Wang, Ju and Bauer, Jürgen and Becker, Marcus and Bente, Petra and Dasenbrock, Lena and Elbers, Katharina and Hein, Andreas and Kohlmann, Martin and Kolb, Gerald and Lammel-Polchau, Christopher and Marschollek, Michael and Meis, Markus and Remmers, Hartmut and Meyer zu Schwabedissen, Hubertus and Schulze, Mareike and Steen, Enno-Edzard and Haux, Reinhold and Wolf, Klaus-Hendrik
Zeitschrift für Gerontologie und Geriatrie
Background: As is well known, elderly people gradually lose the ability of self-care. The decline can be reflected in changes in their daily life behavior. A solution to assess their health status is to design sensor-enhanced living environments to observe their behavior, in which unobtrusive sensors are usually used. With respect to information extraction from the dataset collected by means of these kinds of sensors, unsupervised methods have to be relied on for practical application. Under the assumption that human lifestyle is associatedwith health status, this study intends to propose a novel approach to discover behavior patterns using unsupervised methods.Methods: To evaluate the feasibility of this approach it was applied to datasets collected in the GAL-NATARS study. The study is part of the Lower Saxony research network Design of Environments for Aging (GAL) and conducted in subjects’ home environments. The subjects recruited in GAL-NATARS study are older people (age ≥ 70 years), who are discharged from hospital to live alone again at their homes after treatment of a femoral fracture.Results: The change of lifestyle regularity is measured. By analyzing the correlation between the extracted information and medical assessment results of four subjects, two of them exhibited impressive association andthe other two showed less association. Conclusions: The approach may provide complementary information for health assessment; however, the dominant relationship between the change of behavior patterns and the health status has to be shown and datasets from more subjects must be collected in future studies.Limitations: Merely environmental data were used and no wearable sensor for activity detection or vital parameter measurement is taken into account. Therefore, this cannot comprehensively reflect reality.