TRANSFORMING ERGONOMICS WITH PERSONALIZED HEALTH AND INTELLIGENT WORKPLACES Ambient Intelligence and Smart Environments The Ambient Intelligence and Smart Environments (AISE) book series presents the latest research results in the theory and practice, analysis and design, implementation, application and experience of Ambient Intelligence (AmI) and Smart Environments (SmE). Coordinating Series Editor: Juan Carlos Augusto Series Editors: Emile Aarts, Hamid Aghajan, Michael Berger, Marc Bohlen, Vic Callaghan, Diane Cook, Sajal Das, Anind Dey, Sylvain Giroux, Pertti Huuskonen, Jadwiga Indulska, Achilles Kameas, Peter Mikulecký, Andrés Muñoz Ortega, Albert Ali Salah, Daniel Shapiro, Vincent Tam, Toshiyo Tamura, Michael Weber Volume 25 Recently published in this series Vol. 24. A. Muñoz and J. Park (Eds.), Agriculture and Environment Perspectives in Intelligent Systems Vol. 23. I. Chatzigiannakis, Y. Tobe, P. Novais and O. Amft (Eds.), Intelligent Environments 2018 – Workshop Proceedings of the 14th International Conference on Intelligent Environments Vol. 22. C. Analide and P. Kim (Eds.), Intelligent Environments 2017 – Workshop Proceedings of the 13th International Conference on Intelligent Environments Vol. 21. P. Novais and S. Konomi (Eds.), Intelligent Environments 2016 – Workshop Proceedings of the 12th International Conference on Intelligent Environments Vol. 20. W. Chen et al. (Eds.), Recent Advances in Ambient Assisted Living – Bridging Assistive Technologies, e-Health and Personalized Health Care Vol. 19. D. Preuveneers (Ed.), Workshop Proceedings of the 11th International Conference on Intelligent Environments Vol. 18. J.C. Augusto and T. Zhang (Eds.), Workshop Proceedings of the 10th International Conference on Intelligent Environments Vol. 17. J.A. Botía and D. Charitos (Eds.), Workshop Proceedings of the 9th International Conference on Intelligent Environments Vol. 16. M. d’Angelantonio and J. Oates (Eds.), Is Ambient Assisted Living the Panacea for Ageing Population? Vol. 15. J. Mintz et al. (Eds.), Touching the Future Technology for Autism? – Lessons from the HANDS Project ISSN 1875-4163 (print) ISSN 1875-4171 (online) Transforming Ergonomics with Personalized Health and Intelligent Workplaces Edited by Mario Vega-Barbas Research Group on Telecommunication and Internet Networks and Services, Universidad Politécnica de Madrid, Spain and Fernando Seoane Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden Swedish School of Textiles, University of Borås, Borås, Sweden Department of Medical Care Technology, Karolinska University Hospital, Stockholm, Sweden Amsterdam • Berlin • Washington, DC © 2019 The authors and IOS Press. All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without prior written permission from the publisher. ISBN 978-1-61499-972-0 (print) ISBN 978-1-61499-973-7 (online) Library of Congress Control Number: 2019941080 Publisher IOS Press BV Nieuwe Hemweg 6B 1013 BG Amsterdam Netherlands fax: +31 20 687 0019 e-mail: [email protected] For book sales in the USA and Canada: IOS Press, Inc. 6751 Tepper Drive Clifton, VA 20124 USA Tel.: +1 703 830 6300 Fax: +1 703 830 2300 [email protected] LEGAL NOTICE The publisher is not responsible for the use which might be made of the following information. PRINTED IN THE NETHERLANDS v Preface Life expectancy is increasing, and as a result society includes an ever larger proportion of older people. Among other things, this is necessitating an increase in the retirement age in many countries. The fact that more than 95% of the world’s population suffers from one or more health conditions or disorders [1] makes keeping people healthy and able to work for longer a difficult challenge. This is a challenge that has existed for more than two decades, and its consequences, such as increasing costs, a shortage of healthcare personnel, and more complex combinations of chronic diseases, have be- come particularly apparent in recent years. In addition, hazards at work and unhealthy work practices are often the underlying cause of musculoskeletal disorders (MSD) and depression due to burnout. All of these factors make it difficult to sustain the current social system. To facilitate a longer working life for the general population, a balance must be found between the demands of work and human capabilities. This is in line with sug- gested approaches for chronic disease management to reduce the healthcare burden. The most common approach to minimising risks, reducing exposure and avoiding a harmful working lifestyle is prevention by design, i.e. designing the work environment for the healthy and safe execution of the tasks to be performed. Ergonomists already assess MSD risk factors and suggest changes to workplaces, however, existing methods are mainly based on visual observation, which is relatively unreliable and can only cover part of the working day. Furthermore, suggestions generally concern the work- place and the organization of work overall, but rarely include the working techniques of individuals. In this context, the use of pervasive technology, ubiquitous computing and p-health monitoring provide a key toolset to transform many common working scenari- os into healthy, intelligent workplaces. Emerging technologies, such as smart textiles and micro-electronics integrated into wearable devices, have enabled the development of intelligent biomedical clothing, and the recent proliferation of Internet of Things (IoT) systems have facilitated the integra- tion of pervasive sensitive services into the environment. These, together with ambient intelligence (AmI) technology techniques and big data analytics, have fostered a prolif- eration of p-Health monitoring solutions. This, together with advances in the develop- ment of inertial measurement units, activity and heart-rate-sensing watches and gar- ments and their wide presence in the consumer electronics market, have opened a new arena for monitoring the physical workload and posture of different limbs. These wear- able and IoT technologies, combined with ergonomic assessments, facilitate the gather- ing of epidemiological data for further big data analysis, and even provide the oppor- tunity for prompt feedback and for coaching through deployment of the appropriate personalized m-healthcare tools. Transformation of a work environment into a careful – even healthy – intelligent workplace as a deployment platform for p-Health services may support not just ergon- omists, employees and employers, but also society in general; enabling the workplace as an intelligent environment might be the solution to ensuring the sustainability of current social welfare systems. vi However, the inclusion of these emerging technologies and analysis techniques create other challenges that up to now have not been part of the field or context of er- gonomics and the design of workspaces. As regards pervasive sensitive services, the interoperability of data and its security become essential to guarantee adoption and final acceptance, and it is therefore necessary to ensure that the systems developed conform to existing data protection laws and standards, i.e. General Data Protection Regulation (GDPR), Health Insurance Portability and Accountability Act (HIPAA) or Personal Information Protection and Electronic Documents Act (PIPEDA). This book presents a collection of the most significant challenges and advances in the field of intelligent workspaces and personalized ergonomics, bringing together the most relevant results obtained after the completion of various international research projects. The book is organized into three main sections, each corresponding to a point of view covered by the projects carried out. The first section, Personalized Ergonomics, offers a vision about the need for practical and reliable risk assessment methods for the prevention of MSD and the enhancement of the workplace through the use of compre- hensive stepped-care models for mental health. The section Pervasive Technology for Intelligent Workplaces identifies the opportunities and challenges of technology-based interventions to increase health-awareness and the security and privacy issues which must be covered in the smart workplace. The third section presents Data Warehouse Governance and Analytics related works. The book concludes with a chapter on lessons learnt. Reference [1] Vos, T., Barber, R. M., Bell, B., Bertozzi-Villa, A., Biryukov, S., Bolliger, I., ... & Duan, L. (2015). Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990– 2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lan- cet, 386(9995), 743–800. vii About the Editors Assist. Prof. Mario Vega-Barbas is a senior data scientist within the Research Group on Telecommunication and Internet Network and Services at Universidad Politécnica de Madrid. This research work is focused on sensitive and pervasive services, user- centered security, intelligent environments applied to eHealth systems and complex- data visualization. Assist. Prof. Vega-Barbas holds a Ph.D. in Systems and Services Engineering for the Information Society from Universidad Politécnica de Madrid, Spain, and also a Ph.D. in Applied Medical Technology from KTH-Royal Institutet of Technology, Sweden. In addition, he has collaborated with various European and American institutions, such as Karolinska Institutet, KTH-Royal Institute of Technolo- gy, IEEE or the National Commission of Scientific and Technological Research (CONICYT) of Chile in research projects and the review of proposals as an expert in the field of smart spaces applied to telemedicine, Internet of Things or Ambient Assist- ing Living. Prof. Fernando Seoane, Docent in Biomedical Engineering Systems at the KTH- Royal Institute of Technology since 2012, received his Ph.D. and M.Sc. degrees in Bi- omedical Engineering from Chalmers Tekniska Högkolan, and Linköpings Universitet, and his B.Eng. in Electronics Systems from Universidad de Alcala. Prof. Seoane is currently managing the Research, Innovation, Development and Education activities at the department of Medical Care Technologies at the Karolinska University Hospital and is a Senior Lecturer at Karolinska Institutet, Stockholm Sweden, he is a full profes- sor in biomedical engineering at the University of Borås, where he leads the research group in Textile and Wearable Electronics for p-Health Solutions. Prof. Seoane also conducts needs-driven translational research into wearable measurement Instrumenta- tion and Digital Health Transformation aiming to enable innovations in medical and clinical practice, focusing on p-health solutions including wearable measurement sys- tems, biosignals processing of non-invasive physiological measurements and biomedi- cal data analysis for healthcare management improvement. Prof. Seoane has successful- ly supervised 10 PhD students and participated in more than 30 externally-funded re- search and education projects, acting as principal investigator, project manager or work-package leader on more than half of them. Finally, Prof. Seoane is an IEEE Sen- ior member, member of the IEEE-EMBS Technical Committee in Wearable Biomedi- cal Measurement Systems as well as a member of the steering committee of both the Stockholm Medical Imaging Laboratory and Education core facility and the Process- Oriented Data Science for Healthcare Alliance. This page intentionally left blank