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© GRC, YZU. All Rights Reserved. 1
Development of an AIoT Senior Care Bedroom
RESEARCH SEMINAR SERIES
MONASH UNIVERSITY MALASYSIA, SCHOOL OF BUSINESS
CEO
Yeh-Liang Hsu, 徐業良Professor, Mechanical Engineering Department
Director, Gerontechnology Research Center
Yuan Ze University, Taiwan 元智大學
Editor-in-Chief, Gerontechnology
2019/12/04
© GRC, YZU. All Rights Reserved.
3G’s for the aged society: Gerontology, Geriatrics, Gerontechnology• It is only natural to consider applying technologies for the care of older adults…
• First International Congress on Gerontechnology, 1991
• International Society for Gerontechnology, 1997
“Design technology and environment for independent living and social participation of
older persons in good health, comfort and safety”
• Scope of Gerontechnology: Health, Housing, Mobility, Communication, Leisure, Work
2
© GRC, YZU. All Rights Reserved.
A design approach to gerontechnology:
Creativity➔Prototype➔Products➔Sales
3
Est. 2003
Research & Development
Industry-academia collaboration
Commercialization
GerontechnologyIndustry-Academia
Alliance
SEDA G-Tech
Smart LivingIoTGerontechnology
TransdisciplinaryEducation
Internationalacademic exchange
International Society for
Gerontechnology
New Taipei City
Design ThinkingTransdisciplinary
education program
Innovative Product Development Program
福祉科技與服務管理學刊
GerontechnologyOfficial Journal of the ISG
Mission: To carry out a successful industrial and educational experiment
Gerontechnology is only valuable if we can bring research to daily applications
© GRC, YZU. All Rights Reserved.
Persuasive technology: How technology is designed to change behaviors of the users
• A new behavior was created in 2007
• User Centered Design: NeedMotivation
4
More fun than functions…
© GRC, YZU. All Rights Reserved.
Wi-Fi
Bluetooth
Android App
Wi-Fi
3G/4G
Cloud Server
MQTT Broker
Bluetooth
IoT gateway
If telehealth systems connect older adults with family members
5
BP/BG Measurement
The son is the trigger… Care, interaction,
connection, in addition to health monitoringtemperature/humidity
Indoor
localization
© GRC, YZU. All Rights Reserved.
Bringing research to daily applications: More DESIGN THINKING!
• Empathy: User centered, persona…
• Define the right problem: What, how, Why
• Think like a boss… (not like a professor…)
6
IDEO (http://www.ideo.com) CEO Tim Brown
Proud to be a designer!
PhD 1992, Stanford, ME, Design Division
© GRC, YZU. All Rights Reserved.
Internet of Things, Artificial Intelligence, Big Data…
Wi-Fi
• Publish / subscribe / topic➔
IoT is a Line/WeChat group
• M2M (Machine to Machine) communication
• The light started to have
some AI…
• The bed started to collect
big data…
© GRC, YZU. All Rights Reserved.
Supporting the caregivers --Use smart technologies to provide real-time status and
long-term patterns of the older adults
日本総務省の「就業構造基本調査」によると、介護・看護を理
由に離職した人の数は、2016年10月~2017年9月の1年間で、9万
9100人
According to the “Basic Survey on Employment Structure,” by
Ministry of Internal Affairs Japan, the number of employees who left
work because of caring or nursing was 99,100 during the year from
October 2016 to September 2017. 2019/06/06 FNN PRIME
8
© GRC, YZU. All Rights Reserved.
Transfer familiar artifacts in the homes into IoT devices
• WhizPad is an extremely comfortable
mattress capable of motion sensing
• Pressure-relieve material for prevention
of pressure ulcer
9
WhizPadWeb UI
Mobile App Taipei Veteran Hospital
• In Taiwan 2017, 22.5% hospital falls
occurred when patients leave the beds
• Three-stage leave bed alert (sit-up, sitting at
the side, leave bed) for fall prevention.
• Four sensing areas / rule based
• Private cloud IoT
© GRC, YZU. All Rights Reserved.
Field trial result in a medical center – paper publication to support the product
• We recruited 254 participants who were at
risk of bedsores from the ICU of a hospital,
with 127 in the control group and 127 in the
intervention group.
• In addition to the standard nursing care,
participants in the intervention group used
the motion-sensing mattress, which can
detect the bed activities during their
hospitalization.
• 13 (10.2%) participants in the control group
developed bedsores while only 2 (1.6%) in
the intervention group developed bedsores,
showing a significant reduction of 8.6%
(P=0.003).
• After adjusted for some confounding
variables, we found that the likelihood
of development of bedsore in the
intervention group was reduced by 90%
(OR=0.10, 95% CI: 0.02, 0.51, P=0.005)
compared with that in the control group.
• The average timing to develop bedsore
in participants using the motion-sensing
mattress was 7.5 days and was
postponed by 2.3 times than that in
participants who received standard
nursing care which was 3.3 days.
10
© GRC, YZU. All Rights Reserved.
2nd generation: Machine Learning to capture the intention of leaving bed
• 1000+ learning samples from 31
testers in 7 weight groups
• 30 sensing areas, classification of
Lying/sitting/left edge/right edge
• Edge AI: NeuralNet model
deployed on chip
Testing accuracy: 96.0% (360
test examples)
• Individual patient management
3-stage leave bed alert
Long pressure area alert
• Using 2 AAA batteries
• Amazon Web Service (AWS) for
data storage and Cloud AI: Daily living pattern, sleep quality…11
© GRC, YZU. All Rights Reserved. 12
43.05%
55.55%
59.72%
42.36%
46.52%
47.22%
64.58% Daily living pattern obtained from WhizPad
© GRC, YZU. All Rights Reserved.
Accumulating the norm for in-bed activities
• 1 week
• In-bed 51.09%
• 2 weeks
• In-bed 45.88%
13
© GRC, YZU. All Rights Reserved.
Use 70% as threshold to define “normal activities”
14
Normally, the older adult
1. Gets up no earlier than 05:50
2. Gets up no later than 07:30
3. Not in bed during the day
4. Goes to bed no earlier than 19:00
5. Goes to be no later than 20:40
1. In-bed longer (64.58%)
2. Got up later than normal at 07:50
3. Back to bed multiple times during
the day
4. Went be bed earlier at 17:30
5. Left bed multiple times during the
night
1 32 4 5
9/22: 64.58%
1
32 4 5
In-bed 45.88%
AI: Learning ➔ Prediction
© GRC, YZU. All Rights Reserved.
0%
5%
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2018/06/21甘泉伯伯活動頻率及模式
Motion sensing WhizCarpet: Fall detection and mobility monitoring
15
week2
5 0
39 0
117651 6677 42 0
55424 4310 37 0
88 532 10648 3152 571 1590
106 136 166 309 369 493
10 92 104 27 38 124
10 58 38 220 410 156
0 14 19 56
1 0 34 143
0 28 71 436
2 10 50 368
Easy and flexible set up;
soft surface reduces risk
of fracture when falling
Real time position display,
fall detection and alert ➔Mobility and pattern analysis,
abnormal pattern alert
Wandering behavior, path, hot spot
analysis of demented patients➔
© GRC, YZU. All Rights Reserved.
Bluetooth devices cannot M2M: WhizConnect to integrate Bluetooth products
16
WhizConnect
Long term health
and living pattern
Vital signs
Environmental data
WhizSeriesReal time status
and event alerts
© GRC, YZU. All Rights Reserved.
WhizTouch: IoT call button for
bedridden older adults
• Big button; mobile phone as receiver;
green light to confirm the call
• But…
• Internet usage is low for older adults
(31.1% /8.6%@2018). High monthly fee
for Internet service is not acceptable.
• Connecting the IoT product to home Wi-
Fi AP has been a major usability issue;
Wi-Fi coverage is often poor in bedroom
• LPWAN: Sigfox, LoRa?
Narrow Band IoT: the last mile
• Sim card connects directly to NB-IoT base
station; used anywhere without setup
• NB-IoT based WhizConnect to bring smart
homecare products to the homes…
17
IoT care products at home?
© GRC, YZU. All Rights Reserved.
2015: Internet of Things! 2017: NB-IoT 2019: Big data / AI
• Consider B2B2C business model
18
Edge AI:
event identification
Cloud AI:
pattern recognition
3rd Party service cloud
Commercial Bluetooth
healthcare products
© GRC, YZU. All Rights Reserved. 19ACTIVITY ROOM
OLD THEATRE
OLD DAYS
MUSIC CORNER
INTERACTIVE WALL
LIFE TREES
TRAIN STATION
Banciao veteran dementia
nursing home
© GRC, YZU. All Rights Reserved.
We are designers!UX: User Experience Design
20
The world needs transdisciplinary talents
Find that Trigger-Caregivers are the best designers!
Yeh-Liang Hsu, [email protected]
Thank you
Transdisciplinary learning
Real world problem and experience
“Design” is our common language!Design starts with a problem. Design ends with a solution.
DESIGN IS A PROBLEM SOLVING PROCESS