well-designed technology keeps people empowered, independent, and mobile; however, despite widespread adoption of ICT in day-to-day life, digital health technologies have yet to catch on. To this end, technology needs to be effective, usable, cheap, and designed to ensure the security of the managed data. In the era of mHealth, mobile technology, and social design, this book describes, in six sections, the collaboration of polytechnic know-how and social science and health sectors in the creation of a system for encouraging people to engage in healthy behavior and achieve a better quality of life.

Dr. Giuseppe Andreoni (M) earned the laurea degree in electronic engineering in 1993 and a Ph.D. in bio-engeneering in 1998. He is currently a full professor at the design Dept. of Politecnico di Milano. He also serves that department as the scientific coordinator of the TeDH-Technology and Design for Healthcare and Wellbeing Laboratory, which includes the Sensibilab (Biomedical Sensors and Systems Lab.) and of the LyPhE (Laboratory of Physical Ergonomics). He has a wealth of experience in the design and development of innovative products, systems, and services in the healthcare and ergonomics sectors, with specific know-how about integrating technologies and participatory design methodologies. His main research interests are: ergonomics, wearable sensors, design, rehabilitation and assistive technology. He is coauthor of 10 national/international patents and more than 250 publications (books, chapters, papers, and proceedings in international conferences). Giuseppe was the scientific coordinator of 'PEGASO - Fit for Future', a European project within the frame of the 7th Framework program, and he is currently the scientific coordinator of the 'NESTORE' project within the frame of the H2020 Framework program.Ing. Cinzia Mabretti (F) has more than 20 years of experience in R&D project management. Having graduated with a degree in computer science engineering from Politecnico di Milano, she gained experience during her school years by participating in several artificial intelligence and robotics project, including Robocup 1998, Paris, for which she served as a member of the ART team, the Italian national team that developed a moderately-sized homemade robot football player. From 2003 to 2011, she was the senior project manager at Socrates Medical, leading the R&D team, and also participating in the projects FP-6 WEIRD (WiMax Extension to Isolated Research Data Networks) and FP-7 ISISEMD (Intelligent System for independent living and SElfcare of seniors with cognitive problems or Mild Dementia ). Since 2013, she has been a project manager at Fondazione Politecnico di Milano, where she manages several e-Health/IT funded projects. She is currently project manager of H2020 - PM15 project 769643 NESTORE (Novel Empowering Solutions and Technologies for Older people to Retain Everyday life activities). She is an independent expert involved in evaluation of the H2020, Eureka, and Lombardy Region projects.

Autoren/Hrsg.

Andreoni, Giuseppe

Mambretti, Cinzia

Inhaltsverzeichnis

1;Preface;6
2;Contents;10
3; Older Persons in Europe 2020: Needs and Challenges for an Interdisciplinary Polytechnic Approach;13
3.1;1 Ageing in Europe 2020;13
3.2;2 Status, Needs and Challenges for the Design and Implementation of Effective Active Healthy Ageing Solutions;16
3.3;3 A Polytechnic Approach to Design of Intuitive and Integrated AHA Services: The NESTORE Case Study;19
3.4;References;21
4;Designing mHealth Solutions for Better Ageing: Clinical and Methodological Perspective;23
5; The Multi-domain Coaching Approach to Counteract Ageing Decline;24
5.1;1 Introduction;25
5.2;2 General Framework for the Design of the NESTORE Coaching Plans;26
5.3;3 Physical Activity;27
5.4;4 Nutrition;30
5.5;5 Cognitive Status and Social Behaviour;34
5.6;6 Conclusions;35
5.7;References;36
6; Found in Translation: Innovative Methods of Co-design in the Development of Digital Systems for Promoting Healthy Aging;39
6.1;1 Introduction;39
6.1.1;1.1 Aims of the Research;40
6.1.2;1.2 Methods of Engagement;41
6.2;2 Design of the Research;42
6.3;3 Methods;44
6.4;4 The Study;45
6.4.1;4.1 Phase One;45
6.4.2;4.2 User Workshop Findings;46
6.4.3;4.3 Phase Two;50
6.4.4;4.4 Analysis of Phase One and Two;52
6.5;5 Transferability of User Requirements to Technologists;53
6.5.1;5.1 Digital Probes;53
6.5.2;5.2 Personas;55
6.5.3;5.3 Pathways;57
6.5.4;5.4 Co-designing the Tangible Coach;58
6.6;6 Discussion and Conclusion;59
6.7;References;61
7;Technology Applied to Solutions for Healthy Ageing;63
8; Monitoring in the Physical Domain to Support Active Ageing;64
8.1;1 Design Requirements and Guidelines;64
8.2;2 Wearable Wristband Architecture Overview;67
8.2.1;2.1 Industrial Design and User Interface Solution;70
8.2.2;2.2 Technology Selection;73
8.2.3;2.3 Wristband Mechanical Description;73
8.2.4;2.4 Mechanical Drawing for Charging Station;75
8.2.5;2.5 Hardware Solution;75
8.2.6;2.6 Charging Station;78
8.3;3 Environmental Sensors for Physical Activity;79
8.3.1;3.1 BLE Beacons;80
8.3.2;3.2 Ballistocardiography;81
8.3.3;3.3 Smart Scale;82
8.4;4 Firmware Solution;82
8.4.1;4.1 For the Beacons;83
8.4.2;4.2 For the Smartphone;83
8.4.3;4.3 Data Management;84
8.5;References;85
9; Nutritional Monitoring in Older People Prevention Services;86
9.1;1 Introduction;87
9.2;2 Related Works;89
9.2.1;2.1 Nutrition Monitoring Systems;89
9.2.2;2.2 Food Recognition;91
9.3;3 LogMeal—A Food Intake Monitoring Tool Integrated in the NESTORE Platform;92
9.3.1;3.1 Production Environment;92
9.3.2;3.2 Development Environment;93
9.3.3;3.3 LogMeal Integration into NESTORE;94
9.4;4 Constructing LogMeal Food Dataset;95
9.4.1;4.1 Public Food Datasets;96
9.4.2;4.2 Food Hierarchy;97
9.4.3;4.3 The Dataset Construction;99
9.4.4;4.4 Nutritional Food Composition of Recipes;101
9.4.5;4.5 Nationality;102
9.4.6;4.6 API Images;102
9.5;5 System Validation;102
9.5.1;5.1 Performance Insights During Development;103
9.5.2;5.2 Performance Insights During Production;104
9.6;6 Conclusions;105
9.7;References;106
10; Social Behaviour and Cognitive Monitoring in Healthy Ageing;112
10.1;1 Introduction;112
10.2;2 Monitoring of Social Behaviour in NESTORE;114
10.2.1;2.1 Self-reported Social Integration and Behaviour;114
10.2.2;2.2 Sensor-Based Social Behaviour Assessments;114
10.3;3 Monitoring of Cognitive Functioning in NESTORE;118
10.3.1;3.1 Assessing Cognitive Status at Baseline and Posttest;118
10.3.2;3.2 Assessing Cognitive Performance Throughout the Coaching Phase;119
10.4;4 Conclusion;121
10.5;References;122
11; Perspective and Experiences of Decision Support Systems (DSS) and AI in Prevention and Care for Older Adults;124
11.1;1 Introduction;124
11.2;2 DSS Design in Healthcare: The Importance of Experts’ Involvement;126
11.3;3 Methods to Build a Robust DSS;127
11.3.1;3.1 Preventing the Cold-Start Problem;127
11.3.2;3.2 Harmonisation and Integration;129
11.3.3;3.3 AI Technologies Present in DSSs Approaches;129
11.4;4 NESTORE DSS as a Whole;130
11.4.1;4.1 Target Variables and Data Sources;130
11.4.2;4.2 Architecture and Derived Workflows;132
11.4.3;4.3 Data Analysis Pipelines;133
11.4.4;4.4 Validation;133
11.5;5 Conclusion;134
11.6;References;135
12; System Interoperability for Next Gen Services at Home. A Challenge/Opportunity for Integration;138
12.1;1 Introduction;138
12.2;2 Requirements of Interoperable Environments;140
12.3;3 Interoperable Technologies;143
12.4;4 Challenges and Opportunities for a Seamless Integration;147
12.5;5 Conclusions;152
12.6;References;152
13;Lifestyle Improvement and Virtual Coaching and ICT Services in the Human Domains Through Friendly Technology;154
14; Physical Activity Promotion and Coaching to Support Healthy Ageing;155
14.1;1 Introduction;156
14.2;2 Overview of NESTORE Coaching System in Physical Activity Domain;156
14.3;3 Coaching Personalisation and Implementation Strategies;158
14.4;4 NESTORE Technological Solutions for the Physical Activity Domain;161
14.5;5 Conclusions;166
14.6;References;166
15; Coaching Older Adults Towards a Healthier Lifestyle: Psychological and Technological Methods;169
15.1;1 Introduction;169
15.2;2 Theoretical Behaviour Change Models in Health Psychology;170
15.3;3 Behaviour Change Techniques and General Coaching Strategies for Health and Well-Being;177
15.4;4 Health-Related e-Coaching and Digital Intervention Strategies;177
15.5;5 e-Coaching in NESTORE;181
15.6;6 Conclusion;183
15.7;References;183
16; Understanding Older Adults’ Affect States in Daily Life for Promoting Self-reflection About Mental Wellbeing;186
16.1;1 Introduction;186
16.2;2 The Affective Dimension;188
16.2.1;2.1 Beyond Basic Emotions: Love, Grief and Positive Affect;190
16.2.2;2.2 Sentiment Analysis for Emotion Recognition;192
16.3;3 Emotions and the NESTORE e-Coach;193
16.4;4 Emotional Wellbeing Recognition in the NESTORE System;195
16.4.1;4.1 Implementation of the Emotion Engine;196
16.5;5 Discussion and Future Work;197
16.6;References;198
17; Building Trust and Companionship in e-Coaching Through Embodiment;201
17.1;1 Introduction;201
17.2;2 Background on Tangible Conversational Agents in Increasing Trust and Companionship;202
17.3;3 Design Process Method;203
17.4;4 NESTORE Tangible Coach Co-design;204
17.4.1;4.1 Preliminary Designs;204
17.5;5 Conclusion;208
17.6;References;209
18; Challenges, Limitations and Methodologies to Be Applied in the Development of an ICT-Based Intervention for Older People;211
18.1;1 Introduction;211
18.2;2 Data and Methods;214
18.2.1;2.1 Integration of the Recruitment Strategies;215
18.3;3 Results;218
18.3.1;3.1 Building Trust;219
18.3.2;3.2 Identify Individual Barriers;220
18.3.3;3.3 Offer Incentives;221
18.3.4;3.4 Be Responsive;221
18.3.5;3.5 Identified Barriers;222
18.4;4 Conclusions;227
18.5;References;230
19;Innovation Impact Measured in Subjective (Usability and Experience), Social (Community Level) and Business (Companies and Institutions) Opportunities;232
20; Practicing the Test of New System-Services for Elderly Care: How to Introduce and Measure User Experience and Related Outcomes;233
20.1;1 Introduction;233
20.2;2 HCD Approach in Designing Interactive System-Services for Elderly;234
20.3;3 Nestore Experience of Use;237
20.4;4 Integrated Framework for the Evaluating Nestore Experience of Use;238
20.5;5 Conclusions;244
20.6;References;245
21; SROI Methods for Impact Assessment in Economy of Wellbeing;248
21.1;1 Introduction;249
21.2;2 Methodology for the Calculation of SROI of Virtual Coaches Fostering Healthy Ageing;249
21.3;3 Results;259
21.4;4 Discussion;259
21.5;5 Theoretical and Managerial Contribution;263
21.6;6 Limitations and Further Development;264
21.7;References;266
22; Building a Network Around Wellbeing Services that Empower Older Adults;270
22.1;1 Every Pathway to Ageing Counts;270
22.2;2 The NESTORE Community;271
22.3;3 Empowering Means also Avoiding Self-inducted Ageism;273
22.4;4 Conclusions;274
22.5;References;275
23; Exploitation, Dissemination, and Communication: An Integrated Framework in EU Research;276
23.1;1 Introduction;276
23.2;2 The Empirical Context and Research Design;278
23.3;3 An Integrated Conceptual Framework for Setting an Effective Exploitation and Dissemination Strategy;279
23.4;4 Discussion and Conclusions;297
23.5;References;299
24;Aspects of Ethics and Data Management in Healthy Ageing Digital Services;301
25; Data Treatment in Complex Research Studies in Light of the GDPR Rules. A Critical Analysis;302
25.1;1 Introduction;302
25.2;2 The Data Protection Impact Assessment (DPIA);305
25.3;3 The Data Sharing Agreement (DSA);307
25.4;4 The Informed Consent;310
25.5;5 Conclusions;311
25.6;References;312
26; Ethical, Legal and Societal Issues of Research and Innovation in NESTORE;314
26.1;1 Introduction;314
26.2;2 Autonomy, Information and Informed Consent;316
26.3;3 Personal Data Protection in Digital Environments;318
26.4;4 Ethics and Research Integrity;321
26.5;5 Responsible Research and Innovation;322
26.6;References;324
27;From Research to Action: What’s Next?;326
28; Other Advanced Research Initiatives in Elderly Care and Fragility Prevention;327
28.1;1 Introduction;328
28.2;2 Technology for Aging in Place: The CAPTAIN Solution as an Answer to Existing Challenges;333
28.2.1;2.1 Challenges on Technology Supported Active and Healthy Ageing in Place;333
28.2.2;2.2 The CAPTAIN Vision and Solution;333
28.2.3;2.3 Design and Development Methodology;334
28.2.4;2.4 Envisaged Impact;335
28.2.5;2.5 Towards Business Exploitation of CAPTAIN;335
28.3;3 Council of Coaches promotes elderly health;336
28.3.1;3.1 Engagement with Supporting Technologies Is the Challenge for Healthy Ageing e-Coaches;336
28.3.2;3.2 A Vision of Collaborative Coaches;336
28.3.3;3.3 The COUCH Web Application Design;337
28.3.4;3.4 The Envisaged Impact of COUCH Solution;338
28.3.5;3.5 Exploitation Strategies for COUCH;338
28.4;4 The Empathic Promotion of a Satisfying and Independent Lifestyle;339
28.4.1;4.1 Social Challenges and Innovation Opportunities to Support Elderly Independency and Wellbeing;339
28.4.2;4.2 Vision of the EMPATHIC Project;340
28.4.3;4.3 Main Concepts and Outcomes of EMPATHIC Project;341
28.4.4;4.4 Expected Impact of EMPATHIC Project;341
28.4.5;4.5 Exploitation of the Results and Concluding Remarks;342
28.5;5 The Solutions of HOLOBALANCE to Manage Equilibrium Disorders;343
28.5.1;5.1 Challenges in Active and Healthy Ageing;343
28.5.2;5.2 The HOLOBALANCE Vision in Ageing and Healthcare;344
28.5.3;5.3 The Proposed Solution for AHA by HOLOBALANCE;344
28.5.4;5.4 The Expected Impact for HOLOBALANCE Project;345
28.5.5;5.5 The Proposed Exploitation Model for HOLOBALANCE Solutions;345
28.6;6 The Multimodal Coaching of SAAM Project;345
28.6.1;6.1 What Are the Challenges on Aging and Healthcare for Europe in 2030?;345
28.6.2;6.2 What Is the Vision of Your Project About Aging and Healthcare to Tackle These Challenges and Transform Them into Opportunities?;346
28.6.3;6.3 What Are the Main Concepts of the Project, the Methodology, the Developed Tools, the Outcomes?;346
28.6.4;6.4 What Is the Expected Impact of Your Project?;348
28.6.5;6.5 Please Describe the Exploitation Models and/or Channels and/or Opportunities;348
28.7;7 Virtual Coaching for Telerehabilitation: Insight to the European vCare-Project;349
28.7.1;7.1 Project Context Introduction;349
28.7.2;7.2 Principle Project Approach and Methodology;349
28.7.3;7.3 The vCare Project’s Perspective on the Future of Ageing;351
28.8;8 WellCO Recommends Healthier Behaviour Change;352
28.8.1;8.1 Ageing Challenges for 2030: The WellCo Perspective;352
28.8.2;8.2 WellCo Supports Elderly Empowerment;353
28.8.3;8.3 The WellCO Approach;354
28.8.4;8.4 The Expected Impact of the WellCO Affective-Aware Coach;355
28.8.5;8.5 Exploitation Model for WellCo Coaching System;355
28.9;9 Conclusions;356
28.10;References;357
29; Conclusions;360
29.1;1 The Demographic Perspective;360
29.2;2 The Research Perspective;361
29.3;3 The European Perspective;363
29.4;4 The Data Perspective;364
29.5;References;364