PSA EU Projects FATE
Competitiveness and Innovation Framework Programme CIP-Pilot actions 2007-2013 297178 Fall Detector for the Elder EU Falls Festival Parallel Session A: EU Project Showcase FATE presentation FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Outline 2 ¡ Introduction to FATE ¡ Brief description and objectives ¡ FATE Technological approach ¡ Implemented pilots ¡ COOSS experience ¡ TER/NUIG experience ¡ FATE lessons learnt ¡ Generation of a market product: SENSE4CARE FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Introduction to FATE project: main objectives 3 • FATE is a CIP-ICT-PSP project • Timeline: 1/3/2012 – 31/5/2015 • Validate an innovative and efficient ICT-based solution focused on improving the elder’s quality of life by an accurate detection of falls, both at home and outdoors • A system contributing to the fall prevention • Analysis of the performance of FATE connected to already existing call centers and alarm reception centers. FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ FATE: additional objectives 4 ¡ Improvement of the quality of life of elderly people with risk of falling. ¡ Validation of the system through the organization of pilots in 3 countries, with the participation of 205 users. • From a technological view point • From a usability view point ¡ Use of complementary devices: • Fall detector worn in the waist • Bed sensor during the night • i-Walker testing together with the fall detector ¡ Test of the user experience from the call centre owner view point. FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ FATE: European dimension 5 3 main pilots • Tech support • Med support • Call center FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Technological approach 6 ¡ The technological set used in FATE for piloting purposes: • The fall detector sensor • The bed sensor Central computer • Smartphone • Home computer • Zigbee wall-routers • Bluetooth dongle ZigBee routers Smartphone FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Bed sensor Set of components and functionality 7 • Bed presence sensor: – Detects if the user has not been present in bed for a specified amount of time when not wearing the fall detector • Central computer: – Coordinator of the ZigBee network – Relays to the smartphone the messages sent by the fall detector and the bed presence sensor • Wireless components: – Bluetooth dongle (central computer) – ZigBee dongle (central computer) – ZigBee wall routers FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Set of components and functionality (and 2) 8 • Smartphone: – Manages the messages sent by the fall detector and bed presence sensor – Generates alerts for the call centre Alerts Fall detection Fall recovery User panic No sensor/low batt No sensor (fall?) Out of bed (fall?) Description The fall detector detects a fall and a specified amount of time has expired without neither a user recovery or a cancellation through the application A fall has been detected but the fall detector found that the user was able to stand up afterwards The user has pressed the panic button on the fall detector The smartphone and the central computer don’t receive any communication from the fall detector for a specified amount of time, and the last message received indicated a low battery value The smartphone and the central computer don’t receive any communication from the fall detector for a specified amount of time, and the last message received indicated a correct battery value The user left bed during nighttime and didn’t come back after a specified amount of time FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Smartphone interface 9 • Messages at different levels • Timing filters for avoiding false alarms • Low battery indication • Android OS FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilots activity 10 • Scientific protocol designed to assess the FATE system in multiple domains, including user and stakeholder perspectives • Participants will undergo an intervention period (6 months) and a control period (6 months) separated by a washout period (minimum 1 month) • SPAIN: 75 users living at home • Italy: 50 users living at home + 30 users in FSL hospital • Ireland: 50 users living at home Three different Call centers or Alarm reception units with different protocols FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilot activity: inclusion criteria 11 • Older than 64 years old • At least 1 fall in the previous 6 months or alternatively a high enough risk of fall determined by the responsible of the local recruitment • Ability to walk without human assistance indoors. • Willing to participate in the study and wanting to co-operate in all its parts, accepting the performance regulations and procedures provided by the researchers • A family member or relative available FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilots experience 12 ¡ COOSS experience in Italy ¡ TER/NUIG experience in Ireland FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ 7/4/15 Pilot experience: COOSS in Italy 13 ¡ COOSS provides care services to a wide typology of elderly and disabled people, either at home and within residential settings. ¡ It serves around 3000 elderly persons all over the regional area. ¡ Marche is one of the regions with the highest life expectancy in Italy: it extends from the coast to the mountains. ¡ FATE appeared to be a promising device for elderly living alone in mountainous areas, often in isolated villages where the climate conditions make connections difficult and, if a fall occurs, days can pass before someone discovers it. FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilot experience: Users’ recruitment 14 COOSS decided to involve two different groups in the FATE pilots: ¡ 25 users living in the mountainous area (1st intervention group) ¡ 25 users living in a bigger and well served town (2nd intervention group) Recruitment done according to the inclusion criteria FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilot experience: 1st group 15 Problems met: ¡ Very old users, without technological alphabetization (they had problems even to handle a mobile phone) ¡ Resistance to participate, because afraid not to be able to manage what, in their perception, was a very difficult system ¡ Technical barriers: mobile network coverage often missing (which excluded a high number of potential users) Out of a basin of about 300 potential users living in that mountainous area, we succeeded in recruiting the 25 needed for the trials with difficulty FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilot experience: 1st group 16 ¡ Continuous monitoring, motivating, reassuring, assisting and mediating was needed to guarantee the proper performance of the trials, which was a very demanding task for the project staff; ¡ A very limited number of falls was registered, because of: • Misuse of the system on the elderly part; • Extremely sedentary life, mainly indoor, which prevented occasions for falls ¡ Drop outs mainly occurred for technical reasons and users’ discouragement because of them FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilot experience: 2nd group 17 ¡ No recruitment problems ¡ Frequent falls, because of a more active style of life ¡ No big technical problems, because: • FATE improved • More used to mobiles and ICTs also because of intergenerational exchanges ¡ Less assistance needed (weekly calls and monthly visits were enough) ¡ Drop outs, when occurred, were due to health problems, degeneration of their cognitive abilities and loss of memory, which hindered a proper use of the FATE system FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilot experience: final considerations 18 ¡ Positive feedback was received by family members and contact persons, who said to feel safer knowing that their relative was assisted by FATE; ¡ The collaboration of relatives in motivating elderly to use FATE revealed crucial in the smooth performance of the trials. ¡ We received requests for information from different parts of Italy, especially from children forced to leave their elderly relatives alone and unattended for many hours a day; ¡ FATE has great potentialities, but it was hardly accepted by the users who, in our case, would have mostly needed it (group 1). Its technical improvement will hopefully overcome this problem FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Pilot Experience: NUIG/TER Ireland 19 Pilot Site Average Age in Years (Min-Max) Gender (%) Male / Female Living Alone (%) NUIG 77.3 (65.4 – 90.8) 38 / 62 62 Pilot Site NUIG Number of Users who experienced a fall Number of Fall events Control / Intervention 2/3 FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Control Intervention 2 (11%) 3 (25%) Pilot Experience: NUIG/TER Ireland 20 Pilot Site NUIG Number of Users Control / Intervention 12 / 12 Number of Drop Outs Control Group Intervention Group 13 (52%) 13 (52%) Key Factors Number of Drop Outs 1. Illness 4 2. Fear of Technology 7 3. Caused Illness 1 4. Acceptance/Life stage 3 5. Disruptive/Intrusive 10 FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Feedback from Call Centre: TER 21 ¡ Ireland (TER) • The operators felt the participants did not fully understand how to use the system. • Forgetting the mobile phone was an issue and produced false alarms. • They found carers were happy that their loved one was involved in the trial. • The system comprises of a lot of separate equipment which added complication and raising non emergency alerts e.g. TOO MUCH TIME OUT OF BED. FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Feedback from Professionals/Participants 22 ¡ Strengths: ¡ Improved quality of life. ¡ Gave participants and caregivers peace of mind. ¡ Encouraged participants to continue or recommence participating in their Activities of Daily Living. ¡ Allowed participants greater freedom. ¡ Reduced stress and anxiety levels. FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Feedback from Professionals/Participants 23 ¡ Weaknesses: ¡ Recruitment for the pilot was an issue. ¡ Training participants on how to correctly use the system was a challenge. ¡ Forgetting the mobile phone was initially a concern. ¡ Dealing with drop outs and encouraging participation in the trial was a challenge. FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Lessons learnt during the piloting experience 24 ¡ FATE system, as a whole, is too complex and, probably, too expensive. ¡ Some usability issues were detected after users’ comments and feedback • Complicated to manage for elderly people (some of them not used with Smartphones) • Fall detector too big. • Users don’t like lights in the device (stigmatization issue) • Problems with the physical panic button (main generator of false alarms to the call centres) • Provided belt is too hot and the users don’t like actual aspect. • Manage of rechargeable battery could be complicated FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Lessons learnt …. (2) 25 ¡ Additionally, the consortium was asked by the review panel … To explore potential competitor products in the telecare and telehealth markets (WP5 activities) on a global level and to benchmark new products (based on desk research) with the FATE system. § A list of 31 comparable technologies was obtained. Among them, a more reduced list of 10 was selected and were evaluated in relation to the following parameters: FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ 7/4/15 Lessons learnt …. (3) 26 ¡ After analysis of data in the mentioned, it can be deduced: ¡ FATE system compares well with most of the solutions currently available. ¡ In some cases, competitor offers advanced features (this is the case of Philips LifeLine GoSafe) ¡ FATE system includes a bed sensor that permits monitoring during sleep time, when sensor is not worn. ¡ Competitor products analysis has been complemented with an analysis of related services in the different countries These analyses together with the conclusions on functioning test and acceptance of FATE solution, should help to identify the features the sensor must present in order to have competitive opportunities in the market. FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Lessons learnt …. The evolution 27 Main characteristics for an evolved product: ¡ Fall detection for occasional use. This situation corresponds to a person who is cared by a relative but that sometimes, and usually for a short period of time (ranging from hours to a couple of weeks), is unattended. No subscription or monthly fees are required. ¡ Simple and unobtrusive sensor. This implies that it should be light and small enough in order to not be detected by external observers. ¡ Extremely simple user interface and maintenance. No buttons or switches and powered by replaceable batteries, so that there is no need for a dedicated charger. ¡ The sensor should be managed by the user’s smartphone by means of a specific application, so that there is no need for a dedicated one. The sensor communicates with the smartphone by means of a Bluetooth wireless link. ¡ Inexpensive system. The target price for the fall sensor and the associated smartphone application should fall below 100 €. ¡ The sensor should be purchased by means of standard consumer channels (pharmacy, drugstore, smartphone accessories booth, directly from the company web page…) FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ A new product in the market 28 • The Fall Detector is a unique personal device based on a tri-axial accelerometer and a specific algorithm. • These features are complemented by a telecommunications layer involving Bluetooth technology, able to send alarms when falls occur. Standard AAA batteries power the system, with a 3 months life. • Highly discreet, it can be worn in a customized or on a normal daily belt • No buttons needed. All user/device interactions are executed through a clever and simple APP for Android smartphones. 4,5cm ¡ Commercialization done by SENSE4CARE (Spin-off company from UPC) 6,5cm A new product in the market 29 The role of the mobile phone is to carry out automatically the communication with the emergency services in the case a fall occurs and also to provide geolocation when the user is outdoors. How it works user falls automatic detection automatic APP response assistance Fall Detector FALL DETECTED! AUTOMATIC CALL Medical Center CANCEL Relatives FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ A new product in the market 30 Fall Detector More than 2 months of autonomy Wear it & turn on in just one click FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/ Coverage in-house and outdoors Affordable: Get one for less than 100 euros FATE: final conclusions. 31 ¡ Good experience ¡ Technology (Fall detector) tested and validated (final results and statistics are still pending): no false negatives. ¡ Interaction with call centers positive: opens the door to a further and deep consideration • How protocols must be adapted • How to treat and filter possible false positive ¡ Evolution to a product for the market (next April/May 2015) FATE| CIP-Pilot actions 297178 | http://www.project-fate.eu/
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