Of course, neither the families of older people nor
their doctors should have to be glued to their computer
screens, watching and evaluating every bit of data
coming from the motes in order to care for the elderly.
"You don't want to get an e-mail every time a cabinet
door opens in your mom's kitchen," says Dishman. "But
you do want it when she's not drinking enough, after 30
years of having three cups of coffee or tea a day." It
would take a large degree of intelligence, but software
in a home PC could analyze the information coming from
the motes, recording the routine and acting on the
alarming.
Prevention of disease comes from unglamorous things
like encouraging people to eat properly and to exercise,
changes in habit that are famously hard to effect. The
single best aid to such behavior modification is a
support group, and there is some evidence that such
groups can be bound more tightly together with
technology. "[Motes] could let your walking buddy know
you've got your walking stuff out and maybe suggest
opportune times to go walking together," says Dishman.
Using wireless sensors to track the routine
activities of daily life—how people dress, what they
cook in the morning, how well they drive their
cars—might make for a mundane set of data. But such
data can greatly help in the diagnosis of neurological
disorders such as Parkinson's or Alzheimer's disease.
Parkinson's can so far be diagnosed only through
behavioral changes, principally changes in gait.
Yet to get a really early diagnosis would require
noticing quite subtle distinctions. Experts have studied
videos from Michael J. Fox's sitcom "Spin City" to see
how the actor behaved in the period before he was
diagnosed with Parkinson's. These videos, which
constitute a rare treasure trove, appear to show the
length of Fox's stride getting shorter over time.
Dishman contends that a set of behavioral markers for
diagnosing Alzheimer's should emerge from such data as
well. "Most people are not diagnosed until they have
already had the disease for five or even 10 years before
they either acknowledge or realize it," he says. The
markers might show the onset of Alzheimer's well before
that, in time for drug therapies to have an effect.
Wireless networks can also bring a measure of
independence to the lives of people suffering from
cognitive decline. Intel set up a prototype network of
sensors inspired by the needs of Barbara, a patient with
Alzheimer's disease whom Dishman recently met in a field
study. The network used off-the-shelf motion sensors to
detect Barbara's movements, pressure sensors in chairs
to tell whether she was sitting in them, contact and
magnetic switches to sense the opening of drawers and
cabinets in the kitchen, radio frequency identification
tags in her shoes, and antennas to sense the tags when
she entered the kitchen.
All this was for a seemingly simple task: to make
sure Barbara stayed hydrated, a common problem for those
with Alzheimer's. The system, connected to a PC, can
tell how long it has been since anyone was in the
kitchen. If it's been too long, the unit can prompt
Barbara to go get a cup of tea through a text message on
the TV in whatever room she may be in. It then follows
Barbara's progress as she tries to make tea. If the
system notices she is having trouble—say, if she is in
the kitchen but is taking an unusually long time to open
the cabinet—it prompts a TV in the kitchen to ask her
if she needs help. If she says she does, the system can
then walk her through whatever problem she is having,
monitoring her progress on the way.
A similar system can help patients comply with
doctors' orders. It has been estimated that in the
United States about 45 percent of people over 75 take
multiple drugs. And according to a study at Johns
Hopkins University, in Baltimore, as patients take more
drugs, they make more errors in taking those drugs.