Location-based services have increased in popularity in recent years and can be fruitfully exploited in the field of smart homes, opening the doors to a wide range of personalized services. In this context, radio technology can be widely employed since, other than connecting devices in the home system, it offers solutions for the user localization issue without the need of any extra device. Techniques based on received signal strength indicator (RSSI) are often used, relying on fingerprinting or proximity algorithms. In this paper, a novel RSSI-based fingerprinting approach for room-level localization is presented: it is a threshold algorithm based on receiver operating characteristic analysis. Moreover, the actual user location is estimated from his/her interaction with the home system devices deployed in the house: if the home environment is inhabited by more than one person, it becomes of utmost importance the identification of who is actually interacting with a given device. A proximity method is exploited for this purpose. Tests have been carried out to characterize the approach, particularly, the effects of RSSI samples, number and position, of the anchor nodes have been analyzed. Finally, some considerations about power consumption of the mobile node have been presented.

This paper presents an automated procedure for acquisition and analysis of BallistoCardioGraphy (BCG) traces. A tri-axial accelerometer and a microcontroller unit are used to record heart-induced recoil forces generated from a lying subject. The problem of BCG J-peak annotation is split into two sub-tasks: candidates extraction, based on a detection signal, and actual annotation, guided by subject-specific search windows. Such procedure is derived from an automatic calibration, which is carried out with no need of concurrent ElectroCardioGram (ECG) or user intervention. The algorithm also implements post-annotation checks for refinement of annotation, which effectively reduces the number of missed J-peaks. The impact of each algorithm phase is analyzed, assessing statistical significance of each step; finally, performance is optimized in a data-driven fashion. Results show that the proposed methodology is able to achieve high sensitivity and precision (the median score is 98.9% and 98.1%, respectively) in J-peak detection. The quality of J-peaks timing annotation is further demonstrated by a very low discrepancy between BCG and ECG HR estimates. Over all population, the standard deviation of such error was found to be approximately 6.56 ms, whereas the Mean Absolute Error just 4.7 ms (i.e. ≈1.18;Ts, where Ts = 4 ms is the sampling period). Such scores, indeed, improve over recent related literature.

Environmental sensors are exploited in smart homes for many purposes. Sensor data inherently carries behavioral information, possibly useful to infer wellness and health-related insights in an indirect fashion. In order to exploit such features, however, powerful analytics are needed to convert raw sensor output into meaningful and accessible knowledge. In this paper, a complete monitoring architecture is presented, including home sensors and cloud-based back-end services. Unsupervised techniques for behavioral data analysis are presented, including: (i) regression and outlier detection models (also used as feature extractors for more complex models); (ii) statistical hypothesis testing frameworks for detecting changes in sensor-detected activities; and (iii) a clustering process, leveraging deep learning techniques, for extracting complex, multivariate patterns from daily sensor data. Such methods are discussed and evaluated on real-life data, collected within several EU-funded projects. Overall, the presented methods may prove very useful to build effective monitoring services, suitable for practical exploitation in caregiving activities, complementing conventional telemedicine techniques.

A balanced diet is the key to a healthy lifestyle and is crucial for preventing or dealing with many chronic diseases such as diabetes and obesity. Therefore, monitoring diet can be an effective way of improving people’s health. However, manual reporting of food intake has been shown to be inaccurate and often impractical. This paper presents a new approach to food intake quantity estimation using image-based modeling. The modeling method consists of three steps: firstly, a short video of the food is taken by the user’s smartphone. From such a video, six frames are selected based on the pictures’ viewpoints as determined by the smartphone’s orientation sensors. Secondly, the user marks one of the frames to seed an interactive segmentation algorithm. Segmentation is based on a Gaussian Mixture Model alongside the graph-cut algorithm. Finally, a customized image-based modeling algorithm generates a point-cloud to model the food. At the same time, a stochastic object-detection method locates a checkerboard used as size/ground reference. The modeling algorithm is optimized such that the use of six input images still results in an acceptable computation cost. In our evaluation procedure, we achieved an average accuracy of $92\%$ on a test set that includes images of different kinds of pasta and bread, with an average processing time of about 23 s.

This paper introduces technical solutions devised to support the Deployment Site - Regione Emilia Romagna (DS-RER) of the ACTIVAGE project. The ACTIVAGE project aims at promoting IoT (Internet of Things)-based solutions for Active and Healthy ageing. DS-RER focuses on improving continuity of care for older adults (65+) suffering from aftereffects of a stroke event. A Wireless Sensor Kit based on Wi-Fi connectivity was suitably engineered and realized to monitor behavioral aspects, possibly relevant to health and wellbeing assessment. This includes bed/rests patterns, toilet usage, room presence and many others. Besides hardware design and validation, cloud-based analytics services are introduced, suitable for automatic extraction of relevant information (trends and anomalies) from raw sensor data streams. The approach is general and applicable to a wider range of use cases; however, for readability’s sake, two simple cases are analyzed, related to bed and toilet usage patterns. In particular, a regression framework is introduced, suitable for detecting trends (long and short-term) and labeling anomalies. A methodology for assessing multi-modal daily behavioral profiles is introduced, based on unsupervised clustering techniques. The proposed framework has been successfully deployed at several real-users’ homes, allowing for its functional validation. Clinical effectiveness will be assessed instead through a Randomized Control Trial study, currently being carried out.

Artificial Intelligence in combination with the Internet of Medical Things enables remote healthcare services through networks of environmental and/or personal sensors. We present a remote healthcare service system which collects real-life data through an environmental sensor package, including binary motion, contact, pressure, and proximity sensors, installed at households of elderly people. Its aim is to keep the caregivers informed of subjects’ health-status progressive trajectory, and alert them of health-related anomalies to enable objective on-demand healthcare service delivery at scale. The system was deployed in 19 households inhabited by an elderly person with post-stroke condition in the Emilia–Romagna region in Italy, with maximal and median observation durations of 98 and 55 weeks. Among these households, 17 were multi-occupancy residences, while the other 2 housed elderly patients living alone. Subjects’ daily behavioral diaries were extracted and registered from raw sensor signals, using rule-based data pre-processing and unsupervised algorithms. Personal behavioral habits were identified and compared to typical patterns reported in behavioral science, as a quality-of-life indicator. We consider the activity patterns extracted across all users as a dictionary, and represent each patient’s behavior as a ‘Bag of Words’, based on which patients can be categorized into sub-groups for precision cohort treatment. Longitudinal trends of the behavioral progressive trajectory and sudden abnormalities of a patient were detected and reported to care providers. Due to the sparse sensor setting and the multi-occupancy living condition, the sleep profile was used as the main indicator in our system. Experimental results demonstrate the ability to report on subjects’ daily activity pattern in terms of sleep, outing, visiting, and health-status trajectories, as well as predicting/detecting 75% hospitalization sessions up to 11 days in advance. 65% of the alerts were confirmed to be semantically meaningful by the users. Furthermore, reduced social interaction (outing and visiting), and lower sleep quality could be observed during the COVID-19 lockdown period across the cohort.