A Personalized Health Intensive care System for
Community-Dwelling Aging People in Hong Kong: Design, Implementation, and Appraisal
Study
Hailiang Wang
1 Centre for Systems Informatics Business, City University
of Hong Kong, Hong Kong, China
2 School of Enterprise, The Hong Kong Polytechnic
University, Hong Kong, China
Yang Zhao
1 Centre for Systems Informatics Business, City University
of Hong Kong, Hong Kong, China
three School of Data Science, City University of Hong Kong,
Hong Kong, China
Lisha Yu
3 School of Data Science, City Academia of Hong Kong, Hong
Kong, China
Jiaxing Liu
3 School of Data Science, City Academia of Hong Kong, Hong
Kong, China
Inez Maria Zwetsloot
4 Department of Systems Business and Engineering Running,
City Academia of Hong Kong, Hong Kong, China
Javier Cabrera
five Department of Statistics and Biostatistics, Rutgers
University, New Brunswick, NJ, United States
Kwok-Leung Tsui
1 Centre for Systems Information science Engineering, City
University of Hong Kong, Hong Kong, China
three School of Data Science, City University of Hong Kong,
Hong Kong, China
Abstract
Background
Telehealth is an effective way to assist current fitness
care structures, in particular for the contemporary getting old society.
However, maximum extant telehealth structures appoint character records
resources with the aid of offline records processing, which may not understand
health deterioration in a well timed way.
Objective
Our take a look at goal changed into -fold: to design and
put in force an incorporated, customized telehealth device on a
community-primarily based level; and to evaluate the device from the
perspective of user acceptance.
Methods
The machine was designed to capture and file older adults’
health-related facts (eg, each day activities, continuous vital signs, and gait
behaviors) via more than one measuring equipment. State-of-the-artwork
information mining techniques may be integrated to come across statistically
substantial adjustments in day by day facts, based on which a selection help
machine may want to emit warnings to older adults, their household members, and
their caregivers for appropriate involvements to prevent in addition fitness
deterioration. A general of forty five older adults recruited from three aged
care centers in Hong Kong had been instructed to use the machine for three
months. Exploratory statistics evaluation become carried out to summarize the
collected datasets. For machine evaluation, we used a customized recognition
questionnaire to take a look at customers’ attitudes, self-efficacy, professed
usefulness, perceived ease of use, and behavioral goal on the device.
Results
A overall of 179 follow-up periods had been performed in the
3 elderly care facilities. The consequences of exploratory data analysis
confirmed some great variations within the participants’ every day statistics
and important symptoms (eg, steps, body temperature, and systolic blood
pressure) some of the 3 centers. The individuals perceived that using the
machine is a good idea (ie, mindset: imply 5.Sixty seven, SD 1.06), relaxed
(ie, self-efficacy: suggest four.92, SD 1.11), useful to enhance their fitness
(ie, perceived usefulness: imply four.Ninety nine, SD zero.Ninety one), and
clean to apply (ie, perceived ease of use: suggest 4.Ninety nine, SD 1.00). In
standard, the contributors showed a high-quality intention to apply the primary
version of our customized telehealth machine in their future health control
(ie, behavioral goal: suggest 4.45, SD 1.Seventy eight).
Conclusions
The proposed fitness tracking machine gives an example
design for tracking older adults’ fitness status based on a couple of
statistics resources, which can assist broaden dependable and correct
predictive analytics. The effects can function a guiding principle for
researchers and stakeholders (eg, policymakers, aged care facilities, and
health care carriers) who offer take care of older adults via this type of
telehealth gadget.
Introduction
In Hong Kong, citizens elderly 65 years vintage and above
will account for 33.7% of the overall population in 2066, compared to 17.Zero%
in 2018 . Aging reduces the bodily and cognitive capacities of older adults and
impacts their capacity to live independently or carry out every day sports.
Older adults are also vulnerable to persistent sicknesses (eg, hypertension,
diabetes, and dementia). For sample, approximately 73% of Hong Kong residents
aged seventy five and above have hypertension and almost 1 out of 10
community-dwelling citizens aged 70 or above has dementia. Managing such
chronic illnesses or their aggravations is associated with nearby to 80% of
health care budgets . Another essential fitness trouble for older adults is
falling, that may bring about decreased mobility level, fear of falling, and
even death . Approximately 18% of Hong Kong community-living older adults enjoy
falls. Among fallers, about 10% incur bone fractures and round 32% experience
tender tissue injuries . These falls are associated with will increase of as
much as HKD 552 million (US$70 million) in extra annual fitness care expenses,
about 30% of which may be decreased through an powerful fall prevention
software .
Recently, the Hong Kong government proposed a coverage of
“growing old in region,” which encourages empowering older adults to stay in
communities for long-term care services and to promote their nicely-being .
Such community-based totally offerings can ease the general public financial
burden as they are low-priced than public hospitals and can shop costs that
might be spent on misused fitness care sources (eg, needless hospitalizations)
. Along with the shift from clinic care to network care, network-primarily
based health care structures are going through exceptional demanding situations
of restricted ability and assets to screen older adults’ health continuously.
Moreover, the caregivers in communities may additionally lack expert information
and for this reason cannot stumble on health anomalies or propose the next
remedy for the aged while wanted. Therefore, revolutionary solutions for
continuous monitoring of the fitness of the community-living elderly population
and linking with health care experts are needed within the Hong Kong fitness
machine.
Owing to speedy developments in facts era, telehealth
tracking has provided cost-effective and well timed get admission to to
exceptional care [10-12]. Telehealth tracking systems make use of
telecommunication technology (eg, virtual monitoring sensors) to seize and
supply fitness data (eg, crucial signs) and services among sufferers and
fitness care experts. In unique, this sort of device gives a possible strategy
to the growing demand for lengthy-term care help and monitoring to
community-living elderly people who may additionally have difficulties in
gaining access to health offerings [13-16]. A evaluate of the current
literature confirmed that telehealth arrangements have been assisting older
adults in particular health-associated areas consisting of continual conditions
[17-22], falls [23,24], and general health [25-28]. For instance, Or and Tao
evolved a affected person-centered, pill pc-based self-tracking machine to
allow older grown person with type 2 diabetes and hypertension to degree and
reveal their blood glucose and blood stress. Sparks and colleagues proposed a
choice assist gadget that seeks to help network nurses reveal the well-being in
their chronically sick patients, using an all-in-one station-primarily based
fitness monitoring tool. Doty and co-workers evolved a wearable multimodal
monitoring machine designed for the real-lifestyles lengthy-term tracking of
patients susceptible to falls. In addition to trial research on telehealth
monitoring structures, we also located some national telehealth packages that
have been applied, which includes the Whole Systems Demonstrator software of
the United Kingdom Department of Health , the Care Coordination/Home Telehealth
application brought via Veterans Health Administration within the United States
, and the Home Monitoring of Chronic Disease in Aged Care application funded by
means of the Australian government . Significant advantages have been stated,
such as a 19% reduction in numbers of hospital admissions and 45% reduction in
mortality charges .
However, as said in previous studies [16,28,30,31], there
are still some restrictions and demanding situations that would block the well
timed detection of health deterioration whilst imposing non-stop monitoring
systems, including offline data processing and analysis, utilization of
character clever devices, and unmarried-parameter size. Motivated by using
these demanding situations, we aimed to combine a few contemporary techniques
into those tracking structures, including superior biomedical signal
evaluation, statistical statistics evaluation, predictive analytics, and choice
aid, that could help provide efficient fitness care offerings [32-34]. In calculation,
we sought to design a system that could make use of diverse smart devices to
collect exceptional health-associated measurements for presenting an green and
correct approach to raising health attention in network monitoring [35,36]. @ Read More techiesbenefit vocabularystyle authenticfashionstyle
