1.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
Smartphones & Apps for Older Adults
Quality of Life research group
Dr Katarzyna Wac
katarzyna.wac@unige.ch
CODATA, 25th - 27th February 2013

2.
health is our most precious asset

3.
The Paradox
Living longer… …but sicker
Percentage
of Deaths
[United
Na+ons,
2009;
WHO,
2009]

4.
Healthcare: Today & Tomorrow
older society
unhealthy lifestyle
chronic diseases
high cost
centralized
episodic cure
affordable
health for everyone
continuous care
patient empowerment
&
continuous efficient effective healthcare

5.
Smartphone Factor

6.
Smartphones Users
[Smith,
A.,
Smartphone
Adop+on
and
Usage,
Pew
Research
Center's
Internet
&
American
Life
Project,
Pew
Internet
&
American
Life
Project,
July
2011]
• 6 billion mobile phone subscribers
• 83% US adults have a cell phone of some kind: 42% - smartphone
– 87% of smartphone owners access Internet/email on phone, 68% - daily

7.
Smartphones Users
• How far is your phone?
• 53% arm & 88% room level
• What factors influence your smartphone experience?
[S.
Ickin,
K.
Wac,
et
al.,
Factors
Influencing
Quality
of
Experience
of
Commonly-­‐Used
Mobile
Applica+ons,
IEEE
COMMAG,
2012
]
[A.
Dey,
K.
Wac,
et
al.,
Ge[ng
Closer:
An
Empirical
Inves+ga+on
of
the
Proximity
of
User
to
Their
Smart
Phones,
ACM
UBICOMP,
2011
]

8.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
8
QoL Research Projects
Ambient Assisted Living
• TraiNutri (AAL-2)
• WayFiS (AAL-3)
• MyGuardian (AAL-4)
 User-centered design?

9.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
9
AAL-2 TraiNutri
TRAINing and NUTRItion
senior social platform

10.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
10
TraiNutri
Targets
• Raise consciousness about self wellness
• Help people (50-65 years old) to develop healthy habits
• Enable the exchange of knowledge related to healthy
physical activity and nutritional habits
• Consortium
– Spain, Greece, Switzerland, the Netherlands

11.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
11
ALE Algorithm: Raw Data & Sample Median
[Papers:
GHF’12,
AAAI‘12,
IWFAR’11,
SAA‘11]

12.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
12
QoL: Physical Activity Level Monitoring
[Papers:
GHF’12,
AAAI‘12,
IWFAR’11,
SAA‘11]

13.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
13
AAL-3 WayFiS
Way Finding Seniors

14.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
14
WayFiS
Targets
• Improving the capability of seniors to plan, manage and
execute travel and transportation projects taking into
account their specific limitations and healthy habits
• Facilitating the elderly feel healthy-well and safe
• Human-centric approach
• Consortium
– Spain, Switzerland, Hungary

15.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
15
WayFiS Application
[Papers:
ERCIM’12,
WIGPT‘11]

16.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
16
AAL-4 MyGuardian
A Pervasive Guardian for Elderly
with Mild Cognitive Impairments

17.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
17
MyGuardian
Targets
• Facilitate safe & secure mobility of seniors with mild cognitive
impairments while preserving their autonomy and dignity
• Improving wellbeing and efficiency of voluntary caregivers
by ensuring their peace of mind and keeping them informed
• Human-centric approach
• Consortium
– Spain, Switzerland, France, the Netherlands

18.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
18
Locations/Zones & Rules

19.
MyGuardian Example Use Case
Source:
Dutch
Freeband
AWARENESS
project

20.
MyGuardian
interaction
algorithms
speed
accuracy
complexity
interactionstatistical
signif. tests
historical data
policies
user preferences

21.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
21
AAL: Example Technical Challenges
• Performance
– ‘Best-effort’network
infrastructures
– Delays: one way or round-
trip delays
– Throughput: consumer-
producer paradigm
• Mobility: horizontal and
vertical handovers
– Intra- and inter-operator
• Scalability
• Data priority over voice
• Communication costs
– Per MByte vs.‘flat-rate’
• Security and Privacy
– Data encryption
• Power consumption
• Miniaturization of sensors/actuators
• Service personalization
– Individual user’s needs
• Standardization and interoperability
[Papers:
Wac
et
al.,
IEEE
COMMAG‘12,
IEEE
TMC‘12,
ACM
UBICOMP’11,
IEEE
JSAC’09]

22.
FACULTÉ DES SCIENCES
ÉCONOMIQUES ET SOCIALES
Institute of Services Science
22
Recommendations
• Challenges Ahead
– User acceptance
– Privacy, trust
– Interoperability, standardization
– Evaluation methods vs RCT
– Organizational issues, pathways
– Legalization, liability
– Financial aspects,
reimbursements
• Recommendations
– mobile solutions technologically
feasible for non-critical cases
– Inter/trans-disciplinary approach
needed
• User-centered design
– Bridge the gap via an open,
trustworthy dialogue
– Encode implicit expectations
& requirements
– Innovation: “who’s turn is now”?
• Innovating the intervention
content vs the IT infra.
[K.Wac,
Smartphone
as
a
Personal,
Pervasive
Health
Informa+cs
Services
Plaborm:
Literature
Review,
IMIA
Yearb
Med
Inform
2012
]

23.
Healthcare Processes vs Smartphone
older society
unhealthy lifestyle
chronic diseases
high cost
centralized
episodic cure
affordable
health for everyone
continuous care
patient empowerment
&
continuous efficient effective healthcare
self-­‐management
via
mHealth

24.
Note on Android OS
• Hardware Sensors
– Acceleration forces in XYZ
– Gyroscope - rotation along XYZ
– Ambient light (lux)
– Pressure sensor (barometer), vibrometer
– Compass - ambient magnetic field in XYZ
– Proximity - near/far the object
– Temperature of battery
– Applications running, currently used application
– GPS, microphone (noise), camera, rotation, screen brightness
– WiFi, 2.5G/3G/4G, Bluetooth, Near Field Communication
– …and the phone itself (call received, missed, originated) and SMS/MMS

25.
g.MobiLab+
by
Ac+veTwo
by
LifeShirt
by
BioHarness
by
ATLASense
by
NeXus-­‐4
by
TeleCliniq
by
[K.
Wac,
A.
Dey,
BodyNets
2010]
EMERGE
by
NeuroSky

26.
Thank You!
• Quality of Life group
• Researching efficient and effective mobile systems
in the healthcare domain delivering validated
services to patients and healthcare professionals
"anywhere-anytime-anyhow”
• Publications & information
http://www.qol.unige.ch