Caress Semantic Sense Care

The Impact of Digital Health on Our Everyday Lives

Thanos StavropoulosPostdoc Researcher - CERTH-ITICEO & Co-Founder - Carealia

Who we are

Ioannis Kompatsiaris PhD Electrical EngineeringR & D Manager, Co-founderThanos StavropoulosPhD InformaticsCEO, Co-founderMagda TsolakiProf. NeurologyChair of Greek Alzheimers FederationAdvisorGeorgios MeditskosPhD InformaticsCTOIoulietta LazarouBSc Psy. MSc Neurol.Clinical Researcher

Vivi NtrigkogiaMBA, MSc InformaticsMarketing & Sales

The Problem

604$

818$

1$

2$Worldwide Annual Care Cost2010201520182030Greece, 2014

200.000 people89% living at home

400.000 carers

6B annual care costBBT

Chronic or age-related diseaseWithdraw from societyInaccessible/inaffordable care

Carealia, as it promises increased quality of care, robustness, saving time and energy for caregivers, it can be an asset to anyone associated with care such as doctors, psychologists, caregivers, nursing home and clinic managers and people with dementia themselves.

3

European DirectivesHighlighting the need for regulation not only technological solutions

EUROPEAN INNOVATION PARTNERSHIP on Active and Healthy Ageing (EIPonAHA)C2: Independent LivingSolutionsBlueprint on health to collaboratively shape future strategiesReference Pilot Sites

UN/EC Mapping the current Active Age IndexParticipation in society etc.

A Promising Solution: Digital HealthcareThe Device Market (Internet of Things IoT)5.1B $ in 2015, 18.9B $ in 2020

Accelerated Clinical Trials60% penetrationMobile apps and in-home-clinical-grade devices are most common now97% will increase their usageWearable trackers will be the future focus70% believe data collection will shape chronic illness treatment

Lower Healthcare CostsMedication adherence for diabetes, High blood pressure or cholesterol

Remote MonitoringAvoid hospitalization for heart failure, pneumonia and moreSource: Samsung Report 2016

An Example in Dementia Care

www.demcare.eu, 2011 - 2015

Current Dementia TreatmentNo effective cure to this day

Pharmaceutical Treatment Delay symptoms in dementia stage AD stage

Non-pharmaceutical interventions (Brain Workout)Delay the progress of the disease MCI stageRequire psychologist-clinician presenceTime-consuming, Subjective observation by cliniciansHigh cost and error-prone

Speech and attention exercisePen and pencil problem solvingBrain games on the computerLearning new skills such as paintingDaily physical exercise such as danceCognitive Behavioral Therapy including relaxationUse of natural products (crocus, green tea, turmeric)

Interventions via Ambient Assisted Living

Reliable and affordable monitoring behavioral patterns and symptoms related to the disease aided by technologyInternet of Things (IoT)CollectionArtificial Intelligence (A.I.)Intelligent Interpretation to meaningful information

Multi-modal Monitoring & Analytics

Lab Environment

Home Environment

Everyday-Life ImpactToo complex and non-portable system to reach a wide audience

The life of participants & technological breakthroughs

SWEDENIRELANDFRANCE &GREECEGREECENursing HomesHomesClinical TrialsHomes

10

6

290

2Cognitive State Improvement75% of usersMood, Sleep, Physical State Improvement100% of usersDetection of symptoms and problems88% accuracySemi-automatic accelerated lab trialsLab Cognitive state assessment86% accuracyRecognition of daily activities80% accuracy

Intelligent Sense CarePersonalized AppsFor end-users, carers, relativesFor clinicianse.g. showing trends in timeSensing Ambient or WearableReliable measurementse.g. Presence, HR, stepsIntelligent InterpretationTransform measurements to meaningful behaviors and symptomse.g. Stress, Sleep quality

Sensor Data CollectionUniform RepresentationInterpretationExtraction of Behaviors and SymptomsAlertsWeb & Mobile AppsExpert KnowledgePersonalized Interventions

ApplicationsTrends and in-depth timeline to pinpoint symptoms, correlations and their causes

Web ApplicationMobile Application

LogisticsFree selection of supported IoT bundlesFuture-proofSemantically interoperable and extensible

Monthly Subscription per end-user for interpretation and support

Target EnvironmentsHomes & Nursing Homes

BenefitsInterconnectedDevices, end-users, relatives, carers and clinicians stay connected

Holistic MonitoringAll life aspects: physical activity, daily functions, sleep and problems

Fully TailoredThe system adapts to spaces and people; not the other way around

Clinically TestedBased on clinical trials from all over Europe

Carelias innovation promises to revolutionize dementia care.

Competition focuses on monitoring a single life aspect each time, while Carealia provides multi-modal monitoring, such as sleep, physical activity and stress detection, combined with intelligent interpretation to detect patterns and clinical issues

Also, competition provides e-learning software and reminders, essentially assisting certain interventions such as brain games and pill-taking reminders with ICT. On the contrary, Carealia is not part of a specific intervention itself, but rather gives a holistic view of many life aspects, allowing to design, monitor and assess any type of existing clinical intervention, such as exercise, walks, chores, drinking tea etc.

As such, Carealia does not rely on further equipment for an intervention itself (e.g. a tablet) but only requires non-intrusive cutting-edge ambient and wearable sensors for holistic monitoring that are robust, comfortable and acceptable by the users.

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In action

Extending Beyond DementiaActive & Healthy Ageing (AHA)

What if healthcare was not illness-driven but wellness-driven? Treatment vs. PreventionInstant, Targeted vs. Chronic, Holistic

The Importance of Being RelaxedMUSEReal-time meditation sensing and tracking

FitBit Charge 2Guided BreathingBrain-Computer InterfaceGaming, Meditation and morePositive impact in Neurodegenerative diseases

The Now: the IoT component, Clinical Pilots2017 - 2020Integrate major open IoT platformsDevelop a wide developer/user ecosystemProvide service discovery, matching and wide interoperabilityA Marketplace to discover try and install services

Large Scale Pilots (1 of the 5 EU LSPs)Multiple cities in Greece, Spain, Finland plus single-sites in UK, DE, FR, ITBehavioral monitoringHealthcare monitoringSmart mobility

Emotion detection

Facial expression recognition from cameras

Emotional properties such as stress from heart rate variability, perspiration, galvanic skin response, electrodermal activity

Mood based on multiple modalities, such as wearables + audio, and strong learning

MIT social coach labels conversation tone as Happy, Neutral or SadFeel greek startup tracks Happy, Sad, Angry Stressed, Satisfied

One of the holy grails in Digital Healthcare linked to Neuropsychological disorders

The Future: Intelligent CoachingOne of the dominant paradigms for the future healthcareEuropean H2020 call on this topicMany wearables already offer micro-coaching on fitness, sleep etc.A larger ideaNot only monitoring & clinical decision support but also system-generated 24/7 personalized advice & end-user support

Kristina EU H2020 Conversational agent to medically assist immigrants with language/cultural barriersEntranet (GR) Housemate+ Talking smart-home avatar

Intelligent Coaching ConceptIntelligence in every layerMultiple life aspectsPhysicalCognitiveMedicalEmotionalSocialHuman-intuitive HCISpeech recognition/generationLanguage semanticsContext-Emotion AwarenessPersonalized Decision MakingExpert knowledge & Learning

Concept submitted to EU H2020 SC1-PM-15-2017

Thank You

thanos@carealia.gr

http://carealia.gr

http://mklab.iti.gr

http://demcare.eu