What is a Smart Home? Who Needs a Smart Home? Smart Homes can. The Right Fit: Technologies: 5/26/17

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1 Suppor-ng Independence & Choice with Smart Home Technologies Tony Gentry, PhD OTR/L FAOTA Department of Occupa-onal Therapy Virginia Commonwealth University Richmond, VA What is a Smart Home? Designed for access, security, comfort & livability Ease of use features Supports func-onal independence Individualized to your needs and interests Smart home features are becoming increasingly available and affordable Who Needs a Smart Home? People with: Mobility limita-ons AXen-on/memory/other cogni-ve problems Medical care needs Transi-on from supported to independent living Emerging risk of nursing home placement Mo-va-on to increase independence thru AT Smart Homes can Improve safety and security Assist with mobility, transfers, access Automate rou-ne appliance func-ons Allow remote control of home features using a variety of access tools and supports Provide communica-on tools, including passive occupant monitoring Assist with task support, shopping, bill-paying, social interac-on Technologies: Low-tech accessibility tools Mid-tech appliances (alarm clock, kitchen -mer) High-tech Electronic Aids to Daily Living (ligh-ng/ appliance control) Safety features (fire, smoke, water, injury alarm) Task Cueing (PDA, pc, pillbox, ligh-ng cues) Community Outreach/Engagement The Right Fit: Assess: Func-onal abili-es and interests Human support resources Environmental supports in place Safety concerns Medica-on management ADL/IADL (food, hygiene, money management) Financial resources/insurance Work collabora-vely to problem-solve solu-ons Important: What is best access tool for remote control? 1

2 Appliance Controls What can be automated or controlled remotely? Lights and lamps Media equipment (tv, radio, camera, stereo, etc.) Appliances with on/off switches (fans, motorized doors & window shades) Door locks Thermostat Phone, Computer Occupant monitors Lights & Appliances What do you want to control? What is the best switch for your mobility? What is the best transmixer of your command? What technology will operate the device based on your command? The Origin of Smart Homes x10 System Electronic Aids to Daily Living (EADL) 2

3 PC, tablet or phone App Remote module Control Module Tap or proximity switch Head control Sip-n-puff Voice control Eye Gaze Switches Voice Considera-ons (Apple Siri/Amazon Echo/Google Home/ Microso? Cortana) Clear, concise commands Proximity to microphone Proper labeling of appliance modules Triggering of chained commands X-10 Insteon ZigBee Zwave Compe-ng Technologies Apple Homekit Setup Home wifi network iphone or ipad running ios 10 Home App Purchase an appliance or device bearing this label: On Home app Tap 3

4 Apple Homekit Setup Using device camera, scan in bar code of device Follow instruc-ons on app to iden-fy: Name of device Which room device is in Set a schedule or scene for automated on/off if you like Homekit Remote Access To control devices while away from home: Apple TV 3 rd or 4 th Gen with TV OS9 or later To operate automated events and triggers: Apple TV 4 th Gen with TV OS10 Or ipad with ios10 that lives at home Voice Control via iphone Samsung SmartThings Basic Setup Price Comparison App, 2 lights, outlet module, movement sensor Samsung SmarXhings: $210 Apple Homekit: $170 Insteon: $155 X-10: $150 Appliance Module Comparison Samsung SmarXhings: $42 ihome Devices Smart Plug for Apple Homekit: $38 Insteon: $40 X-10: $18 4

5 Monitoring Op-ons: Mo-on Sensors Phillips Hue - $40 Homekit Door Sensor - $42 SmartThings Arrival Sensor - $40 Ceiling Fan with Insteon Module ($235) First Alert Smoke & MO Alarm (Homekit Enabled) ($190) Nold Garage Door Opener ($120) ConnectSense Smart Outlet (2 lamps) $59 Apple TV ($150) Honeywell Lyric Thermostat ($199) Phillips Hue Mo-on Sensor (3) $120 Insteon Hub Pro ($80) iphone or ipad with Home app (ios 10) Total: $1,153 You can Transac-ons & Housekeeping Access home through garage Control 2 lights and/or appliances Auto-Manage thermostat Auto-Manage overhead fan Broadcast smoke/mo alert to loved one Passively monitor ac-vity in home Automate these ac-ons based on triggers or scenes and while away from home via Apple TV Automated Bill Paying Automated Grocery Order and Delivery Auto Plant Watering Robot Vacuum Cleaner Automated pet feeder Rhoomba Vacuum Cleaner - $375 5

6 Real--me help Safety Stovetop monitor Tub overflow monitor Automa-c coffeepot Mo-on-ac-vated ligh-ng Window escape systems Med-alert medallion FaceTime (Apple ios only) Skype (all plaoorms) Plain old phone In Case of Emergency Person Locators Built in for iphone Android: Medical ID Samsung Safety Assistance SOS One Click app GPS-Based Person Trackers Lifesaver.org Nu-M8 Lok8u.com Spark Nano Brickhousesecurity.com Aetrex.com 6

7 Care Zone family sharing Video Instruc-on in Place 1. Create Instruc-onal Video 2. Add video to Youtube channel 3. Use QR Code Creator to build QR Code linked to Youtube video you made 4. (QR-Code-Generator.com is free online) 5. Print out and tape QR Code to loca-on where task will be performed 6. Add Scan app to phone 7. Hold phone camera to QR Code with Scan App open and video opens to play. Case Study Situa-on CG, 25-year old with mild motor and cogni-ve impairment Graduate of GMU Life Skills program Lives with parents and twin brother with severe au-sm Works part--me at parents metals shop as metal presser Drives locally Has fiancee (now married) Why they called me: Parents were building CG a new one-story house with Easy Living blueprints and open floor plan one mile from their home CG wanted to marry fiancee, who also has DD with cogni-ve-behavioral impairment, and live together Mom contacted NExT, LLC to consult on home adapta-ons to support safety and independent func-on in new house Assessment Mobility concerns Safety ADL/IADL Interests/Needs/Goals What human supports (nagging) can be simplified or automated to promote independent living? What tools might help? Recommend/install for loaner trial/adopt 7

8 Concerns Remembering to Do Things (Wake up!) Medica-on adherence hospitaliza-on risk Home safety especially fire risk when cooking Overly long showers (water bill fears) Can get lost while driving Forgetng keys locked out of house Phone reminder alarm, set phone across room Bed Shaker Alarm ($38) Clocky Rolling Alarm Clock ($38) Morning Wake-up Task Reminders Google Keep Feed cat Get ready for work Grocery lists Chores Mom can share a note with new reminder Medica-on Management Androidphone apps: DoseCast or MediSafe (family no-fica-on) MD2 ($799) The Shower! General Home Safety Android Recording Alarm Clock (free) Shower Timer ($12) Shower Manager ($149) Spray Can Fire Ex-nguisher Talking Smoke Alarm Flashlight Night-Lite Water Leak alarms 8

9 Cooking Safety Gets Locked Out of House Cook Stop American Company $359 Works with Convec-on Ovens Hide key under rock? Combina-on lock? Mo-on-ac-vated reminder near door ($10) Getng Lost in Car How s it working? GPS Maps on Phone Android Family Tracker app ($4.99) Spark Nano ($149 + $30/month fee) Budget Assessment - $500 Ini-al installa-on, training, follow-along - $500 Equipment total = $1900 Total = $2900 Fully paid by Virginia s Medicaid Waiver Program for DD ($5000 allowed) Smart Home Features Universal Design for Easy Access Simplify and organize for energy conserva-on Mobility suppor-ng DME and Adap-ve Devices Automated and remote controlled appliances Safety features and alarms Automated bill paying, groceries, etc. Passive monitoring for safety and security Cheaper and more fully featured every day 9

10 Facebook: Assistive Technology for Cognition Tony Gentry, PhD OTR/L Associate Professor Director, Assis-ve Technology for Cogni-on Laboratory Department of Occupa-onal Therapy Virginia Commonwealth University Thank you! 10