Gracing Aging and Happy Healthy Living at the Aware Home Ellen Yi-Luen Do Aware Home Research Institute, College of Architecture and School of Interactive Computing, GVU Center, Health Systems Institute, and Center for Music Technology Georgia Institute of Technology, Atlanta, GA 30332, USA ellendo@gatech.edu 1. Introduction – Toward a Smart Living Environment It’s a spring day in the year 2050. As you finish your breakfast your table displays a picture of the medicine and vitamin to take after the meal. When you go to the kitchen to get yourself a glass of water, you notice the handle of the kettle is red to remind you that the water is hot and ready for tea. Glancing out the window, you see fresh snow accumulated on the ground over night and feel thankful that the heat was automatically turned up while you were asleep. Meanwhile the living room starts playing the music for your exercise routine. You may be sixty, eighty or a hundred years old now. You are happy and healthy. You are aging gracefully and living alone with your life style partner, the Aware Home. The age of ubiquitous/pervasive/ambient computing is upon us. What does this mean when we have computing without computers, where information processing has diffused into everyday life, and become invisible? Can our homes help us stay active, alive and vital? This vision is already becoming a reality. Nowadays it is easy install a network of sensors and computers throughout one’s home. A computer is no longer a desktop machine, instead, it is becoming part of the room, part of the building, and constantly present. Can we imagine the world with things that think, spaces that sense, and places that play? Can we employ computing creatively to enhance our lives? Can we use technological innovation to unlock and augment human potential? Design and Human-Computer Interaction are crucial components of information technologies in daily life and they color our experience of computation and communication. Computing that is aware of what people are doing and what they want would significantly impact our life. The Aware Home Research Initiative (AHRI) at Georgia Tech is devoted to the multidisciplinary exploration of emerging technologies and services based in the home. Since 1998, faculty and students involved in the initiative have focused their efforts on solving problems of significant social and economic impact, particularly in the areas of wellness and health. Core to our research 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 and teaching is an understanding of individual needs; how individuals perceive and interact with different devices; and how differently individuals accept these technologies and devices in their homes and everyday lives. 2. Be Well – Happy Healthy Living at Home The idea of wellness is related to human potential. What is wellness? Wellness is the presence of wellbeing. Wellness is about being active, alive and vital. It concerns individuals, communities and our environments. Wellness has multiple dimensions. A popular notion of the six dimensions of wellness is consisted of physical, emotional, occupational, social, intellectual and spiritual (Hettler 1976). The physical dimension concerns diet, nutrition and physical activities. The emotional dimension recognizes awareness and acceptance of feelings and behaviors. The occupational dimension realizes achievement and enrichment through work. The social dimension encourages contribution to the environment, community and the world. The intellectual dimension seeks creative and stimulating activities. The spiritual dimension recognizes the search for values, meaning and purpose in life. Achieving wellness is a Grand Challenge. We are concerned about the quality of life for ourselves and for our society. As human beings we want to develop and cultivate our untapped potential for a happy, healthy, creative and fulfilling life. Technological innovation may be just the key to unlock human potential for the Holy Grail of wellness. The Georgia Institute of Technology aspires to the commitment to improving the human condition through advanced science and technology. As a top technological university with genuine concerns about human conditions, Georgia Tech has created a culture of possibilities fostering the growth of interdisciplinary research centers such as the Aware Home Research Initiative, GVU Center, the Health Systems Institute and the Center for Music Technology. As a faculty member with a joint appointment in the College of Architecture and the School of Interactive Computing, and housed in the Health Systems Institute, I have enjoyed being an active member in these research centers, witnessed and participated in various research initiatives. The research and innovating projects produced by these centers are too numerous to list them all. To briefly demonstrate the spirit and the scope of the types of the research efforts, the rest of this paper will focus on three areas of interest – health, awareness, and entertainment, each illustrated by a couple projects, to form part of the picture of the theme of “happy, healthy living at home and graceful aging with ambient intelligence.” 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 2. Health: for the old and the young, with capturing, recording and notification Besides supporting healthcare services and capabilities ranging from surgery planning to diagnosing and treating chronic disease, many opportunities exist to help people live a more carefree and independent life. The Digital Family Portrait (Mynatt 2001) helps family members at a distance to “keep an eye” out for their love ones in a casual, lightweight manner. Figure 1 shows a picture of Grandma displayed together with other family portraits. The picture is surrounded by the images of the butterflies that change daily, reflecting some portion of Grandma’s activities recorded by the nonobtrusive sensors installed in the house that is an “Aware Home,” a living laboratory for ubiquitous computing research that is a two-story single-family house built with sensing infrastructure that is capable of knowing information about itself and the whereabouts and activities of its inhabitants (Cory 1999). Figure 1. Digital Family Portrait of Grandmaʼs activities as butterfly icons Although for privacy reasons, one may appreciate not being constantly under the surveillance camera, there are times that a recording and monitoring service may come in handy. Take Cook’s Collage (Tran 2007) for example, a capture system installed on the kitchen countertop that provides visual summary of recent cooking activity serves as a memory aid. Imagine you are in the middle of making a cake and you stop to answer the phone. When you get back, you wonder if you have already put in either three or four cups of flour in your mixing bowl. The display shows visual snapshots arranged as a series of comic strip panels for you to touch and review past events. Figure 2 shows a person touching Cook's Collage display to check to see how many cups of flour he already put into the bowl. 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 Figure 2. Cookʼs Collage captures cooking activities for later review Living well at home is a concern for people of all ages. Children with asthma enjoy playing outdoors as much as others. Parents are concerned about their children’s wellbeing even when they are out of sight. With the Pervasive Remote Asthma Monitoring (Chhabra 2007) added to a cell phone or a cute animal pendant worn on their necks, their coughing and wheezing can be recorded no matter where they are. This monitoring could alert caregivers remotely and enable them to quickly supply medical attention in the event of an emergency. Figure 3 shows that, with embedded electronics and software, the voice can be processed through digital signal processing, sent through the network and incorporated into patients’ electronic medical records. Figure 3. Pervasive Asthma Monitoring helps detect patientsʼ coughing and wheezing patterns If you are disabled or confined to a wheelchair at home, Personal Robotic Assistant (Kemp 2008) can turn your world into a clickable interface with a laser pointer. If you want your robotic 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 assistant to pick up a toy or a remote control on the floor and deliver it to your friend on the other side of the room, all you need to do is to point the green laser at the object first, and then at the person. Your robotic helping hand will then follow your command and deliver the object. Figure 4 illustrates how the robot would perceive objects and a person, instructed through green laser pointer. Figure 4. Instructing the Personal Robotic Assistant by clicking on highlighted objects with a laser pointer The appearance of the in-home personal assistant does not have to take the form of a robot. It could be an invisible fairy or a guardian angel that watches over your shoulder and guides you through unfamiliar or difficult tasks. For example, the Technology Coach (Roger 2007) provides feedback to assist older adults in using medical devices (such as a blood glucose meter) for the first time, or the hundredth time, or if they made an error when using the device. Figure 5 shows that the Technology Coach using a computer vision system to recognize user actions and to recognize potential errors and provide appropriate guidance. Figure 5. Technology Coach “watches” user actions to provide feedback on home medical device operation 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 3. Awareness: of self & the environment, for physical, emotional, social & spiritual wellness Information technology can serve as a medium to help us connect with ourselves, with other people, and with our environment. Applications in a hospital setting may be designed to help relieve anxiety by the patients and their family members. Applications at a household that inform people about energy consumption patterns may help residents monitor their energy use and modify their behavior patterns. Application in a prayer practice may even help people connect with their spiritual needs. Meanwhile, custom home sensor networks using multiple cameras or existing residential power line could provide location and event detections to support a variety of applications in our daily activities. Let’s look at some examples here. Being sick is no fun. It is uncomfortable and stressful. While confined in a hospital bed, a patient may feel overwhelmed and alone. Being able to learn about one’s own illness and medical procedures, or to communicate with clinicians, friends and families may help alleviate the stress. The Patient Interactive Communication and Learning System (PILS) simplifies the patient's hospital communication experience by combining communication tools into one easy-to-use system mounted on the patient bed. As shown in Figure 6, PILS has a one-touch call button that connects to nurse’s video phone. Family video conferencing, educational video, entertainment media, and vital signs information are all just “one-touch away.” The entertainment system also doubles as display for medical records so that the clinicians could use it to explain medical conditions and treatment options to the patients and concerned family members. Figure 6. Patient Interactive Communication & Learning System mounted on the bedside connects patients, care givers & family members at home, monitors vital signs and provides learning opportunities Or consider energy awareness – we are all concerned about climate change and our impact on the environment and the world. Would you like to be aware of the energy consumption at your home 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 and change your usage pattern? Would you adopt an electronic pet for this purpose? The Energy Puppet (Abdelmohsen 2008) is an ambient display device that provides peripheral awareness of energy consumption for individual home appliances. The display produces different “petlike” behavioral reactions according to energy use patterns of the appliances to give homeowners an indication of their energy consumption. The puppet would raise its “arms” in victory to display normal consumption rate (see Figure 7), or its “eyes” would change color to red and “roar” to warn the homeowners when the specific appliance reaches high consumption rates. Figure 7. Energy Puppet raises its arm to celebrate low energy consumption in the home. Besides energy monitoring, many home automation, entertainment and healthcare applications with activity sensing require large numbers of sensors or extensive installation procedures. Wouldn’t it be nice if we could have low-cost and easy-to-deploy location and sensing technologies at home by simply leveraging the existing infrastructure? Power Line Positioning (Patel 2006) is an inexpensive technique that uses fingerprinting of multiple tones transmitted along the power line for location detections. The system is based on a popular wire-finding technique used by electricians to locate or trace hidden wires behind a wall or underground. Figure 8 shows that by plugging in two signal generator modules into electrical outlets at extreme ends of a house the custom tag would detect these signals and determine its location. A sister project called Power Line Event Detection uses a single plug-in sensor to detect a variety of electrical events throughout the home using machine learning techniques to recognize electrically noisy events such as turning on or off a particular light switch, a television set, or an electric stove and classify various electrical events with accuracies ranging from 85-90% (Patel 2007). 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 Figure 8. Power Line Positioning system: two signal-generating modules (top right) at extreme ends of a house (left), the location tag with a receiver and antenna connected to a handtop computer (bottom right) Another approach to understand human activity in natural environments over long periods of time is to use camera and visualization tools to facilitate longitudinal in-situ behavioral analysis. Vis-aViz is a visualization tool (see Figure 9) that interprets data from the overhead cameras, computes motions and blob tracking, aggregates over space and time and provides interactive navigation (Romero 2008). By having interpretation and visualization in a spatial or geographical information system, where the floor plan of the inhabited space serves as the geography and time is stacked as layers on top of the plane, the tool helps contextualize video analysis in the space and time to facilitate rapid overview, filtering and zooming, and details on demand of large volumes of video data, that helps identify potentially sparse target behaviors. Figure 9. Vis-a-Viz system processes data from overhead camera and turns it into blobs, activity data and activity map for further analysis. 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 Sun Dial (Wyche 2008) is an application that supports Muslims’ prayer practices by showing the natural environmental cues of the movement of the sun through the sky pictorially in the screen of a mobile phone. The ritual involves several cycles and prayer takes place during a “window of opportunity,” instead of an exact time. Therefore, an alarm clock function is not appropriate. With a simulated sun movement through the sky on a cell phone, even people in an interior space with no view to the sky can perceive the different phases of the day for prayer opportunities. This project provides an example of how prayer as an activity can be supported with technology. Figure 10 shows the sketch used in the study with the Muslim community and the resulting screen shot for Sun Dial showing a mosque in profile and the sun locations in the blue sky background. Figure 10. Sun Dial provides environmental cues on a cell phone for prayer opportunities. 4. Entertainment – video, music and technology Watching TV or listening to stereo is a favorite pass time for many people. Finding the remote control can be a chore. You can’t quite remember where you put it. You want to change the channel or turn the volume up but you just can’t find the remote. Some of the remotes may be too complicated and difficult to use. Or you may be listening to music when the phone rang and you just wanted to wave at it to turn it off. The Gesture Pendant project (Starner 2000) allows controlling of ordinary household devices, literally, with the wave of a hand (see Figure 11). The magic is the wireless camera embedded in the small pendant you wear. By making gestures in front of the pendant you could control anything from a home theater system, to lighting, to the kitchen sink. The system can also analyze user movements and detect loss of motor skill or tremors in the hand that might indicate an illness or problems with medication. Regular eating or moving patterns can also be detected for health condition monitoring or to help elderly and disabled people achieve more independence in their homes. 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 Figure 11. Waving a finger in front of the Gesture Pendant could control a device at home. Interested in editing and annotating video for personal diary or to send a commentary along with a video program to your grand children? With Videotater you would be able to play, cut segments of digital video and tag them by using a pen on a Tablet PC (Diakopoulos 2006). The tool provides efficient and intuitive navigation, selection, segmentation, and tagging of digital video. It automatically segments the video into meaningful categories (i.e., by characters or events) and signals to the user where appropriate segment boundaries should be placed. It also allows rapid review and refinement of manually or automatically generated segments, all with simple pen gestures. Figure 12. Videotater supports video segmentation and tagging with a pen-based interface Music is an important thing in life. We hear it everywhere: in elevators, vehicles, concert halls and shopping malls. Music is an art form that helps us express ourselves, and our feelings. Music is fun. An upbeat happy music can cheer you up. A soft melody can soothe you. Appreciation of music is more than just entertainment. It also has social, cultural, and emotional implications. 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 Music helps promote wellness, manage stress, alleviate pain, express feelings and improve communication (Campbell 2000, AMTA 2008). Hand drum has been used to help Alzheimer's patients improve their short-term memory and increase social interaction, help autistic children increase their attention spans, and to aid Parkinson's patients and stroke victims to regain their movement control of or increase their gaits. (Friedman 2000, Chiang 2008) Imagine finding a musician that who can jam with a group of players and produce inspiring rhythms in various varying speed and intensity that go beyond human player’s ability? Haile is an interactive robotic percussionist that can listen to live players, analyze their music in real-time, and use the results of the analysis to play back in an improvisational manner. Besides being able to imitate human musicians, Haile can sense, analyze, and react to perform with acoustic diversity and dynamic range, and with varying velocities between the two arms that are difficult for human players. The experience of playing with an interactive robotic percussionist may facilitate a musical experience that is inspiring and encourages novel expressions and interactions. Figure 13 shows a drumming session with the interactive robotic percussionist. Figure 13. Drumming with an interactive robotic percussionist Too busy and can’t find time to practice piano? How about wearing a glove that can help you learn to play music while you’re at your desk or on the move. The Piano Touch (Huang 2007) project provides a new way for people to learn to play the piano. Wirelessly synchronized with an iPod, cell phone or other music playing device, the Piano Touch is a light-weight glove outfitted with little vibration motors to cue the musicians about which finger they need use to play the next note. Figure 14 shows a converted golf glove with vibration electronics playing on a lighted keyboard. A pilot study shows that students learned the songs that they were practicing with the Piano Touch glove much better than the songs that they were practicing without the glove. We are currently working on making Piano Touch an engaging, pervasive hand rehabilitation aid for patients who suffer loss of functionality of their hands. 4th. International Symposium on Construction Technology Information- Aging Society and Ambient Intelligence”, July 21, Tokyo, Japan hosted by I2CTI – International Institute of Construction Technology Information, pp. 69-86 Figure 14. Piano Touch is a lightweight glove that cues which fingers to play. 5. May the Force Be with You! In this paper we have covered topics of human potential and the dimensions of wellness. We have seen interesting technological innovation projects addressing different aspects of wellbeing in our everyday lives - about health, awareness and entertainment. These projects would not have been possible without the culture of interdisciplinary collaboration, the synthesis of research across many domains, and the aspiration to support fundamental human needs. Let’s move forward together towards a bright and exciting future! All good things must come to an end. Let me quote from an old Irish Blessing here: “May the road rise up to meet you, may the wind be always at your back. May the sun shine warm upon your face and the rain fall softly on your fields.” And until we meet again, my friend, be well. 6. 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