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Smart-Home Concept for Remote Monitoring of Instrumental Activities of Daily Living (IADL) in Older Adults with Cognitive Impairment: A Proof of Concept and Feasibility Study

Assessment of instrumental activities of daily living (IADL) is essential for the diagnosis and staging of dementia. However, current IADL assessments are subjective and cannot be administered remotely. We proposed a smart-home design, called IADLSys, for remote monitoring of IADL. IADLSys consists...

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Autores principales: Lee, Myeounggon, Mishra, Ram Kinker, Momin, Anmol, El-Refaei, Nesreen, Bagheri, Amir Behzad, York, Michele K., Kunik, Mark E., Derhammer, Marc, Fatehi, Borna, Lim, James, Cole, Rylee, Barchard, Gregory, Vaziri, Ashkan, Najafi, Bijan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9501541/
https://www.ncbi.nlm.nih.gov/pubmed/36146095
http://dx.doi.org/10.3390/s22186745
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author Lee, Myeounggon
Mishra, Ram Kinker
Momin, Anmol
El-Refaei, Nesreen
Bagheri, Amir Behzad
York, Michele K.
Kunik, Mark E.
Derhammer, Marc
Fatehi, Borna
Lim, James
Cole, Rylee
Barchard, Gregory
Vaziri, Ashkan
Najafi, Bijan
author_facet Lee, Myeounggon
Mishra, Ram Kinker
Momin, Anmol
El-Refaei, Nesreen
Bagheri, Amir Behzad
York, Michele K.
Kunik, Mark E.
Derhammer, Marc
Fatehi, Borna
Lim, James
Cole, Rylee
Barchard, Gregory
Vaziri, Ashkan
Najafi, Bijan
author_sort Lee, Myeounggon
collection PubMed
description Assessment of instrumental activities of daily living (IADL) is essential for the diagnosis and staging of dementia. However, current IADL assessments are subjective and cannot be administered remotely. We proposed a smart-home design, called IADLSys, for remote monitoring of IADL. IADLSys consists of three major components: (1) wireless physical tags (pTAG) attached to objects of interest, (2) a pendant–sensor to monitor physical activities and detect interaction with pTAGs, and (3) an interactive tablet as a gateway to transfer data to a secured cloud. Four studies, including an exploratory clinical study with five older adults with clinically confirmed cognitive impairment, who used IADLSys for 24 h/7 days, were performed to confirm IADLSys feasibility, acceptability, adherence, and validity of detecting IADLs of interest and physical activity. Exploratory tests in two cases with severe and mild cognitive impairment, respectively, revealed that a case with severe cognitive impairment either overestimated or underestimated the frequency of performed IADLs, whereas self-reporting and objective IADL were comparable for the case with mild cognitive impairment. This feasibility and acceptability study may pave the way to implement the smart-home concept to remotely monitor IADL, which in turn may assist in providing personalized support to people with cognitive impairment, while tracking the decline in both physical and cognitive function.
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spelling pubmed-95015412022-09-24 Smart-Home Concept for Remote Monitoring of Instrumental Activities of Daily Living (IADL) in Older Adults with Cognitive Impairment: A Proof of Concept and Feasibility Study Lee, Myeounggon Mishra, Ram Kinker Momin, Anmol El-Refaei, Nesreen Bagheri, Amir Behzad York, Michele K. Kunik, Mark E. Derhammer, Marc Fatehi, Borna Lim, James Cole, Rylee Barchard, Gregory Vaziri, Ashkan Najafi, Bijan Sensors (Basel) Article Assessment of instrumental activities of daily living (IADL) is essential for the diagnosis and staging of dementia. However, current IADL assessments are subjective and cannot be administered remotely. We proposed a smart-home design, called IADLSys, for remote monitoring of IADL. IADLSys consists of three major components: (1) wireless physical tags (pTAG) attached to objects of interest, (2) a pendant–sensor to monitor physical activities and detect interaction with pTAGs, and (3) an interactive tablet as a gateway to transfer data to a secured cloud. Four studies, including an exploratory clinical study with five older adults with clinically confirmed cognitive impairment, who used IADLSys for 24 h/7 days, were performed to confirm IADLSys feasibility, acceptability, adherence, and validity of detecting IADLs of interest and physical activity. Exploratory tests in two cases with severe and mild cognitive impairment, respectively, revealed that a case with severe cognitive impairment either overestimated or underestimated the frequency of performed IADLs, whereas self-reporting and objective IADL were comparable for the case with mild cognitive impairment. This feasibility and acceptability study may pave the way to implement the smart-home concept to remotely monitor IADL, which in turn may assist in providing personalized support to people with cognitive impairment, while tracking the decline in both physical and cognitive function. MDPI 2022-09-07 /pmc/articles/PMC9501541/ /pubmed/36146095 http://dx.doi.org/10.3390/s22186745 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Myeounggon
Mishra, Ram Kinker
Momin, Anmol
El-Refaei, Nesreen
Bagheri, Amir Behzad
York, Michele K.
Kunik, Mark E.
Derhammer, Marc
Fatehi, Borna
Lim, James
Cole, Rylee
Barchard, Gregory
Vaziri, Ashkan
Najafi, Bijan
Smart-Home Concept for Remote Monitoring of Instrumental Activities of Daily Living (IADL) in Older Adults with Cognitive Impairment: A Proof of Concept and Feasibility Study
title Smart-Home Concept for Remote Monitoring of Instrumental Activities of Daily Living (IADL) in Older Adults with Cognitive Impairment: A Proof of Concept and Feasibility Study
title_full Smart-Home Concept for Remote Monitoring of Instrumental Activities of Daily Living (IADL) in Older Adults with Cognitive Impairment: A Proof of Concept and Feasibility Study
title_fullStr Smart-Home Concept for Remote Monitoring of Instrumental Activities of Daily Living (IADL) in Older Adults with Cognitive Impairment: A Proof of Concept and Feasibility Study
title_full_unstemmed Smart-Home Concept for Remote Monitoring of Instrumental Activities of Daily Living (IADL) in Older Adults with Cognitive Impairment: A Proof of Concept and Feasibility Study
title_short Smart-Home Concept for Remote Monitoring of Instrumental Activities of Daily Living (IADL) in Older Adults with Cognitive Impairment: A Proof of Concept and Feasibility Study
title_sort smart-home concept for remote monitoring of instrumental activities of daily living (iadl) in older adults with cognitive impairment: a proof of concept and feasibility study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9501541/
https://www.ncbi.nlm.nih.gov/pubmed/36146095
http://dx.doi.org/10.3390/s22186745
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