Extended, continuous measures of functional status in community dwelling persons with Alzheimer's and related dementia

Infrastructure, performance, tradeoffs, preliminary data, and promise

Bradley Zylstra, George Netscher, Julien Jacquemot, Michael Schaffer, Galen Shen, Angela D. Bowhay, Tamara L. Braley, Katherine L. Possin, Bruce L. Miller, Alexandre M. Bayen, Stephen J Bonasera, A. Katrin Schenk

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: The past decades have seen phenomenal growth in the availability of inexpensive and powerful personal computing devices. Efforts to leverage these devices to improve health care outcomes promise to remake many aspects of healthcare delivery, but remain in their infancy. New method: We describe the development of a mobile health platform designed for daily measures of functional status in ambulatory, community dwelling subjects, including those who have Alzheimer's disease or related neurodegenerative disorders. Using Smartwatches and Smartphones we measure subject overall activity and outdoor location (to derive their lifespace). These clinically-relevant measures allow us to track a subject's functional status in their natural environment over prolonged periods of time without repeated visits to healthcare providers. Functional status metrics are integrated with medical information and caregiver reports, which are used by a caregiving team to guide referrals for physician/APRN/NP care. Comparison: with Existing Methods We describe the design tradeoffs involved in all aspects of our current system architecture, focusing on decisions with significant impact on system cost, performance, scalability, and user-adherence. Results: We provide real-world data from current subject enrollees demonstrating system accuracy and reliability. Conclusions: We document real-world feasibility in a group of men and women with dementia that Smartwatches/Smartphones can provide long-term, relevant clinical data regarding individual functional status. We describe the underlying considerations of this system so that interested organizations can adapt and scale our approach to their needs. Finally, we provide a potential agenda to guide development of future systems.

Original languageEnglish (US)
Pages (from-to)59-67
Number of pages9
JournalJournal of Neuroscience Methods
Volume300
DOIs
StatePublished - Apr 15 2018

Fingerprint

Independent Living
Alzheimer Disease
Delivery of Health Care
Equipment and Supplies
Telemedicine
Neurodegenerative Diseases
Health Personnel
Caregivers
Dementia
Referral and Consultation
Organizations
Physicians
Costs and Cost Analysis
Growth
Smartphone

Keywords

  • Activity
  • Alzheimer's disease
  • Dementia
  • Functional status
  • Lifespace
  • Smartphone
  • Smartwatch

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Extended, continuous measures of functional status in community dwelling persons with Alzheimer's and related dementia : Infrastructure, performance, tradeoffs, preliminary data, and promise. / Zylstra, Bradley; Netscher, George; Jacquemot, Julien; Schaffer, Michael; Shen, Galen; Bowhay, Angela D.; Braley, Tamara L.; Possin, Katherine L.; Miller, Bruce L.; Bayen, Alexandre M.; Bonasera, Stephen J; Schenk, A. Katrin.

In: Journal of Neuroscience Methods, Vol. 300, 15.04.2018, p. 59-67.

Research output: Contribution to journalArticle

Zylstra, Bradley ; Netscher, George ; Jacquemot, Julien ; Schaffer, Michael ; Shen, Galen ; Bowhay, Angela D. ; Braley, Tamara L. ; Possin, Katherine L. ; Miller, Bruce L. ; Bayen, Alexandre M. ; Bonasera, Stephen J ; Schenk, A. Katrin. / Extended, continuous measures of functional status in community dwelling persons with Alzheimer's and related dementia : Infrastructure, performance, tradeoffs, preliminary data, and promise. In: Journal of Neuroscience Methods. 2018 ; Vol. 300. pp. 59-67.
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