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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
    <article-id pub-id-type="publisher-id">v2i1e12</article-id>
    <article-id pub-id-type="pmid"/>
    <article-id pub-id-type="doi">10.2196/iproc.6030</article-id>
    <article-categories>
      <subj-group subj-group-type="heading">
        <subject>Poster</subject>
      </subj-group>
      <subj-group subj-group-type="article-type">
        <subject>Poster</subject>
      </subj-group>
    </article-categories>
    <title-group>
      <article-title>Prototype Development of a Responsive Emotive Sensing System (DRESS): System Operations Testing Outcomes</article-title>
    </title-group>
    <contrib-group>
      <contrib contrib-type="editor">
        <name>
          <surname>Hale</surname>
          <given-names>Timothy</given-names>
        </name>
      </contrib>
    </contrib-group>
    <contrib-group>
      <contrib contrib-type="reviewer">
        <name>
          <surname>CHS Scientific Program Committee</surname>
        </name>
      </contrib>
    </contrib-group>
    <contrib-group>
      <contrib contrib-type="author" id="contrib1" corresp="yes" equal-contrib="yes">
      <name name-style="western">
        <surname>Mahoney</surname>
        <given-names>Diane</given-names>
      </name>
      <degrees>ARNP, PhD</degrees>
      <xref rid="aff1" ref-type="aff">1</xref>
      <address>
        <institution>School of Nursing</institution>
        <institution>MGH Institute of Health Professions</institution>
        <addr-line>36 First Avenue</addr-line>
        <addr-line>Charlestown, MA, 02129-4557</addr-line>
        <country>United States</country>
        <phone>1 617 643 2745</phone>
        <fax>1 617 643 6350</fax>
        <email>dmahoney@mghihp.edu</email>
      </address>  
      <ext-link ext-link-type="orcid">http://orcid.org/0000-0002-6415-475X</ext-link></contrib>
      <contrib contrib-type="author" id="contrib2" equal-contrib="yes">
        <name name-style="western">
          <surname>Burleson</surname>
          <given-names>Winslow</given-names>
        </name>
        <degrees>PhD</degrees>
        <xref rid="aff2" ref-type="aff">2</xref>
        <ext-link ext-link-type="orcid">http://orcid.org/0000-0002-1373-1078</ext-link>
      </contrib>
      <contrib contrib-type="author" id="contrib3">
        <name name-style="western">
          <surname>Rowe</surname>
          <given-names>Jeremy</given-names>
        </name>
        <degrees>EdD</degrees>
        <xref rid="aff2" ref-type="aff">2</xref>
        <ext-link ext-link-type="orcid">http://orcid.org/0000-0003-2672-283X</ext-link>
      </contrib>
      <contrib contrib-type="author" id="contrib4">
        <name name-style="western">
          <surname>Mahoney</surname>
          <given-names>Edward</given-names>
        </name>
        <degrees>MS</degrees>
        <xref rid="aff3" ref-type="aff">3</xref>
        <ext-link ext-link-type="orcid">http://orcid.org/0000-0003-1897-1633</ext-link>
      </contrib>
    </contrib-group>
    <aff id="aff1">
    <sup>1</sup>
    <institution>School of Nursing</institution>  
    <institution>MGH Institute of Health Professions</institution>
    <addr-line>Charlestown, MA</addr-line>
    <country>United States</country></aff>
    <aff id="aff2">
    <sup>2</sup>
    <institution>School of Nursing</institution>  
    <institution>New York University</institution>
    <addr-line>New York, NY</addr-line>
    <country>United States</country></aff>
    <aff id="aff3">
    <sup>3</sup>
    <institution>Gerontechnology R &#38; D</institution>  
    <institution>EDDEE Consulting</institution>
    <addr-line>Charlestown, MA</addr-line>
    <country>United States</country></aff>
    <author-notes>
      <corresp>Corresponding Author: Diane Mahoney 
      <email>dmahoney@mghihp.edu</email></corresp>
    </author-notes>
    <pub-date pub-type="collection"><season>Jan-Dec</season><year>2016</year></pub-date>
    <pub-date pub-type="epub">
      <day>19</day>
      <month>12</month>
      <year>2016</year>
    </pub-date>
    <volume>2</volume>
    <issue>1</issue>
    <elocation-id>e12</elocation-id>
    <!--history from ojs - api-xml-->
    <history>
      <date date-type="received">
        <day>26</day>
        <month>5</month>
        <year>2016</year>
      </date>
      <date date-type="rev-request">
        <day>2</day>
        <month>8</month>
        <year>2016</year>
      </date>
      <date date-type="rev-recd">
        <day>4</day>
        <month>8</month>
        <year>2016</year>
      </date>
      <date date-type="accepted">
        <day>5</day>
        <month>8</month>
        <year>2016</year>
      </date>
    </history>
    <!--(c) the authors - correct author names and publication date here if necessary. Date in form ', dd.mm.yyyy' after jmir.org-->
    <copyright-statement>©Diane Mahoney, Winslow Burleson, Jeremy Rowe, Edward Mahoney. Originally published in Iproceedings (http://www.iproc.org), 19.12.2016.</copyright-statement>
    <copyright-year>2016</copyright-year>
    <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/">
      <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on http://www.iproc.org/, as well as this copyright and license information must be included.</p>
    </license>  
    <self-uri xlink:href="http://www.iproc.org/2016/1/e12/" xlink:type="simple"/>
    <abstract>
      <sec sec-type="background">
        <title>Background</title>
        <p>Smart-home consumer technologies have been criticized for failing to disclose their operational performance characteristics to the marketplace. As one result, some users of wearable fitness technologies have reported being frustrated by invalid motivational responses based on fluctuations in accurate performance measurement by certain brands. Gerontechnology researchers have similarly documented the critical importance of valid operations and technical stability as major influences on whether older adults and their caregivers adopt and use new cognitive assistive technologies. We have been iteratively developing the DRESS (Development of a Responsive Emotive Sensing System) system, integrating context aware computing with effective sensor and interactive technologies, to customize coaching persons with dementia to dress independently. Our prior testing focused on components and clothing identification, not the overall system performance. Consequently, we initiated system testing, as part of our alpha version development phase, to assess key metrics and disclose the performance outcomes.</p>
      </sec>
      <sec sec-type="objective">
        <title>Objective</title>
        <p>To assess the operational accuracy (validity) and stability (reliability) of the DRESS system alpha prototype model.</p>
      </sec>
      <sec sec-type="methods">
        <title>Methods</title>
        <p>We conducted a 110 day device trial run-in study. The system operated 24/7 in a studio-sized testing unit using the local WiFi network. A 69-year-old tester documented any usability issues during this period. Automatic log reports were generated daily by the system and validated and annotated by the project manager. A content analysis of the user and log reports was conducted, and descriptive statistics were used to describe the operational findings.</p>
      </sec>
      <sec sec-type="results">
        <title>Results</title>
        <p>The system functioned error free for the majority of the trial (75% of days) with stable performance for 95.5% of days. Thirty-seven correctable error events occurred during 28 of the 110 days and resulted in 4 categories of errors: Hardware (0.9%), from a defective IPad charger; Network (3.6%), from host network disconnects/power outage; Usability (4.5%), from the visual displays/buttons on the caregivers’ device being too small in size; and Re-initialization (24.5%), from the operating system/Indigo software updates.</p>
      </sec>
      <sec sec-type="conclusions">
        <title>Conclusions</title>
        <p>Overall, the system performed very favorably for an alpha prototype. As expected, the initial deployment required an immediate debugging period primarily rectified by software recoding. Notably no fatal or irresolvable errors occurred. The system remained stable except for a disconnect due to a weather-related regional power outage. Lessons learned, such as integrating a remote automatic reboot capability, will be used to further optimize system performance before advancing to an in-home study with persons experiencing dementia.</p>
      </sec>
    </abstract>
    <kwd-group>
      <kwd>cognitive assistive technologies</kwd>
      <kwd>context-aware computing</kwd>
      <kwd>dementia caregiving</kwd>
    </kwd-group></article-meta>
  </front>
  <body>
    <p>This poster was presented at the Connected Health Symposium 2016, October 20-21, Boston, MA, United States. The poster is displayed as an image in <xref ref-type="fig" rid="figure1">Figure 1</xref> and as a PDF in <xref ref-type="app" rid="app1">Multimedia Appendix 1</xref>.</p>
    <fig id="figure1" position="float">
      <label>Figure 1</label>
      <caption>
        <p>Poster.</p>
      </caption>
      <graphic xlink:href="iproc_v2i1e12_fig1.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
    </fig>
  </body>
  <back>
    <app-group>
      <app id="app1">
        <title>Multimedia Appendix 1</title>
        <p>Poster.</p>
        <media xlink:href="iproc_v2i1e12_app1.pdf" xlink:title="PDF File (Adobe PDF File), 412KB"/>
      </app>
    </app-group>
  </back>
</article>
