Skip to main content
Top
Published in: Journal of Medical Systems 6/2013

01-12-2013 | Original Paper

Designing an Intelligent Health Monitoring System and Exploring User Acceptance for the Elderly

Authors: Kevin C. Tseng, Chien-Lung Hsu, Yu-Hao Chuang

Published in: Journal of Medical Systems | Issue 6/2013

Login to get access

Abstract

Recently, many healthcare or health monitoring systems are proposed to improve life quality of the elderly in the aging process. The elderly are generally with poor health and low information literacy. Low information literacy might be an obstacle of using such systems. This research considered the characteristics and the needs of the elderly and developed an intelligent health monitoring system for the elderly with low information literacy living in the nursing home. The system is intelligent since it can monitor the health status of the elderly based on clinical and medical knowledge, provide an easy-to-understand and easy-to-use user interface for the elderly, and automatically send important or emergency feedback to caregivers. Finally, we explored the user acceptance for the elderly using our proposed system based on the unified theory of acceptance and user of technology model. The experimental results indicate the developed system is highly accepted by the elderly in terms of performance expectation, endeavor expectation, social influence, and facilitating condition.
Appendix
Available only for authorised users
Literature
1.
go back to reference Population Reference Bureau, “2010 world population data sheet,” Population Reference Bureau, Ed., 1 ed. Washington: Population Reference Bureau, 2010, pp. 1–19. Population Reference Bureau, “2010 world population data sheet,” Population Reference Bureau, Ed., 1 ed. Washington: Population Reference Bureau, 2010, pp. 1–19.
2.
go back to reference Department of Health, “2008 statistics of causes of death”, Department of Health, Ed., 1 ed. Taipei, Taiwan: Executive Yuan 2009. Department of Health, “2008 statistics of causes of death”, Department of Health, Ed., 1 ed. Taipei, Taiwan: Executive Yuan 2009.
3.
go back to reference Kinsella, K., and He, W., “An aging world: 2008,” Department of health and human services and department of commerce, Eds., 1 ed. U.S. Government Printing Office, Washington, 2009. Kinsella, K., and He, W., “An aging world: 2008,” Department of health and human services and department of commerce, Eds., 1 ed. U.S. Government Printing Office, Washington, 2009.
4.
go back to reference Ministry of the Interior, “Benefits and policies of elderly,” Ministry of the Interior, Ed., 1 ed. Taipei, Taiwan: Ministry of the Interior, 2009. Ministry of the Interior, “Benefits and policies of elderly,” Ministry of the Interior, Ed., 1 ed. Taipei, Taiwan: Ministry of the Interior, 2009.
5.
go back to reference Chung, M. H., Hsu, N., Wang, Y. C., Lin, H. C., Huang, Y. L., Amidon, R. L., and Kao, S., Factors affecting the long-term care preferences of the dlderly in Taiwan. Geriatr. Nurs. 29:293–301, 2008.CrossRef Chung, M. H., Hsu, N., Wang, Y. C., Lin, H. C., Huang, Y. L., Amidon, R. L., and Kao, S., Factors affecting the long-term care preferences of the dlderly in Taiwan. Geriatr. Nurs. 29:293–301, 2008.CrossRef
6.
go back to reference Newell, K. M., Mayer-Kress, G., and Liu, Y. T., Aging, time scales, and sensorimotor variability. Psychology and Aging 24:809–818, 2009.CrossRef Newell, K. M., Mayer-Kress, G., and Liu, Y. T., Aging, time scales, and sensorimotor variability. Psychology and Aging 24:809–818, 2009.CrossRef
7.
go back to reference Lan, T. Y., Wu, S. C., Chang, W. C., and Chen, C. Y., Home environmental problems and physical function in taiwanese older adults. Arch. Gerontol. Geriatr. 49:335–338, 2009.CrossRef Lan, T. Y., Wu, S. C., Chang, W. C., and Chen, C. Y., Home environmental problems and physical function in taiwanese older adults. Arch. Gerontol. Geriatr. 49:335–338, 2009.CrossRef
8.
go back to reference Chung, W. Y., Multi-modal sensing M2M healthcare service in WSN. KSII Transactions on Internet and Information Systems 6:1090–1105, 2012. Chung, W. Y., Multi-modal sensing M2M healthcare service in WSN. KSII Transactions on Internet and Information Systems 6:1090–1105, 2012.
9.
go back to reference Jeon, B., Lee, J., and Choi, J., Design and implementation of a wearable ECG system. International Journal of Smart Home 7:61–70, 2013. Jeon, B., Lee, J., and Choi, J., Design and implementation of a wearable ECG system. International Journal of Smart Home 7:61–70, 2013.
10.
go back to reference Kogawa, H., and Ito, T., Fujitsu’s approach to healthcare information systems. Fujitsu Scientific and Technical Journal 47:105–113, 2011. Kogawa, H., and Ito, T., Fujitsu’s approach to healthcare information systems. Fujitsu Scientific and Technical Journal 47:105–113, 2011.
11.
go back to reference Liu, T., Guo, X., and Wang, G., Elderly-falling detection using distributed direction-sensitive pyroelectric infrared sensor arrays. Multidimensional Systems and Signal Processing 23:451–467, 2012.MathSciNetCrossRefMATH Liu, T., Guo, X., and Wang, G., Elderly-falling detection using distributed direction-sensitive pyroelectric infrared sensor arrays. Multidimensional Systems and Signal Processing 23:451–467, 2012.MathSciNetCrossRefMATH
12.
go back to reference X. Luo, T. Liu, J. Liu, X. Guo, and G. Wang, “Design and implementation of a distributed fall detection system based on wireless sensor networks,” Eurasip Journal on Wireless Communications and Networking, vol. 2012, 2012. X. Luo, T. Liu, J. Liu, X. Guo, and G. Wang, “Design and implementation of a distributed fall detection system based on wireless sensor networks,” Eurasip Journal on Wireless Communications and Networking, vol. 2012, 2012.
13.
go back to reference Mubashir, M., Shao, L., and Seed, L., A survey on fall detection: Principles and approaches. Neurocomputing 100:144–152, 2013.CrossRef Mubashir, M., Shao, L., and Seed, L., A survey on fall detection: Principles and approaches. Neurocomputing 100:144–152, 2013.CrossRef
14.
go back to reference Shou-ming, M., Ru-chuan, W., and Ning, Y., Using context prediction for elderly health monitoring in pervasive computing environments. International Journal of Digital Content Technology and its Applications 5:16–25, 2011. Shou-ming, M., Ru-chuan, W., and Ning, Y., Using context prediction for elderly health monitoring in pervasive computing environments. International Journal of Digital Content Technology and its Applications 5:16–25, 2011.
15.
go back to reference Toda, K., Fujioka, M., Fujii, A., Okawa, S., Shinohara, J., Tanaka, S., Nakamura, T., and Furuta, T., A home healthcare system with communication robot technologies—development of experimental systems and in-home verification experiments by older persons. Journal of Robotics and Mechatronics 23:951–968, 2011. Toda, K., Fujioka, M., Fujii, A., Okawa, S., Shinohara, J., Tanaka, S., Nakamura, T., and Furuta, T., A home healthcare system with communication robot technologies—development of experimental systems and in-home verification experiments by older persons. Journal of Robotics and Mechatronics 23:951–968, 2011.
16.
go back to reference Lin, S. P., Determinants of adoption of mobile healthcare service. Int. J. Mob. Commun. 9:298–315, 2011.CrossRef Lin, S. P., Determinants of adoption of mobile healthcare service. Int. J. Mob. Commun. 9:298–315, 2011.CrossRef
17.
go back to reference Lu, R., Lin, X., Liang, X., and Shen, X., A secure handshake scheme with symptoms-matching for mHealthcare social network. Mobile Networks and Applications 16:683–694, 2011.CrossRef Lu, R., Lin, X., Liang, X., and Shen, X., A secure handshake scheme with symptoms-matching for mHealthcare social network. Mobile Networks and Applications 16:683–694, 2011.CrossRef
18.
go back to reference Lu, R., Lin, X., and Shen, X., SPOC: A secure and privacy-preserving opportunistic computing framework for mobile-healthcare emergency. IEEE Transactions on Parallel and Distributed Systems 24:614–624, 2013.CrossRef Lu, R., Lin, X., and Shen, X., SPOC: A secure and privacy-preserving opportunistic computing framework for mobile-healthcare emergency. IEEE Transactions on Parallel and Distributed Systems 24:614–624, 2013.CrossRef
19.
go back to reference Maass, W., and Varshney, U., Design and evaluation of ubiquitous information systems and use in healthcare. Decis. Support. Syst. 54:597–609, 2012.CrossRef Maass, W., and Varshney, U., Design and evaluation of ubiquitous information systems and use in healthcare. Decis. Support. Syst. 54:597–609, 2012.CrossRef
20.
go back to reference Chen, C. Y., Wu, S. C., Chen, L. J., and Lue, B. H., The prevalence of subjective frailty and factors associated with frailty in Taiwan. Arch. Gerontol. Geriatr. 50:S43–S47, 2010.CrossRef Chen, C. Y., Wu, S. C., Chen, L. J., and Lue, B. H., The prevalence of subjective frailty and factors associated with frailty in Taiwan. Arch. Gerontol. Geriatr. 50:S43–S47, 2010.CrossRef
21.
go back to reference Espinoza, S., and Walston, J. D., Frailty in older adults: Insights and interventions. Cleveland Clinic Journal of Medicine 72:1105–1117, 2005.CrossRef Espinoza, S., and Walston, J. D., Frailty in older adults: Insights and interventions. Cleveland Clinic Journal of Medicine 72:1105–1117, 2005.CrossRef
22.
go back to reference Rockwood, K., Mogilner, A., and Mitnitski, A., Changes with age in the distribution of a frailty index. Mechanisms of Aging and Development 125:517–519, 2004.CrossRef Rockwood, K., Mogilner, A., and Mitnitski, A., Changes with age in the distribution of a frailty index. Mechanisms of Aging and Development 125:517–519, 2004.CrossRef
23.
go back to reference Hsu, P. J., Chang, J.-H., Lin, C.-Y., Lin, S.-H., and Lee, S.-D., Overiew of institutionalized long-term care. Taiwan Geriatrics and Gerontology 1:198–215, 2006. Hsu, P. J., Chang, J.-H., Lin, C.-Y., Lin, S.-H., and Lee, S.-D., Overiew of institutionalized long-term care. Taiwan Geriatrics and Gerontology 1:198–215, 2006.
24.
go back to reference Chen, S. L., Lin, H. C., and Jane, S. W., Perceptions of group music therapy among elderly nursing home residents in Taiwan. Complementary Therapies in Medicine 17:190–195, 2009.CrossRef Chen, S. L., Lin, H. C., and Jane, S. W., Perceptions of group music therapy among elderly nursing home residents in Taiwan. Complementary Therapies in Medicine 17:190–195, 2009.CrossRef
25.
go back to reference Celler, B. G., Earnshaw, W., Ilsar, E. D., Betbeder-Matibet, L., Harris, M. F., Clark, R., Hesketh, T., and Lovell, N. H., Remote monitoring of health status of the elderly at home. A multidisciplinary project on aging at the university of new south wales. International Journal of Bio-Medical Computing 40:147–155, 1995.CrossRef Celler, B. G., Earnshaw, W., Ilsar, E. D., Betbeder-Matibet, L., Harris, M. F., Clark, R., Hesketh, T., and Lovell, N. H., Remote monitoring of health status of the elderly at home. A multidisciplinary project on aging at the university of new south wales. International Journal of Bio-Medical Computing 40:147–155, 1995.CrossRef
26.
go back to reference Nakamura, Y., Tanaka, K., Yabushita, N., Sakai, T., and Shigematsu, R., Effects of exercise frequency on functional fitness in older adult women. Arch. Gerontol. Geriatr. 44:163–173, 2007.CrossRef Nakamura, Y., Tanaka, K., Yabushita, N., Sakai, T., and Shigematsu, R., Effects of exercise frequency on functional fitness in older adult women. Arch. Gerontol. Geriatr. 44:163–173, 2007.CrossRef
27.
go back to reference Chan, M., Estève, D., Escriba, C., and Campo, E., A review of smart homes—Present state and future challenges. Computer Methods and Programs in Biomedicine 91:55–81, 2008.CrossRef Chan, M., Estève, D., Escriba, C., and Campo, E., A review of smart homes—Present state and future challenges. Computer Methods and Programs in Biomedicine 91:55–81, 2008.CrossRef
28.
go back to reference Pan, J. J., Lin, C. T., Wu, W. C., and Kuo, M. K., Wireless sensor network platform and application. Science Development. 5, 2010. Pan, J. J., Lin, C. T., Wu, W. C., and Kuo, M. K., Wireless sensor network platform and application. Science Development. 5, 2010.
30.
go back to reference Venkatesh, V., Zhang, X., and Sykes, T. A., “Doctors do too little technology”: A longitudinal field study of an electronic healthcare system implementation. Inf. Syst. Res. 22:523–546, 2011.CrossRef Venkatesh, V., Zhang, X., and Sykes, T. A., “Doctors do too little technology”: A longitudinal field study of an electronic healthcare system implementation. Inf. Syst. Res. 22:523–546, 2011.CrossRef
31.
go back to reference Venkatesh, V., Morris, M. G., Davis, G. B., and Davis, F. D., User acceptance of information technology: Toward a unified view. MIS Q. 27:425–478, 2003. Venkatesh, V., Morris, M. G., Davis, G. B., and Davis, F. D., User acceptance of information technology: Toward a unified view. MIS Q. 27:425–478, 2003.
32.
go back to reference Davis, F. D., Bagozzi, R. P., and Warshaw, P. R., User acceptance of computer technology: A comparison of two theoretical models. Manag. Sci. 35:982–1003, 1989.CrossRef Davis, F. D., Bagozzi, R. P., and Warshaw, P. R., User acceptance of computer technology: A comparison of two theoretical models. Manag. Sci. 35:982–1003, 1989.CrossRef
33.
go back to reference Thompson, R. L., Higgins, C. A., and Howell, J. M., Personal computing: Toward a conceptual model of utilization. MIS Q. 15:125–143, 1991.CrossRef Thompson, R. L., Higgins, C. A., and Howell, J. M., Personal computing: Toward a conceptual model of utilization. MIS Q. 15:125–143, 1991.CrossRef
34.
go back to reference Taylor, S., and Todd, P., Assessing IT usage: The role of prior experience. MIS Q. 19:561–570, 1995.CrossRef Taylor, S., and Todd, P., Assessing IT usage: The role of prior experience. MIS Q. 19:561–570, 1995.CrossRef
35.
go back to reference M. Fishbein and I. Ajzen, “Belief, attitude, intention and behavior: An introduction to theory and research,” 1975. M. Fishbein and I. Ajzen, “Belief, attitude, intention and behavior: An introduction to theory and research,” 1975.
36.
go back to reference Al-Khaldi, M., and Wallace, R., The influence of attitudes on personal computer utilization among knowledge workers: The case of Saudi Arabia. Information & Management 36:185–204, 1999.CrossRef Al-Khaldi, M., and Wallace, R., The influence of attitudes on personal computer utilization among knowledge workers: The case of Saudi Arabia. Information & Management 36:185–204, 1999.CrossRef
37.
go back to reference Keynes M, The General Theory of Employment, Interest and Money: Atlantic Publishers & Distributors, 2006 Keynes M, The General Theory of Employment, Interest and Money: Atlantic Publishers & Distributors, 2006
38.
go back to reference Cronbach, L. J., Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334, 1951.CrossRef Cronbach, L. J., Coefficient alpha and the internal structure of tests. Psychometrika 16:297–334, 1951.CrossRef
39.
go back to reference Guilford, J. P., and Fruchter, B., Fundamental statistics in psychology and education, 4 ed. McGraw-Hill, N.Y., 1965. Guilford, J. P., and Fruchter, B., Fundamental statistics in psychology and education, 4 ed. McGraw-Hill, N.Y., 1965.
40.
go back to reference Bartlett, M. S., A further note on tests of significance in factor analysis. Br. J. Psychol. 4:1–2, 1951. Bartlett, M. S., A further note on tests of significance in factor analysis. Br. J. Psychol. 4:1–2, 1951.
Metadata
Title
Designing an Intelligent Health Monitoring System and Exploring User Acceptance for the Elderly
Authors
Kevin C. Tseng
Chien-Lung Hsu
Yu-Hao Chuang
Publication date
01-12-2013
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 6/2013
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-013-9967-y

Other articles of this Issue 6/2013

Journal of Medical Systems 6/2013 Go to the issue