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The Role of Technology in Clinical Neuropsychology$
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Robert L. Kane and Thomas D. Parsons

Print publication date: 2017

Print ISBN-13: 9780190234737

Published to Oxford Scholarship Online: November 2020

DOI: 10.1093/oso/9780190234737.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 22 June 2021

Using Smart Environment Technologies to Monitor and Assess Everyday Functioning and Deliver Real-Time Intervention

Using Smart Environment Technologies to Monitor and Assess Everyday Functioning and Deliver Real-Time Intervention

Chapter:
(p.293) 11 Using Smart Environment Technologies to Monitor and Assess Everyday Functioning and Deliver Real-Time Intervention
Source:
The Role of Technology in Clinical Neuropsychology
Author(s):

Maureen Schmitter-Edgecombe

Diane J. Cook

Alyssa Weakley

Prafulla Dawadi

Publisher:
Oxford University Press
DOI:10.1093/oso/9780190234737.003.0017

Technology is changing healthcare and our understanding of human behavior. To date, most of our theories about behavior, everyday activities, and cognitive health have been formed based on questionnaire data, laboratory tests and experiments, and placing observers within the environment to record human behavioral habits. Smart technologies offer an opportunity to passively collect data about human behavior within the everyday environment. The possibilities for using smart technologies that can adapt, sense, infer, learn, anticipate, and intervene for health monitoring and intervention are considered “extraordinary” (Department of Health, 2007). Our Smart Home group affiliated with the Center for Advanced Studies in Adaptive Systems (CASAS) and others have been studying the role of smart environments as a type of “cognitive prosthesis” in which the smart environment operates alongside humans in order to monitor, maintain, and enhance their health and functional capabilities and overcome their limitations. For the clinical neuropsychologist, smart environment technologies offer opportunities for new methods of data collection, for both clinical and research purposes. Over the past decade, people perform their normal activities of daily living. The data can then be used to support everyday activities and to assist in rehabilitation and proactive interventions through real-time assistance and monitoring of real-world responses to intervention. The data can also be used to improve our understanding of the effects of cognitive impairment on everyday functioning as well as theories about behavior. The chapter begins with a discussion of research in the sensor technologies have become more mature. For example, sensor power and capacity have increased while sensor size and cost have decreased. Similarly, there has been significant progress in the areas of wireless networks, data processing, and machine learning. Data can now be automatically collected from sensor-filled smart homes (environmental or fixed devices), activity trackers (wearable devices), and smartphones (portable devices) in an unobtrusive manner while area of activity recognition, followed by application of this work to functional and health assessment and to activity-aware intervention.

Keywords:   actigraphy, activity-prompting algorithms, cognitive prostheses, ecological momentary assessment (EMA), health assessment, healthy lifestyle behavior, lifestyle behavior, monitoring activity, motion sensors, smart environments, transfer learning

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