# A clinician-in-the-loop smart home to support health monitoring and intervention for chronic conditions: Supplement to focus on Alzheimer's and/or other dementias

> **NIH NIH R01** · WASHINGTON STATE UNIVERSITY · 2020 · $366,710

## Abstract

PROJECT SUMMARY/ABSTRACT
 The world's population is aging and the increasing number of older adults with Alzheimer's disease and
related dementias (ADRDs) is a challenge our society must address. While the idea of smart environments is
now a reality, there remain gaps in our knowledge about how to scale smart homes technologies for use in
complex settings and to use machine learning and activity learning technologies to design automated health
assessment and intervention strategies. The primary objective of the parent study is to design a “clinician in
the loop” smart home to empower individuals in managing their chronic health conditions by automating
health monitoring, assessment, and evaluation of intervention impact. This supplement extends our design to
monitor, assess, and intervene for individuals with ADRDs and their caregivers. Building on our prior work, the
approach will be to generate analytics describing an individual's behavior routine using smart homes,
smartwatches, and activity learning (Aim 1). Our trained clinicians will use the analytics to train algorithms for
health assessment (Aim 2). In addition, we will introduce brain health interventions to extend brain health and
objectively capture intervention both adherence and caregiver support (Aim 3). Clinician guidance is used to
train machine learning algorithms to automatically recognize health events (Aim 4). Given the unique
challenges that will arise when we include individuals with ADRDs, we also introduce novel methods to track
multiple residents in smart environments (Aim 5) and compare behaviors between individuals with ADRDs
and the original sample of older adults with chronic health conditions (Aim 6). These contributions are
significant because they can extend the health self-management of our aging society through proactive health
care and real-time intervention, and reduce the emotional and financial burden for caregivers and society.
Given nursing home care costs, the impact of family-based care, and the importance that people place on
staying at home, technologies that increase functional independence and thus support aging in place while
improving quality of life for both individuals and their caregivers are of significant value to both individuals
and society.

## Key facts

- **NIH application ID:** 10086759
- **Project number:** 3R01NR016732-04S1
- **Recipient organization:** WASHINGTON STATE UNIVERSITY
- **Principal Investigator:** Diane Joyce Cook
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $366,710
- **Award type:** 3
- **Project period:** 2017-08-01 → 2022-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10086759

## Citation

> US National Institutes of Health, RePORTER application 10086759, A clinician-in-the-loop smart home to support health monitoring and intervention for chronic conditions: Supplement to focus on Alzheimer's and/or other dementias (3R01NR016732-04S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10086759. Licensed CC0.

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