• International Journal of Technology (IJTech)
  • Vol 16, No 6 (2025)

A Smart RFID-Driven System for Dementia Patient Tracking: A Machine Learning Approach for Monitoring and Localization

A Smart RFID-Driven System for Dementia Patient Tracking: A Machine Learning Approach for Monitoring and Localization

Title: A Smart RFID-Driven System for Dementia Patient Tracking: A Machine Learning Approach for Monitoring and Localization
Wasim Raad, Mohamed Deriche, Rao Bin Rais, Khalid Ammar, Mohamed Nasor

Corresponding email:


Cite this article as:
Raad, W., Deriche, M., Rais, R., Ammar, K., & Nasor, M. (2025). A smart rfid-driven system for dementia patient tracking: A machine learning approach for monitoring and localization. International Journal of Technology, 16 (6), 2101–2121.

16
Downloads
Wasim Raad Department of Computer Engineering, Istanbul Aydin University, Istanbul, Turkey
Mohamed Deriche College of Engineering and Information Technology, Ajman University, Ajman, UAE
Rao Bin Rais College of Engineering and Information Technology, Ajman University, Ajman, UAE
Khalid Ammar College of Engineering and Information Technology, Ajman University, Ajman, UAE
Mohamed Nasor College of Engineering and Information Technology, Ajman University, Ajman, UAE
Email to Corresponding Author

Abstract
A Smart RFID-Driven System for Dementia Patient Tracking: A Machine Learning Approach for Monitoring and Localization

The global increase in the elderly population, which is expected to reach 2.1 billion by 2050, has highlighted the need for reliable monitoring systems to assist elderly individuals, especially those with dementia. More than 55 million people worldwide live with dementia, a disease liable to induce fatal incidents such as wandering off and falling, resulting in almost 30% of injury-related deaths in the elderly. Current technologies, including GPS and camera-based systems, face severe limitations in indoor environments, such as privacy intrusions, high costs, and dependence on line-of-sight visibility. This study introduces a novel, cost-effective radio frequency identification (RFID)-based tracking system optimized for indoor settings to address these gaps. Leveraging the Internet of Things (IoT) architecture and cloud computing, our solution employs battery-less RFID tags embedded in unobtrusive wearable devices (e.g., anklets or bracelets) to enable real-time, multi-individual tracking without compromising privacy or relying on external power. Our proposed system uniquely integrates the efficiency of a low-complexity, cost-effective fingerprint-based localization framework with real-time data analytics and optimized ML models to achieve the accuracy, affordability, and scalability required for smart home applications for dementia. Extensive evaluation in simulated smart home environments demonstrates a 98% localization accuracy with NN and a modified KNN algorithm, outperforming existing approaches. As a proof of concept, the developed RFID-based localization system is capable of accurately tracking multiple elderly individuals within the home setting. Overall, the proposed system showed excellent accuracy results with only off-the-shelf components. The proposed system addresses scalability and cost barriers, offering a robust alternative to the more expensive and often hard-to-use commercial systems. This developed system not only enhances the safety of patients with dementia but also establishes a robust, adaptable framework for future IoT-driven healthcare applications.

Dementia; Internet of Things; K-Nearest Neighbor (KNN); Radio Frequency Identification (RFID); Received Signal Strength Indicator (RSSI); Smart Home

References

Aldelemy, A., Oguntala, G., BinMelha, M. S., Ngala, M., & Abd-Alhameed, R. A. (2024). A comprehensive review of rf-based localisation methods and their applications in healthcare. Proceedings of the 3rd International Multi-Disciplinary Conference: “Integrated Sciences and Technologies”, IMDC-IST 2023, 25-27 October 2023, Yola, Nigeria. https://doi.org/10.4108/eai.25-10-2023.2348722

Alharbi, H., Alharbi, K., & Hassan, C. (2023). Enhancing elderly fall detection through iot-enabled smart flooring and ai for independent living sustainability. Sustainability, 15(22). https://doi.org/10.3390/su152215695

Alsinglawi, B., Elkhodr, M., Nguyen, Q. V., & Gunawardana, U. (2017). Rfid localization for internet of things smart homes: A survey. International Journal of Computer Networks and Communications, 9(1), 81–99. https://doi.org/10.5121/ijcnc.2017.9107

Alvarez-Narciandi, G., Motroni, A., Rodriguez Pino, M., Buffi, A., & Nepa, P. (2019). A uhf-rfid gate control system based on a recurrent neural network. IEEE Antennas and Wireless Propagation Letters, 18(11), 2330–2334. https://doi.org/10.1109/LAWP.2019.2929416

Amin, A., & Deriche, M. (2016). Salt-dome detection using a codebook-based learning model. IEEE Geoscience and Remote Sensing Letters, 13(11), 1636–1640. https://doi.org/10.1109/LGRS.2016.2599435

Andò, B., Baglio, S., Crispino, R., & Marletta, V. (2021). An introduction to indoor localization techniques. Case of study: A multi-trilateration-based localization system with user–environment interaction feature. Applied Sciences, 11(16). https://doi.org/10.3390/app11167392

Arakawa, T., Shiramatsu, S., & Iwata, A. (2018). Wandering path visualization system prototype for finding wandering elderly people using ble beacon. 2018 Sixth International Symposium on Computing and Networking Workshops (CANDARW), 491–495. https://doi.org/10.1109/CANDARW.2018.00095

Azizan, A. (2024). Challenges and opportunities in sensor-based fall prevention for older adults: A bibliometric review. Journal of Enabling Technologies, 18(4), 306–318. https://doi.org/10.1108/JET-02-2024-0011

Berawi, M. (2023). Smart cities: Accelerating sustainable development agenda. International Journal of Technology, 14(1), 1–4. https://doi.org/10.14716/ijtech.v14i1.6323

Berawi, M., Sari, M., Salsabila, A., Susantono, B., & Woodhead, R. (2022). Utilizing building information modelling in the tax assessment process of apartment buildings. International Journal of Technology, 13(7), 1515–1526. https://doi.org/10.14716/ijtech.v13i7.6188

Bibbò, L., Carotenuto, R., & Della Corte, F. (2022). An overview of indoor localization system for human activity recognition (har) in healthcare. Sensors, 22(21). https://doi.org/10.3390/s22218119

Bouchard, K., Fortin-Simard, D., Gaboury, S., Bouchard, B., & Bouzouane, A. (2014). Accurate trilateration for passive rfid localization in smart homes. International Journal of Wireless Information Networks, 21, 32–47. https://doi.org/10.1007/s10776-013-0234-4

Brena, R., García-Vázquez, J., Galván-Tejada, C., Muñoz-Rodriguez, D., Vargas-Rosales, C., & J, F. (2017). Evolution of indoor positioning technologies: A survey. Journal of Sensors, 2017(1), 2630413. https://doi.org/10.1155/2017/2630413

Buffi, A., Michel, A., Nepa, P., & Tellini, B. (2018). Rssi measurements for rfid tag classification in smart storage systems. IEEE Transactions on Instrumentation and Measurement, 67(4), 894–904. https://doi.org/10.1109/TIM.2018.2791238

Chen, W., Chen, L., Chang, W., & Tang, J. (2018). An iot-based elderly behavioral difference warning system. 2018 IEEE International Conference on Applied System Invention (ICASI), 308–309. https://doi.org/10.1109/ICASI.2018.8394594

Cheng, S., Wang, S., Guan, W., Xu, H., & Li, P. (2020). 3dlra: An rfid 3d indoor localization method based on deep learning. Sensors, 20(9). https://doi.org/10.3390/s20092731

Chin, C., Jian, T., Ee, L., & Leong, P. (2022). Iot-based indoor and outdoor self-quarantine system for covid-19 patients. International Journal of Technology, 13(6), 1231–1240. https://doi.org/10.14716/ijtech.v13i6.5844

Comai, S., Masciadri, A., Pozzi, G., & Salice, F. (2025). Monitoring dressing autonomy: A remote home care rfid-based solution for people with dementia. SN Computer Science, 6(454). https://doi.org/10.1007/s42979-025-03975-6

Dharani-Tejaswini, K., & Balasubramanian, V. (2018). A scalable and hybrid location estimation algorithm for long-range rfid systems. International Journal of Wireless Information Networks, 25, 186–199. https://doi.org/10.1007/s10776-018-0394-3

Du, C., Peng, B., Zhang, Z., Xue, W., & Guan, M. (2020). Kf-knn: Low-cost and high-accurate fm-based indoor localization model via fingerprint technology. IEEE Access, 8, 197523–197531. https://doi.org/10.1109/ACCESS.2020.3031089

Fang, C. (2018). Application for the geriatrics in cognitive city: Prevention of lost patient with dementia. 2018 1st International Cognitive Cities Conference (IC3), 28–31. https://doi.org/10.1109/IC3.2018.00016

Feng, X., Zhang, J., Chen, J., Wang, G., Zhang, L., & Li, R. (2018). Design of intelligent bus positioning based on internet of things for smart campus. IEEE Access, 6, 60005–60015. https://doi.org/10.1109/ACCESS.2018.2874083

Fu, Y., Chen, P., Yang, S., & Tang, J. (2018). An indoor localization algorithm based on continuous feature scaling and outlier deleting. IEEE Internet of Things Journal, 5(2), 1108–1115. https://doi.org/10.1109/JIOT.2018.2795615

Hendrarini, N., Asvial, M., & Sari, R. F. (2022). Wireless sensor networks optimization with localization-based clustering using game theory algorithm. International Journal of Technology, 13(1), 213–224. https://doi.org/10.14716/ijtech.v13i1.4850

Jiang, J. R., Subakti, H., & Liang, H. S. (2021). Fingerprint feature extraction for indoor localization. Sensors, 21(16). https://doi.org/10.3390/s21165434

Kolakowski, M., & Blachucki, B. (2019). Monitoring wandering behavior of persons suffering from dementia using ble based localization system. 2019 27th Telecommunications Forum (TELFOR), 1–4. https://doi.org/10.1109/TELFOR48224.2019.8971136

Lau, X. L., Connie, T., Goh, M. K. O., & Lau, S. H. (2022). Fall detection and motion analysis using visual approaches. International Journal of Technology, 13(6), 1173–1182. https://doi.org/10.14716/ijtech.v13i6.5840

Li, A., Fu, J., Yang, A., & Shen, H. (2019). A new rss fingerprinting-based location discovery method under sparse reference point conditions. IEEE Access, 7, 13945–13959. https://doi.org/10.1109/ACCESS.2019.2893398

Li, S., Lu, J., & Chen, S. (2020). A room-level tag trajectory recognition system based on multi-antenna rfid reader. Computer Communications, 149, 350–355. https://doi.org/10.1016/j.comcom.2019.10.025

Luo, C., Cheng, L., Chan, M. C., Gu, Y., Li, J., & Zhong, M. (2017). Pallas: Self-bootstrapping fine-grained passive indoor localization using wifi monitors. IEEE Transactions on Mobile Computing, 16(2), 466–481. https://doi.org/10.1109/TMC.2016.2550452

Ma, Q., Li, X., Li, G., Ning, B., Bai, M., & Wang, X. (2020). Mrliht: Mobile rfid-based localization for indoor human tracking. Sensors, 20(6). https://doi.org/10.3390/s20061711

Merenda, M., Catarinucci, L., Colella, R., Iero, D., Della Corte, F. G., & Carotenuto, R. (2022). Rfid-based indoor positioning using edge machine learning. IEEE Journal of Radio Frequency Identification, 6, 573–582. https://doi.org/10.1109/JRFID.2022.3182819

Minne, K., Macoir, N., Rossey, J., Van Den Brande, Q., Lemey, S., Hoebeke, J., & De Poorter, E. (2019). Experimental evaluation of uwb indoor positioning for indoor track cycling. Sensors, 19, 2041. https://doi.org/10.3390/s19092041

Molina, B., Olivares, E., Palau, C. E., & Esteve, M. (2018). A multi-modal fingerprint-based indoor positioning system for airports. IEEE Access, 6, 10092–10106. https://doi.org/10.1109/ACCESS.2018.2798918

Møller, M. F. (1993). A scaled conjugate gradient algorithm for fast supervised learning. Neural Networks, 6(4), 525–533. https://doi.org/10.1016/S0893-6080(05)80056-5

Muangprathub, J., Sriwichian, A., Wanichsombat, A., Kajornkasirat, S., Nillaor, P., & Boonjing, V. (2021). A novel elderly tracking system using machine learning to classify signals from mobile and wearable sensors. International Journal of Environmental Research and Public Health, 18(23), 12652. https://doi.org/10.3390/ijerph182312652

Naeim, M. K. M., Chung, G. C., Lee, I. E., Tiang, J. J., & Tan, S. F. (2023). A mobile iot-based elderly monitoring system for senior safety. International Journal of Technology, 14(6), 1185–1195. https://doi.org/10.14716/ijtech.v14i6.6634

Nessa, A., Adhikari, B., Hussain, F., & Fernando, X. N. (2020). A survey of machine learning for indoor positioning. IEEE Access, 8, 214945–214965. https://doi.org/10.1109/ACCESS.2020.3039271

Raad, M. W., Deriche, M., & Kanoun, O. (2021). An rfid-based monitoring and localization system for dementia patients. Multi-Conference on Systems, Signals and Devices (SSD). https://doi.org/10.1109/SSD52085.2021.9429375

Raad, M. W., Deriche, M., & Sheltami, T. (2021). An iot-based school bus and vehicle tracking system using rfid technology and mobile data networks. Arabian Journal for Science and Engineering, 46, 3087–3097. https://doi.org/10.1007/s13369-020-05111-3

Raad, M. W., Sheltami, T., Soliman, M. A., & Alrashed, M. (2018). An rfid based activity of daily living for elderly with alzheimer’s. Internet of Things (IoT) Technologies for HealthCare, HealthyIoT 2017, 54–61. https://doi.org/10.1007/978-3-319-76213-5_8

Rondon-Garcia, L. M., & Ramirez-Navarro, J. M. (2018). The impact of quality of life on the health of older people from a multi-dimensional perspective. Journal of Aging Research, 2018. https://doi.org/10.1155/2018/4086294

Rybenská, K., Knapová, L., Janis, K., K?hnová, J., Cimler, R., & Elavsky, S. (2024). Smart technologies in older adult care: A scoping review and guide for caregivers. Journal of Enabling Technologies. https://doi.org/10.1108/JET-05-2023-0016

Shahbazian, R., Macrina, G., Scalzo, E., & Guerriero, F. (2023). Machine learning assists iot localization: A review of current challenges and future trends. Sensors, 23(7), 3551. https://doi.org/10.3390/s23073551

Shit, R. C., Sharma, S., Puthal, D., James, P., Pradhan, B., Moorsel, A. Y. Z., & Ranjan, R. (2019). Ubiquitous localization (ubiloc): A survey and taxonomy on device free localization for smart world. IEEE Communications Surveys and Tutorials, 21(4), 3532–3564. https://doi.org/10.1109/COMST.2019.2915923

Soro, B., & Lee, C. (2018). Performance comparison of indoor fingerprinting techniques based on artificial neural network. IEEE Region Conference (TENCON), 28–31. https://doi.org/10.1109/TENCON.2018.8650230

Soro, B., & Lee, C. (2019). Joint time-frequency rssi features for convolutional neural network-based indoor fingerprinting localization. IEEE Access, 7, 104892–104899. https://doi.org/10.1109/ACCESS.2019.2932469

Stark, S., Keglovits, M., Somerville, E., Hu, Y. L., Barker, A., Sykora, D., & Yan, Y. (2021). Home hazard removal to reduce falls among community-dwelling older adults: A randomized clinical trial. JAMA Network Open, 4(8), 2122044. https://doi.org/10.1001/jamanetworkopen.2021.22044

Suzuki, H., Kiyonobu, Y., Mogi, T., Matsushita, K., Hanada, M., Suzuki, R., & Niijima, N. (2018). An updated watch-over system using an iot device for elderly people living by themselves. 2018 3rd International Conference on System Reliability and Safety (ICSRS), 115–119. https://doi.org/10.1109/ICSRS.2018.8688843

Tabbakha, N. E., Ooi, C. P., Tan, W. H., & Tan, Y. F. (2021). A wearable device for machine learning based elderly’s activity tracking and indoor location system. Bulletin of Electrical Engineering and Informatics, 10(2), 927–939. https://doi.org/10.11591/eei.v10i2.2737

Taylor, M. E., Wesson, J., Sherrington, C., Hill, K. D., Kurrle, S., Lord, S. R., & Close, J. C. (2021). Tailored exercise and home hazard reduction program for fall prevention in older people with cognitive impairment: The i-focis randomized controlled trial. The Journals of Gerontology: Series A, 76(4), 655–665. https://doi.org/10.1093/gerona/glaa241

Tegou, T., Kalamaras, I., Tsipouras, M., Giannakeas, N., Votis, K., & Tzovaras, D. (2019). A low-cost indoor activity monitoring system for detecting frailty in older adults. Sensors, 19(3), 452. https://doi.org/10.3390/s19030452

Thakur, N., & Han, C. Y. (2021). Multimodal approaches for indoor localization for ambient assisted living in smart homes. Information, 12(3), 114. https://doi.org/10.3390/info12030114

Triapthi, A., Chakraborty, R., & Kopparapu, S. K. (2021). Dementia classification using acoustic descriptors derived from subsampled signals. 2020 28th European Signal Processing Conference (EUSIPCO), 91–95. https://doi.org/10.23919/Eusipco47968.2020.9287830

Varadharajan, V., Tupakula, U., & Karmakar, K. (2018). Secure monitoring of patients with wandering behavior in hospital environments. IEEE Access, 6, 11523–11533. https://doi.org/10.1109/ACCESS.2017.2773647

Wang, H., & Zheng, H. (2013). Model validation, machine learning. In Encyclopedia of systems biology. Springer. https://doi.org/10.1007/978-1-4419-9863-7_233

Wasim-Raed, M., Huseyinov, I., Ozdemir, G., Kotenko, I., & Fedorchenko, E. (2023). An iot-based smart home for elderly suffering from dementia. International Conference on Smart City Applications, 362–371. https://doi.org/10.1007/978-3-031-53824-7_33

Won, D., Park, M., & Chi, S. (2018). Construction resource localization based on uav-rfid platform using machine learning algorithm. International Conference on Industrial Engineering and Engineering Management (IEEM), 1086–1090. https://doi.org/10.1109/IEEM.2018.8607668

Zhang, C., Qin, N., Xue, Y., & Yang, L. (2020). Received signal strength-based indoor localization using hierarchical classification. Sensors, 20(4), 1067. https://doi.org/10.3390/s20041067  

Zhang, H., Zhang, Z., Gao, N., Xiao, Y., Meng, Z., & Li, Z. (2020). Cost-effective wearable indoor localization and motion analysis via the integration of uwb and imu. Sensors, 20(2), 344. https://doi.org/10.3390/s20020344

Zhang, X., Wong, A. K. S., Lea, C. T., & Cheng, R. S. K. (2018). Unambiguous association of crowd-sourced radio maps to floor plans for indoor localization. IEEE Transactions on Mobile Computing, 17(2), 488–502. https://doi.org/10.1109/TMC.2017.2722413