An intelligent video-monitoring system to detect responsive behaviours associated with Alzheimer's disease and related disorders.

Background Responsive behaviours affect 90% of older adults with Alzheimer's disease and related disorders. They have significant consequences including decreased functional independence and quality of life for older adults living in long-term care facilities. An intelligent video-monitoring system...

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Publicado en:Gerontechnology Vol. 19; no. 1; pp. 28 - 42
Autores principales: Tran, Nathalie, Lapierre, Nolwenn, Meunier, Jean, St-Arnaud, Alain, Sit, Céline, Bourbonnais, Anne, Rousseau, Jacqueline
Formato: pictorial research tables/charts Journal Article
Publicado: International Society for Gerontechnology 2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: International Society for Gerontechnology
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        atl: An intelligent video-monitoring system to detect responsive behaviours associated with Alzheimer's disease and related disorders.
      aug:
        au:
          Tran, Nathalie
          Lapierre, Nolwenn
          Meunier, Jean
          St-Arnaud, Alain
          Sit, Céline
          Bourbonnais, Anne
          Rousseau, Jacqueline
        affil: School of Rehabilitation, Faculty of Medicine, Université de Montréal, Site Pavillon Parc. C.P. 6128 Centre-ville, Montréal, Québec H3C 3J7, Canada
      sug:
        subj:
          Alzheimer's Disease
          Videorecording Utilization
          Behavior Evaluation
          Technology Utilization
          Gerontologic Care
          Monitoring, Physiologic
          Human
          Students, Occupational Therapy
          Simulations
          Laboratories
          Geriatrics
          Sensitivity and Specificity
          Long Term Care
          Diffusion of Innovation
          Qualitative Studies
          Quantitative Studies
      ab: Background Responsive behaviours affect 90% of older adults with Alzheimer's disease and related disorders. They have significant consequences including decreased functional independence and quality of life for older adults living in long-term care facilities. An intelligent video-monitoring system (IVS) is being developed to detect responsive behaviours, document their causes and alert health-care professionals to ensure immediate intervention. Purpose To test the IVS's efficacy for responsive behaviour detection. Methods Two occupational therapy students completed a simulation study in an apartment-laboratory under the supervision of experts in gerontology (clinicians, researchers). Four responsive behaviours (aggressiveness, apathy, motor behaviours, vocal behaviours) were realistically replicated across six scenarios, and five were repeated under three different luminosity conditions (total: 16 scenarios). The IVS detects responsive behaviours based on unusual movements or screaming in a specific location. To assess its detection capacity, the scenarios were divided into actions to record true and false positives (TP, FP), and true and false negatives (TN, FN). Sensitivity and specificity were then calculated. The quality of sound, images, and alerts was also analysed. Findings Seventeen TP, two FP, 42 TN, and three FN were recorded, generating an overall sensitivity of 85% and specificity of 95%. Sensitivity and specificity of 100% were obtained for apathy and aggressiveness scenarios. Motor behaviour scenarios achieved a sensitivity of 75% and specificity of 84%, and verbal behaviour scenarios obtained a sensitivity of 50% and specificity of 100%. With this IVS, the quality of the images was satisfactory, but the sound recording was poor. Alerts were received on average 32.4 seconds after detection. Discussion The IVS is an innovative technology that can contribute to responsive behaviour management by immediately detecting such behaviours and helping identify their causes (by recording the previous 30 seconds). These results validate the IVS's potential for responsive behaviour detection before its use is explored in real contexts.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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