Monitoring Wearable Devices for Elderly People with Dementia: A Review
Abstract
:1. Introduction
2. Methodology
2.1. Search Strategy
2.2. Keywords and Databases
2.3. Selection Criteria
2.4. Description of Studies
3. Results
3.1. Technology in Healthcare
3.2. Wearable Devices
Classification of Monitoring Types in Wearable Devices
3.3. Specific Measurements of Wearable Devices
3.4. Design in Healthcare
- Promotes independence;
- Advances mobility and social inclusion;
- Increase everyone’s quality of life, without devaluing anyone’s;
- Reduces stigma and discrimination;
- Provides more opportunities for vulnerable social groups;
- Guarantees a more comfortable, attractive, accessible, convenient and safe world for all users;
- Reduces the economic burden of specialized programs and services that help people from specific social groups;
- Creates an inclusive society with knowledge of the diversity of society, ensures equality and inclusion on equal terms;
- Promotes respect for the capabilities of all people.
3.5. Defining Design Requirements
3.5.1. Physical Domain Requirements
3.5.2. Emotional Domain Requirements
3.5.3. Cognitive Domain Requirements
3.5.4. Successful Implementation Requirements
4. Discussion
Design Requirements Diagram
5. Conclusions and Future Work
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
WHO | World Health Organization |
EwD | Elderly with Dementia |
CG | Caregiver |
WD | Wearable Device |
ICT | Information and Communications Technology |
AT | Assistive Technology |
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Study | Article Title | Reference | Year | Summary |
---|---|---|---|---|
1 | Physical activity intensity is associated with cognition and functional connectivity in Parkinson’s disease. | [14] | 2022 | The study focuses on the association between physical activity intensity and cognitive function in Parkinson’s disease (PD) populations. |
2 | Sensing a problem: Proof of concept for characterizing and predicting agitation. | [15] | 2020 | The study focuses on continuous monitoring using passive sensors helping predict agitation in dementia patients effectively, improving symptom management. |
3 | Non-pharmacological interventions a feasible option for addressing dementia-related sleep problems in the context of family care. | [16] | 2021 | The study focuses on the feasibility of non-pharmacological interventions, including bright light therapy and physical activity, for improving sleep in individuals with mild cognitive impairment or dementia, along with their family carers. |
4 | A new smart wristband equipped with an artificial intelligence algorithm to detect atrial fibrillation. | [17] | 2020 | The study aims to evaluate a smart wristband’s effectiveness in detecting atrial fibrillation (AF) by measuring its sensitivity, specificity, and accuracy. |
5 | Impaired 24-h activity patterns are associated with an increased risk of Alzheimer’s disease, Parkinson’s disease, and cognitive decline. | [18] | 2024 | The study’s main goal is to determine whether accelerometer-based measures of 24 h activity are associated with the subsequent development of Alzheimer’s disease (AD), Parkinson’s disease (PD), and cognitive decline. |
6 | Synergy through integration of digital cognitive tests and wearable devices for mild cognitive impairment screening. | [19] | 2023 | The study aims to investigate the feasibility and validity of digital cognitive tests and physiological sensors applied to MCI assessment. |
7 | Ecocapture@home: Protocol for the remote assessment of apathy and its everyday-life consequences. | [20] | 2021 | The main objective of the ECOCAPTURE program is to define behavioral signature of apathy using an ecological approach. |
8 | Wearable multimodal sensors for the detection of behavioral and psychological symptoms of dementia using personalized machine learning models. | [21] | 2022 | The aim of this study is to use wearable multimodal sensors to develop personalized machine learning models capable of detecting individual patterns of BPSD. |
9 | Age-related changes in the characteristics of the elderly females using the signal features of an earlobe photoplethysmogram. | [22] | 2021 | This study aims to measure physiological parameters and indicators, specifically among the elderly for personal health monitoring. |
10 | Challenges of using a Fitbit smart wearable among people with dementia. | [23] | 2023 | The study explores the acceptability and feasibility of using a Fitbit Charge 3 among people with dementia, living in the community, who took part in the physical exercise program. |
11 | Smoothness of gait in healthy and cognitively impaired individuals: A study on Italian elderly using wearable inertial sensor. | [24] | 2020 | The study compares the smoothness of gait in older adults with and without cognitive impairments using the harmonic ratio (HR) metric derived from trunk accelerations. |
12 | Using a GPS watch to characterize life-space mobility in dementia: A dyadic case study. | [25] | 2021 | The paper presents a case study using a GPS watch to measure life-space mobility in a person with dementia, showing regular outdoor trips and social activity. |
13 | Acceptability and feasibility of wearing activity monitors in community-dwelling older adults with dementia. | [26] | 2019 | The study assesses the acceptability and feasibility of older adults with mild dementia wearing activity monitors over a month. |
14 | Feasibility of a continuous, multi-sensor remote health monitoring approach in persons living with neurodegenerative disease. | [27] | 2022 | The study assesses the feasibility of continuous, multi-sensor wear in individuals with cerebrovascular or neurodegenerative diseases. |
15 | User experience and clinical effectiveness with two wearable global positioning system devices in home dementia care. | [28] | 2018 | The study evaluates user experience and clinical effectiveness of wearable global positioning system (GPS) devices for persons with dementia and caregivers at home. |
16 | Wrist-worn sensor-based measurements for drug effect detection with small samples in people with Lewy Body Dementia. | [29] | 2023 | The study focuses on evaluating whether digital measures can detect treatment effects in individuals with mild-to-moderate Lewy Body Dementia, providing insights into early response to treatment. |
17 | User experience and acceptance of a device assisting persons with dementia in daily life: a multicenter field study. | [30] | 2022 | The study evaluates the MEMENTO assistive system prototype for dementia patients, highlighting challenges, acceptance, and usability through a 3-month field trial. |
18 | Early detection of mild cognitive impairment with in-home sensors to monitor behavior patterns in community-dwelling senior citizens in Singapore: Cross-sectional feasibility study. | [31] | 2020 | This study assesses sensor feasibility for behavior monitoring in seniors to detect Mild Cognitive Impairment. |
19 | Feasibility of in-home sensor monitoring to detect mild cognitive impairment in aging military veterans: prospective observational study. | [32] | 2020 | The study assesses the feasibility of using in-home sensors to monitor cognitive decline in aging military veterans. |
20 | Perspectives of Japanese elders and their healthcare providers on use of wearable technology to monitor their health at home: A qualitative exploration. | [33] | 2024 | The study focuses on exploring the viewpoints elders, caretakers, and healthcare providers regarding the use of wearable technology to monitor health conditions and ensure the safety of elderly individuals at home. |
21 | Using Wearable Sensors to Measure Goal Achievement in Older Veterans with Dementia. | [34] | 2022 | This study uses wearable sensors to assess healthcare goals set by older veterans with dementia, demonstrating feasibility and aiding in monitoring goal achievement through combined data sources. |
22 | Effect of a robotic seal on the motor activity and sleep patterns of older people with dementia, as measured by wearable technology: A cluster-randomised controlled trial. | [35] | 2018 | This study evaluates the effects of the robotic seal, PARO, on motor activity and sleep in dementia patients. This study evaluates the effects of the robotic seal, PARO, on motor activity and sleep in dementia patients. |
23 | Long-term digital device-enabled monitoring of functional status: Implications for management of persons with Alzheimer’s disease. | [36] | 2020 | This study observes dementia patients and their caregivers, using physical activity and life space data to assess the impact of caregiving on functional status. |
24 | Adapting mobile and wearable technology to provide support and monitoring in rehabilitation for dementia: feasibility case series. | [37] | 2019 | This study aims to use mobile and wearable technology feasibility to provide personalized support and monitoring for dementia rehabilitation in a case series. |
25 | The prevention of falls in patients with Parkinson’s disease with in-home monitoring using a wearable system: a pilot study protocol. | [38] | 2022 | The pilot study protocol aims to assess the feasibility of using the TED bracelet for in-home monitoring to prevent falls in Parkinson’s disease patients through gait monitoring. |
26 | Feasibility of Using a Wearable Biosensor Device in Patients at Risk for Alzheimer’s Disease Dementia. | [39] | 2020 | This study uses a wearable biosensor device to investigate the feasibility in assessing physiological changes in at-risk Alzheimer’s patients, indicating potential for monitoring cognitive decline. |
27 | Use of the Xiaomi Mi Band for sleep monitoring and its influence on the daily life of older people living in a nursing home. | [40] | 2022 | The study aims to understand how sleep quality affects older adults in nursing homes using the Xiaomi Mi Band 2 for monitoring. |
Study | Article Title | Reference | Year | Summary |
---|---|---|---|---|
1 | Designing for dementia: An analysis of design principles. | [41] | 2022 | The paper presents 10 design principles for designing for dementia, derived from existing literature. These principles offer guidance for creating products tailored to individuals with dementia. |
2 | The role of User-Centered Design in smart wearable systems design process. | [42] | 2018 | This paper shows that User-Centered Design in smart wearables involves considering human factors to enhance user acceptance and experience, addressing design requirements through a structured process to optimize device usability and lifecycle. |
3 | Drivers and Challenges of Wearable Devices Use: Content Analysis of Online Users Reviews. | [43] | 2022 | This study analyzes 16,717 online reviews of wearable devices, identifying functionalities, appeal, and design as key drivers of use, while concerns about quality, credibility, and perceived value are challenges to adoption. |
Product | Source | Measurement Method | Company | Device Placement |
---|---|---|---|---|
ActiGraph wGT3X-BT | [14] | Actigraphy | Actigraph, LLC., Pensacola, FL, USA | Wrist |
Actiwatch Spectrum Plus | [15,16] | Activity tracker | Philips Respironics Inc., Murrysville, PA, USA | Wrist |
Amazfit Health Band 1S | [17] | Activity tracker | Amazfit, Inc., Hefei, China | Wrist |
Wrist Band AX3 | [18] | 3-axis Accelerometer | Axivity, Ltd., Newcastle Upon Tyne, UK | Wrist |
Empatica E4 Wristband | [19,20,21] | 3-axis Accelerometer | Empatica In., Cambridge, MA, USA | Wrist |
Ear clip pulse wave sensor EP520 | [22] | Photoplethysmography Sensor | LAXTHA, Inc., Daejeon, South Korea | Earlobe |
Fitbit Charge 3 | [23] | Activity tracker | Fitbit by Google, San Francisco, CA, USA | Wrist |
BTS G-WALK | [24] | Inertial sensor | BTS Bioengineering, Milan, Italy | S1 vertebrae level |
Vívoactive HR | [25] | Activity tracker and GPS | Garmin Ltd., Olathe, KS, USA | Wrist |
GENEactiv Original | [26,27] | Accelerometer | Activinsights Ltd., Cambridgeshire, UK | Wrist |
HIMATIC GPS Uhr Alpha | [28] | GPS | Himatic, Neuss, Germany | Wrist |
KinesiaU | [29] | Activity tracker | Great Lakes NeuroTecnologies, Cleveland, OH, USA | Wrist |
Memento | [30] | Activity tracker | STUDIO DANKL, Wien, Austria | Wrist |
Microsoft Band | [31] | Activity tracker | Microsoft., Redmond, WA, USA | Wrist |
MUSE 2 | [19] | Electroencephalogram | InteraXon Inc., Toronto, ON, Canada | Head |
Nokia Steel | [32] | Activity tracker | Nokia, Issy-les-Moulineaux, France | Wrist |
Oura ring | [33] | Activity tracker | Ōura Health Oy, Oulu, Finland | Finger |
PAMSy | [34] | Actigraphy | BioSensics LLC., Newton, MA, USA | Neck |
ReSOS-2— Die Notfalluhr | [28] | Activity tracker | ReSOS-2., Neuss, Germany | Wrist |
SenseWear 7.0 | [35] | 3-axis Accelerometer | BodyMedia.com, Pittsburgh, PA, USA | Arm |
SmartWatch2 SW | [36] | 3-axis Accelerometer | Sony, Inc., Minato, Tokyo, Japan | Wrist |
Sony Smartwatch 3 SWR50 | [37] | Activity tracker | Sony, Inc., Minato, Tokyo, Japan | Wrist |
TED Bracelet | [38] | 3-axis Accelerometer | 4SEC SRL, Alessandria, Piedmont, Italy | Wrist |
WHOOP Biosenser | [39] | Activity tracker with Photodiodes | WHOOP, Inc., Boston, MA, USA | Wrist |
Xiaomi Mi Band 2 | [40] | Activity tracker | Xiaomi, Inc., Beijing, China | Wrist |
Wearable Device | Daily Activity | Daytime Activity | Night-time Activity | Activity Patterns | Movement Patterns | Real-Time Location | Fall Detection | SOS Warning |
---|---|---|---|---|---|---|---|---|
ActiGraph wGT3X-BT | + | + | + | + | + | - | - | - |
Actiwatch Spectrum Plus | + | + | + | + | + | - | - | - |
Amazfit Health Band 1S | + | + | + | + | + | - | - | - |
Wrist Band AX3 | + | + | + | + | + | - | - | - |
Empatica E4 Wristband | + | + | - | + | + | - | - | - |
Ear clip pulse wave sensor EP520 | - | - | - | + | - | - | - | - |
Fitbit Charge 3 | + | + | + | + | + | - | - | - |
BTS G-WALK | - | - | - | - | + | - | - | - |
Vívoactive HR | + | + | + | + | + | + | - | - |
GENEactiv Original | + | + | + | + | + | - | - | - |
HIMATIC GPS Uhr Alpha | - | - | - | - | + | + | + | + |
KinesiaU | - | - | - | + | + | - | - | - |
Memento | + | NE | NE | NE | - | - | - | - |
Microsoft Band | + | + | + | + | + | + | + | |
MUSE 2 | + | + | + | + | - | - | - | - |
Nokia Steel | + | + | + | + | + | - | - | - |
Oura Ring | + | + | + | + | + | - | - | - |
PAMSy | + | + | + | + | + | - | - | - |
ReSOS-2—Die Notfalluhr | NE | NE | NE | NE | NE | + | NE | + |
SenseWear | + | + | + | - | + | - | - | - |
Sony SW2 Smartwatch | - | - | - | - | - | - | - | - |
Sony Smartwatch 3 SWR50 | + | - | - | - | + | + | - | - |
TED Bracelet | NE | NE | NE | NE | + | NE | + | - |
WHOOP Biosenser | + | + | + | + | - | - | - | - |
Xiaomi Mi Band 2 | + | + | + | + | + | - | - | - |
Wearable Device | Source | Study Design | Participants | Major Findings |
---|---|---|---|---|
ActiGraph wGT3X-BT | [14] | Prospective cohort | MMPD (96) | Individuals with PD showed that moderate physical activity increases the promotion of cognitive functional in, such as visuospatial function, memory, and executive function. |
Actiwatch Spectrum Plus | [16] | Prospective observational | PwDs (1) | Caregivers and healthcare professionals can tailor interventions more effectively through characterization of episodes of agitation and identification of behavioral and environmental precipitants of agitation. |
[15] | Prospective cohort | MCed (15) | People with MCIoD demonstrated improvements in their sleep and wellbeing by following combined intervention using bright light therapy and/or therapeutic exercise with sleep hygiene education. | |
Amazfit Health Band 1S | [17] | Retrospective control | AF (150) HC (251) | The use of a smart wristband with the appropriate artificial intelligence component facilitates the early detection of atrial fibrillation, guaranteeing precise measurements. Early detection will help reduce the incidence of heart failure, stroke, and dementia. |
Wrist Band AX3 | [18] | Prospective cohort | PwDs (82,829) | Monitoring 24 h activity patterns measured through wrist actigraphy serves as a prospective marker of incident of Alzheimer’s disease, Parkinson’s disease, and cognitive decline. |
Empatica E4 Wristband | [21] | Prospective control | MCI (61) HC (59) | Combining features from a multimodal wearable device improved patient classification performance compared to using only tablet parameters or physiological features, revealing cognitive decline information. |
[20] | Prospective control | bvFTD (20) AD (20) HC (20) | Wearable technology has shown a meaningful impact on elderly individuals with dementia, as it helps in monitoring daily activities, sleep efficiency, and circadian rhythm variability. | |
[19] | Prospective cohort | BPSD (17) | The study revealed that using a device with personalized models can enhance the performance of generic models in classifying agitated behaviors. | |
Ear clip pulse wave sensor EP520 | [22] | Prospective cohort | eKw (84) | The findings suggest the use of a PPG (Photoplethysmogram)-based wearable device for a non-invasive monitoring of aging-related changes in the elderly population, such as cardiovascular function parameters and their derivatives. |
Fitbit Charge 3 | [23] | Prospective cohort | PwDs (10) CGs (10) | The study found that over 50% of elderly individuals with dementia accepted and found the device feasible to use, though 66.7% did not find it acceptable for night-time wear. Many participants enjoyed checking their step count and showing off the device to family, helping to integrate it into their daily routine. |
BTS G-WALK | [24] | Prospective control | HC (34) ECD (37) ACD (19) | The findings of this study suggest that measuring the gait smoothness is a useful metric for detecting subtle changes in the early stages of dementia beyond what spatio-temporal parameters reveal. These data could help clinicians make more accurate diagnoses of cognitive impairment and assess the effectiveness of interventions aimed at improving mobility in cognitively impaired individuals. |
Vívoactive HR | [25] | Prospective dyadic case | (PWD) (1) | This study shows that integrating a GPS-based data wearable device into mobility assessments can support remote functional assessment and proactive intervention to improve mobility in people with dementia. The findings also inform the development of a monitoring system for early detection of mobility changes and personalized risk notifications. |
GENEactiv Original | [27] | Prospective cohort | (PwD) (26) | The study revealed the high feasibility and acceptability of wearing the wearable device in people with dementia. In addition, the device showed potential usability as it contained a robust structure, discreet design (ie, like a wristwatch), low maintenance, and high battery life. |
[26] | Prospective cohort | CVD (10) AD/MCI (8) FTD (5) PD (11) ALS (5) | The study demonstrates the feasibility of using a continuous multimodal wearable device approach for remote monitoring of individuals with CVD and NDD, showing high adherence during both day and night-time wear. Participants reported generally positive experiences regarding comfort, ease of use, and daily integration of the wearables. | |
HIMATIC GPS Uhr Alpha × ReSOS 2—Die Notfalluhr | [28] | 2 × 2 Crossover | PwD (20) CGs (20) | Despite the lack of demonstrated clinical effectiveness in this short-duration and small-sample-size study, the study highlights the importance of the use of wearable GPS devices for people with dementia. In earlier disease stages, it can provide aid in locating individuals during episodes of disorientation and memory loss. |
KinesiaU | [29] | Prospective cohort and sub cohort | PDLB (344) | This study and sub-study revealed that digital measurements can detect treatment responses much earlier and with a smaller sample size than traditional clinical assessments, potentially increasing efficiency in clinical trials and aiding the development of therapies for neurodegenerative diseases. |
Memento | [30] | Multicenter studies | MCI (30) | Although there were no significant changes in the activities of daily living and caregiver burden, the major findings of this studies showed that the system’s design reduced fear and stigmatization, highlighting that a positive attitude towards technology is crucial for successful implementation, regardless of age. Participants were highly interested in digital solutions and agreed these systems will help maintain independence for those with cognitive dysfunction. |
Microsoft Band | [31] | Prospective control | MCI (28) HC (21) | The principal findings of this study consist of the feasibility and acceptance of using sensors to unobtrusively monitor behavior patterns in the homes of senior individuals. In addition, the early detection of anomalies enables self-management, timely interventions, and remote capture of clinically meaningful data for healthcare professional’s diagnostic. |
MUSE 2 | [19] | Prospective control | MCI (61) HC (59) | Combining features from a multimodal wearable device improved patient classification performance compared to using only tablet parameters or physiological features, revealing cognitive decline information. |
Nokia Steel | [32] | Prospective observational | MCI (15) HC (15) | Although the wearable device had technical issues, such as low battery and broken sensors, it showed a high level of user engagement, with the majority of participants agreeing to continue using the technology. Both participants with MCI and HC found the device easy to use and wear, contributing to a quick adaption and a positive user experience during the monitoring period. |
Oura ring | [33] | Qualitative exploration | Je (7) HP (14) | The research found that Japanese elderly and their healthcare professionals were generally positive about home monitoring, knowing its ability to detect urgent physical changes and monitoring elders’ health. Yet, concerns included the need for adaptation to address specific measurements for different healthcare necessities and vulnerability avoiding malfunctions and low usability. |
PAMSy | [34] | Prospective observational | PwDs (19) | The wearable device demonstrated to be feasible for monitoring daily activities and noticing changes over time, showcasing the utility of combining multiple data sources for assessment. The study highlighted that wearable devices support clinical communication, especially when aligning care with the patient’s priorities, involving patients, clinicians, and caregivers. |
SenseWear | [35] | Cluster-randomized controlled trial | PwDs (415) | Since the wearable device was an armband, researchers found it very difficult to collect data as the elderly did not tolerate using the armbands well, indicating to be a device unsuitable and uncomfortable for vulnerable individuals. Despite those aspects, the wearable technology showed advantages in providing an objective measure of motor activity and sleep patterns. |
SmartWatch2 SW | [36] | Prospective observational | AD (1) MMPD (1) | Findings emphasize the importance of long-term digital device-enabled monitoring for managing persons with dementia effectively offering a cost-effective method for clinicians and caregivers to gather high-quality objective data for personalized care. |
Sony Smartwatch 3 SWR50 | [37] | Longitudinal observational | PwDs (6) | Results indicate that wearable devices can advance P4 healthcare 1 for dementia care by effectively revealing behavioral patterns in real-life conditions. Sensor-based measurements showed advantages over self-reported behavior, such as detecting gradual trends and providing comprehensive insights. Participants also reported these technologies positively impacted their health and well-being. |
TED Bracelet | [38] | Pilot prospective observational | HC (26) PD (26) | This study’s protocol could not determine if the monitoring system’s cost is sustainable long-term. However, developing a gait monitoring system for neurodegenerative diseases like Parkinson’s, Alzheimer’s or other dementias is highly beneficial. It can prevent falls, significantly enhancing home care and improving quality of life for patients and caregivers. |
WHOOP Biosenser | [39] | Prospective observational | HC (24) PwDs (9) | The study showed high participant satisfaction with the WHOOP device, with most planning to continue its use. The study demonstrates the feasibility of using wearable biosensors to assess sleep and heart rate variability in patients at risk for dementia. Wearable devices could help clinicians non-invasively and cost-effectively detect early AD-related sleep disturbances and autonomic dysregulation, potentially enabling tailored interventions to delay cognitive decline. |
Xiaomi Mi Band 2 | [40] | Longitudinal observational | NCD (21) | The study found that the Xiaomi Mi Band 2 provides important insights into the impact of sleep on the overall well-being and daily activities of older individuals in a nursing home setting. The usage of the wearable device did not impose any burdens on the participants, indicating a level of acceptance and comfort with the technology within the group. |
Principles | Definition |
---|---|
Equitable Use | The design is usable by every user. |
Flexibility in Use | The design accommodates a wide range of individual preferences and abilities. |
Simple and Intuitive Use | The design must be easy to understand, regardless of the user’s experience, knowledge, abilities, language skills or level of concentration. |
Perceptible Information | Effectively promotes necessary information to the user, regardless of the environment/physical actual conditions or sensory capacities. |
Tolerance of Error | Minimizes the risks and negative consequences which can occur from accidental or involuntary actions. |
Low Physical Effort | The design can be used efficiently and comfortably with a minimum of fatigue. |
Size and Space for Approach and Use | The design needs tailored space and size appropriate for approach, reach, manipulation, and use regardless of the user’s body size, posture, or mobility. |
Requirement | Description |
---|---|
Comfort [42] | A WD is defined as an electronic device that may or may not be incorporated into the body, offering specific technological functions, with special attention being paid to comfort as a high-level requirement. This is due to the fact that the WD has the function of monitoring and when this is carried out on a daily basis, the product must offer high comfort when used on a daily basis, without implying its removal for other activities, such as sleeping, physiotherapy, personal hygiene, etc. |
Safety [42] | The WD is designed for elderly people, and safety is a criterion that, on a physical level, must be considered and reviewed whenever changes are made to the WD so that it prevents injuries. For this, it is also necessary to make the ideal choice of materials that will make up the WD, which need to be sufficiently resistant to possible impacts or falls [42]. This topic also addresses the importance of the WD being designed according to strict electrical safety standards, with mechanisms to protect against water damage. |
Durability [42] | Durability is partly related to safety since by opting for highly resistant materials, the product will have greater longevity and durability. In addition, as the WD will be used on a daily basis, it is crucial to have a minimally robust composition, avoiding rapid wear and tear without adding too much weight, guaranteeing a light and small product. |
Tangibility [41] | When it comes to the tangible aspect of a WD, as evidenced in various studies, it refers to physical elements that are recognized by users through their senses, such as touch, sight, and hearing. For example, it is important to consider that there is sensory feedback of some action, through light, sound, or pressure. Through this aspect, it is possible to satisfy many of the needs of EwD by making a product that is tangible and can be handled effectively. |
Visibility [41] | Visibility in a WD is related to the elements that are integrated into it so that they can be noticed quickly and clearly. Therefore, attention should be paid to projecting elements with considerable size and appearance for the intended use. In this case, you can use textures, colors, shapes, or other elements that identify the visibility of the different components. |
Requirement | Description |
---|---|
Esthetic [42] | Esthetics refers to the visual aspect of the WD, where simplicity should prevail as the main recommendation when creating an EwD device. In this way, understanding the WD becomes more intuitive through the correct adoption of simplicity in the WD’s visual design. The use of familiar elements has also been exposed in studies as a potential way of allowing EwD to adopt the WD more easily into their routine. |
Equitable use [41] | It is important to design a visually universal design. The product design must be able to reach a wide audience. In other words, if the WD is directly designed only for EwD, it will be interpreted as stigmatizing and will not be accepted by them. |
Autonomy [41] | Autonomy is directly related to the psychological well-being and preservation of dignity of the EwD, as it gives them a sense of independence in relation to their health condition and self-care. Consequently, it offers a better quality of life and mental health. |
Customization [42] | It is essential to develop a WD that can be customized so that the EwD feel they have the power to decide what their personal preferences are. This not only promotes satisfaction as it is a WD for everyday use, but also aids acceptance of the device. |
Requirement | Description |
---|---|
Usability [41,42] | The WD must be intuitive to use and easy to understand through a simple, clear design with easily understandable feedback. This guarantees a device that is accessible to EwD, taking into account the needs and adversities they face. |
Reliability [41,42] | As the cognitive domain of the EwD is in decline, the WD needs to be reliable and work. This requirement applies to both products and research prototypes. It is crucial to prevent the WD from containing errors, both in terms of use and of obtaining data, thus promoting trust in the EwD. In addition, reliability also refers to the accuracy and effectiveness that the WD monitoring promises. It needs to read the data correctly in order to properly monitor the pathology. |
Requirement | Description |
---|---|
Context [41] | To design a successful WD in the health sector, it is crucial to take its context into account, especially in relation to EwD. Direct integration of the context is indispensable for the effective WD development, ensuring that the EwD actively participates in the process, providing valuable feedback for future improvements. In addition, WDs are also commonly used by formal and informal CGs, certain functions of whom may depend on them. Including both primary (Ewd) and secondary users (CGs) in the development of WDs increases the chance of successful implementation. |
Price [43] | Since the WD is aimed at the largest number of users and can be implemented in institutions or other associations, it is important to ensure affordability. In other words, since it is aimed at a large (and growing) sample population, it is necessary to optimize the cost of the WD, facilitating its implementation and adoption by users. |
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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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Rocha, I.C.; Arantes, M.; Moreira, A.; Vilaça, J.L.; Morais, P.; Matos, D.; Carvalho, V. Monitoring Wearable Devices for Elderly People with Dementia: A Review. Designs 2024, 8, 75. https://doi.org/10.3390/designs8040075
Rocha IC, Arantes M, Moreira A, Vilaça JL, Morais P, Matos D, Carvalho V. Monitoring Wearable Devices for Elderly People with Dementia: A Review. Designs. 2024; 8(4):75. https://doi.org/10.3390/designs8040075
Chicago/Turabian StyleRocha, Inês C., Marcelo Arantes, António Moreira, João L. Vilaça, Pedro Morais, Demétrio Matos, and Vítor Carvalho. 2024. "Monitoring Wearable Devices for Elderly People with Dementia: A Review" Designs 8, no. 4: 75. https://doi.org/10.3390/designs8040075
APA StyleRocha, I. C., Arantes, M., Moreira, A., Vilaça, J. L., Morais, P., Matos, D., & Carvalho, V. (2024). Monitoring Wearable Devices for Elderly People with Dementia: A Review. Designs, 8(4), 75. https://doi.org/10.3390/designs8040075