Real-Time Communication Infrastructure for Mixed Reality in Home Care: A Comparative Case Report of Three Approaches

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Background:
Europe’s ageing society faces a growing gap in long-term care (LTC) resources. The Care about Care project developed a Remote Care Assist (RCA) system to support LTC staff.
Objectives:
The project aimed to develop and evaluate a robust, mixed-reality- capable communication infrastructure for home care workers. This case report (a) details requirements for a communications infrastructure, (b) examines challenges in field testing, and (c) describes the transition to an alternative approach. It also provides a glimpse into a new solution used in a follow-up project.
Methods:
User requirements were gathered through co-creation workshops across three countries. Technical requirements focused on modularity, security, integration, and cross-platform usability. The initial implementation used Asterisk and was tested with ∼300 participants.
Results:
The field test revealed persistent video quality issues with Asterisk, attributed to its WebRTC implementation. A switch to Kamailio resolved these issues, improving video quality but sacrificing group call capabilities.
Conclusion:
Pre-testing is limited, highlighting the necessity of field testing. Emerging frameworks like LiveKit could be an alternative for follow-up projects.
Original languageGerman
Title of host publicationProceedings of the 19th Health Informatics Meets Digital Health Conference
EditorsMartin Baumgartner, Dieter Hayn, Bernhard Pfeifer, Günter Schreier
PublisherIOS Press BV
Pages10-15
Number of pages6
Volume19
ISBN (Electronic)978-1-64368-592-2
DOIs
Publication statusPublished - 2025
EventdHealth 2025: Health Informatics Meets Digital Health Conference - Schönbrunn, Wien, Austria
Duration: 6 May 20257 May 2025
https://dhealth.at/

Conference

ConferencedHealth 2025
Country/TerritoryAustria
CityWien
Period6/05/257/05/25
Internet address

study areas

  • 02 Digital Transformation
  • 03 Health, Care & Well-being

Keywords

  • Remote Support
  • Communication Infrastructure
  • Case Study

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