---+ ISG Gerontechnology 2010: Conference Notes ISG = International Society of Gerontechnology; May 27-30, 2010, Marriott Pinnacle Hotel, Vancouver BC Dr. A. Sixsmith, Dr. G. Gutman (editors); Opening address: Franco A. (ISG President) %TOC% ---++ Keynotes ---+++[Dishman] Dishman E. Changing practices: Home and community based care technologies for independent living. Gerontechnology 2010; 9(2):64; doi:10.4017/gt.2010.09.02.003.00 Keywords: independent living, health innovation, aging services * intel health * http://intel.com/healthcare * Intel ageing experience study - ethnographic approach * past research: Paul Allen (MS): nursing home of the future (~20 years ago) * shifting left on cost vs. quality of life scale, moving from clinical to community to home-based care * !TRiL centre (Ireland), affiliated organisation - ethnographic research - _Building Bridges_ study * Case study: _Virtual ride sharing_ (kiosk implementation) * cognitive assistance - dementia/MCI - fear of social interaction (answering the door/phone) * !OrcaTech: observing gameplay (i.e. Solitaire / matching games) - # games played, time taken/# turns, # wins/losses * prompting: data visualisation to track/promote social interaction * !TRiL - gait/fall analysis, magic carpets for fall detection ---+++[Beard] Beard J. Innovative approaches to dealing with population ageing. Gerontechnology 2010; 9(2):64; doi:10.4017/gt.2010.09.02.002.00 Keywords: ageing, technology, frailty, social integration * WHO panel on ageing * fastest ageing in less-developed countries (i.e. Brazil); * _"rich countries have grown rich before growing old; poor countries will grow old before growing rich"_; * universal health care, government pensions, care dependencies - issues * age-friendly cities initiative (i.e. NYC); remaining engaged physically, socially, economically * re-thinking ageing - opportunity to work until 100 y.o.; * the 1000-hour work year as a viable alternative to the 40-hour work week * solution for all working age people? opting in and out? * goal: convergence of every-day technology * genetic screening for those at risk of hereditary disease - insurance risk? * goal: data infrastructure: linkage and internet health care * 1.6 billion > 60 y.o. in developed world - what to do? ---+++[Tinker] Tinker A. What is the contribution of technology to ageing in place? Gerontechnology 2010; 9(2):65; doi:10.4017/gt.2010.09.02.005.00 Keywords: ageing in place, technology, frailty, integration of services * U of King's College, London * comparative cost of ageing in place vs. moving into a care facility? * REKI research, home remodelling - adapting existing homes - we must be realistic about remodelling budgets * viable option for the rich: move into a hotel / cruise ship * terminology for gerontechnology / assistive technology / aids, adaptations, home improvement * ref: Charness 08 * ref: use of computers/internet - european senior watch survey 2000 survey (2000) * types of older technology users: digitally challenged / technological open-minded / perpetual first-timers / technological front-runners * 53% keen to learn about new technology (over 70) * addressed ambient assisted living (AAL), reablement; telemedicine / embedded systems in clothing / implants * are we to do away with terminology / tech jargon? * surveillance in the home rather than restraints * ref: Charness + Cjaza '05 - SPARC initiative , KT-equal initiative * ref: Cambridge U press - '_Technology and Ageing_' in 'Introduction to Gerontology' (in press) ---+++[Fernie] Fernie G.R. Technologies for caregivers of frail elders. Gerontechnology 2010; 9(2):65; doi:10.4017/gt.2010.09.02.004.00 Keywords: caregivers, carers, technology, design, commercialisation * Toronto rehab institute - moving people back home * family CGs are major CG population * reality check: no new homes / major renovations to existing homes * CGs are stressed physically (heavy lifting), mentally (excessive monitoring) * CGs unable to live their own life * alleviating the stress on CGs - evidence of accessible homes * the environment is an 'evidence-free zone' * TRI's Challenging Environment Assessment Lab (CEAL) * simulating dangerous environments (winter streets on incline, bus stops, earthquakes, simulating falls, etc.) * toilets and stairwells are more difficult and challenging than computers and phones; critiquing the ISG's bias towards the latter * MGMT of multi-sensory input (driving and cell phone ~ walking and talking) * FICCDAT 2011 - June, Tour of CEAL - festival of international conferences on caregiving, disability, ageing and technology (http://ficcdat.ca) ---+++ Keynote Panel: GT around the world ---++++ [Cornet] (France) * Britt Ostlund (Lund U) - human factors => human actors * economical / sustainable model needed for GT * stresses need for mobility and miniaturisation * a need for a data bank of GT innovations / products available * http://cnsa.fr - a public organisation - what products work? * technology to support/complement human / CG presence ---++++ [Sanford] (USA) * lacking policies in the US to drive GT research * current state of research focuses on prosthetics and therapeutics - immediate to health; reimbursed for GT for medical conditions only * promotion of ADLs in communities * a need for design of tech independent of context, establishment of research on activity monitoring, assistive technology, standalone services * current tech is non-residential, stigma attached => high tech abandonment, clutter * trying to lobby/adopt WHO's ICF - int'l classification of functioning * a need to adopt UD as intervention strategy for participation of all people, less tech abandonment - UD: activity and participation, eliminate need for individual assistive devises * NCSU (97) principles of UD: * equitable use / avoid segregating users * flexibility of use (choice in methods, R/L options) * simple and intuitive use (consistent w/ expectations) * perceptible information, multimodal and redundant * tolerance for errors * low physical effort- minimise repetitive actions, sustained effort * size and space for approach + use, clear line of sight to important elements, reachable components * US policy does not yet support UD ---++++ [Wang] (Taiwan) * Nan Kan U of Taiwan - industrial design background * GT has been in Taiwan as an industry for 6 years * smart home lab pilot project * wheelchair-car integrations - allow wheelchair driver to drive the car * some silly videos ---++ Symposia ---+++ Intelligent systems for assessment of aging changes (ISAAC): Deploying unobtrusive home-based technology Kaye J. Intelligent systems for assessment of aging changes (ISAAC): Deploying unobtrusive home-based technology. Gerontechnology 2010; 9(2):121; doi:10.4017/gt.2010.09.02.107.00 Keywords: dementia, mild cognitive impairment, in-home assessment ---++++[Kaye] Kaye J. Overview of the intelligent systems for assessment of aging changes (ISAAC) study. Gerontechnology 2010; 9(2):122; doi:10.4017/gt.2010.09.02.108.00 Keywords: dementia, mild cognitive impairment, in-home assessment, technology and ageing * deploying unobtrusive home-based technology * ambient assessment, real-time, motor, cognitive * Oregon Health & Science University * !PoCL lab (Point of Care Lab), living lab ---++++[Hayes] Hayes T. Unobtrusive assessment of activity patterns associated with mild cognitive impairment. Gerontechnology 2010; 9(2):122-123; doi:10.4017/gt.2010.09.02.109.00 Keywords: dementia, mild cognitive impairment, cognitive aging, in-home assessment * longitudinal data for cognitive decline * variance in ADLs greater in those w/ MCI vs. healthy subsets, also in walking speeds (using wavelets) * 1 x 10^6, walks over 33 Mo, 113 subjects * MCI subjects most likely to have high variability in walking speeds * sleeping patterns - aMCI - less hours in bed, compared to healthy subjects and non-aMCI - less restless at night compared to healthy norms ---++++[Jimison 1] Jimison H. Home-based monitoring of computer use to detect aging change. Gerontechnology 2010; 9(2):123-124; doi:10.4017/gt.2010.09.02.110.00 Keywords: home monitoring, computer interactions, cognitive monitoring * unobtrusive monitoring - mouse, keyboard speed, embedded cognitive metrics within adaptive games * 9 games test memory. divided attention, verbal fluency, planning - also monitors activity, speed, cog. metrics - a fusion of metrics for detection combined with other sensors * games analogous to neuropsychological tests: trail-making, digit span, digit-symbol matching * 80 weeks / computer use ---++++[Pavel] Pavel M. Fusion algorithms for home-based technology development. Gerontechnology 2010; 9(2):124; doi:10.4017/gt.2010.09.02.111.00 Keywords: ubiquitous computing, algorithms, data fusion, dementia, in-home assessment * fusing of sensors - use of machine learning / state-transition models * analysis done to relate speed of walking to cognitive function * i.e. abrupt change in distribution of walking speeds => stroke, gradual change => degenerative dementia * normal ageing and loss of working memory over time ---++++[Wild] Wild K. Unobtrusive in-home monitoring of cognitive and physical health: Reactions and perceptions of older adults. Gerontechnology 2010; 9(2):124-125; doi:10.4017/gt.2010.09.02.112.00 Keywords: attitudes, focus groups, elderly independence, in-home assessment * 6 focus groups, 3 elders, 3 primary care contacts * investigated data presentation - how to relate findings? * privacy concerns change over time, more accepting ---+++Canada-UK initiative on technology and dementia Adlam T., Mihailidis A. Canada-UK initiative on technology and dementia. Gerontechnology 2010; 9(2):68; doi:10.4017/gt.2010.09.02.048.00 Keywords: dementia, assistive technology, implementation, UK, Canada * AM: U of T, AT: BIME, U of Bath, UK * sandpit methodology for addressing issues * open-ended 'wish' question on interviews/surveys are difficult - a library of potential solutions unknown to !PwDs/CGs * use a variety of communication tactics and aids necessary for speaking w/ older users w/ dementia * examine body language, facial expression, poise * !OshKosh enjoyment scale - verbal and nonverbal behaviour, interacting w/ oneself ---++++[Astell 1] Astell A., Parsons M.S. CIRCA: Technology to prompt reminiscing and conversation between residents in care homes and care staff. Gerontechnology 2010; 9(2):68-69; doi:10.4017/gt.2010.09.02.049.00 Keywords: dementia, technology, reminiscence * U of St. Andrews, UK - collaboration w/ UBC * no practice-training - touch-screens only * provided a live demo - audio/video/pictures - popular media, local media, generating conversation * sanctuary care - not just novelty - but is this real work? whose duty? ---++++[Mountain] Mountain G., Craig C. What do people really want? Meeting the needs of people with early dementia and their carers through technology. Gerontechnology 2010; 9(2):69-70; doi:10.4017/gt.2010.09.02.050.00 Keywords: self-management, consultation, technologies * Sheffiled Hallam U, UK * what do people want? post-diagnosis? * ref: Topo, P (2007) - patients vs. CGs: journal of applied gerontology 28(17) - (lit review) * 12 dimensions of self-mgmt - being able to set their own agenda * do not focus solely on self-care and safety - fun too! aesthetics matter ---++++[Martin] Martin S., Galbraith M.G., Wallace G., Mulvenna M.D. Transferring research and innovation Living Lab (TRAIL): Experience of a living lab. Gerontechnology 2010; 9(2):70; doi:10.4017/gt.2010.09.02.051.00 Keywords: living labs, user engagement, open innovation * U of Ulster, UK * TRAIL - transferring research and innovation living lab * experiences: HCI approaches evaluated - user-driven models, * assumptions about !PwDs and HCI methodology ---++++[Boger] Boger J., Turcotte N., Quraishi M., Dunal L. Assistive technologies used to support occupations by community-dwelling older adults with dementia and informal caregivers. Gerontechnology 2010; 9(2):70-71; doi:10.4017/gt.2010.09.02.052.00 Keywords: assistive technology, dementia, daily occupations, older adults, technology use * U of T, Baycrest institute * AT for community-dwelling dementia for ADL - engineering + OT perspective * types of AD used in the name to support occupations; interviewed OTS + informal caregivers for a consensus on what technology is in use * enablers and barriers for AT use * overlap b/w OTs and informal CGs - what are they using? ---++++[Pigot] Pigot H. When cognitive assistance brings autonomy in daily living: the DOMUS experience. Gerontechnology 2010; 9(2):71; doi:10.4017/gt.2010.09.02.053.00 Keywords: assistive technology, cognitive assistance, cognitive deficits, mobile agenda, smart home * U of Sherbrooke, DOMUS lab, Canada; examining cognitive assistance * autonomy in ADLs and allowing !PwDs to continue ADLs * providing context-aware ATs, personalised approach * based on user habits, minimal interaction, facilitate communication b/w patient and CG * DOMUS smart home, test scenarios/experiments * !SemAssist - info tool for semantic knowledge (i.e. cooking assistance) * MOBUS, Ap@lz - personal organiser/mobile assistant ---+++Tracking older adults of various levels of cognitive health: Findings of the !SenTra consortium Oswald F., Wahl H.W., Shoval N. Tracking older adults of various levels of cognitive health: Findings of the !SenTra consortium. Gerontechnology 2010; 9(2):153; doi:10.4017/gt.2010.09.02.082.00 Keywords: GPS, out-of-home mobility, cognitive impairment, dementia, old age * participating institutions: U of Heidelburg (DE), U of Goethe (Frankfurt, DE), Hebrew U of Jerusalem * environmental gerontology, cognitive ageing, time geography - multi-method approach * focus on urban-living !PwDs, MCI, using GPS/GIS, mobility diaries * involvement of family, CGs, partners * longitudinal study ---++++[Isaakson] Isaakson M., Shoval N. Repetition and routine in the lives of elderly people. Gerontechnology 2010; 9(2):153-154; doi:10.4017/gt.2010.09.02.083.00 Keywords: GPS, spatial activity, routine, old age, out of home mobility * tracking technology: !STaR unit (GPS, GSM Modem, RF component), home unit + RF watch * discards data when RF is more than *m from monitoring unit (forgotten at home) * understanding routines and geography of memory loss * using spider diagram geospatial visualisation * using sequence align methods (adapted to social sciences from biochemistry method - detecting sequence changes and shifts) (!ClustalG -> !ClustalX) * mapping types of days of older users, classified after alignment and taxonomic organisation; * during cog. decline, routines become disrupted / missing, travel closer to home, more variability * contact: michal.isaacson @ mail.huji.ac.il (Hebrew U of Jerusalem) ---++++[Oswald] Oswald F., Wahl H.W., Voss E., Schilling O., Seidl U., Freytag T., Wettstein M. Tracking older adults of various levels of cognitive health in the project !SenTra: Findings from a psychology perspective. Gerontechnology 2010; 9(2):154-155; doi:10.4017/gt.2010.09.02.084.00 Keywords: out-of-home mobility, cognitive impairment, psychology, well-being, old age * psychology perspective of the SenTra project * analysis of mobility diaries * 141 users - 95 healthy, 30 MCI, 16 !PwD * distribution, freq., alone vs. w/ others * mood + mobility, variability according to diagnosis * greater emotional variability among impaired * results: groups differ in max dist/day - time, freq., action range - related to cog. health * does tracking data support diary data? ---++++[Auslander] Auslander G.K., Gitlitz T., Werner S., Landau R., Shoval N., Heinik J. Caregiver burden of family members of cognitively impaired old people: The relationship with elders quality of life and time-space behavior. Gerontechnology 2010; 9(2):155; doi:10.4017/gt.2010.09.02.085.00 Keywords: out-of-home mobility, cognitive impairment, psychology, well-being, old age * S. Werner - Hebrew U of Jerusalem * 75 !PwDs and CGs, MMSE > 21 * higher subjective burden (correlated w/ lower MMSE) -> greater variability in mobility ---++++[Landau] Landau R., Werner S., Auslander G.K., Shoval N., Heinik J. Attitudes of family and professional caregivers towards the use of GPS for people with dementia. Gerontechnology 2010; 9(2):155-156; doi:10.4017/gt.2010.09.02.086.00 Keywords: GPS, family caregiver, professional caregiver, attitude, dementia * S. Werner - Hebrew U of Jerusalem * efforts to reduce burden on CGs; what about ethical burden? * CGs want to enhance safety of patients, reduce CG distress * individual autonomy vs. privacy - is it dehumanising? * stigma attached to tracking - likens to tracking released convicts * study w/ professional and family CGs, OTs - attitudes of GPS for !PwDs * focus group, questionnaire, Likert scale Q's, factor analysis * securing CG peace of mind (esp. family) * respect for !PwD's autonomy (esp. pro CG/OT) * restricted support for device - only for severe stages of dementia * how to oblige !PwD to use device? * possibility of objection to the device * GPS as a 'protected milieu of autonomy * families much more in favour of GPS than pro CGs * upside: peace of mind, safety, * downside: opposed to tracking and lack of autonomy ---++++[Wahl] Wahl H.W. Potential of !SenTra for gerontechnology research and intervention. Gerontechnology 2010; 9(2):156; doi:10.4017/gt.2010.09.02.087.00 Keywords: out-of-home mobility, cognitive impairment, intervention, old * 'Big Brother is watching you' concern * using !SenTra for early diagnostic testing of cognitive function ---++ Paper Sessions ---+++ Dementia Support ---++++[Ho] Ho K., Novak Lauscher H., Stacy E., Jagdis R. !InterCultural Online Health Network (iCON): Technology: Enabled wellness support for dementia patients and caregivers. Gerontechnology 2010; 9(2):215; doi:10.4017/gt.2010.09.02.296.00 Keywords: dementia, self-management, public education, web-based resources ---++++[Perälä] Perälä S., Ämmälä M., Latvala R., Mäkelä K. Location based technology for memory impaired elderly. Gerontechnology 2010; 9(2):242; doi:10.4017/gt.2010.09.02.274.00 Keywords: health technology, elderly care, dementia, Alzheimers disease ---++++[Spreeuwenberg] Spreeuwenberg M.D., Willems C.G.M.H., Verheesen H., Schols J., Witte L.P. de Dynamic lighting as a tool to influence the day-night rhythm of clients with psychogeriatric disorders: A pilot study in a Dutch nursing home. Gerontechnology 2010; 9(2):250; doi:10.4017/gt.2010.09.02.278.00 Keywords: dynamic lighting, nursing home, actimetry ---++++[Astell 2] Astell A. Developing computer games for people with dementia. Gerontechnology 2010; 9(2):189; doi:10.4017/gt.2010.09.02.289.00 Keywords: dementia, technology, guidelines ---++++[Baecker 1] Baecker R.M., Shim N., Tonon K., Pandeliev V., Birnholtz J., Stern Y., Steinerman J.R., Moffatt K. Serious online gaming environments to enhance brain fitness in senior citizens. Gerontechnology 2010; 9(2):190; doi:10.4017/gt.2010.09.02.265.00 Keywords: online games, video games, cognitive reserve, mental aging, cognitive prostheses ---+++ Social Interaction & Leisure ---++++[Valk] Valk L. de, Kruitwagen S., Bekker M.M., Romero N.A., Sturm J. Activator: Playful persuasion to support older adults social and physical activities. Gerontechnology 2010; 9(2):257; doi:10.4017/gt.2010.09.02.240.00 Keywords: independent living, persuasion, social and physical activity ---++++[Bekker] Bekker M.M., Romero N.A., Sturm J., Valk L. de, Kruitwagen S. Persuading older adults to social and physical activities. Gerontechnology 2010; 9(2):194; doi:10.4017/gt.2010.09.02.229.00 Keywords: independent living, persuasion, social and physical activity ---+++ Cognitive & Neuropsychological Support ---++++[Baecker 2] Baecker R.M., Levy A., Massimi M., Tonon K., Watson M., Fenwick K., Scott W., Rochon E., Mulholland D., Laird L., Black S.E., Moffatt K., Poorshahid G. Context-aware mobile phones to aid seniors with word recall and production. Gerontechnology 2010; 9(2):190-191; doi:10.4017/gt.2010.09.02.311.00 Keywords: cognitive prostheses, senior citizens, anomic aphasia, context-aware, mobile devices ---++++[Jimison 2] Jimison H.B., Pavel M., Hatt W.J., Chan M., Larimer N., Yu C.H. Delivering a multi-faceted cognitive health intervention to the home. Gerontechnology 2010; 9(2):224; doi:10.4017/gt.2010.09.02.297.00 Keywords: cognitive intervention, home health, home monitoring ---++++[Beaudoin] Beaudoin L.P., Winne P.H. Implications of psychological principles for designing software to improve memory performance in older adults. Gerontechnology 2010; 9(2):192; doi:10.4017/gt.2010.09.02.228.00 Keywords: cognitive aging, memory, retrieval practice ---+++ Interface Design Issues II ---++++[Messier] Messier C., Miller D.I., Gagnon M., Talbot V. I hate Emily: Why interactive voice response systems are unfriendly with older people and how to fix it. Gerontechnology 2010; 9(2):231; doi:10.4017/gt.2010.09.02.221.00 Keywords: computerized telephone service, memory, attention, interactive voice response ---++++[Benton] Benton S., Altemeyer B., Manning B. Behavioural prototyping: A method for aligning technological capacity with behavioural function for the over 65s. Gerontechnology 2010; 9(2):196; doi:10.4017/gt.2010.09.02.290.00 Keywords: behavioural profiling, market alignment, aging ---++++[Abdulrazak] Abdulrazak B., Chakroun O., Malik Y. !LocSys: Localization framework for smart spaces. Gerontechnology 2010; 9(2):346; doi:10.4017/gt.2010.09.02.314.00 Keywords: hybrid localization solution, smart spaces, pervasive computing ---++ Posters ---+++[O'Brien] O'Brien D., Knapp R.B., Thompson O., Craig D. Developing acceptable software: Preparing to test the efficacy of cognitive stimulation in preventing dementia. Gerontechnology 2010; 9(2):318; doi:10.4017/gt.2010.09.02.158.00 Keywords: dementia prevention, cognitive decline, technology acceptance * Donal O'Brien (ob.donal @ gmail . com) - Queen's University, Belfast UK * focus groups to evaluate brain games * evaluation - results should be individual / not compared to a group / population norms ---+++[Wilson] Wilson R., Rochon E., Mihailidis A. Examining effective communications strategies employed by caregivers assisting individuals with Alzheimers disease during oral care. Gerontechnology 2010; 9(2):339; doi:10.4017/gt.2010.09.02.190.00 Keywords: dementia, caregiver, communication, activities of daily living, assistive technology * U of T; * hand-washing COACH system (Mihailidis) * multimodal prompts when appropriate * users: long-term care impaired MMSE 0-22 ---+++[Wright] Wright P., Soroka A.J., Belt S. Audio changes how older people follow animated instructions. Gerontechnology 2010; 9(2):340; doi:10.4017/gt.2010.09.02.191.00 Keywords: instructions, multimedia, memory, audio, animation * U of Cardiff, UK * audio + following instructions * pre-tests: digit span, vis spatial memory pretests * task: arranging a 7-piece puzzle * watched and additionally listened to instructions * results: time / accuracy did not differ b/w visual and visual+audio group * differed significantly on pretest performance * listeners w/ higher memory were faster; no assoc. w/ vis memory, silent users correlated with vis spatial memory scores * different strategies - allow for both! offer modality choices ---++ Master Class ---+++[Leung] Leung R. (UBC) Design Guidelines for Mobile Technologies for Healthy Older Adults. * icon design, multi-level interfaces / multiple levels of complexity, mobile-desktop interaction * survey studies ---++ Trade Show ---+++ [OrcaTech] * intelligent games for cognitive impairment detection; William Hatt (developer), medical informatics; * tests paired w/ neuropsychological battery tests; i.e. "scavenger hunt" game = trails test * data visualisation for conveying results over time; # games played, personal performance; not comparing to population means * also unobtrusively tracking time taken for turns/games, time between games as metrics for diagnosis ---++ Closing Ceremony * ISG student chapter - Stacy Stewart * A Sixsmith: themes: * increase in training and student involvement * older people actively involved in participatory design * older people not technophobic * social participation, universal design * ISG community is trans-disciplinary rather than multidisciplinary * translation of knowledge -> products, changing of policy * upcoming events: * ISG*ISARC 2012 - Eindhoven, NL - Work, leisure, robotics for ageing - June 26-30, 2012 * FICCDAT 2011, Toronto * Ambient Assisted Living 2010 - Odense, Denmark - AAL forum, AAL investment forum - 15-17 Sept. - http://aalforum.eu --- -- Main.MatthewBrehmer - 01 Jun 2010
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