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  • 1.
    Axelsson, Sarianne Wiklund
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Prerequisites for sustainable life style changes among older persons with obesity and for ICT support2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The experiences from persons in the third age of lifestyle changes due to obesity are rarely described in research. Interventions regarding lifestyle changes and obesity show weak evidence for long-term effects. Information and communication technology (ICT) may add an important potential in interventions, but readiness among older persons and the actual needs for support must be explored. Therefore the overall aim for the thesis was to explore the prerequisites for sustainable lifestyle changes among older persons with obesity; and how this could be supported by ICT.Both qualitative and quantitative approaches were used. In paper I, 10 participants were individually interviewed about their experiences of lifestyle changes and in a multistage focus group study (paper IV), 6 participants expressed the support needed for sustainable lifestyle changes in relation to obesity. Qualitative content analysis was used. In a randomly selected population survey, 154 participants responded to an enquiry about general and health related ICT usage (paper II). They also rated scenarios for expected psychosocial impact on web based e-health services and mobile health applications (paper III).An integration of the results identified four main findings: The first finding, A never-ending process of vigilance and vulnerability, showed constant attempts of weight loss and pre-occupation on not to fail in an un-supportive environment. The second finding; Need for psychosocial support marked that the process of lifestyle changes was influenced by factors as sensibility to moods, social support and others’ attitudes. It was therefore essential for the persons to achieve emotional balance. The third finding, ICT as a possible support for adaptability, presented that older Swedes expected a positive psychosocial impact by ICT, especially in a future perspective. ICT was most valued in the domain of adaptability. The degree of usage of health related ICT, however, was low, although persons with overweight had more experience of this usage. Finally, the fourth finding; Reconstructions from weight to health expresses the needs of reconstructing focus towards health, rather than being pre-occupied with weight loss. Physical activity that was associated to joy and to have a functioning body, a body that would serve them as before, were motives to lose weight.In conclusion, this thesis illustrates that a lifestyle change due to obesity in third age is lined with vigilance not to fail and requires a great deal of endurance and effort. The potential of ICT to support lifestyle changes is likely to be substantiated by the positive expectations on ICT from a psychosocial impact perspective, especially in views of the future. Findings indicate a need for moving focus from weight towards health and to see opportunities, and that psychosocial support and enjoyable physical activity are important prerequisites for sustainable change.

  • 2.
    Davies, R.J.
    et al.
    University of Ulster.
    Nugent, C.D.
    University of Ulster.
    Donnelly, M.P.
    University of Ulster.
    Hettinga, M.
    Telematica Instituut, Enschede.
    Meiland, F.J.
    VU University Medical Center.
    Moelaert, F.
    Telematica Instituut, Enschede.
    Mulvenna, M.D.
    University of Ulster.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Craig, D.
    Belfast City Hospital/Queen’s University of Belfast.
    Dröes, R.-M.
    VU University Medical Center.
    A user driven approach to develop a cognitive prosthetic to address the unmet needs of people with mild dementia2009In: Pervasive and Mobile Computing, ISSN 1574-1192, E-ISSN 1873-1589, Vol. 5, no 3, p. 253-267Article in journal (Refereed)
    Abstract [en]

    This paper aims to provide the details of the approach adopted in the development of a cognitive prosthetic aimed to help address the unmet needs of people with mild dementia. The approach adopted is based on a waterfall style approach consisting of a series of three phases each of which contributes to the progression and improvement of a cognitive prosthetic-based solution. Within each phase, distinct stages of design, development and evaluation of the cognitive solution are conducted. The current paper discusses the distinct stages conducted in the first phase of the project which resulted in the design and development of a user driven solution based on the needs of 17 patient/carer dyads across three trial sites.

  • 3.
    Eriksson, Lisbeth
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Lindström, Britta
    Section of Physiotherapy, Department of Community Medicine and Rehabilitation, Umeå University.
    Ekenberg, Lilly
    County Council of Norrbotten, Department of Research and Development.
    Patients' experiences of telerehabilitation at home after shoulder joint replacement2011In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, ISSN 1357-633x, Vol. 17, no 1, p. 25-30Article in journal (Refereed)
    Abstract [en]

    We investigated the experience of ten patients who received video-based physiotherapy at home for two months after a shoulder joint replacement. Videoconferencing took place via the patient's home broadband connection at a bandwidth of 256–768 kbit/s. Qualitative interviews were carried out, transcribed and analysed. Through qualitative content analysis six categories were identified: (1) a different reinforced communication; (2) pain-free exercising as an effective routine; (3) from a dependent patient to a strengthened person at home; (4) closeness at a distance; (5) facilitated daily living; and (6) continuous physiotherapy chain. The access to bodily knowledge, continuity, collaboration and being at home were all aspects that contributed to the patients' recovery. The patients described experiences of safety, and strengthening during their daily exercise routine at home. The frequent interplay with the patient during telerehabilitation made it possible for the physiotherapist to make an individual judgement about each patient; this could be one reason for the positive findings. Home video-based physiotherapy may be useful in other kinds of physiotherapy

  • 4.
    Eriksson, Lisbeth
    et al.
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Lindstöm, Britta
    Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Lysholm, Jack
    Department of Orthopaedics, Surgical and Perioperative Sciences, Umeå University.
    Physiotherapy at a distance: a controlled study of rehabilitation at home after a shoulder joint operation2009In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, ISSN 1357-633X, Vol. 15, no 5, p. 215-220Article in journal (Refereed)
    Abstract [en]

    We explored the benefit of video communication in home rehabilitation after shoulder joint replacement and compared it to referral for physiotherapy in the conventional way. A total of 22 patients were included in the study. The intervention group (n = 10) had training at home under the supervision of a physiotherapist at the hospital using videoconferencing. The control group (n = 12) had physiotherapy training in a conventional way in their home town. All patients had the same postoperative, three-phase-programme for two months. The outcome measures were a Visual Analogue Scale (VAS) for pain, range of motion (ROM), shoulder function ability (Constant score and SRQ-S) and health-related quality of life (SF-36). Questions about areas of priority for improvement and general satisfaction with the shoulder were also included. The telemedicine group received a greater number of treatments compared to the control group. After the intervention, there were significant improvements in VAS-pain, Constant score and SRQ-S for both groups. The telemedicine group improved significantly more in all three measurements than the control group (P < 0.001 for all). When changes from baseline to follow-up were compared, the telemedicine group improved significantly more in terms of decrease in pain (P = 0.004) and vitality (P = 0.001) than the control group. Despite some limitations, there seem to be clear benefits from physiotherapy at a distance with a telemedicine technique that allows patients to obtain access to physiotherapy at home.

  • 5.
    Eriksson, Lisbeth
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Melander-Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Ekenberg, Lilly
    County Council of Norrbotten, Department of Research and Development.
    The concept of palpation of the shoulder - a basic element of physiotherapy practice: a focus group study with physiotherapists2012In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, ISSN 1403-8196, Vol. 14, no 4, p. 183-193Article in journal (Refereed)
    Abstract [en]

    Although palpation is frequently used in physiotherapy examinations, a limited amount of research has been done to clarify this concept. The aim of this study was to describe physiotherapists’ experiences of shoulder palpation with the intention of obtaining detailed descriptions of the concept of palpation. Three focus group interviews were conducted, including a total of seven physiotherapists who had experience of patients with shoulder disability built up over a long period. A qualitative content analysis of the interviews was carried out. The findings showed how palpation can be perceived as a skill that could be described from two different perspectives: Manual and technical palpation and Palpation being dependent on the relationship between the physiotherapist and the patient. Palpation requires time, and the knowledge and experience of palpating built up over time. We also found how the two “perspectives” of palpation were inseparable from each other. The ability to perform manual and technical palpation and the relationship between the physiotherapist and the patient can be considered an interactive learning situation where the physiotherapist and the patient develop mutual knowledge of the body.

  • 6.
    Jansson, Maria
    et al.
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Melander-Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    It's OK if we just get the time to get used to IT2004In: IRIS 27: plenary papers : August 14-17, 2004, Falkenberg, Sweden / / [ed] Per Flensburg; Carina Ihlström, Växjö: Växjö universitet , 2004Conference paper (Other academic)
  • 7.
    Kangas, M.
    et al.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Nyberg, Lars
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Korpelainen, R.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Lindblom, J.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Jämsä, T.
    Department of Medical Technology, Institute of Biomedicine, University of Oulu.
    Comparison of real-life accidental falls in older people with experimental falls in middle-aged test subjects2012In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, ISSN 0966-6362, Vol. 35, no 3, p. 500-505Article in journal (Refereed)
    Abstract [en]

    Falling is a common accident among older people. Automatic fall detectors are one method of improving security. However, in most cases, fall detectors are designed and tested with data from experimental falls in younger people. This study is one of the first to provide fall-related acceleration data obtained from real-life falls. Wireless sensors were used to collect acceleration data during a six-month test period in older people. Data from five events representing forward falls, a sideways fall, a backwards fall, and a fall out of bed were collected and compared with experimental falls performed by middle-aged test subjects. The signals from real-life falls had similar features to those from intentional falls. Real-life forward, sideways and backward falls all showed a pre impact phase and an impact phase that were in keeping with the model that was based on experimental falls. In addition, the fall out of bed had a similar acceleration profile as the experimental falls of the same type. However, there were differences in the parameters that were used for the detection of the fall phases. The beginning of the fall was detected in all of the real-life falls starting from a standing posture, whereas the high pre impact velocity was not. In some real-life falls, multiple impacts suggested protective actions. In conclusion, this study demonstrated similarities between real-life falls of older people and experimental falls of middle-aged subjects. However, some fall characteristics detected from experimental falls were not detectable in acceleration signals from corresponding heterogeneous real-life falls.

  • 8.
    Kangas, Maarit
    et al.
    Department of Medical Technology, Institute of Biomedicine, Oulu Deaconess Institute.
    Korpelainen, Raija
    Department of Medical Technology, Institute of Biomedicine, Oulu Deaconess Institute.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Nyberg, Lars
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Jämsä, Timo
    Department of Medical Technology, Institute of Biomedicine, Oulu Deaconess Institute.
    Sensitivity and false alarm rate of a fall sensor in long-term fall detection in the elderly2015In: Gerontology, ISSN 0304-324X, E-ISSN 1423-0003, ISSN 0304-324x, Vol. 61, no 1, p. 61-68Article in journal (Refereed)
    Abstract [en]

    Background: About a third of home-dwelling older people fall each year, and institutionalized older people even report a two- or threefold higher rate for falling. Automatic fall detection systems have been developed to support the independent and secure living of the elderly. Even though good fall detection sensitivity and specificity in laboratory settings have been reported, knowledge about the sensitivity and specificity of these systems in real-life conditions is still lacking. Objective: The aim of this study was to evaluate the long-term fall detection sensitivity and false alarm rate of a fall detection prototype in real-life use. Methods: A total of 15,500 h of real-life data from 16 older people, including both fallers and nonfallers, were monitored using an accelerometry-based sensor system with an implemented fall detection algorithm. Results: The fall detection system detected 12 out of 15 real-life falls, having a sensitivity of 80.0%, with a false alarm rate of 0.049 alarms per usage hour with the implemented real-time system. With minor modification of data analysis the false alarm rate was reduced to 0.025 false alarms per hour, equating to 1 false fall alarm per 40 usage hours. Conclusion: These data suggest that automatic accelerometric fall detection systems might offer a tool for improving safety among older people.

  • 9.
    Kangas, Maarit
    et al.
    University of Oulu.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Wiklander, Jimmie
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Embedded Internet Systems Lab. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Lindgren, Per
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Embedded Internet Systems Lab. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Nyberg, Lars
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Jämsä, Timo
    University of Oulu.
    Sensitivity and specificity of fall detection in people aged 40 years and over2009In: Gait & Posture, ISSN 0966-6362, E-ISSN 1879-2219, ISSN 0966-6362, Vol. 29, no 4, p. 571-574Article in journal (Refereed)
    Abstract [en]

    About one third of home-dwelling people over 65 years of age fall each year. Falling, and the fear of falling, is one of the major health risks that affects the quality of life among older people, threatening their independent living. In our pilot study, we found that fall detection with a waist-worn triaxial accelerometer is reliable with quite simple detection algorithms. The aim of this study was to validate the data collection of a new fall detector prototype and to define the sensitivity and specificity of different fall detection algorithms with simulated falls from 20 middle-aged (40-65 years old) test subjects. Activities of daily living (ADL) performed by the middle-aged subjects, and also by 21 older people (aged 58-98 years) from a residential care unit, were used as a reference. The results showed that the hardware platform and algorithms used can discriminate various types of falls from ADL with a sensitivity of 97.5% and a specificity of 100%. This suggests that the present concept provides an effective method for automatic fall detection.

  • 10.
    Kikhia, Basel
    et al.
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Computer Science.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Synnes, Kåre
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Computer Science.
    Sani, Zaheer ul Hussain
    Luleå University of Technology, Department of Health Sciences.
    Hallberg, Josef
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Signals and Systems.
    Creating digital life stories through activity recognition with image filtering2010In: Aging friendly technology for health and independence: 8th International Conference on Smart Homes and Health Telematics, ICOST 2010, Seoul, Korea, June 22-24, 2010 ; proceedings / [ed] Yeunsook Lee, Berlin: Encyclopedia of Global Archaeology/Springer Verlag, 2010, p. 203-210Conference paper (Refereed)
    Abstract [en]

    This paper presents two algorithms that enables the MemoryLane system to support persons with mild dementia through creation of digital life stories. The MemoryLane system consists of a Logging Kit that captures context and image data, and a Review Client that recognizes activities and enables review of the captured data. The image filtering algorithm is based on image characteristics such as brightness, blurriness and similarity, and is a central component of the Logging Kit. The activity recognition algorithm is based on the captured contextual data together with concepts of persons and places. The initial results indicate that the MemoryLane system is technically feasible and that activity-based creation of digital life stories for persons with mild dementia is possible.

  • 11.
    Meiland, FJ M.
    et al.
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    Reinersmann, A
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    Bergvall-Kåreborn, Birgitta
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Craig, D
    Division of Psychiatry and Neuroscience, Belfast City Hospital.
    Moelaert, F.
    Telematica Instituut.
    Mulvenna, M.
    University of Ulster.
    Nugent, C.
    University of Ulster.
    Scully, Tony
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Dröes, R M.
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    COGKNOW: development of an ICT device to support people with mild dementia2007In: Journal on Information Technology in Healthcare, ISSN 1479-649X, Vol. 5, no 5, p. 166-177Article in journal (Refereed)
    Abstract [en]

    Objective: To develop a successful user-validated cognitive prosthetic device with associated services to help persons with mild dementia.Setting: The ICT solution will be developed by a consortium of eleven institutes in eight countries in Europe. It will be tested and evaluated by users (persons with dementia and their carers) in 3 European cities - Amsterdam, Belfast and Luleå.Methods: To identify and analyse the needs of persons with dementia, workshops and interviews were conducted with Alzheimer patients suffering from mild dementia, and their carers in three European cities. A literature search was also performed to identify existing proven effective ICT solutions for persons with dementia.Results: The most important needs and the most preferred ICT solutions identified by participants were (i) Activity reminders e.g. for eating meals; (ii) Item locators; (iii) Picture dialling to keep in contact with family and friends; (iv) Support for pleasure activities; (v) Enhancement of feelings of safety. Conclusion: Based on the needs identified, a prototype solution will be built, tested and modified as an iterative process. The device will ultimately be evaluated to see if it can enhance feelings of autonomy and quality of life of persons with dementia.

  • 12. Meiland, FJ M.
    et al.
    Reinersmann, A.
    Bergvall-Kåreborn, Birgitta
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Craig, D.
    Moelaert, F.
    Mulvenna, M.
    Nugent, C.
    Scully, Tony
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Dröes, R M.
    COGKNOW: helping people with mild dementia navigate their day2007Conference paper (Refereed)
    Abstract [en]

    Dementia is a progressive, chronic disease affecting 5% of all persons above 65 and over 40% of people over 90. The aim of the COGKNOW project is to achieve a breakthrough with research that addresses the needs of those with dementia, particularly those with mild dementia living in the community. This entails cognitive reinforcement in four main areas: helping people to remember, helping to maintain social contact, helping with performing daily life and recreational activities and finally enhance feelings of safety. Based on a sound foundation of needs reported in dementia literature, workshops and individual interviews have been carried out with dementia sufferers and their carers in three European countries. A ranked analysis of information from workshops and interviews, and the state of the art of successful ICT solutions will be the basis for formulating the functionalities of the technical solution and for the development of a cognitive prosthetic device with associated services for people with mild dementia. The research and evaluation will be conducted from human factors, technology, and business perspectives in three phases of one year each. In this paper we discuss the design of the COGKNOW project, the first results of the user needs inquiry workshops and the ICT solutions the COGKNOW project will focus on in the first year.

  • 13.
    Melander-Wikman, Anita
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Andersson, Susanne
    Sunderby sjukhus, Sjukgymnastiken.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Jansson, Maria
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    MobiHealth projektet - mobil teknik2003In: Abstractbok för sjukgymnasdagarna 2003, Stockholm: Legitimerade sjukgymnasters riksförbund , 2003, p. 49-Conference paper (Other academic)
  • 14.
    Melander-Wikman, Anita
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Jansson, Maria
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Methodology for empowering elderly persons in homecare by means of ICT2006Conference paper (Other academic)
  • 15.
    Melander-Wikman, Anita
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Jansson, Maria
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Hallberg, Josef
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Signals and Systems. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Mörtberg, Christina
    Oslo universitet.
    Gard, Gunvor
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    The lighthouse alarm and locator trial: a pilot study2007In: Technology and Health Care, ISSN 0928-7329, E-ISSN 1878-7401, ISSN 0928-7329, Vol. 15, no 3, p. 203-212Article in journal (Refereed)
    Abstract [en]

    An important factor for health is the possibility to be active and mobile. To make this possible different kind of support are needed. Integrating geographical information systems technology and user experiences is important in the development of more user-friendly positioning devices. The Lighthouse Alarm and Locator trial aimed to test a new mobile alarm system with additional functionality such as positioning and monitoring of vital signs which can be used regardless of location (in hospital, at home). The system was tested by elderly persons from a pensioner organisation and home care personnel answered up on the alarms. After the tests qualitative interviews were performed with the two groups. The results showed that their experiences of the new mobile alarm system could be described in three main categories: to be supervised, to feel safe and to be mobile. These categories formed a theme: Positioning - an ethical dilemma. The clients' mobility was perceived to increase. The personnel did not think that positioning was ethical but the clients (elderly) did.

  • 16.
    Melander-Wikman, Anita
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Jansson, Maria
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Mörtberg, Christina
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Positionering av äldre: "storebror ser dig"2005In: Abstractbok för sjukgymnastdagarna 2005, Stockholm: Legitimerade sjukgymnasters riksförbund , 2005, p. 30-Conference paper (Other academic)
  • 17.
    Melander-Wikman, Anita
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Jansson, Maria
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Mörtberg, Christina
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Positioning elderly persons: Is Big brother watching you?2005In: First international conference on lifestyle, health and technology, Luleå: Luleå tekniska universitet, 2005Conference paper (Refereed)
  • 18.
    Mulvenna, Maurice
    et al.
    University of Ulster. School of Computing and Mathematics.
    Martin, Suzanne
    School of Health Sciences.
    Galbraiht, Brendan
    School of Business Organisation and Management.
    Haaker, Timber
    Telematica Instituut.
    Jansson, Maria
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Bergvall-Kåreborn, Birgitta
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design.
    Castellot, Ricardo
    Telefonica, Parque Tecnológico de Boecillo.
    Melander-Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehab.
    Moore, George
    University of Ulster. School of Computing and Mathematics.
    Moelaert, Ferial
    Telematica Instituut.
    Isaksson, Lennart
    E-Health and Innovation Centre, Luleå University of Technology.
    Wallace, Jonathan
    University of Ulster. School of Computing and Mathematics.
    Nugent, Chris
    Computer Science Research Institute, University of Ulster.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Towards sustainable business models from healthcare technology research2010In: International Journal of Computers in Healthcare (IJCIH), ISSN 1755-3199, Vol. 1, no 1, p. 20-34Article in journal (Refereed)
    Abstract [en]

    As demographic ageing impacts across the world, health and welfare organisations are seeking new paradigms of care that address people's needs as well as being inherently more scalable than the incumbent processes and services. The aim of this paper is to describe the current situation in Europe with information on service provision, before signposting some possible new ways to develop sustainable business models that support care models. The paper uses a case study approach to examine the issues in the introduction of such business models, from a perspective of the translation of research proof of concepts into business services and from the perspective of developing innovations from research that address unmet or poorly considered needs of user. The paper shows how several innovative European projects are anticipating the need for service change and are designing their research outcomes to match the needs of service commissioners more fully. The conclusion discusses several different approaches before drawing together strands of the work and providing tentative recommendations on the way forward to develop new inclusive technology-enhanced services in health and social care

  • 19.
    Mulvenna, Maurice
    et al.
    TRAIL Living Lab, University of Ulster.
    Martin, Suzanne
    TRAIL Living Lab, University of Ulster.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Meiland, Franka
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    Dröes, Rose Marie
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    Hettinga, Marike
    Novay, Enschede.
    Moelaert, Ferial
    Novay, Enschede.
    Craig, David
    Department of Elderly Care, School of Medicine, Queen's University, Belfast.
    Designing & evaluating a cognitive prosthetic for people with mild dementia2011In: ECCE 10: Proceedings of the 28th Annual European Conference on Cognitive Ergonomics, New York: ACM Digital Library, 2011, p. 11-18Conference paper (Refereed)
    Abstract [en]

    Motivation - Develop a portable, mobile information and communication device with specific applications that meet the identified needs of people with mild dementia. Research approach - A qualitative study with a user centred design was applied: Three iterative development cycles of one year each were performed, in which around 15 persons with mild dementia and their carers participated in each cycle of development to attune the functions and form of the cognitive prosthetic to their needs and wishes. A mixed methods approach of qualitative interviews and standardised tools were used for the evaluations that were performed by formulating research questions and assigning appropriate methods for data collection before, during and after the field tests at the end of each development cycle. Findings/Design - The COGKNOW Day Navigator consists of a touch screen, a mobile device, sensors, a home hub and a central server. Several features such as colours and icons, can be adjusted to personal preferences, which was much appreciated by users. The functions to support people in their daily activities were overall appreciated, though there were individual differences in preferences and abilities to use them. Research limitations/Implications - It was recommended to perform an impact study within the target group for a longer period of time when the system is considered stable and to make use of a randomised controlled design in a larger study population. Originality/Value - The research built upon previous evidence of needs of people with mild dementia and the findings are valuable in directing further research and innovation. However, it was found that this technology can be complex to implement in a manner that ensures good quality of service delivery during field tests. Take away message - The work has shown the value of designing an analysis framework for development of assistive technology that gives a strong voice to people with dementia and their carers.

  • 20.
    Nugent, C.D.
    et al.
    University of Ulster. School of Computing and Mathematics.
    Davies, R.J.
    Computer Science Research Institute, University of Ulster.
    Donnelly, M.P.
    Computer Science Research Institute, University of Ulster.
    Hallberg, Josef
    Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Signals and Systems.
    Hariz, M.
    INT, Paris.
    Craig, D.
    Belfast City Hospital/Queen’s University of Belfast.
    Meiland, F.
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    Moelaert, F.
    Telematica Instituut, Enschede.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Mulvenna, M.
    Computer Science Research Institute, University of Ulster.
    Dröes, R-M
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    The development of personalised cognitive prosthetics2008In: Proceedings of the 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society: EMBS'08 - "Personalized Healthcare through Technology" / [ed] Guy Dumont, Piscataway, NJ: IEEE Communications Society, 2008, p. 787-790Conference paper (Refereed)
    Abstract [en]

    Persons suffering from mild dementia can benefit from a form of cognitive prosthetic which can be used to assist them with their day to day activities. Within our current work we are aiming to develop a successful user-validated cognitive prosthetic for persons with mild dementia. We have devised a three phased waterfall methodology to support our developments. Based on the evaluation of the first of these phases which involved the processes of user requirements gathering, prototype development and evaluation of in situ deployment of the technology we have been able to guide the technical development within the second phase of our work. Within this paper we provide an overview of the first phase of our methodology and demonstrate how we have used the results from this to guide the second phase of our work, especially with regards to the notion of personalisation.

  • 21.
    Nugent, Chris
    et al.
    Computer Science Research Institute, University of Ulster.
    Moelaert, Ferial
    Telematica Instituut, Enschede.
    Davies, Richard
    University of Ulster.
    Donnelly, Mark
    University of Ulster.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Meiland, Franka
    VU University Medical Center.
    Droes, Rose-Marie
    VU University Medical Center.
    Hettinga, Marike
    Telematica Instituut, Enschede.
    Craig, David
    Belfast City Hospital/Queen’s University of Belfast.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Mulvenna, Maurice
    Computer Science Research Institute, University of Ulster.
    Evaluation of mobile and home based cognitive prosthetics2008In: Smart Homes and Health Telematics: 6th International Conference, ICOST 2008 Ames, IA, USA, June 28-July 2, 2008 Proceedings / [ed] Sumi Helal, Berlin: Encyclopedia of Global Archaeology/Springer Verlag, 2008, p. 18-25Conference paper (Refereed)
    Abstract [en]

    Those suffering from mild dementia exhibit impairments of memory, thought and reasoning. It has been recognised that the deployment of technological solutions to address such impairments may have a major positive impact on quality of life. In the current paper we present results from the CogKnow Project following the evaluation of a suite of mobile and home based cognitive prosthetics to assist persons suffering from mild dementia. The results following an evaluation of the technology conducted with 16 people with mild dementia (and their carers) across 3 different trial sites are outlined. The paper concludes with details describing the process by which the outcomes of the evaluation will be used to guide the developments of a second generation of both mobile and home based cognitive prosthetic.

  • 22.
    Nugent, Chris
    et al.
    University of Ulster. School of Computing and Mathematics.
    Mulvenna, Maurice
    University of Ulster. School of Computing and Mathematics.
    Moelaert, Ferial
    Telematica Instituut, Enschede.
    Bergvall-Kåreborn, Birgitta
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Innovation and Design.
    Meiland, Franka
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    Craig, David
    Belfast City Hospital/Queen’s University of Belfast.
    Davies, Richard
    University of Ulster. School of Computing and Mathematics.
    Reinersmann, Annika
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    Hettinga, Marike
    Telematica Instituut, Enschede.
    Andersson, Anna-Lena
    Luleå University of Technology.
    Droes, Rose-Marie
    Department of Psychiatry, Alzheimer centre, VU University Medical Center.
    Bengtsson, Johan
    Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre. Luleå University of Technology, Department of Computer Science, Electrical and Space Engineering, Distance- Spanning Technology.
    Home-based assistive technologies for persons with mild dementia2007In: Pervasive Computing for Quality of Life Enhancement: 5th International Conference On Smart Homes and Health Telematics, ICOST 2007. Proceedings, Berlin: Encyclopedia of Global Archaeology/Springer Verlag, 2007, p. 63-69Conference paper (Refereed)
    Abstract [en]

    Those suffering from mild dementia exhibit impairments of memory, thought and reasoning. It has been recognised that deployment of technological solutions to address such impairments may have a major positive impact on the quality of life and can be used to help perform daily life activities hence maintaining a level of independence. In this paper we present an overview of our current investigations into how technology can be used to improve the quality of life of the ageing person with mild dementia. Specifically, we detail the methodology adopted for our work, outline results attained from a series of workshops to identify user needs and finally present how these user needs have been mapped onto the design of home based assistive technologies.

  • 23.
    Vikman, Irene
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Falls, perceived fall risk and activity curtailment among older people receiving home-help service2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Falls and fall-related concern and fear of falling are not well understood when it comes to old people receiving home-help services, a transitional population in-between those living independently in the community and those living in residential care facilities. The psychological distress attributable to the perceived risk of falling among this population needs further exploration, which is also the case regarding possible ways to increase their feeling of security. The aims of this thesis were to investigate the incidence of falls, fall-related concern, fear of falling and fall-related activity curtailment amongst older people receiving homehelp services, as well as exploring the validity and user expectations of an automatic fall detector and alarm prototype. In a one-year prospective cohort study of 614 home-help recipients in one municipality in northern Sweden, the fall incidence was estimated to be 626 (95% CI: 479 – 773) per 1,000 person-years. The fall risk was significantly associated with receiving help for personal ADL needs: IRR 2.8 (95 % CI: 2.1 - 3.8). An unexpected finding was that the fall incidence was significantly correlated to the amount of daylight (r: -0.78, r2: 0.61; p: 0.003). A cross-sectional study of 51 home-help recipients in three municipalities in northern Sweden revealed that 65% (95% CI: 52% – 78%) had a high degree of concern about falling according to the Falls Efficacy Scale International (FES-I). This concern was significantly associated with concern about the consequences of falling, mobility and morale, but its correlation to fear of falling was moderate. The proportion reporting that they needed assistance to perform a specific activity or avoided one owing to a fear of falling was 57% and 26%, respectively. Such fear-dependent need for assistance was associated with morale and mobility, and fear-dependent activity avoidance with morale and fallrelated concern. While wearing a fall sensor attached to their hips, twenty middle-aged people performed six different intentional falls. For reference, these people, and 21 older people from a residential care unit, walked through a sequential ADL track. The results showed that the sensor could discriminate various types of falls from daily life activities with a sensitivity of 97.5% and a specificity of 100%. When the principle of the automatic fall sensor and alarm system were described for them, 74% of the 51 elderly home-help recipients stated that it would increase their security, 66% that it would decrease their fear of falling and 57% that it would increase their freedom to move about, while 28% feared it could influence their privacy. In conclusion, falls and fall-related concern seem to be common amongst the elderly recipients of home-help services, and this should be taken into account when planning the provision of services. Mobility, concern about the consequences of falling and morale seem to be connected both with a concern about falling and fall-related activity curtailment. Furthermore, a fall detector system has promising potential for use among homehelp recipients. The correlation between the incidence of falling and the amount of daylight should be further explored.

  • 24.
    Wiklund Axelsson, Sarianne
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Wikberg-Nilsson, Åsa
    Luleå University of Technology, Department of Business Administration, Technology and Social Sciences, Business Administration and Industrial Engineering. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Melander Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Sustainable Lifestyle Change: Participatory Design of Support Together with Persons with Obesity in the Third Age2016In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, ISSN 1661-7827, Vol. 13, no 12, article id 1248Article in journal (Refereed)
    Abstract [en]

    Sustainable lifestyle changes due to obesity are difficult to achieve regardless methods used. We need to know more about the lived experience of obesity and older persons’ needs for support to make a sustainable change. This paper focuses on the need-finding process in designing support for a sustainable lifestyle change. Multistage focus group interviews were conducted with persons aged 61–72 living in Northern Sweden. A participatory and appreciative reflection and action (PAAR) approach was used in the group-sessions. Probes were used to increase reflections and achieve a deeper knowledge about the participants’ needs of support. Data were analysed using qualitative thematic content analysis. Our findings revealed that to be able to succeed with a lifestyle change a focus has to be on a converted way of thinking, managing vulnerability, and achieving an emotional balance. To achieve a sustainable lifestyle change due to obesity in the third age the focus has to be on a health identity instead of a weight identity. Personalised support with enjoyable physical activities should be designed and developed. Strategies for emotional balance based on autonomy and self-empowerment must be included. This knowledge is important when designing support for sustainable change.

  • 25.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Melander-Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Ready for eHealth. Older Swedes’ Perceptions of eHealth Services:: Using the PIADS scale as a Predictor for Readiness.2016In: Technologies, ISSN 2227-7080, Vol. 4, no 29Article in journal (Refereed)
    Abstract [en]

    Introduction: Relevant determinants of adoption of eHealth are needed in order tounderstand future usage. Aim: To investigate the anticipated psychosocial impact of presentand future eHealth services and discuss how psychosocial factors can impact the readiness foreHealth services among older Swedes and reflect upon instruments for measuring eHealth acceptance.Method: The Psychosocial Impact of Assistive Device Scale (PIADS) measured the psychosocialimpact of eHealth services as illustrated in pictures of a set of events of eHealth services that mayreasonably occur in the present and the future. The PIADS scale and the scenarios were administeredvia a randomly selected sample from the Swedish population aged 55–105. Results and Discussion:Older Swedes have, from a psychosocial perspective, positive expectations regarding eHealth services.The PIADS scale could be a useful supplement to acceptance measurements in the context of eHealth.Using animated illustrations to depict eHealth services, together with the PIADS scale, can generatefindings that are generalizable across technologies. The dimensions adaptability, competence andself-esteem could be relevant determinants of adoption of eHealth.

  • 26.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Melander-Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Näslund, Annika
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Nyberg, Lars
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Older people's health-related ICT-use in Sweden2013In: Gerontechnology, ISSN 1569-1101, E-ISSN 1569-111X, Vol. 12, no 1, p. 36-43Article in journal (Refereed)
  • 27.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Nyberg, Lars
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Näslund, Annika
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Melander-Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Ready to adopt – Swedish older person’s perceptions of psychosocial impact of existing and future mobile health related ICT applications2013Conference paper (Refereed)
  • 28.
    Wiklund-Axelsson, Sari-Anne
    et al.
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Nyberg, Lars
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Näslund, Annika
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    Melander-Wikman, Anita
    Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation. Luleå University of Technology, Department of Health Sciences, eHealth Innovation Centre.
    The anticipated positive psychosocial impact of present web-based e-health services and future mobile health applications: an investigation among older Swedes2013In: International Journal of Telemedicine and Applications, ISSN 1687-6415, E-ISSN 1687-6423, ISSN 1687-6415, article id 509198Article in journal (Refereed)
    Abstract [en]

    This study investigates the anticipated psychosocial impact of present web-based e-health services and future mobile health applications among older Swedes. Random sample’s of Swedish citizens aged 55 years old and older were given a survey containing two different e-health scenarios which respondents rated according to their anticipated psychosocial impact by means of the PIADS instrument. Results consistently demonstrated the positive anticipation of psychosocial impacts for both scenarios. The future mobile health applications scored more positively than the present web-based e-health services. An increase in age correlated positively to lower impact scores. These findings indicate that from a psychosocial perspective, web-based e-health services and mobile health applications are likely to positively impact quality of life. This knowledge can be helpful when tailoring and implementing e-health services that are directed to older people.

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