Abstract
Behavior change is associated with important decrease of cognitive and physical capacities among elderly people. Therefore, a proactive detection of long-term behavior changes in early stages of their evolution is a keystone to improve elderly healthcare services. In fact, nowadays’ geriatric methods mainly rely on scales and questionnaires, and are inconvenient to investigate long-term changes on a daily basis. Therefore, our proposed approach for behavior change detection analyzes elderly people behavior over long periods via ambient technologies. In fact, employed technologies are unobtrusive, do not interfere with the natural behavior of elderly people and do not affect their privacy. Furthermore, our long-term behavior analysis is based on the identification of significant behavior change indicators (e.g., mobility, memory, nutrition and social life indicators significantly correlate with cognitive and physical diseases), and the application of efficient statistical techniques that differentiate long-term and short-term changes in analyzed behavior. In addition, our two-year deployment validates our objective technological observations through real correlations with medical observations of nursing-home team.
Similar content being viewed by others
References
Acampora G, Cook DJ, Rashidi P, Vasilakos AV. A survey on ambient intelligence in healthcare. Proc IEEE 2013;101(12):2470–94.
Allin S, Bharucha A, Zimmerman J, Wilson D, Robinson M, Stevens S, Wactlar H, Atkeson C. 2003. Toward the automatic assessment of behavioral distrubances of dementia.
Aloulou H, Mokhtari M, Tiberghien T, Biswas J, Phua C, Lin JHK, Yap P. Deployment of assistive living technology in a nursing home environment: methods and lessons learned. BMC Med Inf Decis Making 2013;13(1):42.
Andersson J. 2014. Locating multiple change-points using a combination of methods.
Avvenuti M, Baker C, Light J, Tulpan D, Vecchio A. Non-intrusive patient monitoring of alzheimer’s disease subjects using wireless sensor networks. In: World Congress on privacy, security, trust and the management of e-business, 2009. CONGRESS’09. IEEE; 2009. p. 161–5.
Barberger-Gateau P, Commenges D, Gagnon M, Letenneur L, Sauvel C, Dartigues JF. Instrumental activities of daily living as a screening tool for cognitive impairment and dementia in elderly community dwellers. J Am Geriatr Soc 1992;40(11):1129–34.
Bland JM, Altman DG. Comparing methods of measurement: why plotting difference against standard method is misleading. Lancet 1995;346(8982):1085–87.
Blum J, Magill E. 2008. M-psychiatry: sensor networks for psychiatric health monitoring. In: Proceedings of the 9th annual postgraduate symposium the convergence of telecommunications, networking and broadcasting, Liverpool John Moores University. Citeseer; 2008. p. 33–7.
Boockvar KS, Lachs MS. Predictive value of nonspecific symptoms for acute illness in nursing home residents. J Am Geriatr Soc 2003;51(8):1111–15.
Bourke AK, Klenk J, Schwickert L, Aminian K, Ihlen EA, Mellone S, Helbostad JL, Chiari L, Becker C. 2016. Fall detection algorithms for real-world falls harvested from lumbar sensors in the elderly population: a machine learning approach. In: 2016 IEEE 38th Annual international conference of the engineering in medicine and biology society (EMBC). IEEE; 2016. p. 3712–15.
Cao L. In-depth behavior understanding and use: the behavior informatics approach. Inform Sci 2010;180(17): 3067–85.
Cho H. 2015. Change-point detection in panel data via double cusum statistic.
Cockrell JR, Folstein MF. 2002. Mini-mental state examination. Principles and Practice of Geriatric Psychiatry, p. 140–1.
Cummings JL, Mega M, Gray K, Rosenberg-Thompson S, Carusi DA, Gornbein J. The neuropsychiatric inventory comprehensive assessment of psychopathology in dementia. Neurology 1994;44(12):2308.
Demiris G, Rantz MJ, Aud MA, Marek KD, Tyrer HW, Skubic M, Hussam AA. Older adults’ attitudes towards and perceptions of ’smart home’technologies: a pilot study. Med Inf Internet Med 2004;29(2): 87–94.
City4Age. 2018. Elderly-friendly city services for active and healthy aging. Available as http://www.city4ageproject.eu/.
Hayes TL, Abendroth F, Adami A, Pavel M, Zitzelberger TA, Kaye JA. Unobtrusive assessment of activity patterns associated with mild cognitive impairment. Alzheimer’s Dement 2008;4(6):395–405.
Hayes TL, Larimer N, Adami A, Kaye JA. 2009. Medication adherence in healthy elders: small cognitive changes make a big difference. Journal of Aging and Health.
Hayes TL, Riley T, Mattek N, Pavel M, Kaye JA. Sleep habits in mild cognitive impairment. Alzheimer Dis Assoc Disord 2014;28(2):145.
Hodges MR, Kirsch NL, Newman MW, Pollack ME. 2010. Automatic assessment of cognitive impairment through electronic observation of object usage. In: International conference on pervasive computing. Springer; 2010. p. 192–209.
Holsinger T, Deveau J, Boustani M, Williams JW. Does this patient have dementia? Jama 2007; 297(21):2391–404.
Kaddachi F, Aloulou H, Abdulrazak B, Bellmunt J, Endelin R, Mokhtari M, Fraisse P. Technological approach for behavior change detection toward better adaptation of services for elderly people. HEALTHINF; 2017. p. 96–105.
Kaddachi F, Aloulou H, Abdulrazak B, Fraisse P, Mokhtari M. Unobtrusive technological approach for continuous behavior change detection toward better adaptation of clinical assessments and interventions for elderly people. Enhanced Qual Life Smart Living ICOST 2017;2017:21–33.
Kaye J, Mattek N, Dodge HH, Campbell I, Hayes T, Austin D, Hatt W, Wild K, Jimison H, Pavel M. Unobtrusive measurement of daily computer use to detect mild cognitive impairment. Alzheimer’s Dement 2014;10(1):10–7.
Krishef CH. 1991. Fundamental approaches to sigle subject design and analysis. Krieger.
Lafont S, Barberger-Gateau P, Sourgen C, Dartigues J. Relation entre performances cognitives globales et dépendance évaluée par la grille aggir. Revue d’épidémiologie et de santé publique 1999;47(1):7–17.
Lee ML, Dey AK. Sensor-based observations of daily living for aging in place. Pers Ubiquit Comput 2015; 19(1):27–43.
Liu S, Yamada M, Collier N, Sugiyama M. Change-point detection in time-series data by relative density-ratio estimation. Neural Netw 2013;43:72–83.
Magill E, Blum JM. 2012. Personalised ambient monitoring: supporting mental health at home. Advances in home care technologies: Results of the Match project, p. 67–85.
Marmitek: Ms13e wireless motion sensor. Available as https://www.keene.co.uk/pages/downloads/dnl_files/pdfs/MS13Ei.pdf (2017).
Mathias S, Nayak U, Isaacs B. Balance in elderly patients: the “get-up and go” test. Arch Phys Med Rehabil 1986;67(6):387– 89.
Mesnil B, Petitgas P. Detection of changes in time-series of indicators using cusum control charts. Aquat Living Resour 2009;22(2):187–92.
Moskvina V, Zhigljavsky A. An algorithm based on singular spectrum analysis for change-point detection. Commun Stat Simul Comput 2003;32(2):319–52.
Page E. Continuous inspection schemes. Biometrika 1954;41(1/2):100–15.
Parmelee PA, Katz IR. 1990. Geriatric depression scale. Journal of the American Geriatrics Society.
Rantz M, Skubic M, Miller S, Krampe J. Using technology to enhance aging in place. In: International conference on smart homes and health telematics. Springer; 2008. p. 169–76.
Reisberg B, Auer SR, Monteiro IM. Behavioral pathology in alzheimer’s disease (behave-ad) rating scale. Int Psychogeriatr 1997;8(S3):301–8.
Ridley S. The recognition and early management of critical illness. Ann R Coll Surg Engl 2005;87(5):315.
SeniorHome: Eva est une plateforme logicielle qui fonctione sur la base de capteurs repartis dans le domicile. http://seniorhome.fr/ (2017).
Singtel: Monitor and watch you elderly family members’ daily activities with singtel’s smart home solutions. https://www.singtelshop.com/smarthome-yuhua (2017).
Takeuchi Ji, Yamanishi K. A unifying framework for detecting outliers and change points from time series. IEEE Trans Knowl Data Eng 2006;18(4):482–92.
Tardieu É, Mahmoudi R, Novella JL, Oubaya N, Blanchard F, Jolly D, Drame M. External validation of the short emergency geriatric assessment (sega) instrument on the safes cohort. Geriatrie et psychologie neuropsychiatrie du vieillissement 2016;14(1):49–55.
Taylor WA. Change-point analysis: a powerful new tool for detecting changes. preprint, available as http://www.variation.com/cpa/tech/changepoint.html (2000).
Thielke SM, Mattek NC, Hayes TL, Dodge HH, Quiñones AR, Austin D, Petersen J, Kaye JA. Associations between observed in-home behaviors and self-reported low mood in community-dwelling older adults. J Am Geriatr Soc 2014;62(4):685–9.
Tolstikov A, Biswas J, Tham CK, Yap P. Eating activity primitives detection-a step towards adl recognition. In: 10th International Conference on e-health networking, applications and services, 2008. HealthCom 2008. IEEE; 2008. p. 35–41.
Vellas B, Guigoz Y, Garry PJ, Nourhashemi F, Bennahum D, Lauque S, Albarede JL. The mini nutritional assessment (mna) and its use in grading the nutritional state of elderly patients. Nutrition 1999;15(2): 116–22.
Wilson D, Consolvo S, Fishkin K, Philipose M. 2005. In-home assessment of the activities of daily living of the elderly. In: Extended abstracts of CHI 2005: workshops-HCI challenges in health assessment.
Funding
Our work is part of the European project City4Age that received funding from the Horizon 2020 research and innovation program under grant agreement number 689731.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interests
The authors declare that they have no conflict of interest.
Ethical approval
This article does contain studies with human participants. Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Kaddachi, F., Aloulou, H., Abdulrazak, B. et al. Long-term behavior change detection approach through objective technological observations toward better adaptation of services for elderly people. Health Technol. 8, 329–340 (2018). https://doi.org/10.1007/s12553-018-0260-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12553-018-0260-4