S mart P revention, R ehabilitation & IN tervention T echnologies; Improved mobility & participation

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1 S mart P revention, R ehabilitation & IN tervention T echnologies; Improved mobility & participation

2 Good4Business

3 Vision Keep older as long as possible Measure who with smart sensor systems; integrative approach vs single action Based on overall picture: predict optimal intervention Prevent incapacitation by motivating intervention systems that are proven effecive Support by ICT platform and user interface; privacy Change behavior into a health-responsible one

4 Topics to be studied Health condition Physical Cognitive/ stress Society/ Organisation Nutrition Need assessment 1 Monitoring & Intervention ICT/data analysis 6 Behavioral change 7 Testing 1 Implementation 8 SPRINT@Work Future research

5 Physical active employees

6 Monitoring physical decline

7 Monitoring cognitive decline 7

8 Monitoring sleep

9 Office workers

10 Monitoring sitting & standing behavior

11 Monitoring cognitive decline 11

12 All workers

13 Monitoring lifestyle

14 ICT-platform Data-transport Big data analysis Integral approach

15 Feedback to user

16 Future plans Monitoring physical, cognitive, mental decline nutrition, activity Compensatory or training interventions work content and environment Telemonitoring; Data-acquisition and analysis system; Ethics, Privacy Behavioral change strategies for health responsibility Pilot test in pilot-companies; objective results Implementation

17 Nutrition intervention According to World Health Organisation: Limit (added) sugar Limit refined carbohydrates Eat fat (=healthy, delays hunger) (and suspect light products) Because this: Avoids and cures type 2 diabetes Decreases symptoms of type 1 diabetes Avoids and cures obesitas Decreases risk of heart disease, cancer, dementia

18 Co-operative model VWS; decrease in health care costs and staff Banks; limiting risk of investing in companies Pension funds; sustainable employment, more income Companies; more productivity, expertise, lower costs Companies; new business opportunities Health insurance; lower costs, increased knowledge Universities; application of knowledge

19 Planning 2017: Small scale: limited sensors and interventions; older employees only (chronic illness only?) 2020:Medium scale: adding new sensors, interventions; all employees 2025: Large scale: adding more sensors, interventions; all (future LifeLines)

20 Current and new systems Toepassing Sensor systeem Interventie systeem Fysieke conditie Mechanisch Meten van werkhouding Laevo ondersteuningssysteem Inlegzooltjes, die voetdruk Beenspierkracht-trainer meten Spierskeletmodel Armspierkracht-trainer Rompspierkracht-trainer Balansmeet-systeem Balanstrainings-system Stoel met sensoren om zithouding te bepalen Feedback over houding via Google glasses Energetisch O 2 - en ademhalingssensor Fitness-training systeem Lichaamstemperatuurmeter Feedback via Google glasses Activiteit Activiteit-monitor (zitten, lopen, rennen, fietsen) Feedback om activiteit te vergroten of variëren Activity competition Bureau voor staand werken Staand vergaderen Cognitieve conditie Alertheid Meten van oogbeweging Feedback om alertheid te verhogen Analyse van toetsenbordaanslagen Slaap Slaap-monitor?? Feedback om alertheid te verhogen

21 Current and new systems Mentale conditie Stress HRV (hartslagvariatie) On-line tool voor stressreductie middels ademhalingstechnieken Huidgeleiding Sociale conditie Sociale interactie?????? Voeding Voedingskwaliteit Insuline-niveau LowCarb Voeding Ondersteunende systemen ICT-systemen Gedragsveranderingsstrategieën Privacy/Ethiek Aceton-niveau Glucose-niveau Voedsel-scanner Bar-code-scanner LowCarb recepten ICT-platform om data te verzamelen Gebruikers-interface om data en adviezen in te zien Risico-model om te bepalen, welk risico je loopt Feed-back informative om gedrag te veranderen Zelf-lerende algoritmes om advies te verbeteren Verantwoordelijkheid nemen voor de eigen gezondheid Motivatiestrategieën om door te gaan Strategieën zodat je gezond voedsel kiest Data-bescherming Privacy-garantie In ontwikkeling, er is nog geen verkopende partij gevonden Bestaand product Nog te ontwikkelen

22 Monitoring stress

23 Monitoring physical decline

24 Monitoring nutrition

25 Monitoring nutrition Google and Novartis: smart contact lens monitors glucose levels Scanadu Urine glucose, protein, leukocytes, nitrites, blood, bilirubin, urobilinogen, microalbumin, creatinine, ketone, specific gravity, and ph in urine.

26 Multi-parameter monitoring

27 Training balance

28 Training muscle power

29 Assisting muscle power

30 Lifestyle intervention

31 Stress management

32 Training muscle power Michael Tieland: ProMuscle research, Wageningen University (TIFN). Proteins and mobility: profitable for older citizens: Increase in muscle strength and mass by muscle exercises and protein supplement. Improved balance, gait, chair raising.

33 Nutrition intervention According to World Health Organisation: Limit (added) sugar Limit refined carbohydrates Eat fat (=healthy, delays hunger) (and suspect light products) Because this: Avoids and cures type 2 diabetes Decreases symptoms of type 1 diabetes Avoids and cures obesitas Decreases risk of heart disease, cancer, dementia

34 Behavioural change is crucial (and difficult to realize)