scholarly journals Innovative Assisted Living Tools, Remote Monitoring Technologies, Artificial Intelligence-Driven Solutions, and Robotic Systems for Aging Societies: Systematic Review

JMIR Aging ◽  
10.2196/15429 ◽  
2019 ◽  
Vol 2 (2) ◽  
pp. e15429 ◽  
Author(s):  
A Hasan Sapci ◽  
H Aylin Sapci
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Acceptance ◽  
Patient Monitoring ◽  
Medical Science ◽  
Home Monitoring ◽  
Primary Objective ◽  
Assistive Technologies ◽  
Level Of Evidence ◽  
Aging Societies

Background The increase in life expectancy and recent advancements in technology and medical science have changed the way we deliver health services to the aging societies. Evidence suggests that home telemonitoring can significantly decrease the number of readmissions, and continuous monitoring of older adults’ daily activities and health-related issues might prevent medical emergencies. Objective The primary objective of this review was to identify advances in assistive technology devices for seniors and aging-in-place technology and to determine the level of evidence for research on remote patient monitoring, smart homes, telecare, and artificially intelligent monitoring systems. Methods A literature review was conducted using Cumulative Index to Nursing and Allied Health Literature Plus, MEDLINE, EMBASE, Institute of Electrical and Electronics Engineers Xplore, ProQuest Central, Scopus, and Science Direct. Publications related to older people’s care, independent living, and novel assistive technologies were included in the study. Results A total of 91 publications met the inclusion criteria. In total, four themes emerged from the data: technology acceptance and readiness, novel patient monitoring and smart home technologies, intelligent algorithm and software engineering, and robotics technologies. The results revealed that most studies had poor reference standards without an explicit critical appraisal. Conclusions The use of ubiquitous in-home monitoring and smart technologies for aged people’s care will increase their independence and the health care services available to them as well as improve frail elderly people’s health care outcomes. This review identified four different themes that require different conceptual approaches to solution development. Although the engineering teams were focused on prototype and algorithm development, the medical science teams were concentrated on outcome research. We also identified the need to develop custom technology solutions for different aging societies. The convergence of medicine and informatics could lead to the development of new interdisciplinary research models and new assistive products for the care of older adults.

Developing Assistive Technologies for Persons with Alzheimer’s Disease and Their Carers

2019 ◽  
pp. 203-220
Author(s):  
Diane Feeney Mahoney
Keyword(s):  
Older Adults ◽  
Home Monitoring ◽  
End Users ◽  
Assistive Technologies ◽  
High Tech ◽  
Ethical Foundation ◽  
Neurocognitive Impairments ◽  
Research Findings ◽  
Key Issues ◽  
Care Problems

This chapter examines the ethical principles applicable to gerontechnology research and development for in-home monitoring of persons with neurocognitive impairments. Principles addressed include respect for persons, autonomy, beneficence, justice, nonabandonment, nonmalfeasance, and privacy. Key issues for designers, developers, end-users, and reviewers are highlighted by uniquely drawing from real-world research examples. Studies indicate that among stakeholders there remains an emotional tension between “high tech” and “high touch” interventions for older adults with dementia. At the extremes, technophobic humanists dismiss technology as universally inferior to human assistance, while techno-proponents view it as the solution to care problems resulting from human limitations. “Benevolent” geriatric protectionism from technology is paternalistic and stifles innovation, while pushing technology without input from geriatric end-users results in products mismatched to their needs. Society will be better served if both viewpoints thoughtfully consider the ethical foundation of their beliefs informed by research findings to foster approaches that do good, not harm.

Exoscore: A Design Tool to Evaluate Factors Associated With Technology Acceptance of Soft Lower Limb Exosuits by Older Adults

2019 ◽  
Vol 62 (3) ◽  
pp. 391-410 ◽  
Author(s):  
Linda Shore ◽  
Valerie Power ◽  
Bernard Hartigan ◽  
Samuel Schülein ◽  
Eveline Graf ◽  
...  
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Technology Acceptance ◽  
Lower Limb ◽  
Evaluation Method ◽  
Assistive Technologies ◽  
Design Tool ◽  
Face Validity ◽  
Design Evaluation ◽  
Evaluation Tool

Objective This pilot study proposed and performs initial testing with Exoscore, a design evaluation tool to assess factors related to acceptance of exoskeleton by older adults, during the technology development and testing phases. Background As longevity increases and our aging population continues to grow, assistive technologies such as exosuits and exoskeletons can provide enhanced quality of life and independence. Exoscore is a design and prototype stage evaluation method to assess factors related to perceptions of the technology, the aim being to optimize technology acceptance. Method In this pilot study, we applied the three-phase Exoscore tool during testing with 11 older adults. The aims were to explore the feasibility and face validity of applying the design evaluation tool during user testing of a prototype soft lower limb exoskeleton. Results The Exoscore method is presented as part of an iterative design evaluation process. The method was applied during an exoskeleton research and development project. The data revealed the aspects of the concept design that rated favorably with the users and the aspects of the design that required more attention to improve their potential acceptance when deployed as finished products. Conclusion Exoscore was effectively applied to three phases of evaluation during a testing session of a soft exoskeleton. Future exoskeleton development can benefit from the application of this design evaluation tool. Application This study reveals how the introduction of Exoscore to exoskeleton development will be advantageous when assessing technology acceptance of exoskeletons by older adults.

scholarly journals Application of In-Home Monitoring Data to Transition Decisions in CCRC's: A Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Katherine Wild ◽  
Nicole Sharma ◽  
Nora Mattek ◽  
Jason Karlawish ◽  
Thomas Riley ◽  
...  
Keyword(s):  
Older Adults ◽  
Technology Acceptance ◽  
Controlled Trial ◽  
Home Monitoring ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Time Data ◽  
Cognitive Changes ◽  
Actual Use ◽  
Intent To Use

BACKGROUND Continuous in-home monitoring of older adults can provide rich and sensitive data capturing subtle behavioral and cognitive changes. Our previous work has identified multiple metrics that describe meaningful trends in daily activities over time. The continuous, multi-domain nature of this technology may also serve to inform caregivers of the need for increased attention in order to maintain the health and safety of at-risk older adults. Accordingly, care decisions can be based on objective, systematically assessed real-time data. OBJECTIVE The present study deployed a suite of in-home monitoring technologies to detect changing levels of care needs in residents of independent living units in seven retirement communities. METHODS Continuous activity data were presented to staff involved in decisions regarding transitions in care. Comparisons were planned between outcomes for residents whose data were shared and those whose data were not made available to staff. Staff use of the data dashboard was also monitored over the course of the study. RESULTS Despite initial enthusiasm and an iterative process of refinement of measures and modes of data presentation based on staff input, actual inspection and therefore use of resident data was well below expectation. Survey data and in-depth interviews offered insight to the mismatch between intended and actual use. CONCLUSIONS Most continuous in-home monitoring technology acceptance models focus on perceived usefulness and ease of use, and equate intent to use technology with actual use. Our experience suggests otherwise. We found multiple intervening variables exist between perceived usefulness, intent to use and actual use. Ethical, institutional, and social factors are considered in their role as determinants of use.

Evaluating User Centered Design of E-Health for Older Adults

2016 ◽  
Vol 1 (2) ◽  
pp. 24-50
Author(s):  
Tracy L. Mitzner ◽  
Katinka Dijkstra
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Acceptance ◽  
Aging In Place ◽  
Health Care Needs ◽  
User Centered Design ◽  
Care Needs ◽  
Older Users ◽  
The Impact ◽  
User Centered

Health care related technology, or E-health, has the potential to lessen the impact of the growing aging population on the health care system and support older adults' preference for aging in place. However, for technologies to be adopted by older users, research is needed to understand older adults' unique health care needs, their preferences for support, and their perceptions of technologies designed for health care. Specifically directed toward older users, this article highlights the need for user-centered design and the implications for technology acceptance, and describes studies that employed systematic subjective methods such as focus groups, interviews, and questionnaires to provide a rich, detailed depiction of older users' interactions with E-health. User-centered design evaluations involving older adults can help designers create products and services that are more likely to be adopted by older adult end users.

scholarly journals The Acceptability of Technology in Health Care Among Older Korean Adults With Multiple Chronic Conditions

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 223-223
Author(s):  
Ji Yeon Ha ◽  
Hyeyoung Park
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Acceptance ◽  
Cognitive Ability ◽  
Self Efficacy ◽  
Chronic Conditions ◽  
Community Dwelling ◽  
Multiple Chronic Conditions ◽  
Korean Adults ◽  
Facilitating Conditions

Abstract Background: Although there are benefits in utilizing ICT in health care, older adults have challenges in employ technologies in their health care management due to the changes in cognitive and physical functions, low motivation to use technology, and low computer/internet literacy (Adebayo et al, 2017; Wildenbos et al, 2018). The purpose of this study is to investigate the acceptance of technology among older Korean adults with multiple chronic conditions and examine factors associating with the acceptance of the technology. Method: The participants were 226 community-dwelling older adults who have more than two chronic conditions. Directed by the senior technology acceptance model (Chen & Chan, 2014), demographics, gerontechnology self-efficacy, gerontechnology anxiety, facilitating conditions, self-reported health conditions, cognitive ability, social relationship, attitude to life and satisfaction, physical functioning, and acceptance of technology were surveyed using a self-reported questionnaire. Findings: Older Korean adults with multiple chronic conditions showed a moderately high technology acceptance score (M = 25.35, SD = 5.28). There were significant differences in the acceptance of technology depending on age (r=-0.241, p<.01), cognitive ability (r=0.225, p<.01), gerontechnology self-efficacy (r=0.323, p<.0001), and facilitating conditions (r=0.288, p<.0001). Conclusion: While older age were associated to the acceptance of technology, gerontechnology self-efficacy which is one’s judgment of their ability to perform a task successfully using gerontechnology and facilitating conditions which are environmental factors that help older adults use gerontechnology easier were positively associated with the acceptance of technology among older Korean adults with multiple chronic conditions.

Evaluating User-Centered Design of E-Health for Older Adults

2017 ◽  
pp. 338-359
Author(s):  
Tracy L. Mitzner ◽  
Katinka Dijkstra
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Acceptance ◽  
Older Adult ◽  
End Users ◽  
User Centered Design ◽  
Care Needs ◽  
Older Users ◽  
The Impact ◽  
User Centered

Health care related technology, or E-health, has the potential to lessen the impact of the growing aging population on the health care system and support older adults' preference for aging in place. However, for technologies to be adopted by older users, research is needed to understand older adults' unique health care needs, their preferences for support, and their perceptions of technologies designed for health care. Specifically directed toward older users, this article highlights the need for user-centered design and the implications for technology acceptance, and describes studies that employed systematic subjective methods such as focus groups, interviews, and questionnaires to provide a rich, detailed depiction of older users' interactions with E-health. User-centered design evaluations involving older adults can help designers create products and services that are more likely to be adopted by older adult end users.

E-Health for Older Adults

2011 ◽  
pp. 1-21 ◽  
Author(s):  
Tracy L. Mitzner ◽  
Katinka Dijkstra
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Focus Groups ◽  
Technology Acceptance ◽  
Health Care System ◽  
Aging In Place ◽  
Health Care Needs ◽  
Care Needs ◽  
Older Users ◽  
The Impact

Health care related technology, or E-health, has the potential to lessen the impact of the growing aging population on the health care system, at the same time supporting aging in place. However, for technologies to be developed that are adopted by older users, research is needed to capture a thorough picture of older adults’ unique health care needs. Specifically directed toward older users, this chapter will demonstrate the need for user centered design, discuss technology acceptance, and describe studies that employed systematic subjective methods such as focus groups, interviews, and questionnaires to provide a rich, detailed depiction of older users’ interactions with E-health.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

Auditory Dysfunction in Alzheimer's Disease

2010 ◽  
Vol 15 (1) ◽  
pp. 4-11 ◽  
Author(s):  
Sridhar Krishnamurti
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Care Setting ◽  
Neurodegenerative Disorder ◽  
Disease Process ◽  
Clinical Protocols ◽  
Speech Language Pathologist ◽  
Auditory Dysfunction

Alzheimer's disease is neurodegenerative disorder which affects a growing number of older adults every year. With an understanding of auditory dysfunction in Alzheimer's disease, the speech-language pathologist working in the health care setting can provide better service to these individuals. The pathophysiology of the disease process in Alzheimer's disease increases the likelihood of specific types of auditory deficits as opposed to others. This article will discuss the auditory deficits in Alzheimer's disease, their implications, and the value of clinical protocols for individuals with this disease.

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