Smartphone as a Personal Pervasive Health Information Services Platform
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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 [email protected]
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 in#uence 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
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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
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AAL-2 TraiNutri
TRAINing and NUTRItion senior social platform
FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science
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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
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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
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QoL: Physical Activity Level Monitoring
[Papers: GHF’12, AAAI‘12, IWFAR’11, SAA‘11]
FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science
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AAL-3 WayFiS
Way Finding Seniors
FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science
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WayFiS
Targets • Improving the capability of seniors to plan, manage and
execute travel and transportation projects taking into account their speci$c 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
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WayFiS Application
[Papers: ERCIM’12, WIGPT‘11]
FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science
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AAL-4 MyGuardian
A Pervasive Guardian for Elderly with Mild Cognitive Impairments
FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science
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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
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Locations/Zones & Rules
MyGuardian Example Use Case
Source: Dutch Freeband AWARENESS project
MyGuardian
interaction
algorithms
speed
accuracy
complexity
interaction statistical signif. tests
historical data policies
user preferences
FACULTÉ DES SCIENCES ÉCONOMIQUES ET SOCIALES Institute of Services Science
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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. ‘#at-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
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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 $eld 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