Home telecare technologies for the elderly

Botsis, Taxiarchis; Demiris, George; Pedersen, Steinar; Hartvigsen, Gunnar

doi:10.1258/jtt.2008.007002

Cited by 91 publications

(48 citation statements)

References 26 publications

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“…Decreased costs associated with formal healthcare and assisted living placement are additional benefits of in-home monitoring and intervention technologies. Ubiquitous sensor networks that provide unobtrusive in-home monitoring of physical activity, 9 complex activity recognition, 10 context-based IADL reminder systems, 11,12 home telecare, 13 and physically or socially assistive robots 14,15 are examples of smart environment assistive technologies. Given the detrimental effects of social isolation on older adults, assistive technologies that promote older adults' interaction with others have gained recent interest.…”

Section: Introductionmentioning

confidence: 99%

Reactions to a Remote-Controlled Video-Communication Robot in Seniors' Homes: A Pilot Study of Feasibility and Acceptance

Seelye

Wild

Larimer

et al. 2012

Telemedicine and e-Health

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Objective: Remote telepresence provided by tele-operated robotics represents a new means for obtaining important health information, improving older adults' social and daily functioning and providing peace of mind to family members and caregivers who live remotely. In this study we tested the feasibility of use and acceptance of a remotely controlled robot with video-communication capability in independently living, cognitively intact older adults. Materials and Methods: A mobile remotely controlled robot with video-communication ability was placed in the homes of eight seniors. The attitudes and preferences of these volunteers and those of family or friends who communicated with them remotely via the device were assessed through survey instruments. Results: Overall experiences were consistently positive, with the exception of one user who subsequently progressed to a diagnosis of mild cognitive impairment. Responses from our participants indicated that in general they appreciated the potential of this technology to enhance their physical health and well-being, social connectedness, and ability to live independently at home. Remote users, who were friends or adult children of the participants, were more likely to test the mobility features and had several suggestions for additional useful applications. Conclusions: Results from the present study showed that a small sample of independently living, cognitively intact older adults and their remote collaterals responded positively to a remote controlled robot with video-communication capabilities. Research is needed to further explore the feasibility and acceptance of this type of technology with a variety of patients and their care contacts.

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Section: Introductionmentioning

confidence: 99%

Reactions to a Remote-Controlled Video-Communication Robot in Seniors' Homes: A Pilot Study of Feasibility and Acceptance

Seelye

Wild

Larimer

et al. 2012

Telemedicine and e-Health

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“…8,31,32 Clients derived a sense of security and better information to manage their own health 8,33 and found the technology facilitated communication with their health practitioners. Consequently, clients were more empowered and had a better understanding of their health conditions.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

Nancarrow¹,

Banbury²,

Buckley³

2016

Aust. Health Review

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Objective. The aim of the present study was to evaluate the effect of a high-speed telemonitoring project for older people with chronic disease in a regional Australian town. Participants' vital signs were monitored and triaged daily by a telehealth nurse.Methods. A prospective, uncontrolled study design evaluated the effect of home-based telemonitoring on older people with chronic disease. Evaluation included surveys (including the Stanford Chronic Disease Self-Efficacy tool and the Self-Rated Health Questionnaire), self-reported health service use and interviews and focus groups exploring client experiences.Results. Participants reported an improved understanding of their vital signs monitoring (48%) and consequently better self-management of health (48%) and that they were better informed (44%) and more confident (25%) to discuss health with their doctor. Patients also reported making medication changes (17%), positive dietary changes (34%) and increasing their physical activity (33%). Overall, patients' self-rated general health improved (mean (AE s.d.) improvement 0.30 AE 0.80; 95% confidence interval (CI) 0.16-0.45; 118 d.f.; P < 0.001), with more participants reporting that their health is 'excellent' or 'very good' at the end of the trial. Patients also reported fewer doctor visits (P < 0.001), fewer visits to the local hospital emergency department (P = 0.021) and fewer non-local hospital admissions (P < 0.001) compared with the preceding year. There was no significant reduction in local hospital admissions (P = 0.171).Conclusions. The findings of the present study suggest that telemonitoring with videoconferencing empowers older people to better understand and manage their own health, and is associated with improved health outcomes and reduced service use. Having regular, daily access to a Telehealth nurse reassured participants, and triggered changes to services and behaviour that are likely to have positively affected patient outcomes.What is known about this topic? Telehealth is increasingly being used in the care of older people with chronic conditions and can reduce health service use. Previous research has indicated that telehealth has the potential to provide patients with greater knowledge and understanding of their condition. What this paper adds? Our research demonstrates that older people with limited experience of technology can be taught to successfully use telehealth equipment. We observed regular contact with telehealth nurses enables health promoting behaviour messages to be tailored to patients' needs. What are the implications for practitioners? Providing older people with tailored health support alongside an understanding of vital signs readings can enhance self-efficacy.

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“…• A variety of Telecare technologies [98] allow elderly people and/or people with handicaps and chronic illnesses to live at home while being monitored and assisted constantly or when required. Besides giving people more independence and freedom, Telecare also has the potential to reduce cost for the health care system by automating certain monitoring functions.…”

Section: Smart Systemsmentioning

confidence: 99%

The future of complexity engineering

Frei

Serugendo

2012

Open Engineering

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AbstractComplexity Engineering encompasses a set of approaches to engineering systems which are typically composed of various interacting entities often exhibiting self-* behaviours and emergence. The engineer or designer uses methods that benefit from the findings of complexity science and often considerably differ from the classical engineering approach of “divide and conquer”.This article provides an overview on some very interdisciplinary and innovative research areas and projects in the field of Complexity Engineering, including synthetic biology, chemistry, artificial life, self-healing materials and others. It then classifies the presented work according to five types of nature-inspired technology, namely: (1) using technology to understand nature, (2) nature-inspiration for technology, (3) using technology on natural systems, (4) using biotechnology methods in software engineering, and (5) using technology to model nature. Finally, future trends in Complexity Engineering are indicated and related risks are discussed.

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Home telecare technologies for the elderly

Cited by 91 publications

References 26 publications

Reactions to a Remote-Controlled Video-Communication Robot in Seniors' Homes: A Pilot Study of Feasibility and Acceptance

Reactions to a Remote-Controlled Video-Communication Robot in Seniors' Homes: A Pilot Study of Feasibility and Acceptance

Evaluation of a National Broadband Network-enabled Telehealth trial for older people with chronic disease

The future of complexity engineering

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