Post on 11-Apr-2018
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THE ICT4LIFE RESEARCH PROJECTDESIGN AND DEVELOPMENT OF A NEW INFORMATION TECHNOLOGY PLATFORM
FOR PATIENTS WITH ALZHEIMER’S DISEASE
Voros V, Osvath P, Kovacs A, Greges I, Fekete Sz,
Tenyi T, Fekete S and the ICT4Life Consortium
Department of Psychiatry and Psychotherapy, University of Pecs, Pecs, Hungary
Correspondence: Viktor Voros MD, PhD
Email: voros.viktor@pte.hu, info@ict4life.eu
Website: www.ict4life.eu
More information on: @ICT4LifeEU
This project has received funding from the European Union’s Horizon 2020
research and innovation programme under grant agreement Nº 690090.
• With an increasingly growing population in Europe, cognitive impairment and dementias are major social and health issues
• According to the World Alzheimer Report (WHO, 2014) dementia, including Alzheimer’s disease remains one of the biggest global public health challenges our generation is facing
• There are many efforts at European level to promote active and healthy ageing
Background
• 44 million people live with dementiao Will double by 2030 and triple by 2050
• 6th leading cause of deatho 1 in 3 seniors dies with Alzheimer’s or other dementia
• Alzheimer's takes a devastating tollo not just on those with the disease, but on entire families
and society
• Huge direct and indirect costso Direct costs are estimated at 0.5% of GDP
Quick Facts Burden – From The
Caregiver’s Perspective
Main Problems To Address
In Dementia
• Psychopathology (cognitive,
affective, behavioural)
• Functionality (everyday activity)
• Interpersonal problems (relatives,
caregivers, society)
• Quality of life (QoL)
Main Aims Of The Project
• Real-time monitoring in order to alarm and early intervention
• Gather data in order to follow-up and analysis
• Increase safety and reduce risk
• Prevent fall risk, chronic disease, dementia, social isolation, depression, poor well-being, and poor medication management
• Support to remain independent, safe and socially involved
• Promote independence and autonomy
• Improve confidence and quality of life
• Support to live at home for longer
• Support to maintain abilities
• Provide reassurance to carers and help them to feel less stressed
Method – Research Project
• ICT4Life platform is designed to improve situational awareness about patients at their home environments making use of advanced sensor-based analytics
• Maximize elderly empowerment and self-care abilities thanks to a reconfigurable recommendation system that will be able to exploit user-generated data
• Improve decision-making processes in care professionals’ daily activities
• All solutions are developed following a user-centred methodology and tested in real-life scenarios
Conclusions 2.
• ICT4Life proposes an innovative platform for
integrated care by the use of sensor-based
analytics for human behaviour
• This three-year project has the ambition to
provide new services for integrated care with
breakthrough research and radical innovation
by employing user-friendly ICT tools, ultimately
increasing patients’ quality-of-life and
autonomy at home
• Preliminary results are about to come soon in
2017
Conclusions 1.
• This initiative brings together nine partners representing academia, industry and users’ groups
• All committed in improving patients’ lives and advancing Europe’s leadership role in personalized services for integrated care
• ICT4Life develops a solution for individuals with early stage cognitive impairment that will permit doctors and caregivers to extract useful information about patients
• While contributing in a user-friendly way to extending their independence
Method – AssessmentsFUNCTIONS,
PARAMETERS
ASSESSMENTS
(BASELINE AND FOLLOW-UP)
MONITORING AND IMPROVING BY
ICT ASSISTIVE TECHNOLOGIES
Physiological/somatic
parameters
- Medical data - Medical Assessment Form (medical history, comorbidities)
- Medical examination
- Vital signs – WITH ALERT FUNCTION
Cognitive functions - Mini Mental State Examiner
(MMSE)
- Clock-drawing test
- Assessment, monitoring and improvement of cognitive and
memory functions (shape recognition, matching, words and
images, Memorix, gamification)
- Interactive training for the preservation of personal experiences
(family photo album, family events and stories)
Behaviour abnormalities and
daily functions
- Modified Functionality Assessment
Questionnaire (mFAQ)
- Caregiver Questionnaire (based on
BEHAVE-AD and Cornell scale)
- Brief Geriatrics Assessment Scale
- Modified Clinical Dementia Rating
(mCDR)
- Motion related parameters (movement/kinetic sensors: position,
daily motor acitivities pattern, fall-over alarm, motion detection
in and out-house, repetitions, interactive design and
implementation agenda, reminders)
- Divergence from daily activity – WITH ALERT FUNCTION
Emotional problems and
quality of life
- Beck Depression Inventory (BDI)
- Anxiety scale (HAM-A)
- Suicide Intention Scale (SIS)
- Quality of life (QoL)
- Devices to support engagement, social participation and leisure
(digital photoframes, games and apps to improve cognitive skills,
sensory stimulation, ‘brain training’ devices)
- Communication aids (telephones, video chat)
Safety and Telecare - With alert functions (call for help)
- With alarm system
- Safety features: automatic lights with sensors to prevent trips
and falls, water isolation devices, special plugs, heat sensors, fall
sensors, telephone blockers
- Remotely monitor people living in their own home, enabling
them to access support or response services when necessary
- Include community alarms, sensors and movement detectors
and video conferencing
Caregivers - Zarit caregiver burden form - Interactive psychoeducational program
- Theoretical and practical aspects (FAQ)
- Algorithms to help manage unexpected situations
- Interactive memory training together with the patient
General Concept Platform For Integrated Care Actors & Development Areas
Share InformationCooperationCommunication
SU
PP
OR
T
TO
OL
S
Home Set System User Interfaces
Server Interface
Sto
rage
Data Interface
Databases
Services
High-level modules
Low-level moduleanalysis
Capture & Preanalysis
Interface sensors
Services
Mobile InterfacesHome Scenario
Rehabilitation Scenario
Day-Centre Scenario
ICT4Life Platform
TV Interfaces
Web Interfaces