Purpose People with dementia (PwD) often present Behavioral and Psychological Symptoms of Dementia, which include agitation, apathy, and wandering amongst others, also known as challenging behaviors (CBs). These CBs worsen the quality of life (QoL) of the PwD and are a major source/reason of (increased) caregiver burden. The intricate nature of the symptoms implies that there is no “one size fits all solution”, and necessitates tailored approaches for both PwDs and caregivers. To timely prevent these behaviors assistive technology can be utilized to guide caregivers by enabling remote monitoring of contextual, environmental, and behavioral parameters, and subsequently alarming nurses on early-stage behavioral changes prior to the presentation of CBs. Eventually, the system should propose an intervention/action to prevent escalation. In turn, improvement in QoL for both caregivers and PwD living in nursing homes (NHs) is expected. In the current project “MOnitoring Onbegrepen Gedrag bij Dementie met sensortechnologie” (MOOD-Sense), we aim to develop such a monitoring system. The strengths of this new monitoring system lie in its ability to align with the individual needs of the PwD, utilization of a combination of wearables and ambient sensors to obtain contextual data, such as location or sound, and predict or monitor CBs individually rather than in groups, thus facilitating person-centered care, based on ontological reasoning. The project is divided into three parts, Toolbox A, B and C. Toolbox A focuses on obtaining insight in which behaviors are challenging according to nurses and how they are described. Previous studies utilize clinical terminology to describe or classify behavior, we aim to employ concrete descriptions of behavior that are observable and independent of clinical terminology, aligning with nurses who are often the first to notice behavior and can be operationalized such that it can also be aligned with sensor data. As a result, an ontology will be developed based on the data such that sensor data can be integrated into the same conceptual information that standardizes the communication in our monitoring system. Toolbox B focuses on translating data coming from various sensors into the concepts expressed in the ontology, and timely communicate situations of interest to the caregivers. In Toolbox C the focus is exploring interventions/actions employed in practice to prevent CBs. Method In Toolbox A we used a qualitative approach to collect descriptions of CBs. For this purpose, we employed focus groups (FGs) with nursing staff who provide daily care to PwD. In Toolbox B pilot studies were conducted. A set of experiments using sensors in NHs were performed. During each pilot, multiple PwD with CBs in NHs were monitored with both ambient and wearables sensors. The pilots were iteratively approached, which means that insights from previous pilot studies were used to improve consecutive pilot studies. Lastly, the elaboration of Toolbox C is ongoing. Results and Discussion Regarding Toolbox A four FGs were conducted during the period from January 2023 to May 2024. Each FG was comprised of four nurses (n = 16). From the FGs we gained insights into behavioral descriptions and the context of CBs. Although data analysis has to be performed yet, there are indications that changes preceding CBs can be observed, such as frowning or clenching fists for agitation or aggression. Further results will be available soon. Regarding Toolbox B a monitoring system, based on sensors, is developed iteratively (see Figure 1) and piloted in three consecutive NHs from January 2021 to December 2023. Each pilot was comprised of two PwD (n = 6). Analysis of sensor data is ongoing.
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BACKGROUND: ICT based solutions are increasingly introduced for active and healthy ageing. In this context continuous monitoring of older adults with domestic sensor systems has been suggested to provide important information about their functional health. However, there is not yet a solid model for the interpretation of the sensor data.OBJECTIVES: The aim of our study is to define a set of predictors of functional health that can be measured with domestic sensors and to determine thresholds that identify relevant changes in these predictors.METHODS: On the basis of literature we develop a model that relates functional health predictors to features derived from sensor data. The parameters of this model are determined on the basis of a study among health experts (n = 38). The use of the full model is illustrated with three cases.RESULTS: We identified 25 predictors and their attributes. For 12 of them that can be measured with passive infrared motion sensors we determined their parameters: the attribute thresholds and the urgency thresholds.CONCLUSIONS: With the parametrized predictors in the model, domestic sensors can be deployed to assess functional health in a standardized way. Three case examples showed how the model can be used as a screening instrument for functional decline.
Sensor systems can be deployed in the homes of older adults living alone for functional health assessments. Their information is very useful for health care specialists. The problem lies in developing person independent models while facing a large variability in behavior. We address this problem by, first, proposing a new feature extraction method for data from ambient motion sensors. The method uses functional similarities between houses and daily structure to extract meaningful features. Second, we propose a change-based approach for analyzing data, taking difference scores of both the sensor features and health metrics. To evaluate our approach, experiments on longitudinal data were conducted, where the relationship between sensor data and health measurements was modeled with linear regression and (nonlinear) regression forests. These experiments show that the change-based approach yields better results and that the resulting models can be used as a reliable metric for (functional) health. In addition, feature analysis can help health care specialists understand relevant aspects of behavior. Prediction of health metrics is possible even with simple sensors. With such sensors, it is possible to detect problems and health decline in an early stage. This will have great impact on clinical practice.
Size measurement plays an essential role for micro-/nanoparticle characterization and property evaluation. Due to high costs, complex operation or resolution limit, conventional characterization techniques cannot satisfy the growing demand of routine size measurements in various industry sectors and research departments, e.g., pharmaceuticals, nanomaterials and food industry etc. Together with start-up SeeNano and other partners, we will develop a portable compact device to measure particle size based on particle-impact electrochemical sensing technology. The main task in this project is to extend the measurement range for particles with diameters ranging from 20 nm to 20 um and to validate this technology with realistic samples from various application areas. In this project a new electrode chip will be designed and fabricated. It will result in a workable prototype including new UMEs (ultra-micro electrode), showing that particle sizing can be achieved on a compact portable device with full measuring range. Following experimental testing with calibrated particles, a reliable calibration model will be built up for full range measurement. In a further step, samples from partners or potential customers will be tested on the device to evaluate the application feasibility. The results will be validated by high-resolution and mainstream sizing techniques such as scanning electron microscopy (SEM), dynamic light scattering (DLS) and Coulter counter.
De glastuinbouw in Nederland is wereldwijd toonaangevend en loopt voorop in automatisering en data-gedreven bedrijfsvoering. Voor de data-gedreven teelt wordt, naast het monitoren van de kas-parameters ook het monitoren van gewasparameters steeds meer gevraagd. De sector is daarbij vooral geïnteresseerd in niet-destructieve, contactloze en persoonsonafhankelijk monitoring van gewassen. Optische sensortechnologie, zoals spectrale afbeeldingstechnologie, kan veel waardevolle informatie opleveren over de staat van een gewas of vrucht, bijvoorbeeld over het suikergehalte, maar ook de aanwezigheid van plantziektes of insecten. Echter is dit vaak een te kostbare oplossing voor zowel de technologiebedrijven die oplossingen leveren als voor de telers zelf. In dit project onderzoeken wij de mogelijkheid om spectrale beeldvorming tegen lagere kosten te realiseren. Het beoogde resultaat is een prototype van een instrument dat tegen lage kosten met spectrale beeldvorming een of meerdere gewaseigenschappen kan kwantificeren. Realisatie van dit prototype heeft een sterke Fotonica-component (expertise Haagse Hogeschool) maakt gebruik van Machine Learning (expertise perClass) en is bedoeld voor toepassing op scout robots in de glastuinbouw (expertise Mythronics). Een betaalbare oplossing betekent in potentie voor de teler een betere controle over kwaliteit van het gewas en automatisering voor detectie van ziekte-uitbraken. Bij een succesvol prototype kan deze innovatie leiden tot betere voedselkwaliteit en minder verspilling in de glastuinbouw.
Horse riding falls under the “Sport for Life” disciplines, where a long-term equestrian development can provide a clear pathway of developmental stages to help individuals, inclusive of those with a disability, to pursue their goals in sport and physical activity, providing long-term health benefits. However, the biomechanical interaction between horse and (disabled) rider is not wholly understood, leaving challenges and opportunities for the horse riding sport. Therefore, the purpose of this KIEM project is to start an interdisciplinary collaboration between parties interested in integrating existing knowledge on horse and (disabled) rider interaction with any novel insights to be gained from analysing recently collected sensor data using the EquiMoves™ system. EquiMoves is based on the state-of-the-art inertial- and orientational-sensor system ProMove-mini from Inertia Technology B.V., a partner in this proposal. On the basis of analysing previously collected data, machine learning algorithms will be selected for implementation in existing or modified EquiMoves sensor hardware and software solutions. Target applications and follow-ups include: - Improving horse and (disabled) rider interaction for riders of all skill levels; - Objective evidence-based classification system for competitive grading of disabled riders in Para Dressage events; - Identifying biomechanical irregularities for detecting and/or preventing injuries of horses. Topic-wise, the project is connected to “Smart Technologies and Materials”, “High Tech Systems & Materials” and “Digital key technologies”. The core consortium of Saxion University of Applied Sciences, Rosmark Consultancy and Inertia Technology will receive feedback to project progress and outcomes from a panel of international experts (Utrecht University, Sport Horse Health Plan, University of Central Lancashire, Swedish University of Agricultural Sciences), combining a strong mix of expertise on horse and rider biomechanics, veterinary medicine, sensor hardware, data analysis and AI/machine learning algorithm development and implementation, all together presenting a solid collaborative base for derived RAAK-mkb, -publiek and/or -PRO follow-up projects.
