Studies find that older adults want control over how technologies are used in their care, but how it can be operationalized through design remains to be clarified. We present findings from a large survey (n=825) of a well-characterized U.S. online cohort that provides actionable evidence of the importance of designing for control over monitoring technologies. This uniquely large, age-diverse sample allows us to compare needs across age and other characteristics with insights about future users and current older adults (n=496 >64), including those concerned about their own memory loss (n=201). All five control options, which are not currently enabled, were very or extremely important to most people across age. Findings indicate that comfort with a range of care technologies is contingent on having privacy- and other control-enabling options. We discuss opportunities for design to meet these user needs that demand course correction through attentive, creative work.

The ability to understand and visualize big data sets is of increasing interest to caregivers and clinicians as ambient home sensing can provide massive amounts of data related to the activities of residents. However, this data is only useful if it can be effectively and simply visualized for review and analysis. This paper presents the visualization of longitudinal data sets from ambient well-being sensors deployed in 3 residences that have a spousal pair dyad where 1 resident has been diagnosed with Mild Cognitive Impairment or Dementia and the spousal partner is acting as a caregiver. The paper presents the differences in activity and behaviour that can be observed in the 3 residences by comparing two 30-day periods prior to and one 30-day period during COVID-19 social isolation precautions. The work shows the potential for this circle plot based visualization technique to summarize resident activity and also to convey external factors such as the variation in solar day that can itself influence behaviour.

indoor tracking system that uses received signal strength (RSS) from radio frequency (RF) transceivers to estimate the location of a person. While many RSS-based tracking systems use a body-worn device or tag, this approach requires no such tag. The approach is based on the key principle that RF signals between wall-mounted transceivers reflect and absorb differently depending on a person's movement within their home. A hierarchical neural network hidden Markov model (NN-HMM) classifier estimates both movement patterns and stand vs. walk conditions to perform tracking accurately. The algorithm and features used are specifically robust to changes in RSS mean shifts in the environment over time allowing for greater than 90% region level classification accuracy over an extended testing period. In addition to tracking, the system also estimates the number of people in different regions. It is currently being developed to support independent living and long-term monitoring of seniors.

Loneliness is a common condition in elderly associated with severe health consequences including increased mortality, decreased cognitive function, and poor quality of life. Identifying and assisting lonely individuals is therefore increasingly important-especially in the home setting-as the very nature of loneliness often makes it difficult to detect by traditional methods. One critical component in assessing loneliness unobtrusively is to measure time spent out-of-home, as loneliness often presents with decreased physical activity, decreased motor functioning, and a decline in activities of daily living, all of which may cause decrease in the amount of time spent outside the home. Using passive and unobtrusive in-home sensing technologies, we have developed a methodology for detecting time spent out-of-home based on logistic regression. Our approach was both sensitive (0.939) and specific (0.975) in detecting time out-of-home across over 41,000 epochs of data collected from four subjects monitored for at least 30 days each in their own homes. In addition to linking time spent out-of-home to loneliness, (r = -0.44, p = 0.011) as measured by the UCLA Loneliness Index, we demonstrate its usefulness in other applications such as uncovering general behavioral patterns of elderly and exploring the link between time spent out-of-home and physical activity ( r = 0.415, p = 0.031), as measured by the Berkman Social Disengagement Index.

The ability to reliably infer the nature of telephone conversations opens up a variety of applications, ranging from designing context-sensitive user interfaces on smartphones, to providing new tools for social psychologists and social scientists to study and understand social life of different subpopulations within different contexts. Using a unique corpus of everyday telephone conversations collected from eight residences over the duration of a year, we investigate the utility of popular features, extracted solely from the content, in classifying business-oriented calls from others. Through feature selection experiments, we find that the discrimination can be performed robustly for a majority of the calls using a small set of features. Remarkably, features learned from unsupervised methods, specifically latent Dirichlet allocation, perform almost as well as with as those from supervised methods. The unsupervised clusters learned in this task shows promise of finer grain inference of social nature of telephone conversations.

We develop several kernel methods for classification of longitudinal data and apply them to detect cognitive decline in the elderly. We first develop mixed-effects models, a type of hierarchical empirical Bayes generative models, for the time series. After demonstrating their utility in likelihood ratio classifiers (and the improvement over standard regression models for such classifiers), we develop novel Fisher kernels based on mixture of mixed-effects models and use them in support vector machine classifiers. The hierarchical generative model allows us to handle variations in sequence length and sampling interval gracefully. We also give nonparametric kernels not based on generative models, but rather on the reproducing kernel Hilbert space. We apply the methods to detecting cognitive decline from longitudinal clinical data on motor and neuropsychological tests. The likelihood ratio classifiers based on the neuropsychological tests perform better than than classifiers based on the motor behavior. Discriminant classifiers performed better than likelihood ratio classifiers for the motor behavior tests.

Spoken responses produced by subjects during neuropsychological exams can provide diagnostic markers beyond exam performance. In particular, characteristics of the spoken language itself can discriminate between subject groups. We present results on the utility of such markers in discriminating between healthy elderly subjects and subjects with mild cognitive impairment (MCI). Given the audio and transcript of a spoken narrative recall task, a range of markers are automatically derived. These markers include speech features such as pause frequency and duration, and many linguistic complexity measures. We examine measures calculated from manually annotated time alignments (of the transcript with the audio) and syntactic parse trees, as well as the same measures calculated from automatic (forced) time alignments and automatic parses. We show statistically significant differences between clinical subject groups for a number of measures. These differences are largely preserved with automation. We then present classification results, and demonstrate a statistically significant improvement in the area under the ROC curve (AUC) when using automatic spoken language derived features in addition to the neuropsychological test scores. Our results indicate that using multiple, complementary measures can aid in automatic detection of MCI.

We develop new techniques for time series classification based on hierarchical Bayesian generative models (called mixed-effect models) and the Fisher kernel derived from them. A key advantage of the new formulation is that one can compute the Fisher information matrix despite varying sequence lengths and sampling times. We therefore can avoid the ad hoc replacement of Fisher information matrix with the identity matrix commonly used in literature, which destroys the geometrical grounding of the kernel construction. In contrast, our construction retains the proper geometric structure resulting in a kernel that is properly invariant under change of coordinates in the model parameter space. Experiments on detecting cognitive decline show that classifiers based on the proposed kernel out-perform those based on generative models and other feature extraction routines.