prevention and early diagnosis of alzheimer …...- cognitive training, life-style - social...
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WHO 2nd Global Forum Medical Devices | Prevention & Early Diagnosis of NDD
Prevention and Early Diagnosis of Alzheimer Disease (AD) The Role of Physical Activity and ICT Do ICT-based tools help to prevent AD? Dr. Rainer Wieching Information Systems & New Media University Siegen, Germany
WHO 2nd Global Forum Medical Devices | Prevention & Early Diagnosis of NDD
Prevention of AD - The role of Physical Activity à There is huge evidence that physical activity (PA) is closely linked to the prevention of Alzheimers disease… Annals of Internal Medicine 2013, Med Sci Sports Exerc. 2012, Stroke 2012 à More than 35.000 patients in randomized controlled trials in different countries worldwide (Europe and North America) evidenced that physical activity is the most preventive measure for AD as compared to others like… - cognitive training, life-style - social involvement and QoL - food & medication
Study Results: • Finish Study: n=20.000 (1971-2009)
=> 35% reduction of the risk of later life AD due to preventive physical activity
• US Study: n=15.000 (1970-2001) => 50% reduction of the risk of later life AD due to preventive physical activity
WHO 2nd Global Forum Medical Devices | Prevention & Early Diagnosis of NDD
Prevention of AD - The role of ICT Tools
à Modern ICT (e.g, smartphone, iTV or tablets) can help to inform, promote, and assess measures of PA as related to prevention and early detection of AD… à Gamification, virtual reality, sensors and ubicomp provide potential measures for effective prevention, early diagnosis, and guided intervention à There is a need that the use of such systems fit ideally into the daily practices of the end-users…
Examples… • Fall Prevention & Risk Prediction • Neurodegenerative Diseases
• Physical activity prevents the progression of AD by 39%… (LADIS study, n=90, Texas,US)
WHO 2nd Global Forum Medical Devices | Prevention & Early Diagnosis of NDD
Prevention of AD – First Conclusions
à Further Evidence, e.g. in terms of RCTs and Living Labs is needed… à Evaluation of End-user and Stakeholder Needs & Expertise, Re-Design, Exploitation and later Clinical Testing … - Extended End-user Settings - Product & Market Aspects - New Technologies - Ethics & Laws
Examples of potential Settings & Activities… • Living Lab with more qualitative R&D • Wellbeing Interpersonal Spaces
WHO 2nd Global Forum Medical Devices | Prevention & Early Diagnosis of NDD
Living Labs – Basic Concept
• Real Life Experimental Environment • Evolu3onary / Coopera3ve Process • Par3cipatory Design
• Living Lab • Explora3on • Co-‐Crea3on • Experimen3ng • Evalua3on
WHO 2nd Global Forum Medical Devices | Prevention & Early Diagnosis of NDD
Living Labs – References & Ideas
à Adoption by users in the earlier stages of research and development (Schaffers et al. 2011, Almirall & Waregam 2008) à Experimental environment: real life contexts in which end-users are actively involved in all lifecycles (Schumacher & Feurstein 2007) à User centred open innovation eco-system: stimulate innovation (Pallot 2009, Intille et al. 2005)
WHO 2nd Global Forum Medical Devices | Prevention & Early Diagnosis of NDD
Inclusive Ageing Projects - Uni Siegen
1) FoSIBLE – Fostering Social Interaction for a Better Life of the Elderly (AAL-JP 2010 - 2013) 2) TOPIC – The Online Platform for Informal Caregivers (AAL-JP 2013 - 2016) 3) iStoppFalls – ICT-based System for Prevention and Prediction of Falls (EU FP7 2011-2014) 4) SehrMobil100 – Support of Seniors‘ Mobility in Daily Life (Ger.Min. of Education & Technology 2012-2015) 5) Alzheimer Monitoring (German Ministry of Economics 2009-2011) Example iStoppFalls…
Project Overview
ICT for Ageing and Wellbeing ICT-2011-7.5.4.b
Objec3ves & Impacts Objectives
Impacts
End-User Setting
iStoppFalls System Layout
iStoppFalls RCT & Living Lab
WHO 2nd Global Forum Medical Devices | Prevention & Early Diagnosis of NDD
Real Life Contexts
Living Labs
Health Care
Participat. Design
ICT-based Systems End User Appropriation
Physical Activity
Institute for ICT & New Media, University Siegen
Thank You…