Detecting Activities of Daily Living and Routine Behaviours in Dementia Patients Living Alone Using Smart Meter Load Disaggregation
This addresses the need for early intervention in dementia care to reduce deterioration and enable patients to stay at home longer, though it is incremental as it applies existing machine learning methods to a new domain.
The paper tackled the problem of non-intrusively monitoring dementia patients living alone by using smart meter load disaggregation to detect Activities of Daily Living and routine changes, with results including an AUC of 0.9429 for appliance detection using a Random Decision Forest classifier in a six-month clinical trial.
The emergence of an ageing population is a significant public health concern. This has led to an increase in the number of people living with progressive neurodegenerative disorders like dementia. Consequently, the strain this is places on health and social care services means providing 24-hour monitoring is not sustainable. Technological intervention is being considered, however no solution exists to non-intrusively monitor the independent living needs of patients with dementia. As a result many patients hit crisis point before intervention and support is provided. In parallel, patient care relies on feedback from informal carers about significant behavioural changes. Yet, not all people have a social support network and early intervention in dementia care is often missed. The smart meter rollout has the potential to change this. Using machine learning and signal processing techniques, a home energy supply can be disaggregated to detect which home appliances are turned on and off. This will allow Activities of Daily Living (ADLs) to be assessed, such as eating and drinking, and observed changes in routine to be detected for early intervention. The primary aim is to help reduce deterioration and enable patients to stay in their homes for longer. A Support Vector Machine (SVM) and Random Decision Forest classifier are modelled using data from three test homes. The trained models are then used to monitor two patients with dementia during a six-month clinical trial undertaken in partnership with Mersey Care NHS Foundation Trust. In the case of load disaggregation for appliance detection, the SVM achieved (AUC=0.86074, Sen=0.756 and Spec=0.92838). While the Decision Forest achieved (AUC=0.9429, Sen=0.9634 and Spec=0.9634). ADLs are also analysed to identify the behavioural patterns of the occupant while detecting alterations in routine.