ubiquitous computing approaches to cognitive rehabilitation mike massimi hctp seminar october 3,...
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Ubiquitous Computing Approaches to Cognitive
RehabilitationMike MassimiHCTP Seminar
October 3, 2007
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WARNINGMuddling Ahead
!
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ubiquitous computing “off the desktop”pervasive computingsmart environmentscalm computinginternet of thingscontext-aware computingambient intelligencenomadic computingeveryware
ubiquitous computing “off the desktop”pervasive computingsmart environmentscalm computinginternet of thingscontext-aware computingambient intelligencenomadic computingeveryware
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Available for the low price
of $9,995!
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the 3 studies
• digital life histories for people with AD• sensors to inform clinicians of ritual
performance in OCD patients• mobile phone software to compensate
for proper noun anomia
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Study 1 Study 2 Study 3
Clinical population
Alzheimer’s disease (AD)
Obsessive compulsive disorder (OCD)
Older adults with memory complaints of proper name anomia
Ubicomp devices
Wearable camera (SenseCam)
Sensors Mobile phones, ambient displays, laptops
Place Home, outings to places of interest
Home,clinician’s office
Home, neighborhood
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study 1
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study 1: digital life histories
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study 1: digital life histories
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study 1: details
• 12 older adults with mild AD• within-subjects design• each participant goes on 3 outings
– SC, authored, no aid
• picture recognition test• number of details recalled• test/review 4 times in following 2
weeks
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study 2
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• Intrusive, unwanted
thoughts
- “egodystonic”
• Building of anxiety
• Temporary relief through
rituals
• Severe cases may be
homebound
• WHO’s top 10 list of
debilitating mental disorders
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obsessive compulsive disorder (OCD)
• Intrusive, unwanted thoughts – “egodystonic” but “inside the head”
• Building of anxiety• Temporary relief of anxiety through
rituals• Can be paralyzing, preventing people
from leaving home• WHO’s top 10 list of debilitating mental
disorders
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Common obsessions Common compulsions
Contamination fears (45%) Checking (63%)
Repetitive doubts (42%) Washing (50%)
Somatic obsessions (36%) Need to confess (36%)Covert counting (36%)
Need for symmetry (31%) Ordering/symmetry (31%)
Aggressive impulses (28%) Hoarding (18%)
Repeated sexual imagery (26%)
Multiple obsessions (60%) Multiple compulsions (48%)
Fineberg & Roberts, 2001; adapted from Rasmussen & Eisen, 1990n = 250
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sensors and activities• contamination
– handwashing– cleaning
• avoidance • agoraphobia• compulsive
eating• somatic tics
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study 3
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Oh, what was the name of that
nurse I see every time I come
here? I can’t
remember!
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1. Names2. Facts3. Objects
…(Cavanaugh et al., 1983)
1. People’s names2. Dates3. Household items
…(Leirer et al., 1990)
1. Names2. Where you put things3. Telephone numbers you
just checked…
7. Faces…(Bolla et al., 1991)
Embarrassment, loss of identity, social isolation ?
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communityhouseholdelder
Figure reproduced from Morris et al., 2004.
normal aging and mild impairment
moderate and severeimpairment
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WiseGuise home WiseGuise mobileWiseGuise photo
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discuss
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random thoughts
• triangulating between methods: – questionnaires, interviews, ethnography,
technology probes, field experiments…– change it & see, or see & then change it?
• wary of “overmedicalizing”• changing home and neighborhood as
places where health care is “done”• relevant theories
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acknowledgments
• Bell University Laboratories• Microsoft Research, Ltd.• HCTP/CIHR
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thanks!
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Photo credits
• http://www.flickr.com/photos/benwerd/220934686/
• http://www.flickr.com/photos/cote/54408562/• http://www.flickr.com/photos/
random0/806737150/• http://en.wikipedia.org/wiki/Image:Apple_Lisa.jpg• http://www.flickr.com/photos/drcohen/
297924181/• http://www.flickr.com/photos/heather/263632365/