Changes in the gait characteristics, such as walking speed and stride length, of a person living at home can be used to presage cognitive decline, predict fall potential, monitor long-term changes in cognitive impairment, test drug regimens, and more. This thesis presents a novel approach to gait analysis in a smart-home environment by leveraging new advances in inexpensive sensors and embedded systems to create novel solutions for in-home gait analysis. Using a simple, non-invasive hardware system consisting entirely of wall-mounted infrared and radio frequency sensor arrays, data is collected on the gait of subjects as they pass by. This data is then analyzed and sent to a clinician for further study. The system is non-invasive in that it does not use cameras and could be built into the molding of a home so that it would be nearly invisible. In a finished prototype version, the system presented in this thesis could be used to analyze the gait characteristics of one or more subjects living in a home environment while ignoring the data of visitors and other non-subject cohabitants. The ability to constantly collect data from a home environment could provide thousands of observations per year for clinical analysis. Providing such a robust data set may allow people with gait impairment to live at home longer and more safely before transitioning to a care facility, have a reduced fall risk due to better prediction, and live a healthier life in old age.

As people age there is an overwhelming desire to remain in the familiar surroundings of the family home, what is called Aging in Place. But inevitable changes that occur in their lives force the aging adults and their families to consider a move to some form of institutional living. Living at a distance from one another, the adult child attempts to maintain peace of mind concerning the well-being of their aging parents but finds it to be a difficult task. I propose to address this problem by first proposing that technology can help minimize the anxieties experienced by the adult child concerning their aging parents well being by appropriately presenting information on the aging parents daily life. This technological design concept does not require that the aging parent input, or for that matter, do anything other than live their lives as they normally live them. Further, this technology provides this information in a manner that is continuously available to the adult child for either opportunistic or planned perusal. As a single instance of the technological design concept proposed above, the Digital Family Portrait embeds well-being related information into an item commonly found in homes, the picture in a picture frame. The Digital Family Portrait was first tested in a wizard-of-oz field trial, then redesigned based on the outcome of this initial field trial coupled with the results of two lab-based studies and a further informal evaluation. The redesigned Digital Family Portrait was built and installed in the home of an adult child while the sensors to drive it were installed in an aging parents home. A field trial of this installation lasting for one year was conducted. The result of this field trial was to find that the Digital Family Portrait was an acceptable means of resolving certain peace of mind issues for the adult child while not raising privacy. It was found to be used in a socially acceptable manner by the adult child while the aging parent to reported feeling less lonely.

published_or_final_version / Housing Management / Master / Master of Housing Management

published_or_final_version / Gerontology / Master / Master of Social Sciences

published_or_final_version / Medical Sciences / Master / Master of Medical Sciences

published_or_final_version / Medical Sciences / Master / Master of Medical Sciences

published_or_final_version / Architecture / Master / Master of Architecture

Transport forms an essential element of people's lives. It is transport which determines how people access important resources and it influences the mobility of people. Transport availability improves access to resources and hence fights isolation, which derives from lack of access to resources. This case study examines the influence of transport on access to state grants and health services. The study was based on sample of 170 recipients of state grants and was carried out in September 2000. A quantitative survey through face-to-face interviews of pensioners and other recipients of state grants at two remote rural points was carried out. The results of the study showed that poor road and path infrastructure impacts negatively on old people's access to pension payout points and health services. As a result of poor road infrastructure, people have limited access to alternative means of transport and hence have to pay too much for transport to reach services essential to their livelihoods. In addition to the transport cost these elderly have to pay, they also have an extra burden of having to care for the orphans and unemployed adults staying with them. This puts an enormous pressure on their limited resources and hence deepens the cycle of poverty. The majority of people interviewed were positive about the quality of health service they are receiving and the attitude of health workers. There was no correlation between the quality of services received and the demand for using them. Amongst other things, it has been suggested that locating basic services particularly welfare services and health services nearer rural communities will improve the quality of life and minimize the cost of reaching such services. Furthermore infra structural intervention will impact positively on rural communities by providing them with a wider choice of transport and promoting intermediate means of transport. This will have a positive impact on rural communities by increasing the accessibility of services and improving mobility. / Thesis (M.A.)-University of Natal, Pietermaritzburg, 2001.

The Community Response Network in Kelowna was formed from the policydriven elder abuse committee and as a response to the Adult Guardianship Act of British Columbia enacted in 2000. After the inception of the act that addresses abuse, neglect and self-neglect of adults, the Community Response Network - a community development initiative that was implemented from social policy - was unsure of its role in the community. The purpose of this qualitative research is to assist the network in defining its role in supporting adults who may be vulnerable to harm. What is the role of the Community Response Network? What did the network do in the past? How effective was it? Who should be involved? It was thought that the network would continue to offer education and awareness to community members. Through a purposeful convenience sample of participants in both a focus group and individual interviews, various themes such as structure, values, context and tasks were evident through verbatim analysis. As well, through a feminist analysis, several dichotomies and inconsistencies were interpreted. Recommendations for the network include continuing education and awareness workshops, strengthening linkages in the community, and inviting a diverse group of people to become involved in the committee.

Energy and nutrient intake from agency meals (AM), other meals (OM) and total daily intake (TDI) of 61 day care and homebound subjects was studied for differences associated with age, income, education, marital status, living arrangements, gender, race, vitamin-mineral supplementation, Body Mass Index (BMI), Health Assessment (HA), Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL).The AM provided more than one-third of the recommended allowances for all nutrients except vitamin B6 plus energy for men. TDI was low because of inadequate OM intake. TDI was less than 100 percent of recommended amounts for zinc plus fiber for women. were most significantly associated with intake from OM and TDI followed by education and income. No age, marital status or racial effects were noted.The ADLs and the IADLs were problematic for most of the participants. They were positively correlated with energy and nutrient intake, as intakes increased so did functional difficulties.Ball State UniversityMuncie, IN 47306 / Center for Gerontology