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A Novel and Intelligent Home Monitoring System for Care Support of Elders with Cognitive Impairment
Lazarou I, Karakostas A, Stavropoulos TG, Tsompanidis T, Meditskos G, Kompatsiaris I, Tsolaki M.. Journal of Alzheimer's disease : JAD, 2016-10-01
Topic: Risk, prevention and care in population studies
Background Assistive technology, in the form of a smart home environment, is employed to support people with dementia. Objectives To propose a system for continuous and objective remote monitoring of problematic daily living activity areas and design personalized interventions based on system feedback and clinical observations for improving cognitive function and health-related quality of life. Methods The assistive technology of the proposed system, including wearable, sleep, object motion, presence, and utility usage sensors, was methodically deployed at four different home installations of people with cognitive impairment. Detection of sleep patterns, physical activity, and activities of daily living, based on the collected sensor data and analytics, was available at all times through comprehensive data visualization solutions. Combined with clinical observation, targeted psychosocial interventions were introduced to enhance the participants' quality of life and improve their cognitive functions and daily functionality. Meanwhile, participants and their caregivers were able to visualize a reduced set of information tailored to their needs. Results Overall, paired-sample t-test analysis of monitored qualities revealed improvement for all participants in neuropsychological assessment. Moreover, improvement was detected from the beginning to the end of the trial, in physical condition and in the domains of sleep. Detecting abnormalities via the system, for example in sleep quality, such as REM sleep, has proved to be critical to assess current status, drive interventions, and evaluate improvements in a reliable manner. Conclusion It has been proved that the proposed system is suitable to support clinicians to reliably drive and evaluate clinical interventions toward quality of life improvement of people with cognitive impairment.
Key findings
- Results Overall, paired-sample t-test analysis of monitored qualities revealed improvement for all participants in neuropsychological assessment.
Why it matters
In four homes of people with cognitive impairment, a smart home monitoring system with tailored interventions was associated with improvement in neuropsychological assessment for all participants. This is a very small study of monitoring and support, not a treatment, cure or prevention of Alzheimer's disease.
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Study details
- Evidence strengthLow
How this study scored 47/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Alzheimer's disease : JAD) |
| Journal's citation record | 2 / 4 | Journal of Alzheimer s Disease: journal h-index 218 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2016 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (pubmed indexes it as a clinical or observational study) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 5 / 7 | Cited 114 times (OpenAlex, 2026-10-10) |
| Citations per year | 3 / 5 | 9.5 citations a year over 12 year(s) since 2016 |
| Impact for its field and year | 3 / 6 | Cited 5.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 3 other studies in this library |
| Still being cited | 2 / 4 | Cited 25 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Magda Tsolaki: h-index 103 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Aristotle University of Thessaloniki: institution h-index 560 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 4 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 27636843) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 47 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
APA 7th
Lazarou, I., Karakostas, A., Stavropoulos, T. G., Tsompanidis, T., Meditskos, G., Kompatsiaris, I., et al. (2016). A Novel and Intelligent Home Monitoring System for Care Support of Elders with Cognitive Impairment. Journal of Alzheimer's disease : JAD. https://doi.org/10.3233/jad-160348
Vancouver
Lazarou I, Karakostas A, Stavropoulos TG, Tsompanidis T, Meditskos G, Kompatsiaris I, et al. A Novel and Intelligent Home Monitoring System for Care Support of Elders with Cognitive Impairment. Journal of Alzheimer's disease : JAD. 2016. doi:10.3233/jad-160348. PMID: 27636843.
BibTeX
@article{lazarou2016-27636843,
author = {Lazarou, I. and Karakostas, A. and Stavropoulos, T. G. and Tsompanidis, T. and Meditskos, G. and Kompatsiaris, I. and Tsolaki, M.},
title = {{A Novel and Intelligent Home Monitoring System for Care Support of Elders with Cognitive Impairment}},
journal = {Journal of Alzheimer's disease : JAD},
year = {2016},
doi = {10.3233/jad-160348},
pmid = {27636843},
url = {https://doi.org/10.3233/jad-160348}
}
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