Investigating the usability of off-the-shelf sensors and using patient data to diagnose frailty

Karla Munoz Esquivel, Daniel Kelly, Joan Condell, Stephen Todd, RJ Davies, David Heaney, John Barton, Salvatore Tedesco, Anna Nordström, Markus Åkerlund Larsson, Daniel Nilsson, Antti Alamäki, Elina Nevala

Research output: Contribution to conferencePoster

Abstract

In recent years healthcare systems of countries worldwide have been overwhelmed with an increasing demand due to population aging (Care Quality Commission, 2017). The governments of these countries are focused on promoting remote/ in-home rehabilitation when possible as a potential solution to reduce costs and free up resources in critical hospitals (Lankila et al., 2016). This has been the case particularly with the elderly, whose population has increased exponentially within the past years. Remote home rehabilitation can empower patients to have control over their own rehabilitation process and makes them aware of their health-related habits and overall health situation (Tuntland, 2017). Another potential solutions to this problem are the avoidance of healthcare problems as well as educating patients to live healthier lifestyles. Wearable sensor technology is transforming rehabilitation processes in a positive way, providing valuable information which previously was not available, to health care staff - such as physiotherapists, nurses and GPs – who previously did not have access to patients own data (Patel et al., 2012). As a result, enhanced and better-informed decisions may be taken in situations where the patient does not demonstrate capacity. Currently, advances in technology have made “off-the-shelf activity trackers”, including advanced sensors, such as accelerometers, magnetometers, heartbeat and GPS sensors, available at a lower cost (Arriba-Pérez, Caeiro-Rodríguez and Santos-Gago, 2016; Tedesco, Barton, O'Flynn, 2017). However, there are currently only a few studies that investigate the usability of “off-the-shelf” wearable sensor technologies from an elderly person’s viewpoint, or their validity to assist in the diagnosis of frailty from a healthcare perspective.

In our SENDOC Northern Peripheries and Artic project (SENDoc Team, 2017), we are evaluating the effectiveness of off-the-shelf wearables for monitoring and rehabilitating remote and rural patients. Therefore, we are conducting demonstrations in 4 partner locations, where healthy participants aged over 60 years will wear a Mi Band activity tracker (Mi Global Home, 2018), a data logger and a smartphone to attain comparable data. The usability of this technology will be assessed from elders’ perspective. The data attained will then be analysed in combination with medical patient data to identify frailty. We hypothesise that off-the-shelf sensors can be used to automatically identify frailty. Statistical methods and qualitative usability questionnaires will be applied to validate or reject this hypothesis. Artificial Intelligence and machine learning methods will be employed to classify frail and pre-frail patients from non-frail patients. Cohen’s Kappa will be used to assess accuracy of classifications.

Results are not available at this stage. However, we expect that on-time therapeutic and medical advice can assist patients to recover full capacity, before frailty becomes irreversible.

Conference

ConferenceTMED 2018 - Translational Medicine Conference
Abbreviated titleTMED
CountryUnited Kingdom
CityDerry/Londonderry
Period12/09/1813/09/18
Internet address

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Patient rehabilitation
Sensors
Health
Smartphones
Magnetometers
Health care
Accelerometers
Artificial intelligence
Learning systems
Global positioning system
Costs
Statistical methods
Demonstrations
Aging of materials
Wear of materials
Monitoring
Wearable sensors

Cite this

Munoz Esquivel, K., Kelly, D., Condell, J., Todd, S., Davies, RJ., Heaney, D., ... Nevala, E. (2018). Investigating the usability of off-the-shelf sensors and using patient data to diagnose frailty. 22-23. Poster session presented at TMED 2018 - Translational Medicine Conference, Derry/Londonderry, United Kingdom.
Munoz Esquivel, Karla ; Kelly, Daniel ; Condell, Joan ; Todd, Stephen ; Davies, RJ ; Heaney, David ; Barton, John ; Tedesco, Salvatore ; Nordström, Anna ; Åkerlund Larsson, Markus ; Nilsson, Daniel ; Alamäki, Antti ; Nevala, Elina. / Investigating the usability of off-the-shelf sensors and using patient data to diagnose frailty. Poster session presented at TMED 2018 - Translational Medicine Conference, Derry/Londonderry, United Kingdom.2 p.
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title = "Investigating the usability of off-the-shelf sensors and using patient data to diagnose frailty",
abstract = "In recent years healthcare systems of countries worldwide have been overwhelmed with an increasing demand due to population aging (Care Quality Commission, 2017). The governments of these countries are focused on promoting remote/ in-home rehabilitation when possible as a potential solution to reduce costs and free up resources in critical hospitals (Lankila et al., 2016). This has been the case particularly with the elderly, whose population has increased exponentially within the past years. Remote home rehabilitation can empower patients to have control over their own rehabilitation process and makes them aware of their health-related habits and overall health situation (Tuntland, 2017). Another potential solutions to this problem are the avoidance of healthcare problems as well as educating patients to live healthier lifestyles. Wearable sensor technology is transforming rehabilitation processes in a positive way, providing valuable information which previously was not available, to health care staff - such as physiotherapists, nurses and GPs – who previously did not have access to patients own data (Patel et al., 2012). As a result, enhanced and better-informed decisions may be taken in situations where the patient does not demonstrate capacity. Currently, advances in technology have made “off-the-shelf activity trackers”, including advanced sensors, such as accelerometers, magnetometers, heartbeat and GPS sensors, available at a lower cost (Arriba-P{\'e}rez, Caeiro-Rodr{\'i}guez and Santos-Gago, 2016; Tedesco, Barton, O'Flynn, 2017). However, there are currently only a few studies that investigate the usability of “off-the-shelf” wearable sensor technologies from an elderly person’s viewpoint, or their validity to assist in the diagnosis of frailty from a healthcare perspective. In our SENDOC Northern Peripheries and Artic project (SENDoc Team, 2017), we are evaluating the effectiveness of off-the-shelf wearables for monitoring and rehabilitating remote and rural patients. Therefore, we are conducting demonstrations in 4 partner locations, where healthy participants aged over 60 years will wear a Mi Band activity tracker (Mi Global Home, 2018), a data logger and a smartphone to attain comparable data. The usability of this technology will be assessed from elders’ perspective. The data attained will then be analysed in combination with medical patient data to identify frailty. We hypothesise that off-the-shelf sensors can be used to automatically identify frailty. Statistical methods and qualitative usability questionnaires will be applied to validate or reject this hypothesis. Artificial Intelligence and machine learning methods will be employed to classify frail and pre-frail patients from non-frail patients. Cohen’s Kappa will be used to assess accuracy of classifications. Results are not available at this stage. However, we expect that on-time therapeutic and medical advice can assist patients to recover full capacity, before frailty becomes irreversible.",
author = "{Munoz Esquivel}, Karla and Daniel Kelly and Joan Condell and Stephen Todd and RJ Davies and David Heaney and John Barton and Salvatore Tedesco and Anna Nordstr{\"o}m and {Åkerlund Larsson}, Markus and Daniel Nilsson and Antti Alam{\"a}ki and Elina Nevala",
year = "2018",
month = "9",
language = "English",
pages = "22--23",
note = "TMED 2018 - Translational Medicine Conference : Innovating to Live Well for Longer, TMED ; Conference date: 12-09-2018 Through 13-09-2018",
url = "http://www.c-tric.com/tmed9-innovating-to-live-well-for-longer/",

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Munoz Esquivel, K, Kelly, D, Condell, J, Todd, S, Davies, RJ, Heaney, D, Barton, J, Tedesco, S, Nordström, A, Åkerlund Larsson, M, Nilsson, D, Alamäki, A & Nevala, E 2018, 'Investigating the usability of off-the-shelf sensors and using patient data to diagnose frailty' TMED 2018 - Translational Medicine Conference, Derry/Londonderry, United Kingdom, 12/09/18 - 13/09/18, pp. 22-23.

Investigating the usability of off-the-shelf sensors and using patient data to diagnose frailty. / Munoz Esquivel, Karla; Kelly, Daniel; Condell, Joan; Todd, Stephen; Davies, RJ; Heaney, David; Barton, John; Tedesco, Salvatore; Nordström, Anna; Åkerlund Larsson, Markus; Nilsson, Daniel; Alamäki, Antti; Nevala, Elina.

2018. 22-23 Poster session presented at TMED 2018 - Translational Medicine Conference, Derry/Londonderry, United Kingdom.

Research output: Contribution to conferencePoster

TY - CONF

T1 - Investigating the usability of off-the-shelf sensors and using patient data to diagnose frailty

AU - Munoz Esquivel, Karla

AU - Kelly, Daniel

AU - Condell, Joan

AU - Todd, Stephen

AU - Davies, RJ

AU - Heaney, David

AU - Barton, John

AU - Tedesco, Salvatore

AU - Nordström, Anna

AU - Åkerlund Larsson, Markus

AU - Nilsson, Daniel

AU - Alamäki, Antti

AU - Nevala, Elina

PY - 2018/9

Y1 - 2018/9

N2 - In recent years healthcare systems of countries worldwide have been overwhelmed with an increasing demand due to population aging (Care Quality Commission, 2017). The governments of these countries are focused on promoting remote/ in-home rehabilitation when possible as a potential solution to reduce costs and free up resources in critical hospitals (Lankila et al., 2016). This has been the case particularly with the elderly, whose population has increased exponentially within the past years. Remote home rehabilitation can empower patients to have control over their own rehabilitation process and makes them aware of their health-related habits and overall health situation (Tuntland, 2017). Another potential solutions to this problem are the avoidance of healthcare problems as well as educating patients to live healthier lifestyles. Wearable sensor technology is transforming rehabilitation processes in a positive way, providing valuable information which previously was not available, to health care staff - such as physiotherapists, nurses and GPs – who previously did not have access to patients own data (Patel et al., 2012). As a result, enhanced and better-informed decisions may be taken in situations where the patient does not demonstrate capacity. Currently, advances in technology have made “off-the-shelf activity trackers”, including advanced sensors, such as accelerometers, magnetometers, heartbeat and GPS sensors, available at a lower cost (Arriba-Pérez, Caeiro-Rodríguez and Santos-Gago, 2016; Tedesco, Barton, O'Flynn, 2017). However, there are currently only a few studies that investigate the usability of “off-the-shelf” wearable sensor technologies from an elderly person’s viewpoint, or their validity to assist in the diagnosis of frailty from a healthcare perspective. In our SENDOC Northern Peripheries and Artic project (SENDoc Team, 2017), we are evaluating the effectiveness of off-the-shelf wearables for monitoring and rehabilitating remote and rural patients. Therefore, we are conducting demonstrations in 4 partner locations, where healthy participants aged over 60 years will wear a Mi Band activity tracker (Mi Global Home, 2018), a data logger and a smartphone to attain comparable data. The usability of this technology will be assessed from elders’ perspective. The data attained will then be analysed in combination with medical patient data to identify frailty. We hypothesise that off-the-shelf sensors can be used to automatically identify frailty. Statistical methods and qualitative usability questionnaires will be applied to validate or reject this hypothesis. Artificial Intelligence and machine learning methods will be employed to classify frail and pre-frail patients from non-frail patients. Cohen’s Kappa will be used to assess accuracy of classifications. Results are not available at this stage. However, we expect that on-time therapeutic and medical advice can assist patients to recover full capacity, before frailty becomes irreversible.

AB - In recent years healthcare systems of countries worldwide have been overwhelmed with an increasing demand due to population aging (Care Quality Commission, 2017). The governments of these countries are focused on promoting remote/ in-home rehabilitation when possible as a potential solution to reduce costs and free up resources in critical hospitals (Lankila et al., 2016). This has been the case particularly with the elderly, whose population has increased exponentially within the past years. Remote home rehabilitation can empower patients to have control over their own rehabilitation process and makes them aware of their health-related habits and overall health situation (Tuntland, 2017). Another potential solutions to this problem are the avoidance of healthcare problems as well as educating patients to live healthier lifestyles. Wearable sensor technology is transforming rehabilitation processes in a positive way, providing valuable information which previously was not available, to health care staff - such as physiotherapists, nurses and GPs – who previously did not have access to patients own data (Patel et al., 2012). As a result, enhanced and better-informed decisions may be taken in situations where the patient does not demonstrate capacity. Currently, advances in technology have made “off-the-shelf activity trackers”, including advanced sensors, such as accelerometers, magnetometers, heartbeat and GPS sensors, available at a lower cost (Arriba-Pérez, Caeiro-Rodríguez and Santos-Gago, 2016; Tedesco, Barton, O'Flynn, 2017). However, there are currently only a few studies that investigate the usability of “off-the-shelf” wearable sensor technologies from an elderly person’s viewpoint, or their validity to assist in the diagnosis of frailty from a healthcare perspective. In our SENDOC Northern Peripheries and Artic project (SENDoc Team, 2017), we are evaluating the effectiveness of off-the-shelf wearables for monitoring and rehabilitating remote and rural patients. Therefore, we are conducting demonstrations in 4 partner locations, where healthy participants aged over 60 years will wear a Mi Band activity tracker (Mi Global Home, 2018), a data logger and a smartphone to attain comparable data. The usability of this technology will be assessed from elders’ perspective. The data attained will then be analysed in combination with medical patient data to identify frailty. We hypothesise that off-the-shelf sensors can be used to automatically identify frailty. Statistical methods and qualitative usability questionnaires will be applied to validate or reject this hypothesis. Artificial Intelligence and machine learning methods will be employed to classify frail and pre-frail patients from non-frail patients. Cohen’s Kappa will be used to assess accuracy of classifications. Results are not available at this stage. However, we expect that on-time therapeutic and medical advice can assist patients to recover full capacity, before frailty becomes irreversible.

M3 - Poster

SP - 22

EP - 23

ER -

Munoz Esquivel K, Kelly D, Condell J, Todd S, Davies RJ, Heaney D et al. Investigating the usability of off-the-shelf sensors and using patient data to diagnose frailty. 2018. Poster session presented at TMED 2018 - Translational Medicine Conference, Derry/Londonderry, United Kingdom.