@article{KernebeckHollePogschebaetal.2019,
  author    = {Kernebeck, Sven and Holle, Daniela and Pogscheba, Patrick and Jordan, Felix and Mertl, Fabian and Huldtgren, Alina and Bader, Sebastian and Kirste, Thomas and Teipel, Stefan and Holle, Bernhard and Halek, Margareta},
  title     = {A Tablet App- and Sensor-Based Assistive Technology Intervention for Informal Caregivers to Manage the Challenging Behavior of People With Dementia (the insideDEM Study): Protocol for a Feasibility Study (Preprint)},
  series = {JMIR Res Protoc},
  volume    = {8},
  journal   = {JMIR Res Protoc},
  number    = {2},
  doi       = {10.25974/fhms-17306},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173061},
  year      = {2019},
  abstract  = {BACKGROUND Despite the enormous number of assistive technologies (ATs) in dementia care, the management of challenging behavior (CB) of persons with dementia (PwD) by informal caregivers in home care is widely disregarded. The first-line strategy to manage CB is to support the understanding of the underlying causes of CB to formulate individualized nonpharmacological interventions. App- and sensor-based approaches combining multimodal sensors (actimetry and other modalities) and caregiver information are innovative ways to support the understanding of CB for family caregivers. OBJECTIVE The main aim of this study is to describe the design of a feasibility study consisting of an outcome and a process evaluation of a newly developed app- and sensor-based intervention to manage CB of PwD for family caregivers at home. METHODS In this feasibility study, we perform an outcome and a process evaluation with a pre-post descriptive design over an 8-week intervention period. The Medical Research Council framework guides the design of this feasibility study. The data on 20 dyads (primary caregiver and PwD) are gathered through standardized questionnaires, protocols, and log files as well as semistructured qualitative interviews. The outcome measures (neuropsychiatric inventory and Cohen-Mansfield agitation inventory) are analyzed by using descriptive statistics and statistical tests relevant to the individual assessments (eg, chi-square test and Wilcoxon signed-rank test). For the analysis of the process data, the Unified Theory of Acceptance and Use of Technology is used. Log files are analyzed by using descriptive statistics, protocols are analyzed by using documentary analysis, and semistructured interviews are analyzed deductively using content analysis. RESULTS The newly developed app- and sensor-based AT has been developed and was evaluated until July in 2018. The recruitment of dyads started in September 2017 and was concluded in March 2018. The data collection was completed at the end of July 2018. CONCLUSIONS This study presents the protocol of the first feasibility study to encompass an outcome and process evaluation to assess a complex app- and sensor-based AT combining multimodal actimetry sensors for informal caregivers to manage CB. The feasibility study will provide in-depth information about the study procedure and on how to optimize the design of the intervention and its delivery. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11630},
  language  = {de}
}
@article{KernebeckHollePogschebaetal.2019,
  author    = {Kernebeck, Sven and Holle, Daniela and Pogscheba, Patrick and Jordan, Felix and Mertl, Fabian and Huldtgren, Alina and Bader, Sebastian and Kirste, Thomas and Teipel, Stefan and Holle, Bernhard and Halek, Margareta},
  title     = {A Tablet App- and Sensor-Based Assistive Technology Intervention for Informal Caregivers to Manage the Challenging Behavior of People With Dementia (the insideDEM Study): Protocol for a Feasibility Study},
  series = {JMIR Research Protocols},
  volume    = {8},
  journal   = {JMIR Research Protocols},
  issn      = {1929-0748},
  doi       = {10.25974/fhms-17327},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173274},
  pages     = {e11630},
  year      = {2019},
  abstract  = {Despite the enormous number of assistive technologies (ATs) in dementia care, the management of challenging behavior (CB) of persons with dementia (PwD) by informal caregivers in home care is widely disregarded. The first-line strategy to manage CB is to support the understanding of the underlying causes of CB to formulate individualized nonpharmacological interventions. App- and sensor-based approaches combining multimodal sensors (actimetry and other modalities) and caregiver information are innovative ways to support the understanding of CB for family caregivers. The main aim of this study is to describe the design of a feasibility study consisting of an outcome and a process evaluation of a newly developed app- and sensor-based intervention to manage CB of PwD for family caregivers at home. In this feasibility study, we perform an outcome and a process evaluation with a pre-post descriptive design over an 8-week intervention period. The Medical Research Council framework guides the design of this feasibility study. The data on 20 dyads (primary caregiver and PwD) are gathered through standardized questionnaires, protocols, and log files as well as semistructured qualitative interviews. The outcome measures (neuropsychiatric inventory and Cohen-Mansfield agitation inventory) are analyzed by using descriptive statistics and statistical tests relevant to the individual assessments (eg, chi-square test and Wilcoxon signed-rank test). For the analysis of the process data, the Unified Theory of Acceptance and Use of Technology is used. Log files are analyzed by using descriptive statistics, protocols are analyzed by using documentary analysis, and semistructured interviews are analyzed deductively using content analysis. The newly developed app- and sensor-based AT has been developed and was evaluated until July in 2018. The recruitment of dyads started in September 2017 and was concluded in March 2018. The data collection was completed at the end of July 2018. This study presents the protocol of the first feasibility study to encompass an outcome and process evaluation to assess a complex app- and sensor-based AT combining multimodal actimetry sensors for informal caregivers to manage CB. The feasibility study will provide in-depth information about the study procedure and on how to optimize the design of the intervention and its delivery. DERR1-10.2196/11630},
  language  = {en}
}
@article{KernebeckJuxBusseetal.2022,
  author    = {Kernebeck, Sven and Jux, Chantal and Busse, Theresa Sophie and Meyer, Dorothee and Dreier, Larissa Alice and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter},
  title     = {Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians},
  series = {Children},
  volume    = {9},
  journal   = {Children},
  issn      = {2227-9067},
  doi       = {10.25974/fhms-17314},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173146},
  pages     = {82},
  year      = {2022},
  abstract  = {Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user's perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories "performance expectancies" and "effort expectancies". Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.},
  language  = {de}
}
@article{KernebeckJuxBusseetal.2022,
  author    = {Kernebeck, Sven and Jux, Chantal and Busse, Theresa Sophie and Meyer, Dorothee and Dreier, Larissa Alice and Zenz, Daniel and Zernikow, Boris and Ehlers, Jan Peter},
  title     = {Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians},
  series = {Children},
  volume    = {9},
  journal   = {Children},
  issn      = {2227-9067},
  doi       = {10.25974/fhms-17315},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173158},
  pages     = {82},
  year      = {2022},
  abstract  = {Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user's perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories "performance expectancies" and "effort expectancies". Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken.},
  language  = {de}
}
@article{KernebeckKostorz2015,
  author    = {Kernebeck, Sven and Kostorz, Peter},
  title     = {Die Reformagenda der sozialen Pflegeversicherung - Herausforderungen f{\"u}r Politik und Gesellschaft},
  series = {Pflegezeitschrift},
  journal   = {Pflegezeitschrift},
  number    = {12},
  issn      = {0945-1129},
  pages     = {710 -- 714},
  year      = {2015},
  language  = {de}
}
@article{KernebeckKramerRedaellietal.2021,
  author    = {Kernebeck, Sven and Kramer, Ursula and Redaelli, Marcus and Vollmar, Horst Christian},
  title     = {Bewerten, aber wie? - Kriterien f{\"u}r die Evaluation und das Reporting von Studien zu Gesundheits- und Medizin-Apps},
  series = {Monitor Versorgungsforschung},
  volume    = {14},
  journal   = {Monitor Versorgungsforschung},
  number    = {2},
  doi       = {10.25974/fhms-17325},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173256},
  year      = {2021},
  language  = {en}
}
@inproceedings{KernebeckMargareta2016,
  author    = {Kernebeck, Sven and Margareta, Halek},
  title     = {Entwicklung einer app- und sensorbasierten- assistiven Technologie f{\"u}r Angeh{\"o}rige von Menschen mit Demenz zum Umgang mit herausforderndem Verhalten - Projekt insideDEM},
  series = {15. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF), Berlin},
  booktitle = {15. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF), Berlin},
  year      = {2016},
  language  = {de}
}
@article{KernebeckRaaschOstermann2014,
  author    = {Kernebeck, Sven and Raasch, Dominik and Ostermann, R{\"u}diger},
  title     = {[Certification of fitness and health apps - a critical acknowledgment. Available for free, commercial or research oriented].},
  series = {Pflege Zeitschrift},
  volume    = {67},
  journal   = {Pflege Zeitschrift},
  issn      = {0945-1129},
  pages     = {136 -- 9},
  year      = {2014},
  language  = {en}
}
@inproceedings{KernebeckRedaelliKrameretal.2019,
  author    = {Kernebeck, Sven and Redaelli, Marcus and Kramer, Ursula and Vollmar, Horst Christian},
  title     = {Wie sollen digitale Gesundheitsanwendungen durch die Versorgungsforschung evaluiert werden?},
  series = {18. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF). Berlin, 09.-11.10.2019},
  booktitle = {18. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF). Berlin, 09.-11.10.2019},
  doi       = {10.3205/19dkvf029},
  year      = {2019},
  language  = {de}
}
@inproceedings{KernebeckRedaelliKrameretal.2020,
  author    = {Kernebeck, Sven and Redaelli, Marcus. and Kramer, Ursula and Vollmar, Horst Christian},
  title     = {Frameworks und Reporting Guidelines und Digital Health - Merkmale und Anwendungsm{\"o}glichkeiten verf{\"u}gbarer Frameworks und Reporting Guidelines f{\"u}r Studien zu Gesundheits- und Medizin-Apps},
  series = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, 30.09. - 01.10.2020, digital},
  booktitle = {19. Deutscher Kongress f{\"u}r Versorgungsforschung, 30.09. - 01.10.2020, digital},
  doi       = {10.3205/20dkvf286},
  year      = {2020},
  language  = {de}
}
@article{KernebeckScheibeSinhaetal.2022,
  author    = {Kernebeck, Sven and Scheibe, Madlen and Sinha, Monika and Fischer, Florian and Knapp, Andreas and Timpel, Patrick and Harst, Lorenz and Reininghaus, Ulrich and Vollmar, Horst Christian},
  title     = {Digitale Gesundheitsinterventionen entwickeln, evaluieren und implementieren Teil II - Diskussionspapier der Arbeitsgruppe Digital Health des Deutschen Netzwerk Versorgungsforschung (DNVF)},
  series = {Das Gesundheitswesen},
  volume    = {85},
  journal   = {Das Gesundheitswesen},
  issn      = {0941-3790},
  doi       = {10.1055/a-1915-4371},
  pages     = {65 -- 70},
  year      = {2022},
  abstract  = {Abstract The methodological challenges of evaluating digital interventions (DI) for health services research are omnipresent. The Digital Health Working Group of the German Network for Health Services Research (DNVF) presented and discussed these challenges in a two-part discussion paper. The first part addressed challenges in definition, development and evaluation of DI. In this paper, which represents the second part, the definition of outcomes, reporting of results, synthesis of evidence, and implementation are addressed as methodological challenges of DI. Potential solutions are presented and the need to address these challenges in future research are discussed.},
  language  = {de}
}
@article{KernebeckScheibeSinhaetal.2022,
  author    = {Kernebeck, Sven and Scheibe, Madlen and Sinha, Monika and Fischer, Florian and Knapp, Andreas and Timpel, Patrick and Harst, Lorenz and Reininghaus, Ulrich and Vollmar, Horst Christian},
  title     = {Digitale Gesundheitsinterventionen entwickeln, evaluieren und implementieren (Teil I) - Diskussionspapier der Arbeitsgruppe Digital Health des Deutschen Netzwerk Versorgungsforschung (DNVF)},
  series = {Das Gesundheitswesen},
  volume    = {85},
  journal   = {Das Gesundheitswesen},
  issn      = {0941-3790},
  doi       = {10.1055/a-1933-2779},
  pages     = {58 -- 64},
  year      = {2022},
  abstract  = {Abstract The development and application of digital interventions in health-related topics are gaining momentum in health service research. Digital interventions are often complex and need to be evaluated and implemented in complex settings. Due to their characteristics, this poses methodological challenges for health services research that have to be identified and addressed. Hence, the Working Group on Digital Health of the German Network for Health Services Research (DNVF) has prepared a discussion paper. This paper discusses methodological, practical and theoretical challenges associated with the development and evaluation of digital interventions from the perspective of health services research. Possible solutions are suggested and future research needs to address these methodological challenges are identified.},
  language  = {mul}
}
@incollection{KernebeckVollmar2021,
  author    = {Kernebeck, Sven and Vollmar, Horst Christian},
  title     = {Qualit{\"a}t von Gesundheits- und Fitnessapps},
  series = {Telemedizin und eHealth},
  booktitle = {Telemedizin und eHealth},
  isbn      = {978-3-437-23545-0},
  year      = {2021},
  language  = {de}
}
@article{KornBoettcherBusseetal.2022,
  author    = {Korn, Sandra and B{\"o}ttcher, Maximilian David and Busse, Theresa Sophie and Kernebeck, Sven and Breucha, Michael and Ehlers, Jan and Kahlert, Christoph and Weitz, J{\"u}rgen and Bork, Ulrich},
  title     = {Use and Perception of Digital Health Technologies by Surgical Patients in Germany in the Pre-COVID-19 Era: Survey Study},
  series = {JMIR Formative Research},
  volume    = {6},
  journal   = {JMIR Formative Research},
  doi       = {10.25974/fhms-17304},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173046},
  pages     = {e33985},
  year      = {2022},
  abstract  = {This survey study investigates surgical patients' use and perception of digital health technologies in Germany in the pre-COVID-19 era. The objective of this study was to relate surgical patients' characteristics to the use and perception of several digital health technologies. In this single-center, cross-sectional survey study in the outpatient department of a university hospital in Germany, 406 patients completed a questionnaire with the following three domains: general information and use of the internet, smartphones, and general digital health aspects. Analyses were stratified by age group and highest education level achieved. We found significant age-based differences in most of the evaluated aspects. Younger patients were more open to using new technologies in private and medical settings but had more security concerns. Although searching for information on illnesses on the web was common, the overall acceptance of and trust in web-based consultations were rather low, with <50\% of patients in each age group reporting acceptance and trust. More people with academic qualifications than without academic qualifications searched for information on the web before visiting physicians (73/121, 60.3\% and 100/240, 41.7\%, respectively). Patients with academic degrees were also more engaged in health-related information and communication technology use. These results support the need for eHealth literacy, health literacy, and available digital devices and internet access to support the active, meaningful use of information and communication technologies in health care. Uncertainties and a lack of knowledge exist, especially regarding telemedicine and the use of medical and health apps. This is especially pronounced among older patients and patients with a low education status.},
  language  = {de}
}
@article{KostorzKernebeck2015,
  author    = {Kostorz, Peter and Kernebeck, Sven},
  title     = {20 Jahre soziale Pflegeversicherung - Bilanz und Ausblick},
  series = {Wege zur Sozialversicherung},
  journal   = {Wege zur Sozialversicherung},
  issn      = {0043-2059},
  doi       = {10.37307/j.2191-7345.2015.02.03},
  pages     = {35 -- 41},
  year      = {2015},
  language  = {de}
}
@article{KostorzKernebeck2015,
  author    = {Kostorz, Peter and Kernebeck, Sven},
  title     = {Unterrichtsentwurf: Demographie und Pflege},
  series = {Unterricht Pflege},
  journal   = {Unterricht Pflege},
  number    = {1},
  issn      = {1615-1046},
  pages     = {8 -- 15},
  year      = {2015},
  language  = {de}
}
@article{MeyerKernebeckBusseetal.2021,
  author    = {Meyer, Dorothee and Kernebeck, Sven and Busse, Theresa Sophie and Ehlers, Jan and Wager, Julia and Zernikow, Boris and Dreier, Larissa Alice},
  title     = {Electronic Health Records in Specialized Pediatric Palliative Care: A Qualitative Needs Assessment among Professionals Experienced and Inexperienced in Electronic Documentation},
  series = {Children},
  volume    = {8},
  journal   = {Children},
  issn      = {2227-9067},
  doi       = {10.25974/fhms-17326},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173265},
  pages     = {249},
  year      = {2021},
  abstract  = {Background: Currently, to the best of our knowledge, no findings exist concerning the needs of professionals in specialized pediatric palliative care (PPC) regarding electronic health records (EHRs). Several studies have highlighted benefits concerning the use of EHRs in pediatrics. However, usability is strongly affected by the degree of adaptivity to the context of application. The aim of this study is to examine the needs of professionals concerning an EHR in the specialized PPC inpatient and outpatient settings. Methods: A qualitative research design was chosen to address the complex aspects of user demands. Focus group interviews and semi-structured one-on-one interviews were conducted with PPC professionals. N = 23 participants from inpatient and N = 11 participants from outpatient settings of specialized PPC representing various professions took part in the study. Results: The findings could be grouped into four categories: (1) attitude towards the current methods of documentation, (2) attitude towards electronic documentation in general, (3) general requirements for an EHR, and (4) content requirements for an EHR. Conclusions: Professionals in specialized PPC expect and experience many benefits of using electronic documentation. Their requirements for an EHR for inpatient and outpatient settings of PPC are largely consistent with EHRs for pediatrics. However, individual specifications and adaptations are necessary for this particular setting.},
  language  = {en}
}
@article{NitscheBusseKernebecketal.2022,
  author    = {Nitsche, Julia and Busse, Theresa Sophie and Kernebeck, Sven and Ehlers, Jan P.},
  title     = {Virtual Classrooms and Their Challenge of Interaction—An Evaluation of Chat Activities and Logs in an Online Course about Digital Medicine with Heterogeneous Participants},
  series = {International Journal of Environmental Research and Public Health},
  volume    = {19},
  journal   = {International Journal of Environmental Research and Public Health},
  issn      = {1661-7827},
  doi       = {10.25974/fhms-17308},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173083},
  pages     = {10184},
  year      = {2022},
  abstract  = {Learning digital competencies can be successful if the information is also tried out immediately using interactive elements. However, interactive teaching poses a particular challenge, especially in large group formats. Various strategies are used to promote interaction, but there is little known about the results. This article shows different strategies and evaluates their influence on the interaction rate in a large group course over two terms that teaches digital medicine. Log files and participation in surveys as well as participation in chat were quantitatively evaluated. In addition, the chat messages themselves were evaluated qualitatively. For the evaluation, relation to the total number of participants was particularly relevant in order to be able to determine an interaction rate in the individual course sessions. A maximum average interaction rate of 90.97\% could be determined over the entire term while the participants wrote an average of 3.96 comments during a session in the chat. In summary, this research could show that interactive elements should be well planned and used at regular intervals in order to reap the benefits.},
  language  = {de}
}
@article{NitscheSmetanaKochaneketal.2021,
  author    = {Nitsche, Julia and Smetana, Jan and Kochanek, Tonja and Busse, Theresa Sophie and Kernebeck, Sven and Taetz-Harrer, Angelika and Zupanic, Michaela and Eulitz, Mona and Ehlers, Jan P.},
  title     = {Needs must when the devil drives - Migration of an entire university to digital teaching},
  series = {Zeitschrift f{\"u}r Hochschulentwicklung},
  volume    = {16},
  journal   = {Zeitschrift f{\"u}r Hochschulentwicklung},
  number    = {3},
  doi       = {10.25974/fhms-17316},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173168},
  year      = {2021},
  language  = {en}
}
@inproceedings{NitscheZupanicTrubeletal.2020,
  author    = {Nitsche, Julia and Zupanic, Michaela and Trubel, H. and Kernebeck, Sven and Ehlers, Jan Peter},
  title     = {Digitalisierte Bildung im Gesundheitswesen: Interaktionsanalysen im virtuellen Klassenzimmer mit Studierenden und in Webinaren mit Medizinischen Fachangestellten (MFAs)},
  series = {Jahrestagung der Gesellschaft f{\"u}r Medizinische Ausbildung (GMA), 09.09. - 12.09.2020, Z{\"u}rich, Schweiz},
  booktitle = {Jahrestagung der Gesellschaft f{\"u}r Medizinische Ausbildung (GMA), 09.09. - 12.09.2020, Z{\"u}rich, Schweiz},
  doi       = {10.3205/20gma023},
  year      = {2020},
  language  = {de}
}
@article{TeipelHeineHeinetal.2017,
  author    = {Teipel, Stefan and Heine, Christina and Hein, Albert and Kr{\"u}ger, Frank and Kutschke, Andreas and Kernebeck, Sven and Halek, Margareta and Bader, Sebastian and Kirste, Thomas},
  title     = {Multidimensional assessment of challenging behaviors in advanced stages of dementia in nursing homes—The insideDEM framework},
  series = {Alzheimer's \& Dementia: Diagnosis, Assessment \& Disease Monitoring},
  volume    = {8},
  journal   = {Alzheimer's \& Dementia: Diagnosis, Assessment \& Disease Monitoring},
  issn      = {2352-8729},
  doi       = {10.25974/fhms-17330},
  url       = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-173308},
  pages     = {36 -- 44},
  year      = {2017},
  abstract  = {IntroductionAssessment of challenging behaviors in dementia is important for intervention selection. Here, we describe the technical and experimental setup and the feasibility of long-term multidimensional behavior assessment of people with dementia living in nursing homes.MethodsWe conducted 4 weeks of multimodal sensor assessment together with real-time observation of 17 residents with moderate to very severe dementia in two nursing care units. Nursing staff received extensive training on device handling and measurement procedures. Behavior of a subsample of eight participants was further recorded by videotaping during 4 weeks during day hours. Sensors were mounted on the participants' wrist and ankle and measured motion, rotation, as well as surrounding loudness level, light level, and air pressure.ResultsParticipants were in moderate to severe stages of dementia. Almost 100\% of participants exhibited relevant levels of challenging behaviors. Automated quality control detected 155 potential issues. But only 11\% of the recordings have been influenced by noncompliance of the participants. Qualitative debriefing of staff members suggested that implementation of the technology and observation platform in the routine procedures of the nursing home units was feasible and identified a range of user- and hardware-related implementation and handling challenges.DiscussionOur results indicate that high-quality behavior data from real-world environments can be made available for the development of intelligent assistive systems and that the problem of noncompliance seems to be manageable. Currently, we train machine-learning algorithms to detect episodes of challenging behaviors in the recorded sensor data.},
  language  = {en}
}