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Smart homes and home health monitoring technologies for older adults: A systematic review

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Liu, Lili
Stroulia, Eleni
Nikolaidis, Ioanis
Miguel-Cruz, Antonio
Rincon, Adriana Rios

Fecha
2016

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Elsevier Ireland Ltd

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Abstract
Background: Around the world, populations are aging and there is a growing concern about ways that older adults can maintain their health and well-being while living in their homes. Objectives: The aim of this paper was to conduct a systematic literature review to determine: (1) the levels of technology readiness among older adults and, (2) evidence for smart homes and home-based health-monitoring technologies that support aging in place for older adults who have complex needs. Results: We identified and analyzed 48 of 1863 relevant papers. Our analyses found that: (1) technology-readiness level for smart homes and home health monitoring technologies is low; (2) the highest level of evidence is 1b (i.e., one randomized controlled trial with a PEDro score ?6); smart homes and home health monitoring technologies are used to monitor activities of daily living, cognitive decline and mental health, and heart conditions in older adults with complex needs; (3) there is no evidence that smart homes and home health monitoring technologies help address disability prediction and health-related quality of life, or fall prevention; and (4) there is conflicting evidence that smart homes and home health monitoring technologies help address chronic obstructive pulmonary disease. Conclusions: The level of technology readiness for smart homes and home health monitoring technologies is still low. The highest level of evidence found was in a study that supported home health technologies for use in monitoring activities of daily living, cognitive decline, mental health, and heart conditions in older adults with complex needs. © 2016.
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Keywords
Accident prevention , Physiologic , Intelligent buildings , Medical computing , Monitoring , Pulmonary diseases , Ehealth , Frail elderly , Gerontechnology , Smart homes , Telehealth , Health , Accelerometer , Accident prevention , Chronic disease , Chronic obstructive lung disease , Daily life activity , Disability , Falling , Geriatric care , Geriatric disorder , Home monitoring , Human , Magnetometer , Medical technology , Patient monitor , Pedro , Priority journal , Quality of life , Randomized controlled trial (topic) , Review , Sensor , Smart home , Systematic review , Aged , Devices , Geriatrics , Home care , Independent living , Medical technology , Physiologic monitoring , Procedures , Telemedicine , Aged , Biomedical Technology , Geriatrics , Home Care Services , Humans , Independent Living , Monitoring , Telemedicine , Ehealth , Frail elderly , Gerontechnology , Smart homes , Telehealth
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