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The use of advanced tracking technologies for the analysis of mobility in Alzheimer's disease and related cognitive diseases.

Shoval N, Auslander GK, Freytag T, Landau R, Oswald F, Seidl U, Wahl HW, Werner S, Heinik J - BMC Geriatr (2008)

Bottom Line: We will also assess the impact of the use of advanced tracking technology on the quality of life of dementia patients and care givers, as well as its potential as a diagnostic tool.This project will be able to make a substantial contribution to basic as well as applied and clinical aspects in the area of mobility and cognitive impairment research.The innovative technologies applied in this study will allow for assessing a range of dimensions of out-of-home mobility, and provide better quality data.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Geography, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem, Israel. noamshoval@huji.ac.il

ABSTRACT

Background: One of the more common behavioral manifestations of dementia-related disorders is severe problems with out-of-home mobility. Various efforts have been attempted to attain a better understanding of mobility behavior, but most studies are based on institutionalized patients and the assessment usually relies on reports of caregivers and institutional staff, using observational approaches, activity monitoring, or behavioral checklists. The current manuscript describes the research protocol of a project that measures mobility in Alzheimer's disease and related cognitive disorders in an innovative way, by taking advantage of advanced tracking technologies.

Methods/design: Participants are 360 demented persons, mildly cognitively impaired persons, and unimpaired controls aged > or = 65 in Israel and Germany. Data regarding space-time activities will be collected via a GPS tracking kit for a period of 4 weeks in 3 waves (one year apart) with the same participants (using a repeated measures design). Participants will be interviewed by use of a battery of instruments prior to and following GPS data collection. Further, a family member will complete a questionnaire both before and after data tracking. Statistical analyses will strive to explain differences in mobility based on a wide range of socio-structural, clinical, affect-related and environmental variables. We will also assess the impact of the use of advanced tracking technology on the quality of life of dementia patients and care givers, as well as its potential as a diagnostic tool. Systematic assessment of ethical issues involved in the use of tracking technology will be an integral component of the project.

Discussion: This project will be able to make a substantial contribution to basic as well as applied and clinical aspects in the area of mobility and cognitive impairment research. The innovative technologies applied in this study will allow for assessing a range of dimensions of out-of-home mobility, and provide better quality data.

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A visitor's activity in Heidelberg, as obtained by a GPS receiver every second.
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Figure 1: A visitor's activity in Heidelberg, as obtained by a GPS receiver every second.

Mentions: The high resolution spatial and temporal data, obtained with GPS devices enables analysis of the characteristics of out-of-home mobility, such as the average pace of walking in different segments of the path, the time spent in different places, the total length of the trip. See for example figure 1 that represents the track of a visitor in Heidelberg, Germany, as obtained by a GPS receiver that was programmed to obtain a location every second.


The use of advanced tracking technologies for the analysis of mobility in Alzheimer's disease and related cognitive diseases.

Shoval N, Auslander GK, Freytag T, Landau R, Oswald F, Seidl U, Wahl HW, Werner S, Heinik J - BMC Geriatr (2008)

A visitor's activity in Heidelberg, as obtained by a GPS receiver every second.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2291469&req=5

Figure 1: A visitor's activity in Heidelberg, as obtained by a GPS receiver every second.
Mentions: The high resolution spatial and temporal data, obtained with GPS devices enables analysis of the characteristics of out-of-home mobility, such as the average pace of walking in different segments of the path, the time spent in different places, the total length of the trip. See for example figure 1 that represents the track of a visitor in Heidelberg, Germany, as obtained by a GPS receiver that was programmed to obtain a location every second.

Bottom Line: We will also assess the impact of the use of advanced tracking technology on the quality of life of dementia patients and care givers, as well as its potential as a diagnostic tool.This project will be able to make a substantial contribution to basic as well as applied and clinical aspects in the area of mobility and cognitive impairment research.The innovative technologies applied in this study will allow for assessing a range of dimensions of out-of-home mobility, and provide better quality data.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Geography, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem, Israel. noamshoval@huji.ac.il

ABSTRACT

Background: One of the more common behavioral manifestations of dementia-related disorders is severe problems with out-of-home mobility. Various efforts have been attempted to attain a better understanding of mobility behavior, but most studies are based on institutionalized patients and the assessment usually relies on reports of caregivers and institutional staff, using observational approaches, activity monitoring, or behavioral checklists. The current manuscript describes the research protocol of a project that measures mobility in Alzheimer's disease and related cognitive disorders in an innovative way, by taking advantage of advanced tracking technologies.

Methods/design: Participants are 360 demented persons, mildly cognitively impaired persons, and unimpaired controls aged > or = 65 in Israel and Germany. Data regarding space-time activities will be collected via a GPS tracking kit for a period of 4 weeks in 3 waves (one year apart) with the same participants (using a repeated measures design). Participants will be interviewed by use of a battery of instruments prior to and following GPS data collection. Further, a family member will complete a questionnaire both before and after data tracking. Statistical analyses will strive to explain differences in mobility based on a wide range of socio-structural, clinical, affect-related and environmental variables. We will also assess the impact of the use of advanced tracking technology on the quality of life of dementia patients and care givers, as well as its potential as a diagnostic tool. Systematic assessment of ethical issues involved in the use of tracking technology will be an integral component of the project.

Discussion: This project will be able to make a substantial contribution to basic as well as applied and clinical aspects in the area of mobility and cognitive impairment research. The innovative technologies applied in this study will allow for assessing a range of dimensions of out-of-home mobility, and provide better quality data.

Show MeSH
Related in: MedlinePlus