Yearb Med Inform 2012; 21(01): 94-99
DOI: 10.1055/s-0038-1639437
Working Group Contribution
Georg Thieme Verlag KG Stuttgart

Mobilizing Older Adults: Harnessing the Potential of Smart Home Technologies

Contribution of the IMIA Working Group on Smart Homes and Ambient Assisted Living
G. Demiris
a   Biomedical and Health Informatics, School of Medicine, University of Washington, USA
b   Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, USA
,
H. J. Thompsonb
b   Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, USA
› Author Affiliations
Further Information

Correspondence to

George Demiris PhD, FACMI
University of Washington
BNHS Box 357266
Seattle WA 98195
USA
Phone: +1 206 221 3866   

Publication History

Publication Date:
10 March 2018 (online)

 

Summary

Objectives

This paper highlights the potential of smart home applications to not only assess mobility determinants for older adults in the home environment but also provide the opportunity for tailored interventions.

Methods

We present a theoretical framework for assessing mobility parameters and utilizing this information to enable behavior change based on the Health Belief Model. We discuss examples that showcase the potential of smart home systems to not only measure but also improve mobility for community dwelling older adults.

Results

Mobility is a complex construct that cannot be addressed with a single monitoring approach or a single intervention. Instead, tailored interventions that address specific needs and behaviors of individuals and take into consideration preferences of older adults and potentially their social network are needed to effectively enforce positive behavior change. Smart home systems have the ability to capture details of one’s daily living that could otherwise not be easily obtained; however, such data repositories alone are not sufficient to improve clinical outcomes if appropriate mechanisms for data mining and analysis, as well as tailored response systems are not in place.

Conclusions

Unleashing the potential of smart home applications to measure and improve mobility has the potential of transforming elder care and providing potentially cost-effective tools to support independence for older adults. A technologically driven smart home application can maximize its clinical relevance by pursuing interactive features that can lead to behavior change.


#

 


#
  • References

  • 1 Venturelli M, Lanza M, Muti E, Schena F. Positive effect of physical training in activity of daily living dependent older adults. Exp Aging Res 2010; 36 (02) 190-205.
  • 2 Lord SR, Castell S, Corcoran J, Dayhew J, Matters B, Shan A. et al. The effect of group excercise on physical functioning and falls in frail older people living in retirement; a randomized control trial. J Am Geriatr Soc 2003; 51 (12) 1685-92.
  • 3 Hatch J, Lusarid MM. Impact of participation in a wellness group on functional status and falls among aging adults in an assisted living setting. J Geriatr Phys Ther 2010; 33 (02) 71-7.
  • 4 Older Americans 2010: Key Indicators of Well Being. Washington, DC: US Government Printing Office; July 2010
  • 5 Demiris G, Thompson H. Smart Homes and Ambient Assisted Living Applications: From Data to Knowledge-Empowering or Overwhelming Older Adults? Contribution of the IMIA Smart Homes and Ambiant Assisted Living Working Group. Yearb Med Inform 2011; 06 (01) 51-7.
  • 6 Webber SC, Porter MM, Menec VH. Mobility in Older Adults: A Comprehensive Framework. Gerontologist 2010; 50 (04) 443-50.
  • 7 Peel C, Sawyer PBaker, Roth DL, Brown CJ, Brodner EV. et al. Assessing mobility in older adults: the UAB Study of Aging Life-Space Assessment. Phys Ther 2005; 85: 1008-119.
  • 8 May D, Nayak US, Isaacs B. The life-space diary: a measure of mobility in old people at home. Int Rehabil Med 1985; 07 (04) 182-6.
  • 9 Patla AE, Shumway-Cook A. Dimensions of mobility: Defining the complexity and difficulty associated with community mobility. J Aging Phys Act 1999; (07) 7-19.
  • 10 Shumway-Cook A, Ciol MA, Yorkston KM, Hoffman JM, Chan L. Mobility limitations in the Medicare population: Prevalence and sociodemographic and clinical correlates. J Am Geriatr Soc 2005; (53) 1217-21.
  • 11 Lawton MP, Nahemow L. The psychology of adult development and aging. In: Eisdorfer C, Lawton MP. editors. Ecology and the aging process. Washington, DC: American Psychological Association; 1973: 619-74.
  • 12 Kaye J, Maxwell S, Mattek N, Hayes T, Dodge H, Pavel M. et al. Intelligent systems for assessing aging changes: home based, unobtrusive, and continuous assessment of aging. J Gerontol B Psychol Sci Soc Sci 2011; 66: 180-90.
  • 13 Marsh J. House Calls. Rochester Review 2002; 64 (03) 22-6.
  • 14 Kidd CD, Orr R, Abowd GD, Atkeson CG, Essa IA, MacIntyre B, et al. editors. The Aware Home: A Living Laboratory for Ubiquitous Computing Research. CoBuild’99. 1999. October 1999.
  • 15 Cash M. Assistive technology and people with dementia. Rev Clin Gerontol 2003; 13 (04) 313-9.
  • 16 Chan M, Bocquet H, Campo E, Val T, Pous J. Alarm communication network to help carers of the elderly for safety purposes: a survey of a project. Int J Rehabil Res 1999; Jun; 22 (02) 131-6.
  • 17 Rosenstock IM. Why People Use Health Services. Milbank Memorial Fund Quarterly 1966; (44) 94-124.
  • 18 Glanz K, Marcus-Lewis F, Rimer BK. Theory at a Glance: A Guide for Health Promotion Practice . National Institute of Health; 1997
  • 19 Network S. SilvR Network. 2012 [cited 2012 March 3, 2012]; Available from: http://www.silvrnetwork.org/about
  • 20 Peel C, Sawyer PBaker, Roth D, Brown C, Brodner E, Allman R. Assessing mobility in older adults: the UAB Study of Aging Life-Space Assessment. Phys Ther 2005; 85: 1008-119.
  • 21 Baker PS, Bodner EV, Allman RM. Measuring life-space mobility in community-dwelling older adults. J Am Geriatr Soc 2003; Nov; 51 (11) 1610-4.
  • 22 Brown CJ, Roth DL, Allman RM, Sawyer P, Ritchie CS, Roseman JM. Trajectories of life-space mobility after hospitalization. Ann Intern Med 2009; Mar 17; 150 (06) 372-8.
  • 23 Xue QL, Fried LP, Glass TA, Laffan A, Chaves PH. Life-space constriction, development of frailty, and the competing risk of mortality: the Women’s Health And Aging Study I. Am J Epidemiol 2008; Jan 15; 167 (02) 240-8.
  • 24 Smith L, Branch L, Scherr P, Wetle T, Evans D, Hebert L. et al. Short Term variability of measures of physical function in older people. J Am Geriatr Soc 1990; 38 (09) 993-8.
  • 25 Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS). Recent evidence and development of a shorter version. In: Brink TL. editor. Clinical Gerontology: A Guide to Assessment and Intervention. NY: The Haworth Press, Inc; 1986: 165-73.
  • 26 Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey MB. et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res 1983; 17: 37-49.
  • 27 Folstein MF, Folstein SE, McHugh PR. “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189-98.
  • 28 Litwin H, Sapir E. Perceived Income Adequacy Among Older Adults in 12 Countries; Findings From the Survey of Health, Ageing, and Retirement in Europe. Gerontologist 2009; 49 (03) 397-406.

Correspondence to

George Demiris PhD, FACMI
University of Washington
BNHS Box 357266
Seattle WA 98195
USA
Phone: +1 206 221 3866   

  • References

  • 1 Venturelli M, Lanza M, Muti E, Schena F. Positive effect of physical training in activity of daily living dependent older adults. Exp Aging Res 2010; 36 (02) 190-205.
  • 2 Lord SR, Castell S, Corcoran J, Dayhew J, Matters B, Shan A. et al. The effect of group excercise on physical functioning and falls in frail older people living in retirement; a randomized control trial. J Am Geriatr Soc 2003; 51 (12) 1685-92.
  • 3 Hatch J, Lusarid MM. Impact of participation in a wellness group on functional status and falls among aging adults in an assisted living setting. J Geriatr Phys Ther 2010; 33 (02) 71-7.
  • 4 Older Americans 2010: Key Indicators of Well Being. Washington, DC: US Government Printing Office; July 2010
  • 5 Demiris G, Thompson H. Smart Homes and Ambient Assisted Living Applications: From Data to Knowledge-Empowering or Overwhelming Older Adults? Contribution of the IMIA Smart Homes and Ambiant Assisted Living Working Group. Yearb Med Inform 2011; 06 (01) 51-7.
  • 6 Webber SC, Porter MM, Menec VH. Mobility in Older Adults: A Comprehensive Framework. Gerontologist 2010; 50 (04) 443-50.
  • 7 Peel C, Sawyer PBaker, Roth DL, Brown CJ, Brodner EV. et al. Assessing mobility in older adults: the UAB Study of Aging Life-Space Assessment. Phys Ther 2005; 85: 1008-119.
  • 8 May D, Nayak US, Isaacs B. The life-space diary: a measure of mobility in old people at home. Int Rehabil Med 1985; 07 (04) 182-6.
  • 9 Patla AE, Shumway-Cook A. Dimensions of mobility: Defining the complexity and difficulty associated with community mobility. J Aging Phys Act 1999; (07) 7-19.
  • 10 Shumway-Cook A, Ciol MA, Yorkston KM, Hoffman JM, Chan L. Mobility limitations in the Medicare population: Prevalence and sociodemographic and clinical correlates. J Am Geriatr Soc 2005; (53) 1217-21.
  • 11 Lawton MP, Nahemow L. The psychology of adult development and aging. In: Eisdorfer C, Lawton MP. editors. Ecology and the aging process. Washington, DC: American Psychological Association; 1973: 619-74.
  • 12 Kaye J, Maxwell S, Mattek N, Hayes T, Dodge H, Pavel M. et al. Intelligent systems for assessing aging changes: home based, unobtrusive, and continuous assessment of aging. J Gerontol B Psychol Sci Soc Sci 2011; 66: 180-90.
  • 13 Marsh J. House Calls. Rochester Review 2002; 64 (03) 22-6.
  • 14 Kidd CD, Orr R, Abowd GD, Atkeson CG, Essa IA, MacIntyre B, et al. editors. The Aware Home: A Living Laboratory for Ubiquitous Computing Research. CoBuild’99. 1999. October 1999.
  • 15 Cash M. Assistive technology and people with dementia. Rev Clin Gerontol 2003; 13 (04) 313-9.
  • 16 Chan M, Bocquet H, Campo E, Val T, Pous J. Alarm communication network to help carers of the elderly for safety purposes: a survey of a project. Int J Rehabil Res 1999; Jun; 22 (02) 131-6.
  • 17 Rosenstock IM. Why People Use Health Services. Milbank Memorial Fund Quarterly 1966; (44) 94-124.
  • 18 Glanz K, Marcus-Lewis F, Rimer BK. Theory at a Glance: A Guide for Health Promotion Practice . National Institute of Health; 1997
  • 19 Network S. SilvR Network. 2012 [cited 2012 March 3, 2012]; Available from: http://www.silvrnetwork.org/about
  • 20 Peel C, Sawyer PBaker, Roth D, Brown C, Brodner E, Allman R. Assessing mobility in older adults: the UAB Study of Aging Life-Space Assessment. Phys Ther 2005; 85: 1008-119.
  • 21 Baker PS, Bodner EV, Allman RM. Measuring life-space mobility in community-dwelling older adults. J Am Geriatr Soc 2003; Nov; 51 (11) 1610-4.
  • 22 Brown CJ, Roth DL, Allman RM, Sawyer P, Ritchie CS, Roseman JM. Trajectories of life-space mobility after hospitalization. Ann Intern Med 2009; Mar 17; 150 (06) 372-8.
  • 23 Xue QL, Fried LP, Glass TA, Laffan A, Chaves PH. Life-space constriction, development of frailty, and the competing risk of mortality: the Women’s Health And Aging Study I. Am J Epidemiol 2008; Jan 15; 167 (02) 240-8.
  • 24 Smith L, Branch L, Scherr P, Wetle T, Evans D, Hebert L. et al. Short Term variability of measures of physical function in older people. J Am Geriatr Soc 1990; 38 (09) 993-8.
  • 25 Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS). Recent evidence and development of a shorter version. In: Brink TL. editor. Clinical Gerontology: A Guide to Assessment and Intervention. NY: The Haworth Press, Inc; 1986: 165-73.
  • 26 Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey MB. et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res 1983; 17: 37-49.
  • 27 Folstein MF, Folstein SE, McHugh PR. “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189-98.
  • 28 Litwin H, Sapir E. Perceived Income Adequacy Among Older Adults in 12 Countries; Findings From the Survey of Health, Ageing, and Retirement in Europe. Gerontologist 2009; 49 (03) 397-406.