1. Ubiquitous Computing Approaches to Cognitive Rehabilitation Mike Massimi HCTP Seminar October 3, 2007

2. WARNING Muddling Ahead !

3. ubiquitous computing “off the desktop” pervasive computing smart environments calm computing internet of things context-aware computing ambient intelligence nomadic computing everyware ubiquitous computing “off the desktop” pervasive computing smart environments calm computing internet of things context-aware computing ambient intelligence nomadic computing everyware

5. Available for the low price of $9,995!

8. the 3 studies digital life histories for people with AD sensors to inform clinicians of ritual performance in OCD patients mobile phone software to compensate for proper noun anomia

9. Study 1Study 2Study 3 Clinical populationAlzheimer’s disease (AD) Obsessive compulsive disorder (OCD) Older adults with memory complaints of proper name anomia Ubicomp devicesWearable camera (SenseCam) SensorsMobile phones, ambient displays, laptops PlaceHome, outings to places of interest Home, clinician’s office Home, neighborhood

10. study 1

11. study 1: digital life histories

14. study 1: details 12 older adults with mild AD within-subjects design each participant goes on 3 outings – SC, authored, no aid picture recognition test number of details recalled test/review 4 times in following 2 weeks

15. study 2

16. Intrusive, unwanted thoughts - “egodystonic” Building of anxiety Temporary relief through rituals Severe cases may be homebound WHO’s top 10 list of debilitating mental disorders

17. obsessive compulsive disorder (OCD) Intrusive, unwanted thoughts – “egodystonic” but “inside the head” Building of anxiety Temporary relief of anxiety through rituals Can be paralyzing, preventing people from leaving home WHO’s top 10 list of debilitating mental disorders

18. Common obsessionsCommon compulsions Contamination fears (45%)Checking (63%) Repetitive doubts (42%)Washing (50%) Somatic obsessions (36%)Need to confess (36%) Covert counting (36%) Need for symmetry (31%)Ordering/symmetry (31%) Aggressive impulses (28%)Hoarding (18%) Repeated sexual imagery (26%) Multiple obsessions (60%)Multiple compulsions (48%) Fineberg & Roberts, 2001; adapted from Rasmussen & Eisen, 1990 n = 250

19. sensors and activities contamination – handwashing – cleaning avoidance agoraphobia compulsive eating somatic tics

20. study 3

21. Oh, what was the name of that nurse I see every time I come here? I can’t remember!

22. 1.Names 2.Facts 3.Objects … (Cavanaugh et al., 1983) 1.People’s names 2.Dates 3.Household items … (Leirer et al., 1990) 1.Names 2.Where you put things 3.Telephone numbers you just checked … 7. Faces … (Bolla et al., 1991) Embarrassment, loss of identity, social isolation ?

23. community household elder Figure reproduced from Morris et al., 2004. normal aging and mild impairment moderate and severe impairment

24. WiseGuise home WiseGuise mobile WiseGuise photo

26. discuss

27. random thoughts triangulating between methods: – questionnaires, interviews, ethnography, technology probes, field experiments… – change it & see, or see & then change it? wary of “overmedicalizing” changing home and neighborhood as places where health care is “done” relevant theories

28. acknowledgments Bell University Laboratories Microsoft Research, Ltd. HCTP/CIHR

29. thanks!

30. Photo credits http://www.flickr.com/photos/benwerd/220934686/ http://www.flickr.com/photos/cote/54408562/ http://www.flickr.com/photos/random0/806737150/ http://en.wikipedia.org/wiki/Image:Apple_Lisa.jpg http://www.flickr.com/photos/drcohen/297924181/ http://www.flickr.com/photos/heather/263632365/