VA SmartHome for Veterans with TBI: Implementation in Community Settings

Martinez, Kristina; Mann, Karen; Dillahunt-Aspillaga, Christina; Jasiewicz, Jan M.; Rugs, Deborah; Wilks, Yorick; Scott, Steven

doi:10.1007/978-3-319-14424-5_12

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…Physical activity is important to the daily life of the general population, particularly the aging population and those living with certain health conditions. For example, the aging population requires physical activity to stay healthy and live and function independently [ 3 , 21 , 22 ]. In particular, home exercise has the potential to reduce fall risk factors associated with aging [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Using Smart Home Technologies to Promote Physical Activity Among the General and Aging Populations: Scoping Review

Oyibo¹,

Wang²,

Morita³

2023

J Med Internet Res

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Background Health-monitoring smart homes are becoming popular, with experts arguing that 9-to-5 health care services might soon become a thing of the past. However, no review has explored the landscape of smart home technologies that aim to promote physical activity and independent living among a wide range of age groups. Objective This review aims to map published studies on smart home technologies aimed at promoting physical activity among the general and aging populations to unveil the state of the art, its potential, and the research gaps and opportunities. Methods Articles were retrieved from 6 databases (PubMed, CINAHL, Scopus, IEEE Xplore, ACM Library, and Web of Science). The criteria for inclusion were that the articles must be user studies that dealt with smart home or Active Assisted Living technologies and physical activity, were written in English, and were published in peer-reviewed journals. In total, 3 researchers independently and collaboratively assessed the eligibility of the retrieved articles and elicited the relevant data and findings using tables and charts. Results This review synthesized 20 articles that met the inclusion criteria, 70% (14/20) of which were conducted between 2018 and 2020. Three-quarters of the studies (15/20, 75%) were conducted in Western countries, with the United States accounting for 25% (5/20). Activities of daily living were the most studied (9/20, 45%), followed by physical activity (6/20, 30%), therapeutic exercise (4/20, 20%), and bodyweight exercise (1/20, 5%). K-nearest neighbor and naïve Bayes classifier were the most used machine learning algorithms for activity recognition, with at least 10% (2/20) of the studies using either algorithm. Ambient and wearable technologies were equally studied (8/20, 40% each), followed by robots (3/20, 15%). Activity recognition was the most common goal of the evaluated smart home technologies, with 55% (11/20) of the studies reporting it, followed by activity monitoring (7/20, 35%). Most studies (8/20, 40%) were conducted in a laboratory setting. Moreover, 25% (5/20) and 10% (2/20) were conducted in a home and hospital setting, respectively. Finally, 75% (15/20) had a positive outcome, 15% (3/20) had a mixed outcome, and 10% (2/20) had an indeterminate outcome. Conclusions Our results suggest that smart home technologies, especially digital personal assistants, coaches, and robots, are effective in promoting physical activity among the young population. Although only few studies were identified among the older population, smart home technologies hold bright prospects in assisting and aiding older people to age in place and function independently, especially in Western countries, where there are shortages of long-term care workers. Hence, there is a need to do more work (eg, cross-cultural studies and randomized controlled trials) among the growing aging population on the effectiveness and acceptance of smart home technologies that aim to promote physical activity.

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Section: Introductionmentioning

confidence: 99%

Using Smart Home Technologies to Promote Physical Activity Among the General and Aging Populations: Scoping Review

Oyibo¹,

Wang²,

Morita³

2023

J Med Internet Res

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Healthcare Utilization Following Hemipelvectomy or Hip Disarticulation in the Military Health System

Wido,

Harrington,

Schulz

et al. 2023

Military Medicine

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Introduction Amputations at the hip and pelvic level are often performed secondary to high-energy trauma or pelvic neoplasms and are frequently associated with a prolonged postoperative rehabilitation course that involves a multitude of health care providers. The purpose of this study was to examine the health care utilization of patients with hip- and pelvic-level amputations that received care in the U.S. Military Health System. Materials and Methods We performed a retrospective review of all patients who underwent a hip- or pelvic-level amputation in the Military Health System between 2001 and 2017. We compiled and reviewed all inpatient and outpatient encounters during three time points: (1) 3 months pre-amputation to 1 day pre-amputation, (2) the day of amputation through 12 months post-amputation, and (3) 13-24 months post-amputation. Health care utilization was defined as the average number of encounter days/admissions for each patient. Concomitant diagnoses following amputation including post-traumatic stress disorder, traumatic brain injury, anxiety, depression, and chronic pain were also recorded. Results A total of 106 individuals with hip- and pelvic-level amputations were analyzed (69 unilateral hip disarticulation, 6 bilateral hip disarticulations, 27 unilateral hemipelvectomy, 2 bilateral hemipelvectomies, and 2 patients with a hemipelvectomy and contralateral hip disarticulation). Combat trauma contributed to 61.3% (n = 65) of all amputations. During the time period of 3 months pre-amputation, patients had an average of 3.8 encounter days. Following amputation, health care utilization increased in both the year following amputation and the time period of 13-24 months post-amputation, averaging 170.8 and 77.4 encounter days, respectively. Patients with trauma-related amputations averaged more total encounter days compared to patients with disease-related amputations in the time period of 12 months following amputation (203.8 vs.106.7, P < .001) and the time period of 13-24 months post-amputation (92.0 vs. 49.0, P = .005). PTSD (P = .02) and traumatic brain injuries (P < .001) were more common following combat-related amputations. Conclusions This study highlights the increased health care resource demand following hip- and pelvic-level amputations in a military population, particularly for those patients who sustained combat-related trauma. Additionally, patients with combat-related amputations had significantly higher rates of concomitant PTSD and traumatic brain injury. Understanding the extensive needs of this unique patient population helps inform providers and policymakers on the requirements for providing high-quality care to combat casualties.

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Using Smart Home Technologies to Promote Physical Activity Among the General and Aging Populations: Scoping Review (Preprint)

Oyibo¹,

Wang²,

Morita³

2022

Preprint

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BACKGROUND Health monitoring smarthomes are becoming popular, with some experts arguing that nine-to-five healthcare service delivery might soon become a thing of the past. However, no scoping review has explored the landscape on using smarthomes to promote physical activities required by the aging population to live and function independently. OBJECTIVE The aim of this review is to systematically map published studies on smarthome technologies aimed to promote physical activities with the intention of unveiling the state of the art and uncovering opportunities for future research. METHODS Articles were extracted from six databases (PubMed, CINAHL, Scopus, IEEE Xplore, ACM Library, and Web of Science). The criterion for inclusion was that the articles must be user studies that dealt with smarthome or Active Assisted Living technologies and physical activity, be written in English, and published in a peer-reviewed journals. Three authors independently and collaboratively assessed the eligibility of retrieved studies, extract the relevant data, graphed, and tabularized the findings. RESULTS This review synthesized 20 articles that met the inclusion criteria. Three-quarter of the studies (15/20) were conducted in Western countries, with United States accounting for 25% of them. Sixty percent (12/20) of the reviewed studies were based on a quantitative design, while 15% were based on qualitative or mixed design. Seventy percent (14/20) of the studies were conducted between 2018 and 2020. Activities of daily living were the most studied activities (45%, 9/20), followed by physical activity (30%, 6/20), therapeutic exercise (20%, 4/20) and bodyweight exercise (5%, 1/20). K-Nearest Neighbor and Naïve Bayes Classifier were the most used machine learning algorithms in recognizing physical activities. At least 10% (2/20) of the studies used either algorithm. Ambient and wearable technologies were equally studied (40%, 8/20 each), followed by robots (15%, 3/20). Activity recognition turned out to be the most common goals of the evaluated smarthome technologies, with 55% (11/20) of the studies reporting it, followed by activity monitoring (35%, 7/20). Most of the studies (40%, 8/20) were carried out in a laboratory setting. Moreover, 25% (5/20) and 10% (2/20) were conducted in a home and hospital setting, respectively. Finally, 65% (13/20) had a positive outcome, while 15% (3/20) had a mixed outcome. CONCLUSIONS Our results suggest that smarthome technologies, especially digital personal assistants, coaches, and robots are effective in promoting physical activities. They hold bright prospects in assisting and aiding the older population to age in place and function independently, especially in Western countries where there are shortages of long-term care workers and most of the smarthome technologies and studies are concentrated. However, there is a need to conduct more studies (including cross-cultural and country studies, and randomized control trials) on the effectiveness and acceptance of smarthome technologies, especially among underrepresented populations in Africa and South America.

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VA SmartHome for Veterans with TBI: Implementation in Community Settings

Cited by 3 publications

References 17 publications

Using Smart Home Technologies to Promote Physical Activity Among the General and Aging Populations: Scoping Review

Using Smart Home Technologies to Promote Physical Activity Among the General and Aging Populations: Scoping Review

Healthcare Utilization Following Hemipelvectomy or Hip Disarticulation in the Military Health System

Using Smart Home Technologies to Promote Physical Activity Among the General and Aging Populations: Scoping Review (Preprint)

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