A Model for Monitoring People with Alzheimer's Disease using Context Histories Analysis
DOI:
https://doi.org/10.5753/isys.2022.2226Keywords:
Alzheimer's disease, Context Histories, Context Prediction, Internet of Things for Healthcare, Patient monitoringAbstract
This article presents a model considering physiological data received from external applications, making it possible to identify dangerous behaviors of patients with Alzheimer's Disease (AD). The main scientific contribution of this work is the specification of a model focusing on AD using the analysis of Context Histories and Context Prediction. DCARE is based on the experimental research method, focused on understanding the disease and finding solutions that minimize its impact on the daily monitoring of patients. In addition, a simulator was created, which generates datasets to perform tests of the model, complementarily an ontology was proposed for the treatment of contexts in the subject of Alzheimer's. This article consists of an extended version of the work published at the Brazilian Symposium on Information Systems (SBSI) in 2021. The scenarios used in the construction of the model were elaborated from interviews with five specialists in the care of AD patients. The tests were performed with a dataset of 1026 samples provisioned by the simulator proposed by this work. The results revealed that the predictions of the model's scenarios reached the objective of the work, achieving an accuracy of 97.44%.
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Amato, F., Crovari, P., Masciadri, A., Bianchi, S., Pasquarelli, M. G. G., Toldo, M., Comai, S., Imtiaz, A., and Yuyar, E. (2018). Clone: A promising system for the remote monitoring of Alzheimer’s patients an experimentation with a wearable device in a village for Alzheimer’s care. ACM International Conference Proceeding Series, June:255–260.
Aranda, J. A. S., Bavaresco, R., Carvalho, J. V., Yamin, A. C., Tavares, M. T., and Barbosa, J. L. V. (2021). A computational model for adaptive recording of vital signs through context histories. Journal of Ambient Intelligence and Humanized Computing, 1:1–15.
Association, A. (2019). What is alzheimer’s disease?. [link].
AZ, A. D. I. (2015). World alzheimer report 2015: The global impact of dementia. [link].
AZ, A. D. I. (2019). About dementia. [link].
Barbosa, J. L. V. (2015). Ubiquitous computing: Applications and research opportunities. In 2015 IEEE International Conference on Computational Intelligence and Computing Research (ICCIC), pages 1–8.
Brodaty, H., Connors, M., Xu, J., Woodward, M., Ames, D., and PRIME study group (2014). Predictors of institutionalization in dementia: a three year longitudinal study. Journal of Alzheimer’s disease : JAD, 40(1):221–226.
Burleson, W., Lozano, C., Ravishankar, V., Lee, J., and Mahoney, D. (2018). An assistive technology system that provides personalized dressing support for people living with dementia: Capability study. Journal of Medical Internet Research, 20(5):1–20.
Cacioppo, J. T., Tassinary, L. G., and Berntson, G., editors (2007). Handbook of Psychophysiology. Cambridge University Press, Trinity, Cambridge, UK, 3 edition.
Castaldo, R., Melillo, P., Bracale, U., Caserta, M., Triassi, M., and Pecchia, L. (2015). Acute mental stress assessment via short term hrv analysis in healthy adults: A systematic review with meta-analysis. Biomedical Signal Processing and Control, 18:370 – 377.
Chalmers, J. A., Quintana, D. S., Abbott, M. J.-A., and Kemp, A. H. (2014). Anxiety disorders are associated with reduced heart rate variability: A meta-analysis. Frontiers in Psychiatry, 5:80.
Choi, K.-H., Kim, J., Kwon, O. S., Kim, M. J., Ryu, Y. H., and Park, J.-E. (2017). Is heart rate variability (hrv) an adequate tool for evaluating human emotions? – a focus on the use of the international affective picture system (iaps). Psychiatry Research, 251:192 – 196.
Cohen-Mansfield, J. (2008). Agitated behavior in persons with dementia: the relationship between type of behavior, its frequency, and its disruptiveness. Journal of psychiatric research, 43(1):64–69.
Cohen-Mansfield, J., Thein, K., Marx, M. S., Dakheel-Ali, M., and Freedman, L. (2012). Efficacy of nonpharmacologic interventions for agitation in advanced dementia: a randomized, placebo-controlled trial. The Journal of clinical psychiatry, 73(9):1255–1261.
da Rosa, J. H., Barbosa, J. L., and Ribeiro, G. D. (2016). Oracon: An adaptive model for context prediction. Expert Systems with Applications, 45:56–70.
da Silva, D. L. (2009). Ontologias e unified modeling language: uma abordagem para representação de domínios de conhecimento. [link].
de Geografia e Estatística IBGE, I. B. (2019). Síntese de indicadores sociais uma análise das condições de vida da população brasileira (2012). [link].
Dey, A. K., Abowd, G. D., and Salber, D. (2001). A conceptual framework and a toolkit for supporting the rapid prototyping of context-aware applications. Hum.-Comput. Interact., 16(2):97–166.
Driver, C. and Clarke, S. (2004). Context-aware trails [mobile computing]. Computer, 37(08):97–98." e "Driver, C. and Clarke, S. (2008). An application framework for mobile, context-aware trails. Pervasive and Mobile Computing, 4:719–736.
Ferrah, N., Murphy, B. J., Ibrahim, J. E., Bugeja, L. C., Winbolt, M., LoGiudice, D., Flicker, L., and Ranson, D. L. (2015). Resident-to-resident physical aggression leading to injury in nursing homes: a systematic review. Age and Ageing, 44(3):356–364.
Filippetto, A. S., Lima, R., and Barbosa, J. L. V. (2021). A risk prediction model for software project management based on similarity analysis of context histories. Information and Software Technology, 131:106497.
Fowler, C. N., Kott, K., Wicks, M. N., and Rutledge, C. (2016). Self-efficacy and sleep among caregivers of older adults with dementia: Effect of an interprofessional virtual healthcare neighborhood. Journal of Gerontological Nursing, 42(11):39–47.
Keet, M. (2018). An introduction to ontology engineering. [link].
Khoo, S. A., Chen, T. Y., Ang, Y. H., and Yap, P. (2013). The impact of neuropsychiatric symptoms on caregiver distress and quality of life in persons with dementia in an asian tertiary hospital memory clinic. International Psychogeriatrics, 25(12):1991–1999.
Kreibig, S. D. (2010). Autonomic nervous system activity in emotion: A review. Biological Psychology, 84(3):394 – 421. The biopsychology of emotion: Current theoretical and empirical perspectives.
Lai Kwan, C., Mahdid, Y., Motta Ochoa, R., Lee, K., Park, M., and Blain-Moraes, S. (2019). Wearable technology for detecting significant moments in individuals with dementia. BioMed Research International, 2019:2314–6133.
Machado, S. D. and Barbosa, J. L. V. (2020). Technologies applied in the care of patients with alzheimer’s disease: A systematic review. In Proceedings of the Brazilian Symposium on Multimedia and the Web, WebMedia ’20, page 29–32, New York, NY, USA. Association for Computing Machinery.
Machado, S. D., Barbosa, J. L. V., Tavares, J. a. d. R., and Martins, M. G. (2021). Dcare: Um modelo computacional para acompanhamento de pessoas com doença de alzheimer baseado na análise de históricos de contextos: Dcare: A computational model for monitoring people with alzheimer’s disease based on context histories analysis. In XVII Brazilian Symposium on Information Systems, SBSI 2021, New York, NY, USA. Association for Computing Machinery.
Martini, B. G., Helfer, G. A., Barbosa, J. L. V., Modolo, R. C. E., Silva, M. R., Figueiredo, R. M., Mendes, A. S., Silva, L. A., and Leithardt, V. R. Q. (2021). Indoorplant: A model for intelligent services in indoor agriculture based on context histories. Sensors, 21:1631.
Murman, D., Chen, Q., Powell, M., Kuo, S., Bradley, C., and Colenda, C. (2002a). The incremental direct costs associated with behavioral symptoms in ad. Neurology, 59(11):1721–1729.
Murman, D., Chen, Q., Powell, M., Kuo, S., Bradley, C., and Colenda, C. (2002b). The incremental direct costs associated with behavioral symptoms in ad. Neurology, 59(11):1721–1729.
National Alliance for Caregiving, U. H. (2011). e-connected family caregiver: Bringing caregiving into the 21st century. [link].
Nesbitt, C., Gupta, A., Jain, S., Maly, K., and Okhravi, H. R. (2018a). Reliability of wearable sensors to detect agitation in patients with dementia: A pilot study. In Proceedings of the 2018 10th International Conference on Bioinformatics and Biomedical Technology, ICBBT ’18, page 73–77, New York, NY, USA. Association for Computing Machinery.
Nesbitt, C., Gupta, A., Jain, S., Maly, K., and Okhravi, H. R. (2018b). Reliability of wearable sensors to detect agitation in patients with dementia: A pilot study. In Proceedings of the 2018 10th International Conference on Bioinformatics and Biomedical echnology, ICBBT ’18, page 73–77, New York, NY, USA. Association for Computing Machinery.
OPAS, O. P. A. d. S. (2018). Folha informativa 2018: 10 principais causas de morte no mundo. [link].
Pillemer, K., Chen, E. K., Van Haitsma, K. S., Teresi, J., Ramirez, M., Silver, S., Sukha, G., and Lachs, M. S. (2011). Resident-to-Resident Aggression in Nursing Homes: Results from a Qualitative Event Reconstruction Study. The Gerontologist, 52(1):24–33.
Protégé (2022). A free, open-source ontology editor and framework for building intelligent systems. [link].
Ribeiro, E. A. (2008). A perspectiva da entrevista na investigação qualitativa. In A perspectiva da entrevista na investigação qualitativa, volume 4, pages 129–148.
SAP (2007). Standardized technical architecture e modeling - conceptual and design level. [link].
Shu, L., Xie, J., Yang, M., Li, Z., Li, Z., Liao, D., Xu, X., and Yang, X. (2018). A review of emotion recognition using physiological signals. Sensors, 18(7):2074.
Sigg, S. (2008a). Development a novel context prediction algorithm and analysis of context prediction schemes. Kassel University Press, Kassel, Alemanha.
Sigg, S. (2008b). Development of a novel context prediction algorithm and analysis of context prediction schemes.
Sigg, S., Haseloff, S., and David, K. (2011). An alignment approach for context prediction tasks in ubicomp environments. Pervasive Computing, IEEE, 9:90 – 97.
Silva, J., Rosa, J., Barbosa, J., Barbosa, D., and Palazzo, L. (2010). Content distribution in trail-aware environments. J. Braz. Comp. Soc., 16:163–176.
Smets, E., De Raedt, W., and Van Hoof, C. (2019). Into the wild: The challenges of physiological stress detection in laboratory and ambulatory settings. IEEE Journal of Biomedical and Health Informatics, 23(2):463–473.
Smith, A. (2008). Who Controls the Past Controls the Future - Life Annotation in Principle and Practice. PhD thesis, University of Southampton.
Tan, L. L., Wong, H. B., and Allen, H. (2005). The impact of neuropsychiatric symptoms of dementia on distress in family and professional caregivers in Singapore.
Thorpe, J. R., Forchhammer, B. H., and Maier, A. M. (2019). Development of a sensor-based behavioral monitoring solution to support dementia care. Journal of Medical Internet Research, 21(6):1–14.
Vugt, M. E. d., Stevens, F., Aalten, P., Lousberg, R., Jaspers, N., and Verhey, F. R. J. (2005). A prospective study of the effects of behavioral symptoms on the institutionalization of patients with dementia. International Psychogeriatrics, 17(4):577–589.
Wan, L., Müller, C., Randall, D., and Wulf, V. (2016). Design of a gps monitoring system for dementia care and its challenges in academia-industry project. ACM Trans. Comput.-Hum. Interact., 23(5).
WHO,W. H. O. (2022a). Dementia: 2019 statistical update. [link].
WHO,W. H. O. (2022b). Who global action plan on the public health response to dementia 2017–2025. [link].
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