| Literature DB >> 24897409 |
Jorge L Falcó1, Esteban Vaquerizo2, José Ignacio Artigas3.
Abstract
Collaboration among different stakeholders is a key factor in the design of Ambient Assisted Living (AAL) environments and services. Throughout several AAL projects we have found repeated difficulties in this collaboration and have learned lessons by the experience of solving real situations. This paper highlights identified critical items for collaboration among technicians, users, company and institutional stakeholders and proposes as a communication tool for a project steering committee a service description tool which includes information from the different fields in comprehensible format for the others. It was first generated in the MonAMI project to promote understanding among different workgroups, proven useful there, and further tested later in some other smaller AAL projects. The concept of scalable service description has proven useful for understanding of different disciplines and for participatory decision making throughout the projects to adapt to singularities and partial successes or faults of each action. This paper introduces such tool, relates with existing methodologies in cooperation in AAL and describes it with a example to offer to AAL community. Further work on this tool will significantly improve results in user-centered design of sustainable services in AAL.Entities:
Mesh:
Year: 2014 PMID: 24897409 PMCID: PMC4118338 DOI: 10.3390/s140609776
Source DB: PubMed Journal: Sensors (Basel) ISSN: 1424-8220 Impact factor: 3.576
Figure 1.Conceptual map of service description with items or info-bits generated by each professional group.
Figure 2.Cross relation of information-bits generated by user-oriented professionals among different professional groups.
Description of importance of information generated by user-oriented professionals as received by other professionals.
| User profiles needs and goals | Technology | Main goal of R&D in technological assistive services is to improve assistance to users by solving their needs. |
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| User scenarios, activities and requirements | Technology | Design of technology has to follow studied needs. Technology people not only need this info available, they usually need to contrast understanding, and scenarios and activities give them very good keys to understand the casuistic and promote good solutions. |
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| Market | Market orientation will definitively depend on user profiles, scenarios and activities in scope. | |
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| Functional specification | Technology | Understanding functional specifications is a must for successful design of technological services. Normally an interaction should occur among users and technicians so functional specifications can be met and many times improve by the suggestions of available technical solutions. |
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| Innovation and expected acceptance | Market | Commercial feasibility of a product or service will largely depend on the acceptance of potential clients. Felt innovation is a good clue to orient market strategy. Other parameters as will of buying the service are also essential. |
Figure 3.Cross relation of information-bits generated by technology-oriented professionals among different professional groups.
Description of importance of information generated by technology-oriented professionals as received by other professionals.
| Technological specifications | Users | Specifications feedback is crucial so users can understand that their functionalities are covered and technicians can make sure the way they have understood it. By iteration, technicians may propose different solutions to check which cover user needs and improve reliability, cost or any other feature. |
| Graphical modular system description | Users | Participation of users is crucial throughout the process, so specifications are kept or modified according to needs. These images help understanding how the system works without much depth or complexity, and we have found this understanding is enough to take project global decisions. |
| Information flow | Users | Information flows for each service helps the understanding of its designed dynamics. |
| Cost and maturity of each moduli | Market | Market can make estimations of cost and preview stages in which different functional subsets will be reliable following the project calendar. It also will make suggestions of which moduli should be prioritized to have those subsets ready. |
| Institution | Institutions will look into which investment is to be made, and adapt it to the priorities and specific needs. It also will be used to compare with alternative solutions. | |
| HMI description | Users | Users here will check that needed features of HMI are understood and followed, and sometimes it is found they were not well-defined, so the project may be in time to re-design such HMIs before too much effort is invested into them (we use the quality criteria of ISO/IEC 9126: Software Engineering Product Quality Model [ |
| Technological support structures | Institution | We have found that regular communications technology is needed in the service ecology and often institutions are responsible for them. Many times it only takes a political decision in time to facilitate this issue, so institutions should be made aware as early as possible of such needs, because in our experience it may be the slowest agent collaborating in a project. |
Figure 4.Cross relation of information-bits generated by market-oriented professionals among different professional groups.
Description of importance of information generated by market-oriented professionals as received by other professionals.
| Innovation and added value | Technology | Innovation and added value are important arguments for market introduction and sustainability. In such perspective, design receives this information as additional specifications, completing or prioritizing the existing ones. | |
| Costs chain and sustainability | Technology | Cost horizon is crucial for sustainability, so again this becomes an important specification for it imposes restrictions on the technological solutions that can be used. | |
| Institution | To obtain a cost-map that gives good sustainability prevision to the services, initial and maintenance costs of a service have to be taken into account by institutions to calculate the investment and guarantee it will be sustainable in time. | ||
| Other competing Services | Institution | On one side selection among feasible alternatives is needed. | |
| Potential financial chain | Institution | Often financial chains are affected by public institutions, which may change the balance between cost and interest by grants or subsidies. Having a clear map will show if financial paths or the modifications that can be made on their structures will give sustainable results. | |
| Impact on public economy | Institution | Political responsibility makes institutions and society very much aware of the overall cost of elder and disabled people well-being. Impact may show savings where in principle only initial costs are visible. | |
| Impact on home-economy | Users | The same as before, applied to individual or family-group decisions. | |
Figure 5.Cross relation of information-bits generated by institutions and social context professionals among different professional groups.
Description of importance of information generated by institutions as received by other professionals.
| Security, ethical and legal issues | Users | Guarantee of personal data protection, security and respect for individual rights of users of the system are a must and increase the confidence in the services. Moreover, it is a compulsory requisite and as such is to be checked by users and included in specifications. |
| Technology | This guarantee is included in specifications that will define the constraints and options over the system so the complete ecology of actors may decide on the final result regarding these issues. | |
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| Interacting existing services | Market | Some services depend on different administration departments and are built on top some other public or private services. Such dependencies bring the need of permissions or modifications of public services requirements, and may be crucial for market survival and sustainability of services. Political decisions over such conflicting or interacting services open or close market opportunities, so the market needs to be well aware of such perspectives to make realistic market strategies. |
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| Sociogram and potential impact | Users | In our experience any support service that has been introduced in a living environment has some impact on the social relations of the users, from some elder whose grandchildren started visiting much often thanks to the games in the computer when there were not so common as today, to other situations in which visits are diminished because of the tranquility of knowing the person's security is supervised. Other examples are people who took care of their personal hygiene and image for they had a daily interview to check how things were; also people who started to have closer relation with relatives thanks to Skype-like communication in their shelter home. |
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| Functional specification | Technology | Institutions sometimes include some specifications on the services that don't exactly correspond to user needs, in terms of cost, difficulty of installation or maintenance, staff who can be taking new roles to name but a few. These specifications are to be included in design ones. |
Analysis of user needs and system requirements regarding user capacities.
| Elderly living alone or with couple | Potential unstable walking | Detect situations that could evidence falls or confusion. |
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| Care-Giver couple | Potential low vision | Acoustic interface and/or large display |
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| Care-Giver relative | Conventional, may live far | Remote notifications needed |
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| Service Center staff | Regular service center for tele-alarm | Telephone-wired communication |
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| Local government | Interest in impact of such system | Register incidences to check usefulness of the system |
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| Installation and maintenance | Installation has to be done in a particular home. | Optimum if service can be installed as a kit by user's relatives |
Analysis of user needs and system requirements regarding scenarios.
| Bed-room at night | If living in couples, dimmed light shouldn't bother the couple. | Luminosity of dimmed light adjustable. Position of dimmed light adjustable |
| Amount of light needed may vary | ||
| Sensors of getting up shouldn't detect couple instead | Position of movement sensors needed adjustable, so area of sensitivity has to be adjustable. | |
| When getting up in the middle of the night it is difficult the person remember to wear anything on | System should work with the user wearing no special device | |
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| Corridor at night | Would improve some dimmed light. | Distribution of movement sensors and dimmed lights in the corridor, only if severe confusion. |
| In cases of disorientation, optimal spaced lights would help keep path | ||
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| Bathroom at night | Risk of falls is higher in the bathroom | Useful to detect when light is being turned on, so system can time and check when user goes out or raise an event of too long stance. |
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| Any other stance of the house at night | User has the privacy and right to wander around his home. Confusion may make him/her wander and forget it is time to sleep | System should detect excessive periods out of bed and warn. Warning will address the user directly or the caregiver if confusion level is very high. |
Analysis of user needs and system requirements regarding activities.
| Walk or go to the bathroom | Privacy required. | System will time activities and warn the user if too much time is gone or he/she stays in other rooms longer than established. |
| Checked by time out. | ||
| User could decide to start an activity, even being at night | ||
| System can be deactivated by the user or couple/relative if user is very confused. |
Service functional requirements.
| FALL/CONFUSION PREVENTION/DETECTION AT NIGHT | |||
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| List of Actors | List of scenarios | List of activities | |
| 1. Elderly; 2. Care-Giver couple; 3. Care-Giver reference relative; 4. Service Center staff; 5. Local government | Bedroom, corridor, bathroom | Walk | |
| Service needed features | Rational | Priority | Conflicts/ needed actions |
| Detect situations that could evidence falls or confusion | Potential unstable walking and potential confusion episodes of primary user | Very high | – |
| Turn on a dimmed light on the itinerary to help orientation and decrease falls risk | Potential low vision at night of primary user | high | – |
| Acoustic interface and/or large display for HMI | Potential low vision of primary user and couple | high | – |
| Remote notifications needed | Conventional, may live far | high | – |
| Telephone-wired communication | Regular service center for tele-alarm | high | – |
| Register incidences to check usefulness of the system | Interest in impact of such system by local governments | medium | – |
| Luminosity of dimmed light adjustable | Not to bother couple | Medium | – |
| Position of dimmed light adjustable | – | – | – |
| Position of movement sensors needed adjustable, so area of sensitivity has to be adjustable. | Not to cause false positives by the movement or getting up of couple | Medium | – |
| List of Actors | List of Actors | List of Actors | |
| System should work with the user wearing no special device | User capacities may make it difficult to wear on something when getting up at night | high | – |
| Distribution of movement sensors and dimmed lights in the corridor, only if severe confusion | For users that are very confused | low | – |
| Useful to detect when light is being turned on, so system can time and check when user goes out or raise an event of too long stance | To time activities and know when the user is active in toilet | Very low | – |
| System should detect too long stances out of bed and warn. Warning will address the user directly or the caregiver if confusion level is very high | Risk of fall active or confusion situations | high | – |
| System will time activities and warn the user if too much time is gone or he/she stays in other rooms longer than established | User could decide to start an activity, even being at night. First check with user, then if no answer given, caregiver will be informed | High | – |
| System can be deactivated by the user or couple/relative if user is very confused | For special days, system can be de-activated at user's own risk | High | – |
Figure 6.Modular system description for night falls and wandering prevention.
Modules supporting each function.
| Detect situations that could evidence falls or confusion | Timer of presence in a stance | S_presence |
| Pattern recognition of normal/abnormal situation | S_Switches | |
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| Turn on a dimmed light on the itinerary to help orientation and decrease falls risk | Decide when light is to be turned on/off | A_light_dimmer |
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| Register incidences to check usefulness of the system | Log | – |
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| Luminosity of dimmed light adjustable. | Adjust light intensity to ambient light measurement | S_light_level |
| Position of dimmed light adjustable | A_light_dimmer | |
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| Position of movement sensors needs to be adjustable, so the area of sensitivity has to be adjustable | – | S_presence (adjustable in sensitive area) |
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| System should work with the user wearing no special device | – | – |
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| Distribution of movement sensors and dimmed lights in the corridor, only if severe confusion | Inference of position with presence sensors | S_presence |
| Decision which light to turn on/off by checking inferred position with presence sensors | A_light | |
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| Useful to detect when light is being turned on, so the system can time and check when the user goes out or raise an alarm about an event of excessive duration. | – | S_switches |
Analysis of requirements for Human Machine Interfaces (HMI).
| Acoustic interface and/or large display for HMI | User_HMI: Small tablet fixed in different places at home | Acoustic / visual information. Tactile interaction |
| Remote notifications needed | Carer_HMI: Remote communications module | Sms and internet messaging |
| Telephone-wired communication | Carer_HMI: Wired telephone communication module | Wired telephone modem |
Analysis of maturity and cost of each module.
| S_presence | Commercial | 80 euros |
| A_light_dimmer | Commercial | 80 euros |
| S_Switches | Prototype. Ready for production | 40 |
| S_light_level | Commercial | 40 |
| A_light | Commercial | 60 |
| S_presence mechanical visor | Prototype. Ready for production | 10 |
Figure 7.Simplified algorithm for night falls and wandering prevention; actions flow is in red lines; information exchanging is in blue-dotted lines.
Added value and innovation.
| Detects getting up from bed | √ | – | How this is done can be crucial |
| No need to wear or carry any device by user | √ | – | Very important for usability and acceptance |
| Detects wandering patterns | √ | – | Only in cases confusion is a threat |
| Detects time outs: provides assistance if falls | √ | – | Check upon wellbeing of client |
| Lights dimmed light to prevent falls and disorientation | √ | – | Very important prevention action |
| sequential recipient notification | √ | – | It can save service center fee |
| Option to user to stop notifications | √ | – | It can avoid false positive errors and protect privacy of user |
Figure 8.Service provision chain of services that include calls to service centers: In blue font (outgoing full blue lines) quaternary stakeholders; black (dotted) tertiary, orange (dashed) secondary and red font primary. Violet lines (dash-dot) show contractual and financial relation.
Analysis of interaction with existing services.
| Night wandering and falls prevention/supervision | Elderly people in independent living scenarios at home | Local Government—Social Affairs—Dependency Program Local municipal Social Services Financing available from both | Private | Proposal:(specific company or NGO: Non-governmental Organization) | Innovative alert situations, direct call to relatives. Provide for passive alarms, integration in a middleware platform will provide benefits of integration with other services in later phases Innovative monitoring functions; integration with most frequent local support systems. Can take profit of existing structure for tele-alarm and service centers |
| Municipality Tele-Assistance | Elderly people with acute and/or chronic disabilities. People with cognitive disabilities At home | Municipal Social Services Financing available Financing also by banks | People need to be assessed as having a need by local authority for public financing; otherwise can be obtained privately | Private company by public contract (names of companies providing tele-alarms) |
Figure 9.Financial and provision paths for service using service center.
Figure 10.Modular system description for activity and home status supervision service.
Figure 11.Supervision service simplified algorithm.
Figure 12.Service provision chain and pattern use for reconfiguration, redesign and regulation bodies information.