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Groeneveld S, Bin Noon G, den Ouden MEM, van Os-Medendorp H, van Gemert-Pijnen JEWC, Verdaasdonk RM, Morita PP. The Cooperation Between Nurses and a New Digital Colleague "AI-Driven Lifestyle Monitoring" in Long-Term Care for Older Adults: Viewpoint. JMIR Nurs 2024; 7:e56474. [PMID: 38781012 PMCID: PMC11157177 DOI: 10.2196/56474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Revised: 03/27/2024] [Accepted: 04/03/2024] [Indexed: 05/25/2024] Open
Abstract
Technology has a major impact on the way nurses work. Data-driven technologies, such as artificial intelligence (AI), have particularly strong potential to support nurses in their work. However, their use also introduces ambiguities. An example of such a technology is AI-driven lifestyle monitoring in long-term care for older adults, based on data collected from ambient sensors in an older adult's home. Designing and implementing this technology in such an intimate setting requires collaboration with nurses experienced in long-term and older adult care. This viewpoint paper emphasizes the need to incorporate nurses and the nursing perspective into every stage of designing, using, and implementing AI-driven lifestyle monitoring in long-term care settings. It is argued that the technology will not replace nurses, but rather act as a new digital colleague, complementing the humane qualities of nurses and seamlessly integrating into nursing workflows. Several advantages of such a collaboration between nurses and technology are highlighted, as are potential risks such as decreased patient empowerment, depersonalization, lack of transparency, and loss of human contact. Finally, practical suggestions are offered to move forward with integrating the digital colleague.
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Affiliation(s)
- Sjors Groeneveld
- Research Group Technology, Health & Care, Saxion University of Applied Sciences, Enschede, Netherlands
- Research Group Smart Health, Saxion University of Applied Sciences, Enschede, Netherlands
- TechMed Center, Health Technology Implementation, University of Twente, Enschede, Netherlands
| | - Gaya Bin Noon
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada
| | - Marjolein E M den Ouden
- Research Group Technology, Health & Care, Saxion University of Applied Sciences, Enschede, Netherlands
- Research Group Care and Technology, Regional Community College of Twente, Hengelo, Netherlands
| | - Harmieke van Os-Medendorp
- Domain Health, Sports, and Welfare, Inholland University of Applied Sciences, Amsterdam, Netherlands
- Spaarne Gasthuis Academy, Hoofddorp, Netherlands
| | - J E W C van Gemert-Pijnen
- Centre for eHealth and Wellbeing Research, Section of Psychology, Health and Technology, University of Twente, Enschede, Netherlands
| | - Rudolf M Verdaasdonk
- TechMed Center, Health Technology Implementation, University of Twente, Enschede, Netherlands
| | - Plinio Pelegrini Morita
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada
- Research Institute for Aging, University of Waterloo, Waterloo, ON, Canada
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON, Canada
- Centre for Digital Therapeutics, Techna Institute, University Health Network, Toronto, ON, Canada
- Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
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2
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Naccarelli R, D’Agresti F, Roelen SD, Jokinen K, Casaccia S, Revel GM, Maggio M, Azimi Z, Alam MM, Saleem Q, Mohammed AH, Napolitano G, Szczepaniak F, Hariz M, Chollet G, Lohr C, Boudy J, Wieching R, Ogawa T. Empowering Smart Aging: Insights into the Technical Architecture of the e-VITA Virtual Coaching System for Older Adults. SENSORS (BASEL, SWITZERLAND) 2024; 24:638. [PMID: 38276330 PMCID: PMC10818560 DOI: 10.3390/s24020638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 01/11/2024] [Accepted: 01/17/2024] [Indexed: 01/27/2024]
Abstract
With a substantial rise in life expectancy throughout the last century, society faces the imperative of seeking inventive approaches to foster active aging and provide adequate aging care. The e-VITA initiative, jointly funded by the European Union and Japan, centers on an advanced virtual coaching methodology designed to target essential aspects of promoting active and healthy aging. This paper describes the technical framework underlying the e-VITA virtual coaching system platform and presents preliminary feedback on its use. At its core is the e-VITA Manager, a pivotal component responsible for harmonizing the seamless integration of various specialized devices and modules. These modules include the Dialogue Manager, Data Fusion, and Emotional Detection, each making distinct contributions to enhance the platform's functionalities. The platform's design incorporates a multitude of devices and software components from Europe and Japan, each built upon diverse technologies and standards. This versatile platform facilitates communication and seamless integration among smart devices such as sensors and robots while efficiently managing data to provide comprehensive coaching functionalities.
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Affiliation(s)
- Riccardo Naccarelli
- Department of Industrial Engineering and Mathematical Sciences, Polytechnic University of Marche, 60131 Ancona, Italy; (S.C.); (G.M.R.)
| | | | - Sonja Dana Roelen
- Institut für Experimentelle Psychophysiologie GmbH, 40215 Düsseldorf, Germany; (S.D.R.); (Z.A.)
| | - Kristiina Jokinen
- Artificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology (AIRC/AIST), Tokyo 135-0064, Japan;
| | - Sara Casaccia
- Department of Industrial Engineering and Mathematical Sciences, Polytechnic University of Marche, 60131 Ancona, Italy; (S.C.); (G.M.R.)
| | - Gian Marco Revel
- Department of Industrial Engineering and Mathematical Sciences, Polytechnic University of Marche, 60131 Ancona, Italy; (S.C.); (G.M.R.)
| | - Martino Maggio
- Engineering Ingegneria Informatica SpA, 00144 Roma, Italy; (F.D.); (M.M.)
| | - Zohre Azimi
- Institut für Experimentelle Psychophysiologie GmbH, 40215 Düsseldorf, Germany; (S.D.R.); (Z.A.)
| | - Mirza Mohtashim Alam
- Leibniz Institute for Information Infrastructure, FIZ Karlsruhe, 76344 Eggenstein-Leopoldshafen, Germany;
| | - Qasid Saleem
- Institute for Applied Informatics (InfAI), 04109 Leipzig, Germany; (Q.S.); (A.H.M.); (G.N.)
| | - Abrar Hyder Mohammed
- Institute for Applied Informatics (InfAI), 04109 Leipzig, Germany; (Q.S.); (A.H.M.); (G.N.)
| | - Giulio Napolitano
- Institute for Applied Informatics (InfAI), 04109 Leipzig, Germany; (Q.S.); (A.H.M.); (G.N.)
| | - Florian Szczepaniak
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Mossaab Hariz
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Gérard Chollet
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Christophe Lohr
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Jérôme Boudy
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Rainer Wieching
- Institute for Business Informatics & New Media, University Siegen, Kohlbettstr. 15, 57072 Siegen, Germany;
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Japan;
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3
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McTear M, Jokinen K, Alam MM, Saleem Q, Napolitano G, Szczepaniak F, Hariz M, Chollet G, Lohr C, Boudy J, Azimi Z, Roelen SD, Wieching R. Interaction with a Virtual Coach for Active and Healthy Ageing. SENSORS (BASEL, SWITZERLAND) 2023; 23:2748. [PMID: 36904957 PMCID: PMC10007549 DOI: 10.3390/s23052748] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/21/2023] [Accepted: 02/27/2023] [Indexed: 06/18/2023]
Abstract
Since life expectancy has increased significantly over the past century, society is being forced to discover innovative ways to support active aging and elderly care. The e-VITA project, which receives funding from both the European Union and Japan, is built on a cutting edge method of virtual coaching that focuses on the key areas of active and healthy aging. The requirements for the virtual coach were ascertained through a process of participatory design in workshops, focus groups, and living laboratories in Germany, France, Italy, and Japan. Several use cases were then chosen for development utilising the open-source Rasa framework. The system uses common representations such as Knowledge Bases and Knowledge Graphs to enable the integration of context, subject expertise, and multimodal data, and is available in English, German, French, Italian, and Japanese.
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Affiliation(s)
- Michael McTear
- School of Computing, Ulster University, Belfast BT15 1AP, UK
| | - Kristiina Jokinen
- Artificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology (AIRC/AIST), Tokyo 135-0064, Japan
| | | | - Qasid Saleem
- Institut für Angewandte Informatik (INFAI), 04109 Leipzig, Germany
| | | | | | - Mossaab Hariz
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France
| | | | | | - Jérôme Boudy
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France
| | - Zohre Azimi
- Institut für Experimentelle Psychophysiologie Gmbh (IXP), 40215 Düsseldorf, Germany
| | - Sonja Dana Roelen
- Institut für Experimentelle Psychophysiologie Gmbh (IXP), 40215 Düsseldorf, Germany
| | - Rainer Wieching
- Chair for Business Information Systems and New Media, Faculty III, Universität Siegen (USI), 57068 Siegen, Germany
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Del-Valle-Soto C, Nolazco-Flores JA, Del Puerto-Flores JA, Velázquez R, Valdivia LJ, Rosas-Caro J, Visconti P. Statistical Study of User Perception of Smart Homes during Vital Signal Monitoring with an Energy-Saving Algorithm. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9966. [PMID: 36011599 PMCID: PMC9408693 DOI: 10.3390/ijerph19169966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 08/08/2022] [Accepted: 08/10/2022] [Indexed: 06/15/2023]
Abstract
Sensor networks are deployed in people's homes to make life easier and more comfortable and secure. They might represent an interesting approach for elderly care as well. This work highlights the benefits of a sensor network implemented in the homes of a group of users between 55 and 75 years old, which encompasses a simple home energy optimization algorithm based on user behavior. We analyze variables related to vital signs to establish users' comfort and tranquility thresholds. We statistically study the perception of security that users exhibit, differentiating between men and women, examining how it affects the person's development at home, as well as the reactivity of the sensor algorithm, to optimize its performance. The proposed algorithm is analyzed under certain performance metrics, showing an improvement of 15% over a sensor network under the same conditions. We look at and quantify the usefulness of accurate alerts on each sensor and how it reflects in the users' perceptions (for men and women separately). This study analyzes a simple, low-cost, and easy-to-implement home-based sensor network optimized with an adaptive energy optimization algorithm to improve the lives of older adults, which is capable of sending alerts of possible accidents or intruders with the highest efficiency.
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Affiliation(s)
- Carolina Del-Valle-Soto
- Facultad de Ingeniería, Universidad Panamericana, Álvaro del Portillo 49, Zapopan 45010, Mexico
| | | | | | - Ramiro Velázquez
- Facultad de Ingeniería, Universidad Panamericana, Josemaría Escrivá de Balaguer 101, Aguascalientes 20290, Mexico
| | - Leonardo J. Valdivia
- Facultad de Ingeniería, Universidad Panamericana, Álvaro del Portillo 49, Zapopan 45010, Mexico
| | - Julio Rosas-Caro
- Facultad de Ingeniería, Universidad Panamericana, Álvaro del Portillo 49, Zapopan 45010, Mexico
| | - Paolo Visconti
- Department of Innovation Engineering, University of Salento, 73100 Lecce, Italy
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