Compliance monitoring for assisted living using mobile platforms

Patient compliance -- i.e. the accuracy and timeliness of following therapeutical instructions -- is one of the key factors of success (or failure) in all long term treatments such as those of chronic illnesses. This paper describes a novel approach based on mobile Ambient Assisted Living (AAL) platforms to improve compliance levels. Specifically, we developed and demonstrated two technical solutions attempting to "hide" technology as much as possible in order not to interfere with their daily activities. Our first approach employs an ultra mobile personal computer (UMPC), which blends neatly into the home environment, and delivers integrated functionality including physiological and mental monitoring, mood assessment, physical and relaxation exercises, and communication with the doctor and members of the family. The second approach offers a lightweight solution requiring only a modern, 3G capable mobile phone, which nonetheless delivers a significant segment of the above functions. Both solutions attempt to improve compliance by negotiating the progress of the treatment with a central medical database that not only stores measured data, but employs rules to follow and enforce protocols, by continuously informing the user about the necessary steps to take in order to remain on schedule.

[1]  P. Rabbitt,et al.  Cambridge Neuropsychological Test Automated Battery (CANTAB): a factor analytic study of a large sample of normal elderly volunteers. , 1994, Dementia.

[2]  Gábor Szijártó,et al.  A mobile approach to ambient assisted living , 2007 .

[3]  T. Robbins,et al.  Neuorpsychiatyric applications of CANTAB , 1996 .

[4]  Philip C. Kendall,et al.  Issues and recommendations regarding use of the Beck Depression Inventory , 1987, Cognitive Therapy and Research.

[5]  D. Battleman,et al.  Evidence‐based interventions to improve patient compliance with antihypertensive and lipid‐lowering medications , 2005, International journal of clinical practice.

[6]  Michel Wensing,et al.  Interventions to Improve Medication Compliance in Older Patients Living in the Community , 2003, Drugs & aging.

[7]  Karl Swedberg,et al.  Nonpharmacologic measures and drug compliance in patients with heart failure: data from the EuroHeart Failure Survey. , 2007, The American journal of cardiology.

[8]  Donald Morisky,et al.  Medication adherence: a key factor in achieving blood pressure control and good clinical outcomes in hypertensive patients , 2004, Current opinion in cardiology.

[9]  Jinhai Shi,et al.  Compliance with drug therapies for the treatment and prevention of osteoporosis. , 2004, Maturitas.

[10]  Barnabás Takács,et al.  Special education and rehabilitation: teaching and healing with interactive graphics , 2005, IEEE Computer Graphics and Applications.

[11]  L. Osterberg,et al.  Adherence to medication. , 2005, The New England journal of medicine.