Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series
OBJECTIVE: To show the feasibility of using different unobtrusive activity-sensing technologies to provide objective behavioral markers of persons with dementia (PwD). DESIGN: Monitored the behaviors of two PwD living in memory care unit using the Oregon Center for Aging & Technology (ORCATECH)...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier BV
2023
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| Online Access: | https://hdl.handle.net/1721.1/147048 |
| _version_ | 1826197741936574464 |
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| author | Au-Yeung, Wan-Tai M Miller, Lyndsey Beattie, Zachary May, Rose Cray, Hailey V Kabelac, Zachary Katabi, Dina Kaye, Jeffrey Vahia, Ipsit V |
| author2 | Massachusetts Institute of Technology. Computer Science and Artificial Intelligence Laboratory |
| author_facet | Massachusetts Institute of Technology. Computer Science and Artificial Intelligence Laboratory Au-Yeung, Wan-Tai M Miller, Lyndsey Beattie, Zachary May, Rose Cray, Hailey V Kabelac, Zachary Katabi, Dina Kaye, Jeffrey Vahia, Ipsit V |
| author_sort | Au-Yeung, Wan-Tai M |
| collection | MIT |
| description | OBJECTIVE: To show the feasibility of using different unobtrusive activity-sensing technologies to provide objective behavioral markers of persons with dementia (PwD). DESIGN: Monitored the behaviors of two PwD living in memory care unit using the Oregon Center for Aging & Technology (ORCATECH) platform, and the behaviors of two PwD living in assisted living facility using the Emerald device. SETTING: A memory care unit in Portland, Oregon and an assisted living facility in Framingham, Massachusetts. PARTICIPANTS: A 63-year-old male with Alzheimer's disease (AD), and an 80-year-old female with frontotemporal dementia, both lived in a memory care unit in Portland, Oregon. An 89-year-old woman with a diagnosis of AD, and an 85-year-old woman with a diagnosis of major neurocognitive disorder, Alzheimer's type with behavioral symptoms, both resided at an assisted living facility in Framingham, Massachusetts. MEASUREMENTS: These include: sleep quality measured by the bed pressure mat; number of transitions between spaces and dwell times in different spaces measured by the motion sensors; activity levels measured by the wearable actigraphy device; and couch usage and limb movements measured by the Emerald device. RESULTS: Number of transitions between spaces can identify the patient's episodes of agitation; activity levels correlate well with the patient's excessive level of agitation and lack of movement when the patient received potentially inappropriate medication and neared the end of life; couch usage can detect the patient's increased level of apathy; and periodic limb movements can help detect risperidone-induced side effects. This is the first demonstration that the ORCATECH platform and the Emerald device can measure such activities. CONCLUSION: The use of technologies for monitoring behaviors of PwD can provide more objective and intensive measurements of PwD behaviors. |
| first_indexed | 2024-09-23T10:52:26Z |
| format | Article |
| id | mit-1721.1/147048 |
| institution | Massachusetts Institute of Technology |
| language | English |
| last_indexed | 2024-09-23T10:52:26Z |
| publishDate | 2023 |
| publisher | Elsevier BV |
| record_format | dspace |
| spelling | mit-1721.1/1470482024-01-10T18:22:41Z Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series Au-Yeung, Wan-Tai M Miller, Lyndsey Beattie, Zachary May, Rose Cray, Hailey V Kabelac, Zachary Katabi, Dina Kaye, Jeffrey Vahia, Ipsit V Massachusetts Institute of Technology. Computer Science and Artificial Intelligence Laboratory OBJECTIVE: To show the feasibility of using different unobtrusive activity-sensing technologies to provide objective behavioral markers of persons with dementia (PwD). DESIGN: Monitored the behaviors of two PwD living in memory care unit using the Oregon Center for Aging & Technology (ORCATECH) platform, and the behaviors of two PwD living in assisted living facility using the Emerald device. SETTING: A memory care unit in Portland, Oregon and an assisted living facility in Framingham, Massachusetts. PARTICIPANTS: A 63-year-old male with Alzheimer's disease (AD), and an 80-year-old female with frontotemporal dementia, both lived in a memory care unit in Portland, Oregon. An 89-year-old woman with a diagnosis of AD, and an 85-year-old woman with a diagnosis of major neurocognitive disorder, Alzheimer's type with behavioral symptoms, both resided at an assisted living facility in Framingham, Massachusetts. MEASUREMENTS: These include: sleep quality measured by the bed pressure mat; number of transitions between spaces and dwell times in different spaces measured by the motion sensors; activity levels measured by the wearable actigraphy device; and couch usage and limb movements measured by the Emerald device. RESULTS: Number of transitions between spaces can identify the patient's episodes of agitation; activity levels correlate well with the patient's excessive level of agitation and lack of movement when the patient received potentially inappropriate medication and neared the end of life; couch usage can detect the patient's increased level of apathy; and periodic limb movements can help detect risperidone-induced side effects. This is the first demonstration that the ORCATECH platform and the Emerald device can measure such activities. CONCLUSION: The use of technologies for monitoring behaviors of PwD can provide more objective and intensive measurements of PwD behaviors. 2023-01-10T18:18:15Z 2023-01-10T18:18:15Z 2022 2023-01-10T18:14:25Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/147048 Au-Yeung, Wan-Tai M, Miller, Lyndsey, Beattie, Zachary, May, Rose, Cray, Hailey V et al. 2022. "Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series." American Journal of Geriatric Psychiatry, 30 (1). en 10.1016/J.JAGP.2021.04.008 American Journal of Geriatric Psychiatry Creative Commons Attribution-Noncommercial-Share Alike http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf Elsevier BV PMC |
| spellingShingle | Au-Yeung, Wan-Tai M Miller, Lyndsey Beattie, Zachary May, Rose Cray, Hailey V Kabelac, Zachary Katabi, Dina Kaye, Jeffrey Vahia, Ipsit V Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series |
| title | Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series |
| title_full | Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series |
| title_fullStr | Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series |
| title_full_unstemmed | Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series |
| title_short | Monitoring Behaviors of Patients with Late-stage Dementia Using Passive Environmental Sensing Approaches: A Case Series |
| title_sort | monitoring behaviors of patients with late stage dementia using passive environmental sensing approaches a case series |
| url | https://hdl.handle.net/1721.1/147048 |
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