USA Trials and Pilot Activity
From Capsil Wiki
| Country | Title | Year | Funded | Type | Details | Results/Recommendations |
| US | ORCATECH - ISAAC | 2007 - 2011 | National Insititute on Aging | AAL, COG | The purpose of this study is to monitor various types of activity in the homes of elders using motion sensors and computer monitoring to detect cognitive change. Metrics include speed of walking, speed of typing, daily activities (inferred eating, sleeping, total activity), as well as cognitive metrics from specialized computer games. 250 participants. | Due in late 2011. |
| US | ORCATECH - Cognitive Health Coaching | 2009 - 2012 | Intel, Alzheimer’s Association, National Institute on Aging | AAL, COG | Phase 1 of this trial demonstrated the feasibility of using remote monitoring and automated tailored messaging to deliver a coaching intervention to the homes of older adults for cognitive health using adaptive cognitive games and novelty exercises. Phase 2 adds sleep management (monitoring from mats & motion), socialization (Skype w/family), and physical exercise. 20 participants. | Late 2011. |
| US | Project ACCESS | 2004 - 2009 | NIDRR | AAL | This project focused on the development of devices for providing assistance in route finding and community mobility. | Based on study findings, a framework for automatically generating directions using a MDP model was developed which helped customize directions according to individual health conditions, direction preference, place familiarity and way finding error behaviour. Work continues to move devices toward commercialization |
| US | Assisted Cognition Project | 2001 | - | AAL, COG | The goal of the Assisted Cognition project is to develop novel computer systems that will enhance the quality of life of people suffering from Alzheimer’s Disease and similar cognitive disorders. Assisted Cognition systems use ubiquitous computing and artificial intelligence technology to replace some of the memory and problem-solving abilities that have been lost by an Alzheimer’s patient. | Development of the ACTIVITY COMPASS that helps reduce spatial disorientation both inside and outside the home, and an ADAPTIVE PROMPTER that helps patients carry out multi-step everyday tasks. |
| US | MARC - Smart in home monitoring system | - | - | AAL | Medical Automation Research Centre (MARC), at the University of Virginia, has developed technological solutions for in-home monitoring of residents in order to provide quality of life indicators. The in-home monitoring system is composed of a suite of low-cost, non-invasive sensors (strictly no cameras or microphones), and a data logging and communications module, in addition to an integrated data management system, linked to the Internet. | Improved informal care effectiveness without increasing intrusion, reduced cost of informal care, reduced burdens on the informal caregiver, involving the care recipient in health promoting activities and decision-making. An extended healthy, active and dignified life for the elders that can be widely accessible to the low-income strata of society. Delayed admittance to specialized institutions, and hence a reduced cost of formal elder care. Reduced formal care burdens, and hence improved formal care. |
| US | Alarmnet : Laboratory for Real-Time & Embedded Computing (Fall detection project) | 2009 | - | AAL | AlarmNet is an assisted-living and residential monitoring network for smart healthcare research that opens up new opportunities for continuous monitoring of elders or those in need of medical assistance;Fall detection project use s accelerometers and gyroscopes to detect body posture and transitions for higher accuracy fall detection. CamCare: uses cameras to improve fall detection, localization, and other services while preserving resident privacy and security. | Fall detection algorithm that can reduce both false positives e.g. sitting down fast) and false negatives (e.g. falling on stairs) by using gyroscopes and accelerometer-derived posture information. It also features low computational cost and fast response. |
| US | Alarmnet : Laboratory for Real-Time & Embedded Computing (Camcare project) | Current? | - | ALL | Currently the AlarmNet system does not integrate cameras due to their power and privacy challenges. Research in this project focuses on using cameras efficiently and securely for tracking multiple people, data association and verification. | Results awaited |
| US | Sympathetic device research - Awarehome:Georgia Tech | 2008 - 2009 | - | AAL | Project focus is on developing communication devices for the elderly across all levels of housing options to maintain social connectedness. | Results presented at HCI 2009 in July 2009 |
| US | Android application :iFall | 2009 | - | AAL | Alert system for fall detection using common commercially available electronic devices to both detect the fall and alert authorities. Use of an Android-based smart phone with an integrated tri-axial accelerometer. Data from the accelerometer is evaluated with several threshold based algorithms and position data to determine a fall. The threshold is adaptive based on user provided parameters such as: height, weight, and level of activity. The algorithm adapts to unique movements that a phone experiences as opposed to similar systems which require users to mount accelerometers to their chest or trunk. | Realizable, cost effective solution to fall detection using a simple graphical interface while not overwhelming the user with uncomfortable sensors. |
| US | AwareHome: Mobile Access to Health Information | Current | - | Diabetes | MAHI is a mobile application that uses mobile media features for easy capture of activity records; connected via bluetooth to a glucosemeter helps to know impact of activities on blood sugar; pts can view them on password protected website and then discuss with health care providers | Pending |
| US | ARES - (Apnea sleep risk evaluation system) | 2005 | NIH, National heart, lung and Blood institute | Sleep apnoea | To evaluate the accuracy and practicality of the Apnea Risk Evaluation System (ARES; Advanced Brain Monitoring; Carlsbad, CA), a limited-channel system for diagnosing sleep apnea/hypopnea in the home in a prospective randomized study with blinded analysis in 299 subjects | The ARES demonstrated consistently high sensitivity and specificity for both in-laboratory and in-home recordings thus providing a low-cost alternative to traditional polysomnography. |
| US | CCHT-Care coordination and home telehealth program | 2004-2008 | VA | Integrated home health | A 4 year trial with a population of 17,025 with the Health hero network's health buddy system: Health buddy has over 30 programs where patients answer a series of questions about their health and wellbeing. Data transmitted via telephone line or Ethernet connection to a secure data center. The data is then available for review on the web-based Health Buddy Desktop. Patient responses are color-coded prompting intervention. Peripheral devices include: scale, glucose meter, peak flow meter, blood pressure cuff, pulse oximeter. | Results show a reduction of 19.74 percent in hospitalizations and 25 percent in bed days of care. |
| US | CCHT-Care coordination and home telehealth program | 2004-2008 | VA | Diabetes | A 2 year retrospective, concurrent matched cohort study where older veterans with type 2 DM were enrolled in home telehealth program. Healthcare utilization (hospitalizations, length of stay, and outpatient visits by type) was assessed at baseline and at 24 months after intervention for the treatment (n = 400) and comparison (n = 400) groups. | The treatment group exhibited a statistically significant reduction in the likelihood of allcause and DM-related hospitalizations. |
| US | Centura Health at Home | Pilot project Started in 2004 and now has been expanded throughout the state of Colorado | Centura health | Heart failure, COPD and Diabetes | The project has treated 897 patients as of now after the pilot over a period of five years.Centura Health at Home, is also currently offering HT (Lifeview) to 167 Medicare members with heart failure, COPD and diabetes. Lifeview Combines patient monitoring and interactive video allowing healthcare professionals to monitor the status of the patients. | Rehospitalization rates for its patients (measured over 30 days from an initial hospital visit) are 9.1 percent, versus approximately 20 percent for all Medicare patients nationwide. |
| US | CLEAR-Skin temperature monitoring and diabetes | 2007 | NA | Diabetes | To evaluate the effectiveness of home temperature monitoring to reduce the incidence of foot ulcers in high-risk patients with diabetes; 18 mth RCT with 225 diabetics at high risk for ulceration; the study grp used an infrared skin thermometer to measure temperatures on 6 foot sites twice daily and contacted nurse in case of discrepancy | Intervention was associated with a significantly longer time to ulceration (P=.04), adjusted for elevated foot ulcer classification (International Working Group Risk Factor 3), age, and minority status indicating that self monitoring reduces the risk of ulceration |
| US | Health Buddy Project | 2006 - 2009 extended to 2012 | Bosch in partnership with AMA; Wenatchee valley medical center in Washington and Bend memorial clinic | Integrated home health | Centers for Medicare and Medicaid Services have extended the health Buddy Project for a period of 3 years. The technology is also being used in the Medicare High Risk Demonstration project with approximately 1,000 patients in California Health buddy has over 30 programs where patients answer a series of questions about their health and wellbeing. Data transmitted via telephone line or Ethernet connection to a secure data center. The data is then available for review on the web-based Health Buddy Desktop. Patient responses are color-coded prompting intervention. Peripheral devices include: scale, glucose meter, peak flow meter, blood pressure cuff, pulse oximeter. | Due 2012 |
| US | Home care telehealth intervention | 2006 | VA | Telehealthcare | To determine whether adding telehealth technology to traditional home care services increases health-related quality of life (HRQOL) and home care satisfaction in 37 home care pts; at baseline and at 6 months | The use of telehealth services in addition to traditional home care is associated with greater improvements in mental health status and a trend toward lower use of inpatient and outpatient healthcare services |
| US | HSR&D | 2009-2012 | VA | Communication in CHF care coordination | To identify the particular practices of communication associated with implementation of the CCHT program that promotes patient participation and improves outcomes so as to train staff in best practices, reduce readmission hospitalization rates, and set evaluation standards. | Due 2012 |
| US | ProjectHealthDesign | 18 month project beginning July 2006 | RWJ Foundation | Heart failure and heart disease, Diabetes | To design a Personal Health Management Assistant tool intended to assist patients diagnosed with heart failure and heart disease (HF/HD) in self-managing their condition at home;software system interacts naturally with HF/HD patients to help them collect, manage and use their personal health information | To help patients better manage their chronic illnesses and to shift the organization of health care toward patients’ needs, the team from the University of Washington designed a system that allows people with diabetes to record their blood glucose levels, blood pressure, food intake and exercise levels, and quickly upload these readings wirelessly over a mobile phone to their health care provider via the Internet. |
| US | Remote arrhythmia monitoring | Current | NASA Glenn research center and MetroHealth system | Cardiac arrhythmia | The "real-time"monitoring device permits patients to resume daily activities while being monitored by a medical staff around-the-clock maintaining a connection to cardiac services call center. | Pending |
| US | Roanoke Chowan Community Health Center (RCCHC) | 2008 | NA | Integrated home health | 40 in-home patients used HealthBuddy over a 6 month period | Results showed 69 percent fewer ED visits compared with the previous six months. The study noted a 71 percent reduction in hospitalizations with the use of HT over approximately one year. |
| US | Rural Home care project | 2000-2002 | VA | Diabetes and Heart failure | Three care coordinators consisting of two nurse practitioners and a social worker collaborate with primary care providers in the management of 281 high-risk, high-cost veterans with multiple chronic diseases such as diabetes and heart failure. The project staff uses home telehealth devices (Health Buddy system)to proactively monitor and educate patients to prevent healthcare crises | Results show that care coordination enhanced by technology reduced hospital admissions, bed days of care, emergency room visits, and pharmacy prescriptions while showing high patient and provider satisfaction. Veterans also had improved perception of physical health as evidenced by a standardized functional status measure |
| US | SPAN CHF II Specialized Primary and Networked Care in Heart Failure II | 2005 | NA | CHF | A Tufts medical center study of 188 heart failure patients over a 90-day period following the initial hospital stay. Randomized trial to compare automated home monitoring system (Phillips Helath hero system) plus disease management program and disease management program only. | This study found that hospitalizations related to heart failure were reduced by 72 percent with the use of HT. ospitalizations for other cardiovascular conditions were reduced by 63 percent. |
| US | Telehomecare project | 2001 | Congestive cardiac failure, COPD, chronic wound healing | To measure patients' perceptions of a telehomecare system before and after they have participated in it and identify the features of the system that patients perceived differently after experiencing it.Randomized control trial with 28 pts. | The experimental group showed an overall more positive perception of the system after their experience (total score increase by 6.059, p < 0.0001), and the mean score difference was higher compared to the control group (mean 6.241, p < 0.0001) suggesting wide acceptance of such technology among patients. | |
| US | Telemedicine Experiment - NASA Advanced Communication Technology Satellite (ACTS) | ? | NASA and Jet propulsion lab at caltech | Integrated home health | NASA has launched an Advanced Communications Technology Satellite (ACTS) and JPL has developed an ACTS Mobile Terminal (AMT) to demonstrate telemedicine via satellite. Ultrasound images were successfully sent via the AMT and ACTS from rural Washington to JPL (in Southern California) and then on to the University of Washington Medical Center via integrated services digital network (ISDN) data lines for diagnosis. Numerous data rates were evaluated during mock mobile army surgical hospital (MASH) excercises by the U. S. Army at Fort Lewis. | Higher bandwidth satellite communications provides higher-resolution medical imaging capabilities. Smaller system design at K/Ka-band makes system highly portable for use over a larger geographic area. |
| US | TRUST | 2008 | Biotronik | Cardiac events ICDs | TRUST (Lumos-T Safely Reduces Routine Office Device Follow Up) is the first and largest study to test remote monitoring and rapid detection of symptomatic and asymptomatic cardiac events in a prospective, randomized trial in 1,443 patients in North American sites,. The study used BIOTRONIK Home Monitoring®, an automatic, wireless system that performs daily telemetric surveillance of the patient and the technical status of the implanted device, without requiring patient activation. | The study concluded that remote monitoring with automatic daily surveillance provides rapid detection and notification of both symptomatic and asymptomatic arrhythmic events, enabling early physician evaluation. |
- Back to International Pilot Activity Page
- Back to main Body Sensor Networks Page
- Back to Main Page
