Effective dementia care is often hindered by fragmented communication among patients, informal caregivers, and clinicians. To address this, we introduce an ambient assisted living (AAL) framework designed to establish a continuous, virtual, and unobtrusive connection between an elder’s home and external guardians or medical staff (virtual rounds). The system enables guardians to communicate directly within the home environment, without requiring the older adult to manually accept calls or activate the connection using wearable devices, buttons, or other interfaces. The elders can activate the connection verbally. The structural core of this system relies on three novel hardware configurations designed for zero-interface operation: a remote audio announcement device, a bidirectional intercom, and a “zero-interface mirror” enabling stream-only, real-time video co-presence between patients and guardians. Crucially, the system utilizes a privacy-preserving, staged edge-AI architecture to process data. By default, it operates without long-term persistent storage, selectively transmitting abstracted audio-based behavioral metrics to a secure dashboard. For advanced dementia stages, the system employs ephemeral data retention—specifically a highly restricted, 24 h rolling audio buffer—allowing authorized guardians to verify acute events without permanently exfiltrating raw data. We evaluate this infrastructure through a 10-month longitudinal, single-home feasibility deployment, augmented with historical verified fall data to rigorously test the detection of rare acute events. The study validates the framework’s technical viability, system uptime, and privacy-first architecture in continuously tracking long-term proxy behavioral indicators under real-world conditions. Rather than asserting generalized clinical efficacy, this work demonstrates the operational feasibility of a novel, affordable, technical blueprint for dignified, remote digital care coordination.
Ilyas Potamitis (Sat,) studied this question.