Dr David Craig Consultant Physician Senior Lecturer ... - SPARC

Dr David CraigConsultant PhysicianSenior LecturerBelfast City Hospital & School of Medicine, Queen’s University Belfast

OVERVIEW:oFacts about dementiaoDemographic h changesoDelaying and compensating for dementiaoRole of technologyoBarriers to adoption and what to do about themoCell phone video streaming in Alzheimer’s e sdsease disease

700,000 people with dementia in UK Proportion doubles for every 5 year age group 1 / 3 over 85 have dementia £60,000 / person / year directly attributable todementiawww.alzheimers.org.uk

Populat tion in Millions252015105019.414.38.96.85.84.33.11990 2000 2010 2020 2030 2040 2050Source: Bureau of the Census, Middle Series Projections, Jan. 2000

nsin BillioDollars50454035302520151050DiseaseAlzheimer's DiseaseNursing Home CareStrokeHearing LossIncontinenceHip FractureOsteoarthritisParkinson's DiseaseSource: Putting Aging on Hold: Delaying the diseases of old age, AFAR &the Alliance for Aging Research, 1995.

Detecting and preparing for the onset of functionaldecline Delaying the onset of disabling symptoms Compensating for functional impairments to maintainindependence Providing support for caregivers to help alleviatestress and depression Postponing or preventing placement in residential caresettings Increasing accessibility to needed dd and appropriate ithealthcare services

Negative experience and misconceptions Lack of financial i incentives Lack of consensus on value Inadequate infrastructures

Recommended Actions•Raise R i awareness of benefits of aging services technologies among manyaudiences•Support research that proves the value of aging services technologies•Design and market technology with older consumers in mind

Recommended Actions•Develop D l the infrastructure t necessary to make broad‐based b d technologyinitiatives effective•Provide incentives for various stakeholders to invest in technology

71% of the Europeans are interested or very interested innew technologyIn general the east and central European countries areless interested in new technology than western EuropeSweden has the most interest (89%) and Slovakia hasthe least interest (45%)Young people p have more interest (82%) in newtechnology than older people do (61%)18% of the young people is not interested and 35% ofthe older people has no interest in new technology

Aim of this research project is to develop a novel system based onmobile‐phone video streaming (MPVS) to provide a range ofmemory cues to persons with dementiaALZHEIMER’SDISEASEDEMENTIACOGNITIVEPROSTHETICSREMINDINGFUNCTIONALITY

Carer Stationary Device(CSD)Patient Mobile Device(PMD)Carer Mobile Device(CMD)Secure Server / Database(Server)

An ABA methodology is being adopted. A Patients assessed on their ability toremember daily activities using their normalmemory aids. B Subsequently, the patients will be assessedduring the field trial using the MPVS system,and, Afinally the system will be extracted togauge the effects on the patient’s ability toremember.

Small scale usability studies at presentYoung controlsOlder couplesCognitively impaired/spouseRecorded a series of daily reminders –time for lunch, go to gym etc..“Simple”“Nice to see afriendly face”“Clock is nice”“Good QualityVideo”“Acted as agenuine reminderas I actuallyforgot”“Remindersarrived on time”“Screen goesblank on standby”“Thinner,lighter device”“Considerlarger screen”“May be tooheavy to weararound neck”“Larger textaround clock”