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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
Image-sharpness metrics can be used to optimize optical systems and to control wavefront sensorless adaptive optics systems. We show that for an aberrated system, the numerical value of an image-sharpness metric can be improved by adding specific aberrations. The optimum amplitudes of the additional aberrations depend on the power spectral density of the spatial frequencies of the object.
With a view to future large space telescopes, we investigate image-based wavefront correction with active optics. We use an image-sharpness metric as merit function to evaluate the image quality, and the Zernike modes as control variables. In severely aberrated systems, the Zernike modes are not orthogonal to each other with respect to this merit function. Using wavefront maps, the PSF, and the MTF, we discuss the physical causes for the non-orthogonality of the Zernike modes with respect to the merit function. We show that for combinations of Zernike modes with the same azimuthal order, a flatter wavefront in the central region of the aperture is more important than the RMS wavefront error across the full aperture for achieving a better merit function. The non-orthogonality of the Zernike modes with respect to the merit function should be taken into account when designing the algorithm for image-based wavefront correction, because it may slow down the process or lead to premature convergence.
It is increasingly obvious that for safeguarding environmental sustainability, eco‐efficiency measures will need to be complemented by sufficiency, in particular by strong sustainable consumption. The Theory of Planned Behaviour TPB and Social Practice Theory SPT offer different views on consumer behaviour, and on ways to change it. This paper briefly describes the challenges, discusses the applicability of both theories and their meaningfulness for policy recommendations.
We suggest an approach combining results of both bodies of theory, complemented by ideas from political economy, to substantiate the Prism of Sustainable Consumption we introduce as a heuristic sufficiency policy tool. It is useful to identify affordability criteria for change in each dimension, as the basis for deriving suggestions for effective policy interventions. We conclude
that (i) effective interventions are possible, (ii) they have to address several dimensions of affordability simultaneously, and (iii) the sufficiency policy space prism can be a useful tool in structuring planned interventions.