Vincent RialleUniversité Grenoble Alpes
Vincent Rialle
About
154
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Introduction
I am senior lecturer and hospital practitioner emeritus at the UGA, member of the research team "Autonomy, Gerontology, eHealth, Imaging & Society" AGEIS EA #7407. After a 36-year career (1980-2016) at the University Hospital of Grenoble Alpes in the field of artificial intelligence and medical informatics, I dedicate myself to targeted action-researches in the social and medico-social fields with strong links to current great transitions (digital, demographic, ecological...).
Additional affiliations
January 2005 - present
January 2005 - present
January 2002 - present
Publications
Publications (154)
Dans notre société de plus en plus digitalisée, avons-nous vraiment le choix d’adopter ou non les technologies? Comment cette digitalisation impacte-t-elle les personnes âgées en particulier et son écosystème? Quels sont les enjeux éthiques soulevés par cette digitalisation? Ce texte vise à amener des éléments de réflexions en lien avec ces enjeux...
Making room for people in precarious situations in their access to rights
The subject of the study is the growing failure of the institutional function of reception and treatment of people in precarious situations in their access to rights and care, especially in mental health settings. The approach is that of an action-research aimed at analyzing...
Objective: In light of the advent of new technologies, we proposed to reexamine certain
challenges posed by cognitive remediation and social reintegration (that is,
deinstitutionalization) of patients with severe and persistent mental disorders.
Method: We reviewed literature on cognition, remediation, smart homes, as well as on
objects and utiliti...
Background In Major. Neurocognitive Disorders (MND), cognitive deficits have considerable consequences on patients’ daily living, compromising their social, professional, or leisure activities. In this
context, technologies may provide innovative solutions to support home support and boost loss-making capacity. Therefore, it is necessary to design...
BACKGROUND
Recent WHO reports, propose wearable devices to collect information on activity and walking speed as innovative health indicators. However, mainstream consumer-grade tracking devices and smartphone apps are often inaccurate and require long-term acceptability assessment.
OBJECTIVE
Our aim was to assess user acceptability of an instrumen...
Background
Recent World Health Organization reports propose wearable devices to collect information on activity and walking speed as innovative health indicators. However, mainstream consumer-grade tracking devices and smartphone apps are often inaccurate and require long-term acceptability assessment.
Objective
Our aim is to assess the user accep...
Pour une culture numérique qui favorise un enseignement inclusif
“Les conséquences d'un acte sont incluses dans l'acte lui-même.” (George Orwell « 1984 », 1949)
Bruno De Lièvre Université de Mons
« Big brother is watching you ». Cette phrase a fait frémir des générations depuis 1949. Aujourd’hui, septante ans plus tard, la captation et la protectio...
In this editorial, we wish to highlight and reflect on research advances presented in the articles comprising this special issue on technology and neuropsychological rehabilitation, which happens to be published more than a decade after the first special issue on the subject. In 2004, the journal recognised the great potential of information techno...
Introduction. Being able to use information and communication technologies (ICTs) is critical to avoid exclusion from many common modern daily activities. A performance-based assessment, as used to measure performances in daily activities of life (Seligman, Giovannetti, Sestito, & Libon, 2014), highlighted production of errors when using these ICTs...
Les technologies de l’information et de la communication s’imposent dans toutes les sphères de la vie quotidienne, contraignant ou encourageant chacun, quel que soit son âge, à s’adapter et à développer de nouvelles compétences. Elles permettent d’accéder à une grande quantité d’informations, à des ressources utiles au maintien de la santé et de l’...
Dans un contexte de vieillissement de la population, les nouvelles technologies de l’information et de la communication (TIC) pourraient contribuer à la prévention de l’isolement et au développement du sentiment de bien-être (Russell, 2011). Elles amélioreraient également la qualité de vie et de prise en charge des patients souffrant de maladie d’A...
Due to the ageing transition, citizens all over the world have to cope with two problems: the growing care burden [per capita], and the increasing organisational complexity of the health and care system1. Frail older adults are peculiarly threatened by this tendency. Besides, the growing development of robotics and ICT-based technology more and mor...
L’objectif de l’étude présentée est d’évaluer l’efficacité d’un programme d’apprentissage à l’utilisation des tablettes tactiles conduit auprès de personnes âgées dépendantes. Nous nous sommes en particulier intéressés aux conséquences de cette formation sur 1) leurs compétences à utiliser la tablette tactile, 2) leurs attitudes à l’égard des table...
Le soutien à domicile des personnes fragiles est complexe car il suppose d’offrir des services individualisés, facilement adaptables dans le temps et l’espace, multimodaux (soins, services paramédicaux, services non médicaux, soutien financier, soutien psychologique, socialisation) et coût-efficaces au sein d’environnements juridique, social, organ...
New technologies remain little used by the elderly and their impact is not sufficiently evaluated. Our research aims to evaluate the potential benefits associated in the use of communication tools and specifically with digital appli-cations on touch pad. The present research compared the ability to use (fixed and mobile) phone and a touchpad, by 25...
Sous une grande variété d’expressions telles que télé-santé, gérontechnologie, télémédecine, technologies d’assistance, etc., le domaine de la technologie affiche de plus en plus une vocation de maintien, de restitution ou d’augmentation de ce que l’on nomme communément l’autonomie d’une personne. Cet article revient sur la notion d’autonomie et qu...
Introduction : L’adaptation aux nouvelles technologies de communication offre aux personnes âgées la possibilité d’être plus impliquées dans la société tout en contribuant au vieillissement en bonne santé. De plus, les nouvelles technologies pourraient améliorer la qualité de vie et de prise en charge des patients souffrant de maladie d’Alzheimer,...
Contexte : L’allongement de l’espérance de vie (1/3 de la population française aura plus de 60 ans en 2060- INSEE, 2010) pose un véritable défi de société dans l’accompagnement des personnes âgées en perte ou à risque de perte d’autonomie et souhaitant en majorité continuer à vivre à leur domicile. En particulier, le nombre de personnes atteintes d...
The eHealth market is expanding. Regulatory tools exist for both telemedicine and online sale of drugs which falls into pharmacists' monopoly. Financing remains problematic as well as national governance. The health system reform should start with the elderly since it requires prevention and coordination of actors. In the European Union, the person...
E-health is a large domain of research and applications of Information and Communication Technologies (ICT), not only in Medicine, but in the broad field of healthcare, including homecare and personalised health. The history of e-health started as soon as the 1960s, but e-health continues to extend its range of innovation and applications, particul...
The European directive 95/46/CE has defined the legal framework of all personal data collection and treatment and the right of patients about the processing of their personal medical information. The development of telemedicine and domotics are real services provided to the patients but the raising new questions about the share of liability in case...
Localization, personalization, activity recognition, and cognitive assistance are key issues in research on smart homes for cognitively impaired people. Most of the current solutions rely on the presence of solely one person in the residence. To actively consider the interaction of the smart home inhabitant with their caregivers, nurses, doctors an...
Purpose: Designing assistive technologies for cognition (ATC) is challenging. As part of the European project, MyGuardian (Ambient Assisted Living programme 2012-2015), we are investigating an experience-centered design approach1. Our objective is to understand how people with mild cognitive impairments (MCI) and their caregivers experience and cop...
Chapter 8. Telemedicine and gerontechnology : necessity of an international steering by ethics
Telemedicine and gerontechnology develop a mode that can be described as “hyperactive paralysis”, i.e., an uncontrolled and unsuccessful proliferation of tools and limited experiments that results in an inability to establish useful, desired, and sustaina...
Background:
Alzheimer's disease (AD) is known to increase the risk of falls. We aim to determine the effectiveness of home-based technologies coupled with teleassistance service (HBTec-TS) in older people with AD.
Methods:
A study of falls and the HBTec-TS system (with a light path combined with a teleassistance service) was conducted in the com...
Après avoir lu ce chapitre, vous devriez : pouvoir expliquer quels sont les objectifs d’un système d’information hospitalier et lister les principales fonctions pouvant faire l’objet d’une informatisation ; savoir analyser la circulation, dans un hôpital, des informations relatives aux examens biologiques ou radiologiques et connaître les principal...
Après avoir lu ce chapitre, vous devriez :
pouvoir définir la e-Santé ;
connaître les grandes étapes du développement de la e-Santé depuis les années 1960 ;
pouvoir expliquer quels sont les impacts attendus de la e-Santé ;
savoir définir ce qu’est le travail coopératif ;
savoir définir ce qu’est la télésanté et ses différentes composantes (télésurv...
L’usage des dispositifs de géolocalisation de malades d’Alzheimer posent question. L’étude ESTIMA visait à promouvoir le bon usage de ces dispositifs. Sa méthode incluait une analyse quantitative de données (29 mois d’activité de géolocalisation, 300 dossiers) et une étude sociologique. Ses résultats mettent en évidence plusieurs dilemmes et propos...
Introduction
La technologie représente un outil puissant pour atteindre les objectifs de prévention de la dépendance: vivre actif et vivre chez soi. De nombreux obstacles semblent en limiter la diffusion, et notamment l’évaluation de leur service rendu.
Objectifs et méthode
Nous avons réalisé une revue bibliographique sur la complexité et les exig...
Increasing age often implies increasing frailty, and the oldest old are often described as a frail group with a high risk of developing functional impairments and multi-morbidities like falls at home, which often result in dependence in daily activities. This preliminary study evaluate the efficacy of light path coupled with tele-assistance service...
Geolocation devices for patients suffering from Alzheimer's disease constitute an improvement in their care. However, this system arouses debate. The Estima study offers a series of results and recommendations concerning the use of these devices. It consists of three complementary sections: a sociological study, an observational retrospective study...
According to the World Health Organization, nearly 35.6 million people live with dementia through out the world. These people, who often live at home, are exposed to the risk of wandering and falling. The use of a discreet monitoring device such as a smart-phone could assist them, increase their mobility and decrease the stress level of the caregiv...
L’objectif de ce travail est d’explorer de nouvelles pistes technologiques pour la prévention de la perte d’autonomie des personnes âgées vivant à domicile. Cette expérimentation vise à évaluer en milieu écologique, l’impact réel des nouvelles technologies sur les principaux déterminants de la perte d’autonomie, la chute à domicile en priorité. Cet...
Cognitive assistance systems are aimed to support people loosing their autonomy while completing activities of daily living (ADL). The range of activities to support, the dissemination of interactive devices in the environment and the variability of users' cognitive capacities raise real challenges when designing assistance in such systems. This pa...
Multi interventional aids have a major role in the caring of disability in elderly people suffering from Alzheimer's disease. In this article, we report the preliminary data of the TANDEM project who's final aim is to test the technical feasibility and acceptability of a telecare system for patients and their families at home, in order to provide v...
In the context of Health Smart Homes for aging and cognitively impaired people, the adaptation of the smart assistance to
the set of sensors/effectors and to the people present is a crucial problem. Some solutions have been proposed. They can either
assist a lone person for a small set of activities in a precise smart space, either assist a person...
Des nouvelles technologies accompagnant la vieillesse, les gerontechnologies, vont jouer un role croissant dans le suivi medical des personnes mais aussi dans le maintien de leurs choix de vie, en les aidant par exemple a rester chez elles aussi longtemps que possible. Mais jusqu’a quel point l’autonomie depend-elle d’un auxiliaire technique ?
Wandering is a behavioural disorder, which occurs in Alzheimer's disease or other dementia. People who wander are at risk of physical harm and untimely death. Moreover, wandering behaviour causes a lot of stress to the caregivers. In the last few years, different geolocation devices have been developed in order to minimise risk and manage unsafe wa...
The use of GPS tracking devices for locating and aiding Alzheimer's patients who wander has become a highly debated subject because of the dilemma between two incompatible principles: respect of the fundamental principles of personal privacy and the duty of medical and social authorities to assist patients with serious cognitive disorders. Should e...
Il s'agit d'un article court sur les aides technologiques pour la prise en soins, l'aide à la vie quotidienne et l'allègement du fardeau de l'aidant. Il aborde essentiellement les systèmes de télé-sécurité et de stimulation cognitive, et consacre une réflexion aux questions des bonnes pratiques, de l'évaluation, de l'éthique et des nombreux enjeux...
The amount of information and knowledge is endlessly growing, thus making longer and more difficult the access to information. Since they can be read faster than text, graphical languages are a solution to this problem. However, the conception of these languages seldom follows a rigorous methodology. Relying on some elements from cognitive sciences...
The present paper reports a study on the daily activity of elderly people in a hospital suite, with presence infrared sensors. It is an attempt to produce parameters and indicators for the predictive analysis of the daily activity of fragile persons. A relationship is proposed between well being of the patient and the night and day activities alter...
A videophone system was used to link cancer patients, undergoing chemotherapy at home, with care providers in the Home Healthcare Facility at the University Hospital Centre of Grenoble. The participant patients expressed their satisfaction both with the use and the technical quality of the system. Improvement was observed in the Hospitalisation Anx...
The authors' aim was to investigate the representations, wishes, and fears of family caregivers (FCs) regarding 14 innovative technologies (IT) for care aiding and burden alleviation, given the severe physical and psychological stress induced by dementia care, and the very slow uptake of these technologies in our society.
A cluster sample survey ba...
This article presents a computational model and a simulation of the decrease of performance in daily living activities due to Alzheimer's disease. The framework offered by the cognitive architecture ACT-R is used to develop the model. Typical errors committed in performing tasks by Alzheimer patients are modelled thanks to different parametrisable...
The Alzheimer's disease (AD) demands considerable care efforts towards the patients and frequently leads to severe physical and psychological exhaustion. Numerous innovative technologies are more and more available for patient's safety and security, healthcare and lifestyle enhancement, and a longer stay at home. However, there is a risk that they...
Smart homes provide support to cognitively impaired people (such as those suffering from Alzheimer’s disease) so that they
can remain at home in an autonomous and safe way. Models of this impaired population should benefit the cognitive assistance’s
efficiency and responsiveness. This paper presents a way to model and simulate the progression of de...
Fall detection of the elderly is a major public health problem. Thus it has generated a wide range of applied research and prompted the development of telemonitoring systems to enable the early diagnosis of fall conditions. This article is a survey of systems, algorithms and sensors, for the automatic early detection of the fall of elderly persons....
For the last years, time-series mining has become a challenging issue for researchers. An important application lies in most monitoring purposes, which require analyzing large sets of time-series for learning usual patterns. Any deviation from this learned profile is then considered as an unexpected situation. Moreover, complex applications may inv...
La maladie d’Alzheimer exige des efforts d’attention et de soins considérables à l’égard du malade et conduit fréquemment à l’épuisement physique et psychique des aidants familiaux. De nombreuses technologies innovantes sont de plus en plus disponibles pour sécuriser le malade et l’aidant, améliorer les soins et les conditions de vie et favoriser l...
This article presents a computational model and a simulation of the decrease of activities of daily living performances due to Alzheimer's disease. The disease evolution is simulated thanks to the cognitive architecture ACT-R. Activities are represented according to the retrieval of semantic units in declarative memory and the trigger of rules in p...
In light of the advent of new technologies, we proposed to reexamine certain challenges posed by cognitive remediation and social reintegration (that is, deinstitutionalization) of patients with severe and persistent mental disorders.
We reviewed literature on cognition, remediation, smart homes, as well as on objects and utilities, using medical a...
Medical knowledge is growing both in quantity and complexity. Although sources of medical knowledge have been digitalized, the way the knowledge they contain is presented to users has not changed and is still highly text-based. However, it has been shown that this information could be presented more efficiently using graphical approaches, such as g...
For the last years, time-series mining has become a challenging issue for researchers. An important application lies in most monitoring purposes, which require analyzing large sets of time-series for learning usual patterns. Any deviation from this learned profile is then considered as an unexpected situation. Moreover, complex applications may inv...