Home-Based Self-Management of Dementia: Closing the Loop

Within a technological home-based self-management of dementia paradigm there exists a nexus between a person with dementia, personalised reminding technology, detection of the adherence to reminders and an additional human-in-the-loop, for example a caregiver. To date, much work has focused on either the reminding technology per-se or monitoring adherence with less emphasis on integrating these aspects into a coherent self-management system for dementia. Within this paper, we present our current work on closing the remind-sense-reason-act loop. The proposed framework is outlined and we describe an early-stage prototype that incorporates; (i) mobile-based reminding technology, (ii) detection of adherence by using environmental sensors and (iii) the potential to contact a carer in the event of non-compliance.

[1]  Richard Schulz,et al.  Long-term care placement of dementia patients and caregiver health and well-being. , 2004, JAMA.

[2]  Chris D. Nugent,et al.  A user driven approach to develop a cognitive prosthetic to address the unmet needs of people with mild dementia , 2009, Pervasive Mob. Comput..

[3]  D. Neary,et al.  Working memory, attention, and executive function in Alzheimer’s disease and frontotemporal dementia , 2012, Cortex.

[4]  Kristine Yaffe,et al.  Obesity in middle age and future risk of dementia: a 27 year longitudinal population based study , 2005, BMJ : British Medical Journal.

[5]  J. Car,et al.  Mobile phone messaging for facilitating self-management of long-term illnesses. , 2012, The Cochrane database of systematic reviews.

[6]  D. Geva,et al.  Dementia. Age-dependent incidence, prevalence, and mortality in the old old. , 1991, Archives of internal medicine.

[7]  Graeme Hawthorne,et al.  The comparison of quality of life among people with mild dementia in nursing home and home care—a preliminary report , 2015, Dementia.

[8]  M. Välimäki,et al.  Use of Mobile Phone Text Message Reminders in Health Care Services: A Narrative Literature Review , 2014, Journal of medical Internet research.

[9]  C. Nugent,et al.  Experiences in the development of a Smart Lab , 2009 .

[10]  William C. Mann,et al.  Smart Phone Based Cognitive Assistant , 2003 .

[11]  Misha Pavel,et al.  A Statistical Reasoning System for Medication Prompting , 2007, UbiComp.

[12]  M. Schmitter-Edgecombe,et al.  Application of Cognitive Rehabilitation Theory to the Development of Smart Prompting Technologies , 2012, IEEE Reviews in Biomedical Engineering.

[13]  J. Evans,et al.  Reducing everyday memory and planning problems by means of a paging system: a randomised control crossover study , 2001, Journal of neurology, neurosurgery, and psychiatry.

[14]  Sally McClean,et al.  Video Reminders as Cognitive Prosthetics for People with Dementia , 2011 .

[15]  Chris D. Nugent,et al.  A smartphone application to evaluate technology adoption and usage in persons with dementia , 2014, 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[16]  Z. Khachaturian Alzheimer's & Dementia: The Journal of the Alzheimer's Association , 2008, Alzheimer's & Dementia.

[17]  R. Stewart,et al.  Unawareness of memory impairment in dementia: a population-based study , 2012, International Psychogeriatrics.

[18]  A. Wimo,et al.  The global prevalence of dementia: A systematic review and metaanalysis , 2013, Alzheimer's & Dementia.

[19]  M. Jahanshahi,et al.  A randomized controlled pilot study to evaluate a technology platform for the assisted living of people with dementia and their carers. , 2014, Journal of Alzheimer's disease : JAD.

[20]  Zhiwen Yu,et al.  A context-aware reminder system for elders based on fuzzy linguistic approach , 2012, Expert Syst. Appl..

[21]  Lara Harris,et al.  mHealth and memory aids: levels of smartphone ownership in patients , 2015, Journal of mental health.

[22]  A. Mihailidis,et al.  The COACH prompting system to assist older adults with dementia through handwashing: An efficacy study , 2008, BMC geriatrics.

[23]  Peter Gregor,et al.  Memojog - An Interactive Memory Aid Incorporating Mobile Based Technologies , 2004, Mobile HCI.

[24]  M. Bouvy,et al.  Improving medication adherence in diabetes type 2 patients through Real Time Medication Monitoring: a Randomised Controlled Trial to evaluate the effect of monitoring patients' medication use combined with short message service (SMS) reminders , 2011, BMC health services research.

[25]  Juan Carlos Augusto,et al.  Software simulation and verification to increase the reliability of Intelligent Environments , 2013, Adv. Eng. Softw..

[26]  Joseph F. Coughlin,et al.  Context-aware reminder system to support medication compliance , 2011, 2011 IEEE International Conference on Systems, Man, and Cybernetics.