Health Sensors, Smart Home Devices, and the Internet of Medical Things: An Opportunity for Dramatic Improvement in Care for the Lower Extremity Complications of Diabetes

Basatneh, Rami; Najafi, Bijan; Armstrong, David G.

doi:10.1177/1932296818768618

Cited by 144 publications

(117 citation statements)

References 53 publications

(64 reference statements)

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“…IoT is a concept reflecting a connected set of anyone, anything, anytime, anyplace, any service, and any network [50]. This enables making the environment around us smart, potentially giving rise to many medical applications such as remote health monitoring to engage in intervention/prevention programs and improvement of adherence with treatment and medication at home and by health care providers.…”

Section: Accessible Design and Universal Designmentioning

confidence: 99%

“…Significant business decisions have been made recently by major information and communication technology players such as Google, Apple, Cisco, and Amazon to position themselves in the IoT landscape. For example, in 2014, Novartis began working with Google on sensor-technologies, including the smart lens, and a wearable device to measure blood glucose levels [50]. In 2017, Amazon teamed up with Merck and Luminary Labs in an effort called the Alexa Diabetes Challenge, with the goal of finding the ultimate way to monitor diabetes using voice-enabled solutions [50].…”

Section: Accessible Design and Universal Designmentioning

confidence: 99%

“…Thanks to recent advances in voice-driven technologies, voice-activated commands are evolving into an integral component of the IoT [50]. Voice-controlled IoT is already ubiquitous and is becoming more so, ranging from intelligent personal assistance such as Apple's Siri, Amazon Alexa, Google's Google Now, and Microsoft's Cortana to the devices that learn each individual person's unique voice and create an interface where that voice can reliably interact with a variety of applications from ordering grocery to managing temperature inside of home.…”

Section: Accessible Design and Universal Designmentioning

confidence: 99%

“…Fortunately, we live in a world where technology is increasingly being integrated into every aspect of our lives, representing an opportunity for creative solutions to promote independency and aging in place. In particular, thanks to new "smart" sensors and communication technologies available today, new opportunities have opened for designing "smart homes" to support older adults and people with disabilities to remain living independently in their own homes and to reduce the considerable care burden on family or professional caregivers [48][49][50]. Fueled by the recent adaptation of a variety of enabling wireless technologies, such as RFID tags and wearable sensors and actuator nodes, and the "internet of things (IoT)," the smart home concept has stepped out of its infancy and is the next revolutionary stage, transforming residential homes into a fully integrated "Future IoT or connected homes."…”

Section: Accessible Design and Universal Designmentioning

confidence: 99%

“…For example, in 2014, Novartis began working with Google on sensor-technologies, including the smart lens, and a wearable device to measure blood glucose levels [50]. In 2017, Amazon teamed up with Merck and Luminary Labs in an effort called the Alexa Diabetes Challenge, with the goal of finding the ultimate way to monitor diabetes using voice-enabled solutions [50]. As the IoT continues to develop, there is increased potential for facilitating management of chronic conditions at home as well as to facilitate the delivery of care for acute and chronic illness.…”

Section: Accessible Design and Universal Designmentioning

confidence: 99%

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Designing Interiors to Mitigate Physical and Cognitive Deficits Related to Aging and to Promote Longevity in Older Adults: A Review

2018

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Background: With the increasing global population of older adults, there is a need for environmental interventions that directly affect their physical, psychological, and emotional well-being to help them maintain or regain their independence and autonomy -all of which promote longevity. Methods: To better understand potential opportunities and challenges associated with interior design and "future homes" that may promote well-being, aging in place, and independent living in older adults, the authors reviewed relevant literature and included their own expert opinions from a multidisciplinary point of view including interior design, wellness, and engineering. Results: After summarizing existing environmental interventions for the aging population and their effectiveness, this review reveals knowledge gaps in interior design for the well-being and longevity of older adults followed by a discussion of opportunities for future research that may fill these gaps. Some of these opportunities include finding habilitative design strategies that identify and address unique situational needs of each user, advancing multidisciplinary fields such as environmental gerontology that recreate security and independence for older adults even outside of their homes, implementing technically advanced design strategies, which are flexible and adaptive to individual needs; and integrating the Internet of things (IoT) into living environments, including voice-activated command technologies to improve seniors' central role in enabling an optimized healthcare ecosystem. Conclusions: Knowledge of current evidence regarding the impact of different environmental factors may hasten adaptation of well-designed innovations that can provide optimal healing and living environments for the aging population. By effectively addressing older adults' unique and specialized needs, design practitioners can become an indispensable part of their medical, social, and environmental team. One of the rapidly developing infrastructures promising to revolutionize the design of "future homes" is the IoT. While it is at an early stage of development, ultimately we envisage a connected home using voice-controlled technology and Bluetooth-radio-connected add-ons, to augment much of what home health does today. Bringing these approaches together into an effective strategy for a model of effective geriatric care is important and needs to become an integral part of both design education and practice.

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Section: Accessible Design and Universal Designmentioning

confidence: 99%

Section: Accessible Design and Universal Designmentioning

confidence: 99%

Section: Accessible Design and Universal Designmentioning

confidence: 99%

Section: Accessible Design and Universal Designmentioning

confidence: 99%

Section: Accessible Design and Universal Designmentioning

confidence: 99%

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Designing Interiors to Mitigate Physical and Cognitive Deficits Related to Aging and to Promote Longevity in Older Adults: A Review

2018

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Characteristics and Risk Factors Associated With Diagnosed and Undiagnosed Symptomatic Dry Eye Using a Smartphone Application

et al. 2020

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The incidence of dry eye disease has increased; the potential for crowdsource data to help identify undiagnosed dry eye in symptomatic individuals remains unknown.OBJECTIVE To assess the characteristics and risk factors associated with diagnosed and undiagnosed symptomatic dry eye using the smartphone app DryEyeRhythm. DESIGN, SETTING, AND PARTICIPANTSA cross-sectional study using crowdsourced data was conducted including individuals in Japan who downloaded DryEyeRhythm and completed the entire questionnaire; duplicate users were excluded. DryEyeRhythm was released on November 2, 2016; the study was conducted from November 2, 2016, to January 12, 2018.EXPOSURES DryEyeRhythm data were collected on demographics, medical history, lifestyle, subjective symptoms, and disease-specific symptoms, using the Ocular Surface Disease Index (100-point scale; scores 0-12 indicate normal, healthy eyes; 13-22, mild dry eye; 23-32, moderate dry eye; 33-100, severe dry eye symptoms), and the Zung Self-Rating Depression Scale (total of 20 items, total score ranging from 20-80, with Ն40 highly suggestive of depression). MAIN OUTCOMES AND MEASURESMultivariate-adjusted logistic regression analysis was used to identify risk factors for symptomatic dry eye and to identify risk factors for undiagnosed symptomatic dry eye.RESULTS A total of 21 394 records were identified in our database; 4454 users, included 899 participants (27.3%) with diagnosed and 2395 participants (72.7%) with undiagnosed symptomatic dry eye, completed all questionnaires and their data were analyzed. A total of 2972 participants (66.7%) were women; mean (SD) age was 27.9 (12.6) years. The identified risk factors for symptomatic vs no symptomatic dry eye included younger age (odds ratio [OR], 0.99; 95% CI, 0.987-0.999, P = .02), female sex (OR, 1.99; 95% CI, 1.61-2.46; P < .001), pollinosis (termed hay fever on the questionnaire) (

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Smart Technology for the Diabetic Foot in Remission

Najafi

Armstrong

2020

The Foot in Diabetes

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Health Sensors, Smart Home Devices, and the Internet of Medical Things: An Opportunity for Dramatic Improvement in Care for the Lower Extremity Complications of Diabetes

Cited by 144 publications

References 53 publications

Designing Interiors to Mitigate Physical and Cognitive Deficits Related to Aging and to Promote Longevity in Older Adults: A Review

Designing Interiors to Mitigate Physical and Cognitive Deficits Related to Aging and to Promote Longevity in Older Adults: A Review

Characteristics and Risk Factors Associated With Diagnosed and Undiagnosed Symptomatic Dry Eye Using a Smartphone Application

Smart Technology for the Diabetic Foot in Remission

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