scholarly journals Helping Elderly Users Report Pain Levels: A Study of User Experience with Mobile and Wearable Interfaces

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Iyubanit Rodríguez ◽  
Gabriela Cajamarca ◽  
Valeria Herskovic ◽  
Carolina Fuentes ◽  
Mauricio Campos

Pain is usually measured through patient reports during doctor visits, but it requires regular evaluation under real-life conditions to be resolved effectively. Over half of older adults suffer from pain. Chronic conditions such as this one may be monitored through technology; however, elderly users require technology to be specifically designed for them, because many have cognitive and physical limitations and lack digital skills. The purpose of this article is to study whether mobile or wearable devices are appropriate to self-report pain levels and to find which body position is more appropriate for elderly people to wear a device to self-report pain. We implemented three prototypes and conducted two phases of evaluation. We found that users preferred the wearable device over the mobile application and that a wearable to self-report pain should be designed specifically for this purpose. Regarding the placement of the wearable, we found that there was no preferred position overall, although the neck position received the most positive feedback. We believe that the possibility of creating a wearable device that may be placed in different positions may be the best solution to satisfy users’ individual preferences.

Author(s):  
Ieuan Evans ◽  
Jon Heron ◽  
Joseph Murray ◽  
Matthew Hickman ◽  
Gemma Hammerton

Experimental studies support the conventional belief that people behave more aggressively whilst under the influence of alcohol. To examine how these experimental findings manifest in real life situations, this study uses a method for estimating evidence for causality with observational data—‘situational decomposition’ to examine the association between alcohol consumption and crime in young adults from the Avon Longitudinal Study of Parents and Children. Self-report questionnaires were completed at age 24 years to assess typical alcohol consumption and frequency, participation in fighting, shoplifting and vandalism in the previous year, and whether these crimes were committed under the influence of alcohol. Situational decomposition compares the strength of two associations, (1) the total association between alcohol consumption and crime (sober or intoxicated) versus (2) the association between alcohol consumption and crime committed while sober. There was an association between typical alcohol consumption and total crime for fighting [OR (95% CI): 1.47 (1.29, 1.67)], shoplifting [OR (95% CI): 1.25 (1.12, 1.40)], and vandalism [OR (95% CI): 1.33 (1.12, 1.57)]. The associations for both fighting and shoplifting had a small causal component (with the association for sober crime slightly smaller than the association for total crime). However, the association for vandalism had a larger causal component.


2003 ◽  
Vol 9 (3-4) ◽  
pp. 361-386 ◽  
Author(s):  
V. J. Modi ◽  
A. Akinturk ◽  
W. Tse

Bluff structures in the form of tall buildings, smokestacks, control towers, bridges, etc., are susceptible to vortex resonance and galloping type of instabilities. One approach to vibration control of such systems is through energy dissipation using sloshing liquid dampers. In this paper we focus on enhancing the energy dissipation efficiency of a rectangular liquid damper through the introduction of two-dimensional obstacles as well as floating particles. The investigation has two phases. To begin with, a parametric free vibration study aimed at the optimization of the obstacle geometry is undertaken to arrive at configurations promising increased damping ratio and hence higher energy dissipation. The study is complemented by an extensive wind tunnel test program, which substantiates the effectiveness of this class of damper in suppressing both vortex resonance and galloping type of instabilities. Simplicity of design, ease of implementation, minimal maintenance, reliability as well as high efficiency make such liquid dampers quite attractive for real-life applications.


2011 ◽  
Vol 3 (1) ◽  
pp. 42-52 ◽  
Author(s):  
Mari Feli Gonzalez ◽  
David Facal ◽  
Ana Belen Navarro ◽  
Arjan Geven ◽  
Manfred Tscheligi ◽  
...  

The HERMES Cognitive Care and Guidance for Active Aging project proposes an integrated approach to cognitive assistance, promoting the autonomy of elderly users through pervasive technology. This work aims to describe elderly people’s opinions when they are presented scenarios developed in this project. Two focus groups were organized in Austria and Spain with a view to collecting their impressions about the way in which the technological device can cover their needs; complementarily, a second session was conducted including a quantitative questionnaire. Although some participants were reluctant to use the technology, they welcomed some functionalities of the HERMES system and they considered that using them can help them to become familiar with them. Usefulness, usability, and use of real-life information for functionalities such as cognitive games are considered to be key areas of the project. This evaluation has provided the developers of the system with meaningful information to improve it and it guarantees that the system addresses elderly people’s needs.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A102-A102
Author(s):  
David Hsiou ◽  
Chenlu Gao ◽  
Natalya Pruett ◽  
Michael Scullin

Abstract Introduction Polysomnography (PSG) is the gold standard for measuring sleep, but this method is cumbersome, costly, and sometimes does not reflect naturalistic sleep patterns. Leading technology companies have developed non-wearable sleep tracking devices that have attracted public interest. However, the accuracy of these devices has either been shown to be poor or the validation tests have not been conducted by independent laboratories without potential conflicts of interest. Relative to PSG and actigraphy, and under conditions of both normal and restricted sleep, we assessed the accuracy of early and newer versions of a non-wearable sleep tracking device (Beddit, Apple Inc.). Methods Participants were 35 healthy young adults (Mage=18.97, SD=0.95 years; 77.14% female; 42.86% Caucasian). We randomly assigned them to go to bed at 10:30pm (normal sleep) or 1:30am (restricted sleep) in a controlled sleep laboratory environment. Lights-on was 7:00am for all participants. Sleep was measured by the early version (3.0) or newer version (3.5) of a non-wearable device that uses a sensor strip to measure movement, heart rate, and breathing. We also measured PSG, wristband actigraphy, and self-report. For each device, we tested accuracy against PSG for total sleep time (TST), sleep efficiency (SE%), sleep onset latency (SOL), and wake after sleep onset (WASO). Results While the early version displayed poor reliability (ICCs<0.30), the newer version of the non-wearable device yielded excellent reliability with PSG under both normal and restricted sleep conditions. Not only was agreement excellent for TST (ICC=0.96) and SE% (ICC=0.98), but agreement was also excellent for the notoriously difficult metrics of SOL (ICC=0.92) and WASO (ICC=0.92). This newer version significantly outperformed clinical grade actigraphy (ICCs often in the 0.40 to 0.75 range), and self-reported sleep (ICCs often below 0.40). Conclusion Surprisingly, a non-wearable device demonstrated greater agreement with PSG than clinical grade actigraphy. Though the field has generally been skeptical of commercial non-wearable devices, this independent validation provides optimism that some such devices would be efficacious for research in healthy adults. Future work is needed to test the validity of this device in older adults and clinical populations. Support (if any) National Science Foundation (1920730 and 1943323)


2021 ◽  
Author(s):  
Maxime Montembeault ◽  
Estefania Brando ◽  
Kim Charest ◽  
Alexandra Tremblay ◽  
Élaine Roger ◽  
...  

Background. Studies suggest that emotion recognition and empathy are impaired in patients with MS (pwMS). Nonetheless, most studies of emotion recognition have used facial stimuli, are restricted to young samples, and rely self-report assessments of empathy. The aims of this study are to determine the impact of MS and age on multimodal emotion recognition (facial emotions and vocal emotional bursts) and on socioemotional sensitivity (as reported by the participants and their informants). We also aim to investigate the associations between emotion recognition, socioemotional sensitivity, and cognitive measures. Methods. We recruited 13 young healthy controls (HC), 14 young pwMS, 14 elderly HC and 15 elderly pwMS. They underwent a short neuropsychological battery, an experimental emotion recognition task including facial emotions and vocal emotional bursts. Both participants and their study informants completed the Revised-Self Monitoring Scale (RSMS) to assess the participant’s socioemotional sensitivity. Results. There was a significant effect of age and group on recognition of both facial emotions and emotional vocal bursts, HC performing significantly better than pwMS, and young participants performing better than elderly participants (no interaction effect). The same effects were observed on self-reported socioemotional sensitivity. However, lower socioemotional sensitivity in pwMS was not reported by the informants. Finally, multimodal emotion recognition did not correlate with socioemotional sensitivity, but it correlated with global cognitive severity. Conclusion. PwMS present with multimodal emotion perception deficits. Our results extend previous findings of decreased emotion perception and empathy to a group of elderly pwMS, in which advancing age does not accentuate these deficits. However, the decreased socioemotional sensitivity reported by pwMS does not appear to be observed by their relatives, nor to correlate with their emotion perception impairments. Future studies should investigate the real-life impacts of emotion perception deficits in pwMS.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Jennifer Blum ◽  
Caroline Wisialowski ◽  
Susan Taboada ◽  
Sarah Clark ◽  
Ilene Staff ◽  
...  

Background: Stroke impacts several aspects of patients’ lives and sexual dysfunction post stroke has been reported in 40%-50% of patients. Current investigations have revealed links to depression, however this has not been examined specifically in mild stroke. Objective: To determine prevalence and factors associated with sexual dysfunction after mild stroke Design/methods: A retrospective study was conducted on a self-report questionnaire completed by a convenience sample of patients during a hospital follow-up appointment in the stroke clinic. Patients were asked about sexual dysfunction after stroke and if yes, to specify the cause: safety concern, physical limitation, consequence or change in libido. In addition, patients completed a PHQ-9 to measure depression, Fatigue Assessment Scale (FAS), and the Montreal Cognitive Assessment (MoCA). A thorough review of clinical history including NIHSS, mRS and demographics was completed by researchers. Descriptive statistics were used to identify and understand the patient population. Mild stroke was defined as NIHSS ≤ 5. Results: In our study of 135 patients, 21 (16%) did not respond to the sexual dysfunction question. Of the 114 who responded, only 11 (9.6%) reported sexual dysfunction and 9 (81%) attributed their sexual dysfunction to physical limitations. Descriptive statistics of the respondent subgroup indicate that the cohort was 59% male with a median (IQR) age of 64 (57,75) and that 52% were living with someone at the time. The mean NIHSS on discharge was 1 (IQR 0-3) and 77% were ischemic strokes. Few patients experienced post stroke depression (21.9%, N=25), and the cohort reported low levels of fatigue (median FAS=19). Low incidence and response rates precluded an analysis of specific predictors in this cohort. Conclusion: Physical limitations are reported to be the main cause of post stroke sexual dysfunction. Roughly 1 in 10 patients with mild stroke reported experiencing sexual dysfunction, however twice as many did not respond to the question. Therefore, the true incidence is unclear, prompting the need for further investigation on post stroke sexual dysfunction in mild stroke.


Author(s):  
Mari Feli Gonzalez ◽  
David Facal ◽  
Ana Belen Navarro ◽  
Arjan Geven ◽  
Manfred Tscheligi ◽  
...  

The HERMES Cognitive Care and Guidance for Active Aging project proposes an integrated approach to cognitive assistance, promoting the autonomy of elderly users through pervasive technology. This work aims to describe elderly people’s opinions when they are presented scenarios developed in this project. Two focus groups were organized in Austria and Spain with a view to collecting their impressions about the way in which the technological device can cover their needs; complementarily, a second session was conducted including a quantitative questionnaire. Although some participants were reluctant to use the technology, they welcomed some functionalities of the HERMES system and they considered that using them can help them to become familiar with them. Usefulness, usability, and use of real-life information for functionalities such as cognitive games are considered to be key areas of the project. This evaluation has provided the developers of the system with meaningful information to improve it and it guarantees that the system addresses elderly people’s needs.


Author(s):  
Ioannis N. Kouris

Software development has various stages, that can be conceptually grouped into two phases namely development and production (Figure 1). The development phase includes requirements engineering, architecting, design, implementation and testing. The production phase on the other hand includes the actual deployment of the end product and its maintenance. Software maintenance is the last and most difficult stage in the software lifecycle (Sommerville, 2001), as well as the most costly one. According to Zelkowitz, Shaw and Gannon (1979) the production phase accounts for 67% of the costs of the whole process, whereas according to Van Vliet (2000) the actual cost of software maintenance has been estimated at more than half of the total software development cost. The development phase is critical in order to facilitate efficient and simple software maintenance. The earlier stages should be done by taking into consideration apart from any functional requirements also the later maintenance task. For example the design stage should plan the structure in a way that can be easily altered. Similarly, the implementation stage should create code that can be easily read, understood, and changed, and should also keep the code length to a minimum. According to Van Vliet (2000) the final source code length generated is the determinant factor for the total cost during maintenance, since obviously the less code is written the easier the maintenance becomes. According to Erdil et al. (2003) there are four major problems that can slow down the whole maintenance process: unstructured code, maintenance programmers having insufficient knowledge of the system, documentation being absent, out of date, or at best insufficient, and software maintenance having a bad image. Thus the success of the maintenance phase relies on these problems being fixed earlier in the life cycle. In real life however when programmers decide to perform some maintenance task on a program such as to fix bugs, to make modifications, to create software updates etc. these are usually done in a state of time and commercial pressures and with the logic of cost reduction, thus finally resulting in a problematic system with ever increased complexity. As a consequence the maintainers spend from 50% up to almost 90% of their time trying to comprehend the program (Erdös and Sneed; 1998, Von Mayrhauser and Vans; 1994, Pigoski, 1996). Providing maintainers with tools and techniques to comprehend the programs has become and is receiving a lot of financial and research interest given the widespread of computers and software in all aspects of life. In this work we briefly present some of the most important techniques proposed in the field thus far and focus primarily on the use of data mining techniques in general and especially on association rules. Accordingly we give some possible solutions to problems faced by these methods.


J ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. 102-115 ◽  
Author(s):  
Christian Montag ◽  
Harald Baumeister ◽  
Christopher Kannen ◽  
Rayna Sariyska ◽  
Eva-Maria Meßner ◽  
...  

With the advent of the World Wide Web, the smartphone and the Internet of Things, not only society but also the sciences are rapidly changing. In particular, the social sciences can profit from these digital developments, because now scientists have the power to study real-life human behavior via smartphones and other devices connected to the Internet of Things on a large-scale level. Although this sounds easy, scientists often face the problem that no practicable solution exists to participate in such a new scientific movement, due to a lack of an interdisciplinary network. If so, the development time of a new product, such as a smartphone application to get insights into human behavior takes an enormous amount of time and resources. Given this problem, the present work presents an easy way to use a smartphone application, which can be applied by social scientists to study a large range of scientific questions. The application provides measurements of variables via tracking smartphone–use patterns, such as call behavior, application use (e.g., social media), GPS and many others. In addition, the presented Android-based smartphone application, called Insights, can also be used to administer self-report questionnaires for conducting experience sampling and to search for co-variations between smartphone usage/smartphone data and self-report data. Of importance, the present work gives a detailed overview on how to conduct a study using an application such as Insights, starting from designing the study, installing the application to analyzing the data. In the present work, server requirements and privacy issues are also discussed. Furthermore, first validation data from personality psychology are presented. Such validation data are important in establishing trust in the applied technology to track behavior. In sum, the aim of the present work is (i) to provide interested scientists a short overview on how to conduct a study with smartphone app tracking technology, (ii) to present the features of the designed smartphone application and (iii) to demonstrate its validity with a proof of concept study, hence correlating smartphone usage with personality measures.


2010 ◽  
Vol 2010 ◽  
pp. 1-12 ◽  
Author(s):  
Sandy Thurston ◽  
Louise Paul ◽  
Chenglin Ye ◽  
Patricia Loney ◽  
Dillon Browne ◽  
...  

Purpose. To explore the interactions between child and parents psychosocial factors and team integration variables that may explain improvements in physical dimensions of the PEDS QL quality of life of children with complex needs after 2 years.Methods. In this 2-year study, parents were identified by the Children's Treatment Network. Families were eligible if the child was aged 0–19 years, had physical limitations, resided in either Simcoe County or the Region of York, Ontario, and there were multiple other family needs. Regression analysis used to explore associations and interactions;n=110.Results. A child's physical quality of life was affected by interacting factors including child's behavior, parenting, and integrated care. Statistically significant interactions between team integration, processes of care, and child/parent variables highlight the complexity of the rehabilitation approach in real-life situations.Conclusions. Rehabilitation providers working with children with complex needs and their families should also address child and parent problematic behaviors. When this was the case in high integrated teams, the child's physical quality of life improved after two years.


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