AGING IN PLACE National Institutes of Health September 9-10 th , - PowerPoint PPT Presentation

AGING IN PLACE National Institutes of Health September 9-10 th , 2014

PANEL 3 Health transition trajectories: Data to action Dan Siewiorek, Jeff Kaye, Maureen Schmitter-Edgecomb

TECHNOLOGIES TO SUPPORT PHYSICAL HEALTH Dan Siewiorek Buhl University Professor Computer Science and Electrical and Computer Engineering Carnegie Mellon University

PHYSICAL THERAPY A growing need • ! By 2030, 4% of the population will experience a stroke at a cost of over $180 billion • ! In 2004 there were 450,000 total knee replacements and 230,000 total hip replacements • ! In 2006 250,000 rotator cuff surgeries • ! In 2009 250,000 anterior cruciate injuries • ! Six or more months of rehabilitation commonly required

BLOOD PRESSURE CUFF Is it on correctly

GENERATION SMARTPHONE: IEEE SPECTRUM 9/12

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STOKE REHABILITATION EXERCISES • ! Normalized Hidden Markov Model recognizes correct and erroneous exercise movements • ! Encouragement and corrections are provided by audio and textual feedback

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STROKE REHABILITATION VIRTUAL REALITY GAMES

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VIRTUAL COACH TEAM COMPOSITION • ! Biomedical Engineering • ! Computer Science • ! Electrical and Computer Engineering • ! Human-Computer Interaction • ! Nursing • ! Occupational Therapy • ! Physical Therapy • ! Psychology • ! Rehabilitation Engineering • ! Robotics

A TALE OF TWO PASSAGES Independent Living, Hospice Nursing Home, CHF • Loss of control – Once in nursing home under • Medications – doctors did not nursing home doctor who did not check each others list return calls – Had to work with physical • Model of what going on in body therapist to get release not conveyed – Blood sugar reading – if can not do herself have to go into nursing – Confusing to be told one home day to drink as much as – Wanted to do feeding tube you like, next day no water • Lack of sensitivity • Extraordinary Measures – Placed in room next to where her husband died, roommate – Dialysis to remove water pleading to die – Doctor told him going to • Hospice amputate both legs – Removed IV, medications, talking and sipping ice chips in 24 hours without checking with – Did not know of home care family – passed away six possibility – passed away in a hours later home setting with children, community events

A TALE OF TWO PASSAGES – POTENTIAL TECHNOLOGIES Independent Living, Hospice Nursing Home, CHF • Loss of control • Medications - Communications – Under nursing home doctor who did not return calls- • Model of what going on in body Communications not conveyed – Descriptive – Had to work with physical Models therapist to get release - Communications • Extraordinary Measures – Blood sugar reading – if can not – Dialysis to remove water – do herself have to go into nursing home – Virtual Coaches Descriptive Models • Lack of sensitivity – Doctor told him going to – Placed in room next to where amputate both legs her husband died, roommate without checking with pleading to die - History family – Communications • Hospice – Removed IV, medications, talking and sipping ice chips in 24 hours- Descriptive Models – Did not know of home care possibility – Match

RESEARCH BARRIERS • ! Fundamental Knowledge – ! Individual differences and unpredictability – ! Models of noise and uncertainty – ! Contextual variability – ! Complex Interactions • ! Technology – ! Safety assurance – ! Robustness and Generality – ! Interoperability – ! Multidisciplinary collaboration challenges • ! Technology Integration – ! Privacy concerns – ! Market factors – ! User acceptance – ! Demonstrating value

RESEARCH QUESTIONS • ! How can technology be made more engaging thereby avoiding early abandonment • ! How can complexity of interactions be simplified • ! How can technology adapt as my ability changes • ! How can technology interactions be personalized • ! How can technology motivate to change behavior • ! How can interactions be more like exchanges with humans • ! How can the technology interactions modify interaction within a session as my mood changes • ! How can technology ease the burden of caregivers • ! How can the support team (doctors, nurses, engineers) be unified and synchronized from design to implementation to development

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