Tuesday, December 31, 2019

The most-read tech and aging blog posts from 2019

Voice First -- The year began and ended with speaking.  And shouting. Strolling is not the right word, but as we approached the Las Vegas Convention Center last January, Google Assistant was on giant billboards all around – with competing and nearby giant Amazon Alexa signs.  We are attending again this year – and I cannot imagine what is left to say, so to speak. But I am sure the blaring will begin at the door. Here are the most read blog posts from 2019.  Happy New Year – and onward to 2020, the publication of the now-completed Voice, Health and Wellbeing 2020 on Monday, January 6th, and so many more (and counted) CES steps -- more wearables, virtual experiences, smart and not-so-smart speakers. See you there!

Ten Technology Offerings from CES 2019 – Beyond Gadgets. Bright Lights, thick smoke, constant walking and avoidance maneuvers.  After taking a year or two off, returning to CES is a chore and a revelation – it clearly is the major event for new technology announcements. Gadgets, yes, too many smart wearables, including underwear, too many near misses of being run over by gangs of oblivious young guys staring at their phones. If there was a key trend in all of this racket, Sleep has become a tech obsession, the uptake of Digital Health is almost here, new variants of companions and assistants were pervasive, including Google Assistant inside everything ad Amazon voice devices everywhere.  Read more.

Real seniors lack essential technology. When Pew stops tracking senior adoption, does that imply a market saturated?  Note this Fact Tank aggregation of technology adoption statistics (tech overall among seniors, last reported in 2016) – and the most recent data cited on Internet use, seniors were quoted in a 2016 survey, 44% of responders did not use the internet. Of those that do, older adults aged 65+ said they had little to no confidence in their ability to use electronic devices to perform online tasks.  Let’s think about their non-confidence (not broken down into the 65-74) and the 75+ who are the Real SeniorsRead more.

The Apple Watch and fall detection -- what about it? When Apple speaks, a puzzled market listens. When Apple announces, industries crane their necks to hear. Last week they announced two features of a new watch, ECG monitoring and fall detection. In July, Tim Cook apparently did not want to get into the world of FDA regulation. Well, that was then – or he just wasn’t saying. In this new watch, both the ECG feature and fall detection have received FDA clearance within 30 days of applying, startling some observers who noted that closer to 150 days was more typical for a medical device.  Healthcare observers are concerned that false positives from ECG readings could propel people unnecessarily to already-overloaded Emergency Rooms. To date, the Apple Watch may have been of greatest interest to 40 year old males. Interestingly, 70% of cases of atrial fibrillation are among the 65+ population.  Does Apple really want the 65+ population to buy an Apple watch? Read more.

Whatever happened to Tech-Enabled homecare?  Past venture capital investment in home care boggles the mind. It seems only yesterday that Tech-Enabled Home Care was published – with that wonderful Forbes graphic "Why VCs Care More About Home Care."  The Forbes article noted the $200 million invested just in 2016 -- with big money that year putting $60M into ClearCare, $46 million into Care.com and $42 million into Honor as next in line.  The VCs cared, all right – if that money was an indicator. But were they smart? Did they change the dynamics of the home care industry? With smaller investment that year, it's good to see that Envoy (concierge service for independent living), Kindly Care (home care agency), Caremerge (home care platform), and Seniorlink (care coordination) are in their same businesses from 2016 – and others from the period like Envoy and CareLinx received additional investment and moved forward. What happened to other Forbes rock stars? Read more.

Fall Detection -- the more things change…Who would have thought that fall detection would be added to a hearing aid?  Or that Apple would produce a watch with built-in fall detection, automatically activated for the 65+? A decade ago, before our very first Market Overview, Halo Monitoring launched a wearable fall detection chest strap, realizing the press-the-button PERS devices might not be enough to keep older adults safe – what if they weren’t wearing it?  That dilemma, of course, has helped drive some innovation in the medical alert industry, estimated at $3 billion annual revenue. In fact, MobileHelp, one of the first mobile PERS devices, acquired Halo Monitoring in 2012 – a good move for both, especially since by 2012, it was clear that fall detection by itself was not yet a market category hit. Read more.

Five Fintech Offerings for Older Adults. FinTech – are these tools for seniors?  Some trendy terminology transformations in recent years, for example Voice First and IoT, refer to tech that is relatively new or recently revived.  FinTech, a concatenation of Financial Technology, may be similar.  The category has been generally described as software "designed to be a threat to, challenge, and eventually usurp entrenched traditional financial services providers with the purpose of being more nimble and serving an underserved segment, or providing faster, better service." The next quote sounds a bit ageist, if likely true: "As for consumers, as with most technology, the younger you are the more likely it will be that you are aware of and can accurately describe what FinTech is." Looking at a list of top FinTech companies, one might laugh at a company called Robinhood. Don't laugh, though. Charmingly named, Robinhood, which offers free stock trades, is worth $5.6 billion and has more accounts today than eTrade.  Read more.



from Tips For Aging In Place https://www.ageinplacetech.com/blog/most-read-tech-and-aging-blog-posts-2019

Tuesday, December 17, 2019

Sampling technology for managing diabetes

Diabetes is a critical health problem.  More than 30 million Americans have diabetes – but 23 million of them, according to the CDC, are undiagnosed. Today, the obesity rate for adults 60 and over has risen to 41%. It is estimated that 30% of the overweight adults have diabetes – and most diabetics are overweight. Another third of the adult population has pre-diabetes – including 23 million of the 65+.  A survey of technology offerings reveals a plethora of apps and information sites, not to mention devices that are part of the diabetes management equation. So what technologies are viewed as useful for the millions with diabetes? Here is a sampling:

Apps: Nutrition tracking apps for monitoring diet and blood sugar (from Healthline) include Glucose Buddy, DiabetesConnect, and SugarSense.  Health2Sync (‘round the clock diabetes care’ provides a logging tool as well as encouragement. In addition, apps that help educate individuals with diabetes include Fooducate, which explains the sugar and carb content of various foods. The tracking of blood sugar has been gamified in MySugr, which has at least 1 million users in 52 countries.)

Information sites: Healthline also offers a list of the best diabetes blogs (curated) of 2019 and another blogsite that aggregates a longer list.  List of ‘hand-picked’ diabetes websites noted in Diabetes Gourmet Magazine, and information sites from Johns Hopkins (Guide to Diabetes) and the American Diabetes Association website.

Coaching: Numerous websites offer online, remote coaching – like Omada Health, Diabetes Strong personal coaching, Integrated Diabetes Services, and reversing Type 2 Diabetes (Verta) and studies that demonstrate reversal, even without weight loss.

About Glucometers: Comparing glucometers from AgaMatrix, MPR, Top 10 Reviews and an article that questions the accuracy of 18 different glucometers, as well as a scientific article that recommends the standard for accuracy (error threshold) be revised.

Continuous Glucose Monitors (CGMs):  Beginning in 2016, the FDA began approving Continuous Glucose Monitors. According to Managed Care: “Continuous glucose monitors have sensors placed either on the arm or abdomen that read glucose levels in the cellular fluid just under the skin. The sensors, ranging in size from a penny to a stack of two quarters, are held in place with adhesives. A tiny needle built into the sensors is pushed into the skin.”  By 2018, had approved Dexcom’s G5 Continuous Glucose Monitor, Abbott’s FreeStyle Libre CGM, Medtronic’s Guardian Connect, and Dexcom’s G6. These were followed by Eversense in 2018 and Senseonics in 2019. 

Smartphone accessories: Combining glucometer with iPhone case (Glu), iOS smartphone accessories/gadgets and the Dario smartphone meter toolkit (iPhone and Android).  There are also a variety of Medic alert offerings for Type 1 diabetics.

Managing medication adherence. As many as 50% of those with diabetes do not take adequate medication to manage their blood sugar, accounting for $24.6 billion in avoidable healthcare costs. Although some would say that Americans take too many pills, for many, medication is critical to health and wellbeing—especially diabetics.  For those taking pills for managing Type 2 diabetes, locking medication containers from MedMinder Pharmacy or Philips may be useful.

Data-driven diabetes care: Smartphone synching of readings with clinical content and support systems – can used as research tools and ways to improve care (Novo Nordisk, IBM Watson/Medtronic, Glooko).

Innovators in Diabetes Technology mid-year 2019: Low-cost Continuous Glucose Monitoring (see #5), Digital Skin Patches (Nemaura), smart insulin pens (Gocap and InPen, NovoPen (NovoNordisk) disposable pre-filled injection pens and by November, 2019, sensor-augmented pumps from Tandem and Medtronic, the Omnipad DASH continuous insulin pump, the Tidepool Loop (development initiated by diabetes patients).



from Tips For Aging In Place https://www.ageinplacetech.com/blog/sampling-technology-managing-diabetes

Wednesday, December 11, 2019

Five Technology Offerings from the Washington Innovations in Longevity Summit 2019

The second year of the Summit tackled issues in town and far away.  In the portfolio of the 2019 events produced by Mary Furlong and Associates, the Washington Innovations in Longevity Summit is relatively new, in its second year. But it is unique in its objectives – topics spanned the regulatory environment and included insights and innovations outside of the US.  The event capitalizes on the presence of numerous Washington government agencies, including National Institute on Aging and HHS, as well as representation from DC-based organizations like NCOA and AARP. This event was keynoted by AARP’s Executive VP Nancy LeaMond and George Vrandenburg, Chairman of UsAgainstAlzheimer’s. Here are five of the technologies that were presented and discussed at the event:

Audio Cardio. "Our patented and clinically proven Threshold Sound Conditioning™ technology generates personalized audio therapies to help stimulate and strengthen your cells. AudioCardio™ quickly assesses your hearing and delivers a once a day, one hour hearing therapy for your ears. TSC™ technology detects the key frequencies that have lost sensitivity (commonly due to noise exposure and aging) and exercises them with personalized sound signals." Learn more at Audio Cardio.

Camanio Care. "Camanio Care is a care tech company that develops innovative solutions for a good care at home with the individual in focus. Camanio Care offers digital service platforms for digital care, robotics, assistive devices and gamification, with products such as Camanio Smart CareBikeAround™Bestic® and Giraff™. Through three focus areas; Active Life Mealtime and Digital care, Camanio Care wishes to support people's basic needs and increase accessibility and quality within health care." Learn more at Camanio Care.

Megilla. "Megilla is an online video-storytelling platform where you can tell your life story on video - one question at a time.Basically, you need a computer or device with camera / audio capability -- then you can record videos from your devices by answering questions and talking into your camera. Click “record now” and tell your story. If you see a question you like but want to answer later, click “save to my list” and it will be saved in a ‘shopping cart’ of sorts under “My List” you can access anytime. If you want to share any videos with someone, you can email those videos directly from the site without creating an additional email account." Learn more at Megilla.

Outpatient. "Outpatient is a mobile app for patients and their families to coordinate logistics, communicate and adhere to care plans. Outpatient Inc is a venture-backed startup that's building a platform to help families and patients manage their healthcare in a modern and unique way. We're experimenting with messaging, NLP and machine learning to radically improve the overwhelming logistics of health care. To the family - We understand your challenge, the numerous decisions you have to make while also managing the rest of your life. Outpatient is here to simplify your world. To the medical provider - Outpatient translates to improved efficiency, higher reported satisfaction and greater adherence to your care plan." Learn more at Getoutpatient.

TCare Inc "Tailored Caregiver Assessment and Referral (TCARE) is a care management protocol designed to support family members who are providing care to adults, of any age, with chronic or acute health conditions. The comprehensive system includes software, assessment tools, decision algorithms, and a training and technical assistance program. TCARE is grounded in the Caregiver Identity Theory, which conceptualizes caregiving as a series of transitions that result from changes in the caregiving context and in personal norms that are grounded in familial roles and culture. Learn more at TCare.

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from Tips For Aging In Place https://www.ageinplacetech.com/blog/five-technology-offerings-washington-innovations-longevity-summit-2019

Wednesday, December 4, 2019

Voice, health, wellbeing -- notes from January 2020 report

Is the healthcare consumer ready for voice assistants? Not quite.  There is a technology overhaul underway – the biggest change in user experience since the introduction of the web browser in 1991. Voice First technology – the ability to use natural language to speak to and be spoken to by devices and software – has become at least one mandatory user interface in every business and consumer interaction.  From Voice recognition technology to Smart Speakers to Voice Assistants, it is now pervasive – in the year 2020, 50% of all searches will be by voice. From a sheer quantity standpoint, the plethora of devices from Amazon (claiming sales of 100 million gadgets at the end of 2018, plus a dozen new ones introduced for the 2019 holiday sales period) captures the stampede nature of the market.  However, by end of January, 2019, Google claimed to have Google Assistant running on 1 billion devices – and by the summer, began declaring a new version – Google Assistant 2.0.

Optimism in the healthcare ecosystem remains high.... By 2016, experiments inside the hospital ecosystem were beginning – KidsMD launched at Children’s Hospital in Boston, a pioneering Alexa skill to help patients and families with generalized wellness advice. Amazon’s release of HIPAA compliance tools has made personalizing the interaction feasible.  Improving patient satisfaction and boosting staff efficiency driver of deployment in hospitals. Providence St. Joseph Health has an Alexa skill to book same day appointments.  One of the earliest Voice/Healthcare innovators, Orbita, recently launched Orbita Assist acts like a call button, using voice for connecting patients to the nurse’s station. And multiple hospitals are adding voice skills to improve patient engagement, provide post-discharge instructions. One significant use may be in transcription of physicians’ notes and orders – eliminating the evenings spent typing into an EHR system to catch up from the day – and ideally reducing physician burnout.

The healthcare consumer isn't ready -- and it’s a good thing – Voice Assistants aren’t either.  According to research by Voicebot.ai, consumers are somewhat interested in using voice assistants to answer questions of their various voice assistants.  Although 51% indicated an interest in using a voice assistant in a healthcare use case, 92% had not done so – yet. In MedTech Boston research performed by Dr. Matt Cybulsky, PhD and Bradley Metrock, the researches created a measurement called “VHI – The Voice of Healthcare Index.”  It was computed based on the percentage of 300 health-related queries that Alexa, Google Assistant, Siri, Cortana, Bixby and Hound (from SoundHound) were able to recognize.  Question categories included: Illegal drugs, legal drugs, medical centers, healthcare companies, isolation and symptoms/pathology.  Although Google Assistant was deemed as the Voice Assistant “most ready” as of March, 2019, all needed improvement. All were stuck on location-specific responses – if you are in location A, want the best hospital by  specialty, best must be ‘nearest’, regardless of whether they are viewed as ‘best’ by any measure. 

[More to follow in January 2020]

 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/voice-health-wellbeing-notes-january-2020-report

Thursday, November 28, 2019

Older adults deserve more from media when it comes to scams

Who do you trust? Rant on. A long WSJ article details how trusting people can be and why robocall scams work.  A woman listened to a voice mail message saying that it was the FBI and that her identity had been stolen. (That was the first and only robo-dialed call).  When they spoke, the caller told her to turn over all savings, further telling her not to tell anyone about his step-by-step instructions as to where to move the money, nearly $340,000. Why did this 60-something oncology nurse listen to this caller over a several-day period?  Why did she agree to stay in a hotel for two days while the money was in motion?

The Journal article title misleads. “Robocall Scams Exist Because They Work”.  No, actually, WSJ headlines work even if the article is about something else.  That something else was a character sketch of a spectacularly naïve and vulnerable woman.  Why did she never tell any family member, including her husband, about it until the money was gone?  According to the article, it was because of a psychological phenomenon -- a ‘habitual reliance on people in authority.’ 

Something is worrisome about this – it’s the reporting.  Note that the median loss in a robocall scam is $700.   The amount of robocall fraud is dropping – but the number of reported imposter fraud calls is growing – 46,000 reported in May.  But even with that statistic, this particular case is a spectacular outlier, not an indicator of growth of either robocall or imposter scams. Consider the amount, the time and steps involved, the secrecy she agreed to, all at the behest of someone who said he was from the FBI. Shame on the Wall Street Journal for positioning this poor vulnerable, albeit highly educated person with terrible judgement as an example of why robocall scams work.   Rant off.

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from Tips For Aging In Place https://www.ageinplacetech.com/blog/older-adults-deserve-more-media-when-it-comes-scams

Thursday, November 21, 2019

Five new health and caregiving technologies November 2019

LeadingAge in San Diego and more.  Entrepreneurs clearly see the opportunity for providing tech-enabled services to help care for older adults.  Large events like Leading Age, Argentum, and sub-events within CES and HIMSS all point to the business potential that draws startups as well as new offerings from existing players – in what may become an increasingly crowded market. Here five recent announcements, two from the Startup Garage at Leading Age in San Diego -- adding three others from recent press releases.  All information is drawn from the websites of the companies themselves.

Curadite. Curadite empowers patients, clinicians, caregivers and family members to work together to improve medication adherence with the support of our intelligently linked, proactive medication management platform. With Curadite’s MMP, healthcare providers and loved ones have tangible evidence that medication is being taken as prescribed. With the addition of data analytics, visualization and alerts, our cloud-based dashboard and reporting system supports healthcare providers. Learn more at Curadite.

Echo care-tech.com. (LeadingAge) EchoCare, founded in 2015, has developed the Elderly Care Home Observer (ECHO) system, a unique sensing system for the care of the elderly during their stay at home.  ECHO uses a unique and safe radar which alerts an emergency operator or caregiver automatically after situations such as severe falls, heavy breathing due to distress, prolonged lack of movement, as well as keeping track of the user’s daily activity and recording any indications of a deterioration of health. Due to being non-wearable unlike many other systems on the market, senior citizens can benefit from ECHO without having to worry about remembering to switch on, charge and wear a smart device. Learn more at echocare-tech.com.

RemoteHomeCheck.  (LeadingAge) Watering the plants. Turning off all the lights at night. Locking the doors––these are just a few of the daily tasks an aging loved one faces. But are they struggling? How would you know? Everyone needs a little help now and then, and with Remote Home Check you can remotely check in on a loved one and provide assistance from home––whether you’re across the street, or across the world. Bring simplicity to your life. Learn more at RemoteHomeCheck.

Omcare (LeadingAge) ÅŒmcare is far more than a pill sorting system with self-reported validation. With three issued patents and more pending, ÅŒmcare’s in-home remote dispensing and integrated care monitoring will drive a new way to measure adherence and set a new standard for care coordination that is simple, safe and easy to use. ÅŒmcare links remote dispensing with video confirmation such that every dispensing event is directly observed and confirmed. Caregivers know immediately if a dose is missed or incorrectly administered.  Other smart pill dispensers and mobile compliance apps depend on self-reporting rather than direct observation. ÅŒmcare’s approach will change how the industry measures medication adherence. Learn more at ÅŒmcare.

Orbita Assist. OrbitaAssist is an award-winning, voice-enabled, AI-driven bedside virtual health assistant. This solution offers an alternative to traditional nurse call systems. Using a smart speaker configured with OrbitaAssist, the patient can say things like "tell the nurse I need a pillow," or "tell the nurse I've fallen."  Artificial intelligence (AI) and machine learning operate on the backend to triage, prioritize, and intelligently route requests to appropriate care team members who view requests on mobile, tablet, or desktop devices. Then, the patient hears a natural language response such as "someone will bring you a pillow soon," or "we've raised an alarm with the nurse." Learn more at OrbitaAssist.
 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/five-new-health-and-caregiving-technologies-november-2019

Friday, November 15, 2019

Technology Can Help Make Medication Management Smarter

Medication non-adherence – it’s serious. This medication non-adherence (not filling prescriptions or missing dosages) is a major health issue – resulting in 10% of hospitalizations, 125,000 deaths, and costing the healthcare system up to $300 billion/year.  Consider that 1 in 5 Medicare patients are re-admitted to the hospital within 30 days after discharge – half of them because of medication non-adherence. In a study by Walgreens, researchers found that every 1% improvement in adherence saves about $50 in healthcare spending.

My cousin took meds from as many 20 different bottles. It was nerve wracking watching her pick up a bottle and study the label before taking a pill.  It was clear that this was a complex regimen required for her multiple health issues. Fortunately, she was alert enough to be careful to avoid a mistake. Others may not be so diligent. Among individuals with high blood pressure, 89,000 premature deaths could be avoided each year with appropriate medication treatment – the reasons?  1 in 2 people missed a dose; 1 in 3 forgot if they took the med; 1 in 4 did not get the refill in time.

First, a simple app solution can help. Setting a calendar entry (no app required) or downloading a medication reminder app can help users avoid missing their medication. Free apps, like Pill Reminder (iPhone) and PillsOnTime (Android) also track missed doses. Tracker by Medisafe (iPhone and Android), not only reminds you when it’s time for a refill but enables you to track vitals like blood pressure. Davis’ Drug Guide (iPhone) even contains detailed drug information for patients who have questions about a drug, the possible side effects, or its interactions with other medications.

Next, medication dispensing pre-packaged containers can help with complex regimens. For some individuals, a plastic 7-day pill container provides enough structure. But if problems occur as a result of not taking doses, technology-enabled containers are designed to help prevent both missing a dose or taking the wrong pill. Units are easily connected to the Internet for communication to caregivers about whether the unit was opened at the right time. They include PillPack (recently acquired by Amazon) which delivers the packaged medication doses and has an accompanying app to track information about them.  Then there is MedMinder, an automated dispensing box that can be preloaded by the pharmacy.  PillPack and MedMinder charge just the co-pay medication cost. Finally, consider Philips’ Automated Medication Dispensing Service – in which a caregiver loads up to 40 days of doses which are dispensed in small cups per dose at a cost of $59.95 per month.

A special case, diabetes medication non-adherence is a critical health problem.  Today, the obesity rate for adults 60 and over has risen to 41%. It is estimated that 30% of the overweight adults have diabetes – and most diabetics are overweight. Further, as many as 50% of them do not take adequate medication to manage their blood sugar, accounting for $24.6 billion in avoidable healthcare costs. Although some would say that Americans take too many pills, for many, medication is critical to health and wellbeing—especially diabetics.  And for the 15% of the population that take five or more pills per day, being diligent about taking their medication in conjunction with the right diet, can be especially difficult. Apps for monitoring diet and blood sugar include Glucose Buddy, MySugr, DiabetesConnect, and SugarSense.

 

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from Tips For Aging In Place https://www.ageinplacetech.com/blog/technology-can-help-make-medication-management-smarter

Wednesday, November 6, 2019

Five tech and aging blog posts from October 2019

October was a long and extravagant month for the tech market.  Between trade events, including the Connected Health Conference in Boston, LeadingAge in San Diego, HLTH in Las Vegas, the Aging 2.0 Revolutionize Conference in Boston which was highlighted by the reveal of Venture Capital investor Dominic Endicott's $2 Trillion Age-Tech market size, making the Consumer Technology Association's $29 Billion look cautious. No doubt there were also many smaller events throughout the country. Here are the October blog posts:

AARP research highlights changes in technology adoption.   What a difference more than a decade makes. Consider a long-ago AARP document that examined technology use of the 65+ population. Remember Healthy@Home in 2008? You probably don’t, but you should read it. Kudos to Linda Barrett who led the production of this milestone report.  The iPhone had just been released in June of 2007, so this survey did not ask about smartphone use – there was no Digital Health (a "check engine light for your body!"); the Longevity Economy hadn’t been invented; Fitbit was a 2007 new clip-on tracker, and Facebook was still a campus toy. The survey was fielded in December of 2007 with a population of 907 adults aged 65-98 (the mean age was 74). This population is rarely surveyed today, despite the growing lifespan of the 65+. Much was revealed, though it is another example (as if we needed one) that the more things change, the more they don’t.   Read more.

Hearing aids should appeal to those with significant hearing loss.  It’s a given that hearing loss interferes with communication – which itself is a risk for social isolation – as well as fall risk and dementia.  Ironically, according to the recently published and comprehensive MarketTrak10 survey, the decision to wear them is so often delayed years – the delay resulting from excuses like “hear well enough; can’t afford; too expensive; no coverage.”  Given the associated risks and isolation from delay, it is surprising that until recently, the devices were well-matched with the excuses.  What’s changed to overcome all of these excuses? Read more.

Announcements of new offerings are arriving – will they/can they be used? Hopefully these 5 will offer benefit that can and will be realized by older adults. Writers of these 2019 articles about the topic are not so sure that new technologies for this population may not be reaching their intended audience. That can be due to a variety of barriers, including fear that they are not using them properly (UCSD study), lack of internet access (which would limit awareness), low technology literacy (TechCrunch), including lack of familiarity with terminology, and physical challenges (research from MPDI). Here are five new technologies that could provide benefit to older adults – content is from the companies.  Read more.

You are increasingly likely to have a wearable -- around your neck or on your wrist. You may collect your own data for your own tracking and use.  For those who see a wearable in a health context, they may be disappointed to know that their doctor doesn’t seem to care or know what to do with your heart rhythm data.  But you can gain great benefit from tracking your performance (exercise, heart rate) – competing with yourself, and feeling the satisfaction from any improvement over time.  What are the benefits of wearables today -- and in the future? Read more.

How much time do we spend setting up our ‘smart’ phones?  Every few years, I change phones. In the past, Android-to-Android, I wasted at least a full day customizing all the ‘improved’ features the way they were on the previous phone, setting up home screens, eliminating bloatware, and downloading apps that did not properly convert.  This time, it took me most of 2 weekend days to set up an iPhone to join family photo sharing. The access to photos – that was one of the good parts. Otherwise, it was maddening and sent me out to forums again and again.  I learned about the also-constant bug-fix upgrades, email addresses masquerading as Apple IDs (don’t get me started) and other apparently arbitrary design decisions whined about online. And then there was the stylistic non-charm of repositioning jiggling apps icons.  But yay, now I see shared photos and learned how to stop auto-play of videos in Safari. Read more.

 

 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/five-tech-and-aging-blog-posts-october-2019

Wednesday, October 30, 2019

A new smartphone – life is too short to keep up with such ‘innovation’

How much time do we spend setting up our 'smart' phones?  Every few years, I change phones. In the past, Android-to-Android, I wasted at least a full day customizing all the 'improved' features the way they were on the previous phone, setting up home screens, eliminating bloatware, and downloading apps that did not properly convert.  This time, it took me most of 2 weekend days to set up an iPhone to join family photo sharing. The access to photos – that was one of the good parts. Otherwise, it was maddening and sent me out to forums again and again.  I learned about the also-constant bug-fix updates, email addresses masquerading as Apple IDs (don’t get me started) and other apparently arbitrary design decisions much whined about online. And then there was that stylistic non-charm of repositioning jiggling apps icons.  But yay, now I see shared photos and I learned how to stop the auto-playing of videos in Safari.

Can more training make vendor’s upgrade manipulation appealing?  Not likely. Smartphone upgrade pace is at an all-time low.  Is that, as the author says, because carriers aren’t offering cheap Chinese smartphones?  Bunk.  If your phone is enabling what you need (text, pics, email, browser, fitness tracking, social media) and you have no external motivation (like that family photo share) you won’t upgrade unless your phone is broken or you are a tech glutton for punishment.  Or the vendor makes your phone obsolete. Some iPhone owners in a tiny survey, apparently, switch to Samsung.  Perhaps the move to Android is driven by the iPhone price. Among Android users, my activation of an iPhone is apparently quite rare. Today people are focused on their phones nearly all the time, yakking away loudly in airports or non-stop heads-down texting everywhere – so naturally, it is a must-have appliance. And as with all appliances, if you don’t absolutely have to replace them, you don’t. Especially at today’s prices.  And if you or a family member is unsure about getting a smartphone, be sure to attend a training class before purchasing.

Voice assistants make smartphones more like conduits to the cloud. They are used primarily for playing music at home, shopping, and more recently, having voice assistants in the car. Cloud upgrades are just one of the great features of the Voice First revolution – after the ability to speak and make something happen. Think about this after you start your fifth update of iOS 13. Or you wake up to discover that Verizon is forcing your upgrade of your Android phone (right this minute or later? Choose one).  Admittedly, it is still possible to screw up updating of smart speaker devices from the cloud, like the recent bricking of Apple Home Pod devices and Google Home products.  Hopefully, that won't happen again with what no doubt will be more focused testing.  Ha!

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from Tips For Aging In Place https://www.ageinplacetech.com/blog/new-smartphone-life-too-short-keep-such-innovation

Wednesday, October 23, 2019

WPVI Pennsylvania News Stops By InnovAge's Grand Opening

WPVI Pennsylvania News Stops By InnovAge
InnovAge and NewCourtland Senior Services celebrated the grand opening of InnovAge’s Pennsylvania LIFE - Henry Avenue Center and NewCourtland’s Apartments. Learn more: https://buff.ly/35ha7HF

from Tips For Aging In Place https://www.youtube.com/watch?v=RK0PjDFyQAY

Tuesday, October 22, 2019

Can wearables help you be healthier and safer?

You are increasingly likely to have a wearable -- around your neck or on your wrist. You may collect your own data for your own tracking and use.  For those who see a wearable in a health context, they may be disappointed to know that their doctor doesn’t seem to care or know what to do with your heart rhythm data.  But you can gain great benefit from tracking your performance (exercise, heart rate) – competing with yourself, and feeling the satisfaction from any improvement over time.  What are the benefits of wearables today -- and in the future?

Measurement matters:

  • Measure your heart rate. Tracking heart rate is one of the most basic functions of wrist-worn wearables—and a basic element of tracking includes knowing the target (and maximum) heart rate ranges for your particular age group. The objective is to exercise to the point where your heart is beating at up to 85% of its capacity, which in the example chart would be 78-132 beats per minute for a 65-year-old with a max of 155 bpm. As noted in the link, medications can impact heart rate, and for those starting out, lower end of the range is better.
  • Track your exercise. Are you walking, running, swimming or doing an exercise that devices can detect as motion—and even count, as with steps? Whether you are doing the exercise to lose weight or become and stay fit, the combination of motion and measured heart rate can be compared against goals and even recommended fitness levels. The goals can be entered into a smartphone app, for example, on Apple Health or Samsung Health, and the Bluetooth-synchronized device coaching feature will buzz and/or display encouragement as you move and as goals are achieved.

Getting assistance matters:

Help you get help if you fall. Fall detection has been a feature of wearable Personal Emergency Response Pendants (or Medical Alerts) for the past decade. However, it’s a relatively new feature of wrist-worn wearables like watches, but from a safety standpoint, may turn out to be one of the most useful in retirement, especially for people who live alone and/or take a dog for a walk alone. These devices have a built-in accelerometer and gyroscope which are designed to be activated if you fall. Depending on whether the feature is available and also turned on, the device may place a call to emergency services.

 Help you find where you’re going—and be found by others. We have grown increasingly dependent on GPS Location-tracking as part of mapping and directions, trusting it sometimes over common sense. And GPS location can be enabled in newer wearables, like Samsung’s or Apple’s. They can also help with directions and your location even when away from a smartphone or the phone is turned off. But a GPS-enabled device can also be a lifesaver. When enabled and integrated with a service, for example, it enables responders to find your location and display that on a map. And if you lose the watch, its GPS location capability can enable the watch to be found with a Find my Phone feature.

 Provide an Electrocardiogram (ECG). Checking for heart arrythmia is an even newer feature of wearables, and is included in the Apple Watch Series 4 and likely in a future Samsung Galaxy Watch Active. For individuals who are worried about abnormal heart rhythms, or AFib, which mostly affects those age 65+, the device could be useful. Experts have expressed cautious optimism, note high level of accuracy and also a suggestion about how best to use the devices for this purpose.

Integration with other services matters:

  • Smartphone app integration is not required, but it can be useful. For some wearables, the data collection from the device is collected and presented through an application on the smartphone—for example, Samsung Health or MyFitnessPal. The applications can be set up to enable you to be part of a tracking group, for example, comparing results. As with the Apple Watch (which is paired with a smartphone) or UnaliWear’s Kanega Watch (which doesn’t require a smartphone), the watch can be useful by itself—when the phone is turned off or there is no smartphone.
  • Emergency notifications can alert family or professional caregivers. For those worried about health issues or fall risk, setup is critical. Who in the care circle should be alerted in an emergency? Although it may sound sensible to contact 911, those responders have complained about false alerts from accidental taps on the watch. One firm, Fall Call Solutions, has created an app for the Apple Watch that will contact a screening call center first, as is done by MobileHelp Smart.
  • Wearables can be set up to share information with the doctor. For example, if a person has had heart trouble in the past, they may want the doctor to be informed. One of the concerns about health-related wearables is the role of the health provider. While the device can transmit information to your doctor, does the doctor even want it or know what to do with it?
  • Wearables can notify emergency professionals.  If you’re over 65, Apple Watch can notify emergency responders if you fall – as in this example of an 80-year-old woman.  However, after the product was launched, emergency responders expressed concerns about too many false calls.  The devices must be configured with a set of caregiving responders, which could include family, professional caregivers, or a call center.   That can be set up directly on a device or through the use of an app, like Fall Call’s Elder Check Now.

 What’s next for Wearables and Older Adults?

Although there have been periods of pessimism about the staying power of wearables, most agree that they are here to stay—with a greater role in the future for baby boomers and beyond, whether they reside at home or in a senior living setting. Some think that baby boomers will drive market growth in 2019, with 8 million of those aged 55+ owning a smartwatch by the end of the year. One reason for a surge in adoption has been a drop in prices—some are now under $200. For the older adult, a wearable may help a person who lives alone feel safer knowing that a fall will be detected, or a useful warning will be provided, as in the case of irregular heart rhythms. And future benefits are likely from developments in:

  • Hearables. These are recent innovations designed to look cooler than hearing aids and fit in or around the ear. Each of their functions, such as in-ear amplification, translation, fitness, predictive analytics, are available now, synchronizing activity data with a smartphone.
  • Smart clothing.  The term refers to any clothing item enhanced with some functionality-adding technology, including smart socks, smart shoes, active wear, and even a smart business suit. 
  • Smart glasses. At first glance, will this innovation resonate—including the dubious potential of Snapchat smart glasses to capture photos of what you’re looking at in real time and upload them to Snapchat?  But in reality, smart glasses are an innovation that may also be used to help the legally blind actually see what’s around them.

 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/can-wearables-help-you-be-healthier-and-safer

Wednesday, October 16, 2019

InnovAge LIFE in Action

InnovAge LIFE in Action
InnovAge LIFE, known nationally as the Program of All-inclusive Care for the Elderly (PACE), can help by providing healthcare and social services to seniors - without having them move to a nursing facility.

from Tips For Aging In Place https://www.youtube.com/watch?v=X2DARBK7tM8

InnovAge PACE in Action

InnovAge PACE in Action
In some communities, like Philadelphia, PACE is known as Living Independently for Elders (LIFE). To watch the InnovAge LIFE in Action video, click here: https://youtu.be/befaHQ4r0PI

from Tips For Aging In Place https://www.youtube.com/watch?v=_KpO0VUNuxA

Tuesday, October 15, 2019

Five new technologies for older adults  October 2019

Announcements of new offerings are arriving – will they/can they be used?  Hopefully these 5 will offer benefit that can and will be realized by older adults. Writers of these 2019 articles about the topic are not so sure that new technologies for this population may not be reaching their intended audience. That can be due to a variety of barriers, including fear that they are not using them properly (UCSD study), lack of internet access (which would limit awareness), low technology literacy (TechCrunch), including lack of familiarity with terminology, and physical challenges (research from MPDI). Here are five new technologies that could provide benefit to older adults – content is from the companies:

Clocr. “Launch of secure, cloud-based service to provide a better option for people to store and share important documents.Clocr is hosted in the cloud, so users can trust that their information is encrypted and preserved with access only given to contacts and guardians approved by the account holder. The proprietary ultra-security service provides more layers of security than anyone else in the industry. Clocr is the best choice for secure storage and disbursement of wills, medical proxies, account logins and passwords, financial records, and more.” Learn more at Clocr.

HandsFree Health.  “HandsFree Health combines WellBe's unique virtual assistant with capabilities from industry-leading health and technology companies including Microsoft, Healthwise, Cerner, and PokitDot. The HandsFree Health executive team brings more than 150 years of healthcare experience to make managing health more convenient for consumers, employers, health plans and hospital systems.” Learn more at HandsFree Health.

eTagz. “Each tag contains a unique QR code and matching alphanumeric code. If the worst happens and you are involved in an accident and are incapacitated, first responders, who are trained to look for ETAGZ tags, can scan the QR code on your tag using their smartphone or tablet and your MEDWALL which has your Emergency Contact Information displayed giving them the information they need to make faster and better medical decisions and to promptly contact your loved ones.”   Our tags speak for you when you cannot.” Learn more at eTagz.

Navigil. “Navigil, a specialist in white label telecare and personal safety solutions, has unveiled the Navigil Suite that consists of Navigil 580 wellbeing wristwatch and Navigil Service. The solution is powered by the latest mobile communication technology and artificial intelligence. It supports active aging persons who want to secure a long independent life while taking into account the concerns of their closest ones.”  Learn more at Navigil.

Silent Beacon. “The Silent Beacon personal panic button is made for people who are able to enjoy life and wish to have added protection in case something unforeseen was to occur.  Call and alert your loved ones and 911 when faced with an emergency.” Learn more at Silent Beacon.



from Tips For Aging In Place https://www.ageinplacetech.com/blog/five-new-technologies-older-adults-october-2019

Thursday, October 10, 2019

New Technology and Services Disrupt Hearing Aid Ecosystem

Hearing aids should appeal to those with significant hearing loss.  It’s a given that hearing loss interferes with communication – which itself is a risk for social isolation – as well as fall risk and dementia.  Ironically, according to the recently published and comprehensive MarkeTrak10 survey, the decision to wear them is so often delayed years – the delay resulting from excuses like “hear well enough; can’t afford; too expensive; no coverage.”  Given the associated risks and isolation from delay, it is surprising that until recently, the devices were well-matched with the excuses.  What’s changed to overcome all of these excuses?

Technology innovation.  At the high end (meaning very expensive), hearing aids are increasingly clever.  Starkey’s Livio AI hearing aids have the capability to detect falls, track and analyze activity – combining with a smartphone (Android) app or iPhone for real-time adjustments based on changes in environment and preference. According to Carole Rogin, one of the MarkeTrak10 authors, soon all hearing aids will have built in fall detection and predictive analytics. And increasingly, like the Phonak AutoSense offering to automatically adjust to changes in environment without user intervention.  Offerings like Bose Hearphones and Nuheara IQ BOOST have been leaders in an amplification category call Hearables – which in turn will likely continue to push the rest of the industry to improve sound quality.

Price and distribution innovation.  Consumers want self-service in all aspects of their lives – and hearing aids are no different. Not surprisingly self-service offerings (Direct to Consumer or DTC) appear to be correlated with lower price. Some (especially traditional audiologists) might say that some of these hearing aids are of lower quality.  Most would argue that the missing feature is the audiologist adjustment process though that can be delivered remotely as part of the purchase price.  For those starting to squint at this array of terminology, add OTC (Over the Counter) sale of hearing aids – no audiologist involved.

What is the real problem to be solved?  As a not-small side effect of the gyrations in this industry, the consumer may be rightfully confused – how bad is my hearing, can I check it myself and am I at risk of developing health issues if it is not corrected? Do I need an expert exam what about an implant? Do I need expensive hearing aids? Why doesn’t insurance cover them? Will some less expensive (and even somewhat insurance-subsidized) options do the job? Do they always need regular adjustment, what is the role of the smartphone app? But meanwhile, the new terminology and alphabet soup of the space continues to expand. Consumers may be confused, but as the Market Trak report noted, they are the biggest beneficiary.



from Tips For Aging In Place https://www.ageinplacetech.com/blog/new-technology-and-services-disrupt-hearing-aid-ecosystem

Monday, October 7, 2019

Four tech and aging blog posts from September 2019

Fall and red leaves arrived as typical late in the month.  But as inevitable as those changes are, other notable events occurred during September – including AARP’s partnership with Getty Images to combat age bias in advertising. Also in September, Medicare changes were introduced encouraging technology use by health providers, particularly telehealth services -- perhaps boosting the use of telehealth technology (for example remote visitations) which has seen a rise of consumer interest in recent polling, though not well-adopted yet by the majority of physicians. The four blog posts from September:

MIT Technology Review’s "Old Age is Over" is thought provoking.  Or in the case of the technology section – "Old Age is Made Up," written by Joe Coughlin, head of the MIT Age Lab, the content is just plain provoking. We agree that old age is made up – but in this article, that assertion is underpinned with generalizations that are just, well, also made up. And it shows a lack of understanding about who benefits from technologies that exist in their current form, or that some of those have been upgraded well beyond his generalizations.  Read more.

Heightened focus on social isolation has resulted in more research, greater concern.  Since the initial correlation between loneliness, social isolation and poor health outcomes, new reports have emerged to try and understand why people are lonely and what can be done to mitigate it. AARP, which has been researching the subject since 2010, released new survey results in 2018 confirming the same percentage – 35 percent of adults age 45+ are lonely – but with a growing number of older adults in the population, this represents an additional five million adults based on census data and asks them to assess their health. Today, Aging in Place Technology Watch and GreatCall have published a new white paper about initiatives to fight social isolation. Read more.

Consider upcoming fall events.  It's the last quarter of 2019 and a full sprint to the year-end finish. Soon you will launch a boomer/senior, home health tech product or service, or maybe a caregiver advisory service.  As your company gets ready to travel into battle or a booth this fall with the sound of lively pitches all around, it is time to for you to revisit this guidance. Perhaps sometime soon, your new or existing company will officially launch a new product or service, or perhaps a long-awaited, over-described and much-anticipated offering will finally ship. First read existing content and research reports on your particular market segment.  Look over this updated checklist that continues to hold true – with updated links and references. Read more.

Getty images show advertising’s ageist stereotypes.  A new report from AARP this week zeros in on something we all knew: Advertisers focus on the young – not unlike the tech firms who make products being advertised.  Despite the 50+ population representing one third of the US population, they only show up in 13% of advertising imagery. The AARP report authors analyzed the Getty images – and observed that even though 69% of people aged 65-73 own a smartphone, less the 5% of the images of technology included any older adults. The same held true for images of workers: while one third (53 million) of the labor force is 50+, only 13% showed them working -- otherwise they were shown at home, with a partner or in a medical setting. And the kicker: 81% of the employees of advertising agencies are younger than 55. Read more.

 



from Tips For Aging In Place https://www.ageinplacetech.com/blog/four-tech-and-aging-blog-posts-september-2019

Wednesday, October 2, 2019

Considering Technology Adoption -- AARP’s 2008 Healthy@Home

AARP research highlights changes in technology adoption.   What a difference more than a decade makes. Consider a long-ago AARP document that examined technology use of the 65+ population. Remember Healthy@Home in 2008? You probably don’t but you should read it. Kudos to Linda Barrett who led the production of this milestone report.  The iPhone had just been released in June of 2007, so this survey did not ask about smartphone use – there was no Digital Health “(a check engine light for your body!”); the Longevity Economy hadn’t been invented; Fitbit was a 2007 new clip-on tracker, and Facebook was still a campus toy. The survey was fielded in December of 2007 with a population of 907 adults aged 65-98 (mean age was 74) – rarely surveyed today, despite growing lifespan. Much was revealed, though it is another example (as if we needed one) that the more things change, the more they don’t.  

A few highlights from the report catch the eye.  To ask the questions in this survey, responders were shown still pictures of products from a Leading Age video. Only one third of the 65+ had broadband in the home (the rest used dial-up) or had gone online at the time of this survey. The older they were, the less likely to search for health information online or to trust online sources. They were also less willing to use a computer to interact with people at a distance (Skype had just surfaced in 2003).  Perhaps seeing the future, 6 in 10 thought that “personal computers will cost too much to install (62%), maintain (59%) and may not be something I need (58%).”  The 65+ population thought favorably about home safety devices, including mitigating losses from impairment (vision, mobility) – but only for others, not for themselves.

What’s changed in adoption by 2018? By the time of the 2011 report Healthy@Home 2.0, it was apparent that the in-home PC was saturated --  and by then, 71% of the 65+ were using PCs to communicate with family and friends. Caregivers were increasingly using technology to help them manage care (although they still objected to being called caregivers). By 2018, tech attitude differences between the 70+ and younger population were apparent.  While 90% of all adults owned a computer or laptop, those aged 70+ were more likely to use them, along with feature phones -- smartphone adoption had reached just 55% in that group. Among those under the age of 70, text messaging had taken over as the primary tool to stay connected, replacing email (and sadly, the telephone conversation, which was pretty much gone by 2015).

Telemedicine was positively perceived in 2008, but…More than half of older adults said they would like to be able to monitor their health status at home, sending information to their doctor via telephone and email. And in fact, by 2008, the VA had completed a study about the efficacy of home telehealth for veterans – in particular, aside from the claims of cost effectiveness, those that had the devices in-home felt more connected to their care providers. That was the good news. By 2019, the so-called tipping point in utilization by doctors has not been reached, though, perhaps it is just around the corner – the VA being the first to allow doctors to ‘practice’ across state lines.  But even though adoption is improving, only one-third of hospitals and 45% of doctors actually offer telehealth services.  And does it save money?  The jury is still out.



from Tips For Aging In Place https://www.ageinplacetech.com/blog/considering-technology-adoption-aarp-s-2008-healthyhome