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International Journal of AI for
            Materials and Design                                                Intelligent interactive textile in healthcare



            across domains, such as fashion, sports, and healthcare.    specifically, the elderly population is expected to reach 26%
                                                         1-4
            These  AI-driven  textiles  leverage  innovations  ranging   by 2026, further exacerbating demands on local healthcare
            from bio-signal monitoring and electronic components   facilities. 19-21   Responding strategically, the Hong Kong
            to contactless control, transforming conventional fabrics   government initiated the establishment of District Health
            into dynamic, interactive platforms.  The growth of AI   Centres (DHCs) in 2019, aiming to enhance primary
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            in textile applications is evident in examples, such as   healthcare accessibility  and  effectiveness. By  2023, these
            temperature-sensitive materials and motion-sensing   centers expanded into comprehensive community-based
            garments, demonstrating real-time responsiveness in   networks, serving approximately 205,600 (provisional
            athletic training, safety gear, and medical diagnostics.  In   figures as of December 31, 2023) elderly residents. The
                                                      5-9
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            the area of gesture recognition, most AI-powered textiles   Wong Tai Sin DHC (WTSDHC), for example, exemplifies
            rely on wearable sensors (e.g., data gloves) to capture   this approach by offering specialized services, such as
            finger and hand movements for sign language translation   health risk assessments, chronic disease management,
            or rehabilitation exercises.  However, limitations remain   and  targeted  rehabilitation  programs  delivered  through
                                 5
            in fully contactless systems, as many solutions still depend   multidisciplinary healthcare teams. 23
            on user touch or close-range sensing, underscoring a gap
            for more accessible, “touch-free” interfaces in healthcare.    Technological advancements globally illustrate how
                                                          5
            As healthcare increasingly shifts toward unobtrusive   AI and digital innovations can significantly enhance
            tools for assisting seniors and individuals with mobility   healthcare efficiency and patient outcomes. International
            constraints, AI-integrated textiles can offer intuitive,   examples include Singapore’s widespread adoption of AI
            hands-free interaction – an approach further explored in   initiatives, such as the SELENA+ system, AimSG, and
            the next section on user-centered co-design. By seamlessly   ACE. Other examples include AI in community hospitals
            embedding computer vision and deep learning in interior   and Japan’s Cancer Institute Hospital, where AI analyzes
            textiles, researchers aim to expand usability from wearable   extensive clinical datasets annually. 24-27  In contrast,
            contexts into rehabilitative, clinical, and everyday healthcare   Hong Kong is still in its early stages of AI technology
            settings, thereby enhancing both patient engagement and   development.  Hong  Kong’s  DHCs  currently  utilize
            therapeutic outcomes. 4,10  Proposing innovative healthcare   relatively basic technological tools, such as digital health
            solutions for the elderly is increasingly important, and the   records and standard health screening devices, reflecting
            integration of AI offers significant potential to enhance   limited AI integration. 28,29  Despite the evident potential
            well-being through personalized, responsive, and engaging   and global trend toward AI-driven healthcare solutions,
            interventions.                                     adoption  remains limited  among elderly populations  in
                                                               Hong Kong. Often attributed to technophobia or the grey
              As global demographics shift toward an increasingly   digital divide, seniors’ reluctance toward new technologies
            aging population, healthcare systems worldwide face   commonly stems from internalized ageism – self-imposed
            unprecedented challenges in providing quality elderly care.   beliefs about their inability to learn or master digital tools.
            The World Health Organization projects that by 2030, one in   However, Köttl et al.  also highlight that many older adults
                                                                               30
            six individuals globally will be aged 60 or older, significantly   genuinely desire to learn and can excel in technology
            straining healthcare infrastructure and resources. 11,12  This   use  when  provided  with  suitable  support  and  accessible
            demographic shift demands transformative changes in   interfaces. Interactive textiles, as intuitive, tactile, and user-
            elderly healthcare delivery, especially in densely populated   friendly platforms, present a valuable starting point for
            urban  areas where  healthcare facilities  already operate   elderly individuals to engage with AI and other emerging
            at capacity.  Older adults typically require up to 4 times   technologies. By providing an accessible and reassuring
                     13
            more healthcare resources than younger adults due to the   interface, smart textiles offer older users an empowering
            prevalence of chronic conditions, such as cardiovascular   opportunity to  demonstrate  their  capacity to  adopt,
            diseases, diabetes, and dementia, further amplifying   learn, and benefit from advanced technological solutions,
            pressures on healthcare systems. 13,14  In Asia, countries   ultimately bridging the existing digital divide and
            or regions such as Hong Kong, China, South Korea, and   facilitating wider acceptance of AI-enhanced healthcare
            Japan are particularly impacted, with elderly populations     31-33
            projected to surpass 37% by 2050. Specifically, Hong   interventions.
                                          15
            Kong is projected to have 40.6%, South  Korea 39.4%,   This study proposes an AI-driven gesture recognition
            and Japan 37.5% of their populations aged 65 or older by   textile-based system, developed through a co-design
            2050, 16,17  intensifying shortages of specialized healthcare   approach, to create interactive illuminative wall panels
            professionals and highlighting the critical urgency   that integrate smart textiles and user-centered design
            for  innovative  healthcare  solutions. In  Hong  Kong   principles for healthcare applications. As outlined in
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            Volume 2 Issue 3 (2025)                         46                        doi: 10.36922/IJAMD025170013
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