Using behavioral economic interventions with remote-monitoring technologies to increase physical activity

2021 ◽  
Vol 7 (1) ◽  
pp. 11-24
Author(s):  
Sujatha Changolkar ◽  
Kevin G. Volpp ◽  
Mitesh S. Patel
Keyword(s):  
Physical Activity ◽  
Remote Monitoring ◽  
Behavioral Economic ◽  
Monitoring Technologies

scholarly journals Remote monitoring technologies in Alzheimer’s disease: design of the RADAR-AD study

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Marijn Muurling ◽  
◽  
Casper de Boer ◽  
Rouba Kozak ◽  
Dorota Religa ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Remote Monitoring ◽  
Rating Scales ◽  
Functional Decline ◽  
Cognitive Domain ◽  
Subjective Rating ◽  
Functional Domain ◽  
Smartphone Applications ◽  
Monitoring Technologies

Abstract Background Functional decline in Alzheimer’s disease (AD) is typically measured using single-time point subjective rating scales, which rely on direct observation or (caregiver) recall. Remote monitoring technologies (RMTs), such as smartphone applications, wearables, and home-based sensors, can change these periodic subjective assessments to more frequent, or even continuous, objective monitoring. The aim of the RADAR-AD study is to assess the accuracy and validity of RMTs in measuring functional decline in a real-world environment across preclinical-to-moderate stages of AD compared to standard clinical rating scales. Methods This study includes three tiers. For the main study, we will include participants (n = 220) with preclinical AD, prodromal AD, mild-to-moderate AD, and healthy controls, classified by MMSE and CDR score, from clinical sites equally distributed over 13 European countries. Participants will undergo extensive neuropsychological testing and physical examination. The RMT assessments, performed over an 8-week period, include walk tests, financial management tasks, an augmented reality game, two activity trackers, and two smartphone applications installed on the participants’ phone. In the first sub-study, fixed sensors will be installed in the homes of a representative sub-sample of 40 participants. In the second sub-study, 10 participants will stay in a smart home for 1 week. The primary outcome of this study is the difference in functional domain profiles assessed using RMTs between the four study groups. The four participant groups will be compared for each RMT outcome measure separately. Each RMT outcome will be compared to a standard clinical test which measures the same functional or cognitive domain. Finally, multivariate prediction models will be developed. Data collection and privacy are important aspects of the project, which will be managed using the RADAR-base data platform running on specifically designed biomedical research computing infrastructure. Results First results are expected to be disseminated in 2022. Conclusion Our study is well placed to evaluate the clinical utility of RMT assessments. Leveraging modern-day technology may deliver new and improved methods for accurately monitoring functional decline in all stages of AD. It is greatly anticipated that these methods could lead to objective and real-life functional endpoints with increased sensitivity to pharmacological agent signal detection.

scholarly journals Enhancing Safety During a Pandemic Using Virtual Care Remote Monitoring Technologies and UML Modeling

2021 ◽  
Author(s):  
Elizabeth M. Borycki ◽  
Andre W. Kushniruk ◽  
Ryan Kletke ◽  
Vivian Vimarlund ◽  
Yalini Senathirajah ◽  
...  
Keyword(s):  
Remote Monitoring ◽  
Virus Disease ◽  
Grey Literature ◽  
Object Oriented ◽  
Signs And Symptoms ◽  
Use Cases ◽  
Virtual Care ◽  
The Future ◽  
Government Websites ◽  
Monitoring Technologies

Objectives: This paper describes a methodology for gathering requirements and early design of remote monitoring technology (RMT) for enhancing patient safety during pandemics using virtual care technologies. As pandemics such as COrona VIrus Disease (COVID-19) progress there is an increasing need for effective virtual care and RMT to support patient care while they are at home. Methods: The authors describe their work in conducting literature reviews by searching PubMed.gov and the grey literature for articles, and government websites with guidelines describing the signs and symptoms of COVID-19, as well as the progression of the disease. The reviews focused on identifying gaps where RMT could be applied in novel ways and formed the basis for the subsequent modelling of use cases for applying RMT described in this paper. Results: The work was conducted in the context of a new Home of the Future laboratory which has been set up at the University of Victoria. The literature review led to the development of a number of object-oriented models for deploying RMT. This modeling is being used for a number of purposes, including for education of students in health infomatics as well as testing of new use cases for RMT with industrial collaborators and projects within the smart home of the future laboratory. Conclusions: Object-oriented modeling, based on analysis of gaps in the literature, was found to be a useful approach for describing, communicating and teaching about potential new uses of RMT.

scholarly journals Remote monitoring in heart failure: current and emerging technologies in the context of the pandemic

Heart ◽  
2021 ◽  
Vol 107 (5) ◽  
pp. 366-372
Author(s):  
Donya Mohebali ◽  
Michelle M Kittleson
Keyword(s):  
Heart Failure ◽  
At Risk ◽  
Remote Monitoring ◽  
Reliable Method ◽  
Healthcare Delivery ◽  
Rapid Expansion ◽  
Monitoring Technology ◽  
Remote Healthcare ◽  
Monitoring Technologies

The incidence of heart failure (HF) remains high and patients with HF are at risk for frequent hospitalisations. Remote monitoring technologies may provide early indications of HF decompensation and potentially allow for optimisation of therapy to prevent HF hospitalisations. The need for reliable remote monitoring technology has never been greater as the COVID-19 pandemic has led to the rapid expansion of a new mode of healthcare delivery: the virtual visit. With the convergence of remote monitoring technologies and reliable method of remote healthcare delivery, an understanding of the role of both in the management of patients with HF is critical. In this review, we outline the evidence on current remote monitoring technologies in patients with HF and highlight how these advances may benefit patients in the context of the current pandemic.

scholarly journals Steps Ahead: optimising physical activity in adults with cystic fibrosis: Study Protocol for a pilot randomised trial using wearable technology

2020 ◽  
Vol 3 ◽  
pp. 21
Author(s):  
Maire Curran ◽  
Audrey C. Tierney ◽  
Louise Collins ◽  
Lauren Kennedy ◽  
Ciara McDonnell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cystic Fibrosis ◽  
Remote Monitoring ◽  
Randomised Trial ◽  
Text Message ◽  
Wearable Technology ◽  
Structured Interview ◽  
Text Messages ◽  
University Hospital ◽  
Active Comparator

Background: Physical activity (PA) and exercise are widely documented as key components in the management of cystic fibrosis (CF). In recent years there have been significant improvements in telehealth, in particular; wearable technology,  smartphone use and remote monitoring, all of which may have potential to impact on PA in adults  with CF. The objective of this pilot randomised trial is to explore the effect of wearable technology, which is remotely monitored, combined with personalised text message feedback and goal setting, on PA in adults with CF. Secondary endpoints include lung function, aerobic capacity, quality of life, body composition, wellbeing and sleep. Methods: This is a pilot randomised trial which will be conducted at the University Hospital Limerick, Ireland. Participants will be randomised to the intervention or active comparator after their baseline assessment. The 12-week intervention will consist of wearable technology (Fitbit Charge 2) which is linked to an online monitoring system (Fitabase) that enables the physiotherapist to remotely monitor participant data. The CF physiotherapist will set individualised PA goals with each participant at baseline and will send text message feedback each week. The text messages will be personalised, one-way texts with positive reinforcement on step count attained by the participant. The active comparator group will receive this wearable technology which is also linked to Fitabase; however, no feedback will be provided to participants in this group. Both groups will be re-assessed at 12 weeks. After this point, both groups will continue with the Fitbit alone for a further 12 weeks. Both groups will be re-assessed at 24 weeks. A semi structured interview will assess satisfaction and acceptability of the intervention. Discussion: This is a novel concept which utilises modern technology, remote monitoring and personalised feedback to investigate the effect on PA  in adults with CF.  Trial registration: ClinicalTrials.gov NCT03672058 (14/09/2018)

The Contribution of mHealth in the Care of Obese Pediatric Patients

2016 ◽  
pp. 126-146 ◽  
Author(s):  
Elpis Vlachopapadopoulou ◽  
Dimitrios I. Fotiadis
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Remote Monitoring ◽  
Chronic Health Condition ◽  
Health Condition ◽  
Self Management ◽  
Closed Loops ◽  
Global Health Issue ◽  
Life Threatening ◽  
Motivational Approaches

In this chapter the evolution of mHealth solutions for monitoring and treatment of children suffering from obesity is discussed. Nowadays, obesity emerges as a major chronic health condition that affects the general population, both children and adults. mhealth solutions are already used for self-management, remote monitoring and counseling of several chronic conditions, including diabetes mellitus, heart failure, Parkinson's disease, etc. Today, those solutions can result to closed loops, which support health self-management for chronic diseases, in a personalized manner. Concerning childhood obesity, those solutions can combine targeted games and motivational approaches towards both physical activity and diet, which could help in addressing this serious and global health issue, in the direction of minimizing co-morbidities and eventually preventing serious, life threatening events.

scholarly journals Enhancing Standards and Principles in Digital Mental Health With Recovery-Focused Guidelines for Mobile, Online, and Remote Monitoring Technologies

2019 ◽  
Vol 70 (12) ◽  
pp. 1080-1081 ◽  
Author(s):  
Karen L. Fortuna ◽  
Robert Walker ◽  
Daniel B. Fisher ◽  
George Mois ◽  
Stephanie Allan ◽  
...  
Keyword(s):  
Mental Health ◽  
Remote Monitoring ◽  
Monitoring Technologies

scholarly journals DO OLDER ADULTS AND THEIR CHILDREN AGREE ABOUT THE USE OF LOCATION TRACKING, IN-HOME SENSORS, AND WEB-CAMERAS?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S371-S371
Author(s):  
Clara Berridge
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Adult Children ◽  
Remote Monitoring ◽  
Social Life ◽  
Adult Women ◽  
Location Tracking ◽  
Structured Interviews ◽  
Meals On Wheels ◽  
Monitoring Technologies

Abstract On the dyad and aggregate level, we compare preferences of older adult women and their adult children for three remote monitoring technologies: location tracking, in-home sensors, and Web-cameras. Their assessments of each technology’s impact on privacy, safety, independence, freedom, relationship with family member, social life, and identity are also compared. Twenty-eight individual, in-depth structured interviews were conducted with 18 women who are Meals on Wheels clients and 10 of their adult children. Adult children preferred each technology more than their mothers did and underestimated both their mothers’ ability to comprehend the functions of the technologies and the importance of engaging them fully in decision making. For both groups, privacy was the most-cited concern, and participants perceived significant overlap between values of privacy, independence, identity, and freedom. Shared decision-making tools are needed to promote remote monitoring use consistent with older adults’ values and to prevent conflict and caregiver overreach.

Remote Monitoring Technologies of Performances of Battery Charger in Digitalized Transformer Substation

2013 ◽  
Vol 662 ◽  
pp. 731-735
Author(s):  
Pei Ying Li ◽  
Yu Tian Pan ◽  
Yan Qiang Ma
Keyword(s):  
Remote Sensing ◽  
Power System ◽  
Remote Monitoring ◽  
Constant Current ◽  
Battery Charger ◽  
Monitoring Technology ◽  
Dc Power ◽  
Transformer Substation ◽  
The Stability ◽  
Monitoring Technologies

In the DC power system of the unwatched transformer substation, the battery charger is one of the key devices. The stability of its performances directly affect the stability of DC power system. In the paper, using the computer technologies and the real-time Ethernet technology to communicate with the battery charger monitor to achieve remote monitoring technology of the performances of the battery charger. It can not only remote monitor the operations and fault states of the battery charger on line, but also remote sensing the ripple factor and the stabilized voltage precision when the battery charger is under the states of the floating charge and the constant voltage equalizing charge, at the same time remote sensing the stabilized current precisions when the battery charger is under the stage of constant current equalizing charge, and the characteristics of equalizing current when the battery charger is in operation. So the remote monitoring technology of the performances of the battery charger is very important in the transformer substation.

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