Journal articles on the topic 'Assistive technology aged care'
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Vichitvanichphong, Suchada, Amir Talaei-Khoei, Don Kerr, and Amir Hossein Ghapanchi. "Assistive technologies for aged care." Information Technology & People 31, no. 2 (April 3, 2018): 405–27. http://dx.doi.org/10.1108/itp-03-2017-0090.
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Purpose One may categorize assistive technologies for aged care into two types, namely, supportive (helping the elderly with their everyday activities) and empowering (obtaining physical or educational training to help seniors to maintain their capabilities). This paper looks at the impact of this perspective in the adoption of technologies that are used to aid already declined functions in comparison with technologies that are used to empower an elderly person’s capabilities. The purpose of this paper is to extract the factors that influence adoption of assistive technologies among seniors and the theories used in this context. Design/methodology/approach A systematic literature review was conducted on relevant peer reviewed papers. A preliminary exploratory search was conducted to identify keywords and online databases for the search. A total of 104 papers published since 2000 were analyzed after title, abstract and full text filtering. Findings The study summarizes and categorizes the factors impacting the adoption of assistive technologies among seniors. The paper analyses the theoretical support utilized by literature and maps the empirical evidence for supportive and empowering technologies. Research limitations/implications This research like any other literature review is limited to the search keys. However, the keys have brought to this work from a preliminary search. Practical implications The work informs nursing professionals on the process to adopt technologies among seniors. The paper also helps technology developers to design technological products that are easier to adopt for older adults. Originality/value It was found that existing adoption theories are able to handle supportive technology adoption mainly because of the direct link between usage and improved functionalities. However due to the indirect effect of empowering technologies, elderlies lag in benefit realization for empowering technologies. This opens avenues of research and requires future work and utilization of new theoretical approaches in this area. The paper indicates propositions, claims and suggested questions for future research in both supportive and empowering technologies.
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Loy, Jennifer, and Natalie Haskell. "Future care: rethinking technology enhanced aged care environments." Journal of Enabling Technologies 12, no. 2 (June 18, 2018): 91–100. http://dx.doi.org/10.1108/jet-12-2017-0054.
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Purpose Cutting-edge hospital and residential care architecture and interior design aim to address the emotional and practical needs of patients, staff and visitors. Yet, whilst improving on past practice, current approaches to design still rarely recognise or respond to individuals. The purpose of this paper is to provide a review of design-led research into digital technology across disciplines for the personalisation of healthcare environments and is informed by the authors’ ongoing hospital-based research. Design/methodology/approach This review is based on a design anthropology framework providing insight into designing for changing the experience for older patients in current healthcare contexts and future focused strategies, integrating digital technologies and human-centred design across scale and disciplines. It is informed by ongoing hospital studies based on design-led research methodology, drawing on design anthropology and ethnographical methods. Findings Technology enhanced, human-centred, assistive devices and environments implemented into healthcare across scale are developing but integration is needed for meaningful experiences. Research limitations/implications This review is a positioning paper for design-led research into digital technology across scale and medium. Practical implications This paper provides the basis for practical research including the ongoing hospital-based research of the authors. Social implications This approach potentially enhances emotional experiences of connected healthcare. Originality/value Future care scenarios are proposed, with technology and human experience as key drivers. Individualised and personalised solutions better cater for diversity. Within this context, it is strategic to question and test new ways of crafting the older persons care experience. This paper brings new direction to this discussion.
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Sather III, Richard, Mahsa Soufineyestani, Nabiha Imtiaz, and Arshia Khan. "Assistive Robots Designed for Eldery Care and Caregivers." International Journal of Robotics and Control 3, no. 1 (May 19, 2021): 1. http://dx.doi.org/10.5430/ijrc.v3n1p1.
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As per the World Population prospects (19th revision), in 2019 every 11th person (11% of the population) was aged 65 or older and by 2050 every 6th person (16% of the world population) will be aged 65 or older. This rapid growth in people aged 65 and above has and will continue to pose some health management concerns, especially in the elderly with chronic ailments. The need for care provision for the elderly has provoked an exploration of various solutions to address elderly care management. Non-pharmacological interventions that utilize technology, such as robotics, are solutions that have proven to prolong independence and delay the admission of elderly into assisted care facilities. This paper will explore the various types of robotic solutions that are currently available to offer elderly care. This study will look at robotic solutions that are humanoid, animal-like, and robots that do not resemble humans or animals and their applications in elderly care. The various applications of robotics and the respective types of robots utilized in the provision of care in elderly care will be discussed as well.
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Shiril Ramesh Nagarkar, Varsha Dashrath Pawar, and Akshata Arun Guhe. "Assistive technologies and home monitoring." GSC Advanced Research and Reviews 13, no. 3 (December 30, 2022): 001–5. http://dx.doi.org/10.30574/gscarr.2022.13.3.0340.
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Assistive technology is a wide-ranging technology. Technology used to assist the people with the disabilities or aged citizens is the main intent of assistive technologies2. Disabled person struggles to perform day to day activities therefore, Assistive technologies will enhance the boldness among the person to conduct the activities in daily living severally. Home monitoring is one in all the rising practices to assist and monitor the patients outside the normal clinical settings, like within the home which can build up approach towards self-care. The main objective of this review is to acknowledge numerous studies allotted by various authors to accumulate the information regarding developments, analysis works and upgrades within the assistive technologies and home monitoring.
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WARD, GILLIAN, SIMON FIELDEN, HELEN MUIR, NIKKI HOLLIDAY, and GERRY URWIN. "Developing the assistive technology consumer market for people aged 50–70." Ageing and Society 37, no. 5 (February 22, 2016): 1050–67. http://dx.doi.org/10.1017/s0144686x16000106.
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ABSTRACTWithin the United Kingdom (UK), assisted living technologies are mostly provided through statutory health and social care services following assessment of individual need and application of eligibility criteria. This paper describes the first UK study to explore and develop business approaches and innovations required to make electronic assisted living technologies more accessible to consumers in their fifties and sixties. A robust mixed-method approach was used including a large sample size for a consumer survey, triangulation of methods and confirmation of research findings through validation workshops. This three-year study makes significant and original contributions to understanding consumer needs in this rapidly changing market and offers unique insights into the needs and wants of people aged 50–70. Analysis shows significant differences between consumer and business perceptions, indicating that marketing is not closely aligned to consumers' needs and is affecting the development of the market. New approaches to consumer-led business models are presented to improve information and marketing aimed at 50–70-year-old consumers. A ‘Broker/Independent Advisor’ business model showed most potential for meeting the needs of both consumer and business stakeholders. Findings support future development of an assisted living consumer market to meet growing levels of need and demand, and to offer greater consumer choice of mainstream technologies to enable people to age in place.
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Santhanaraj, Karthik Kumar, Ramya M.M., and Dinakaran D. "A survey of assistive robots and systems for elderly care." Journal of Enabling Technologies 15, no. 1 (March 25, 2021): 66–72. http://dx.doi.org/10.1108/jet-10-2020-0043.
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Purpose The rousing phenomenon of the ageing population is becoming a vital issue and demanding fulminant actions. Population ageing is a resultant of the enhanced health-care system, groovy antibiotics, medications and economic well-being. Old age leads to copious amounts of ailments. Aged people, owing to their reduced mobility and enervating disabilities, tend to rely upon caretakers and/or nursing personnel. With the increasing vogue of nuclear families in the society, the elderly are at the risk of being unveiled to emotional, physical and fiscal insecurities in the years to come. Caring for those seniors will be an enormous undertaking. Design/methodology/approach There is a dire need for an intelligent assistive system to meet out the requirements of continuous holistic care and monitoring. Assistive robots and systems used for elderly care are studied. The design motivation for the robots, elderly–robot interaction capabilities and technology incorporated in the systems are examined meticulously. Findings From the survey, it is suggested that the subsystems of an assistive robot revamped for better human–machine interactions will be a potential alternative to the human counterpart. Affirmable advancements in the robot design and interaction methodologies that would increase the holistic care and assistance for aged people are analyzed and listed. Originality/value This paper reviews the available assistive technologies and suggests a synergistic model that can be adopted for the caring of the elderly.
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Wakui, Tomoko, Sakiko Itoh, Hiroyasu Miwa, Tomoko Ikeuchi, and Kentaro Watanabe. "DOES TRUST IN SOCIAL SECURITY INHIBIT ACCEPTANCE OF ASSISTIVE TECHNOLOGY FOR ADL HELP?" Innovation in Aging 6, Supplement_1 (November 1, 2022): 585. http://dx.doi.org/10.1093/geroni/igac059.2196.
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Abstract In 2000, Japan introduced a mandatory long-term care insurance program to facilitate aging-in-place of older care recipients; there has been a great demand for assistive technologies such as AI (artificial intelligence) and robots in care settings to reduce the burden of caregivers and long-term care costs in society. This study examined the relationship between the trust in social security and acceptance of assistive technology for ADL help and discussed the challenges in introducing technology in a well-developed social security system. An online survey was conducted in August 2020 among community-dwelling individuals aged between 40 and 89 across Japan to find out their acceptance of help provided via AI or robotics technology in five dimensions of ADL. In addition, a 5-point Likert scale was used to assess the trust in social security.A total of 4,047 respondents were analyzed in this study. The respondents’ mean age was 60.6 (SD=11.3), and 53.2% of them were female. Of those, 13.2% preferred help from humans in ADL, while for 86.8%, the use of some assistive technology was acceptable. Logistic regression revealed that the female and younger respondents and those who had better health and had completed higher education were more likely to accept AI or robotics technology in all/some ADL if they needed assistance; those with higher trust in social security, however, were less likely to accept technology (OR=.894; p=.011).The challenges in introducing assistive technology under a well-developed social security system will be discussed.
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Vandemeulebroucke, Tijs, Bernadette Dierckx de Casterlé, and Chris Gastmans. "Ethics of socially assistive robots in aged-care settings: a socio-historical contextualisation." Journal of Medical Ethics 46, no. 2 (December 9, 2019): 128–36. http://dx.doi.org/10.1136/medethics-2019-105615.
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Different embodiments of technology permeate all layers of public and private domains in society. In the public domain of aged care, attention is increasingly focused on the use of socially assistive robots (SARs) supporting caregivers and older adults to guarantee that older adults receive care. The introduction of SARs in aged-care contexts is joint by intensive empirical and philosophical research. Although these efforts merit praise, current empirical and philosophical research are still too far separated. Strengthening the connection between these two fields is crucial to have a full understanding of the ethical impact of these technological artefacts. To bridge this gap, we propose a philosophical-ethical framework for SAR use, one that is grounded in the dialogue between empirical-ethical knowledge about and philosophical-ethical reflection on SAR use. We highlight the importance of considering the intuitions of older adults and their caregivers in this framework. Grounding philosophical-ethical reflection in these intuitions opens the ethics of SAR use in aged care to its own socio-historical contextualisation. Referring to the work of Margaret Urban Walker, Joan Tronto and Andrew Feenberg, it is argued that this socio-historical contextualisation of the ethics of SAR use already has strong philosophical underpinnings. Moreover, this contextualisation enables us to formulate a rudimentary decision-making process about SAR use in aged care which rests on three pillars: (1) stakeholders’ intuitions about SAR use as sources of knowledge; (2) interpretative dialogues as democratic spaces to discuss the ethics of SAR use; (3) the concretisation of ethics in SAR use.
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Johnston, Carolyn. "Ethical Design and Use of Robotic Care of the Elderly." Journal of Bioethical Inquiry 19, no. 1 (March 2022): 11–14. http://dx.doi.org/10.1007/s11673-022-10181-z.
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AbstractThe Australian Royal Commission into Aged Care Quality and Safety acknowledged understaffing and substandard care in residential aged care and home care services, and recommendations were made that that the Australian Government should promote assistive technology within aged care. Robotic care assistants can provide care and companionship for the elderly—both in their own homes and within health and aged care institutions. Although more research is required into their use, studies indicate benefits, including enabling the elderly to live independently at home, assistance with medication and monitoring of safety. Nevertheless, there are inherent ethical challenges in the use of robots as carers, including loss of privacy, unwarranted restrictions on autonomy, lack of dignity, deception, and the exacerbation of loneliness. Ethics by design can counter these issues in development of robotics and clinical ethics committees have been put forward as a way of dealing with the ethical use of robotic care in healthcare institutions. In this paper I outline the ethical challenges of robotic care assistants and how these may be mediated in their design and use.
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Sapci, A. Hasan, and H. Aylin Sapci. "Innovative Assisted Living Tools, Remote Monitoring Technologies, Artificial Intelligence-Driven Solutions, and Robotic Systems for Aging Societies: Systematic Review." JMIR Aging 2, no. 2 (November 29, 2019): e15429. http://dx.doi.org/10.2196/15429.
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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.
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Jayatilaka, Asangi, Damith C. Ranasinghe, Katrina Falkner, Renuka Visvanathan, and Anne Wilson. "Care workers’ voices in designing assistive technologies for preventing malnutrition in older people with dementia: Innovative Practice." Dementia 19, no. 2 (August 4, 2017): 505–11. http://dx.doi.org/10.1177/1471301217722852.
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Technology may be considered a way to promote nutritional health in people with dementia living in their home. For technologies to be effective and accepted by users, understanding technological needs prior to technology development is crucial; however, this necessitates greater research investment. Consequently, our focus is to derive needs for nutritional health promoting technologies for older people with dementia by understanding perceptions of care workers recruited by the aged care industry. In this paper, we provide a brief description of the theoretical framework that underpins the research study and the research methods selected. Significant learning outcomes related to the research methods include managing hierarchical relationships among participants, engagement with the care workers working in the community and using external material to spark discussion.
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Cheung, Dennis, Peter Joe, Muhammad Nadeem, Saleem Akhtar, and M. Hassan Aslam. "Low Cost Intelligent Computer Vision based Assistive Technology for Elderly People." Mehran University Research Journal of Engineering and Technology 41, no. 4 (October 1, 2022): 106. http://dx.doi.org/10.22581/muet1982.2204.11.
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The elderly population (aged above 65) has surpassed the number of children under five years and constitutes 10% of the population of the world, which is expected to reach up to 15% by 2050. A vast majority of the elderly suffer from some kind of chronic disease affecting their cognitive skills impairing their ability to spend a quality life independently. They have to rely on caretaker services for a quality life in a safer environment. However, caretaker services are quite expensive and it is hard for the health care organizations or the families to bear the expenses. 24/7 availability of caretakers is also an issue due to the shortage of workforce, failing to meet the ever-growing demand of the caretakers. This article presents a computer-vision based assistive system for the elderly to tackle this important problem. The system is capable of monitoring the environment as well as the activities of the subject in a standard room environment. It takes the video feed as an input and recognizes the activities of elderly people by using machine learning algorithms. The standalone system autonomously detects and generates real-time alerts for the caretaker, guardian or family member in case of any potential danger through an accompanying smartphone application. It also keeps records of the activities of the subject and generates reports which can be used by health professionals for further analysis and diagnosis. The proposed system was tested in a real-world environment and exhibited promising results for standing, sitting and resting, with a combined average accuracy of 83.41%. The proposed system is standalone, cost effective, and flexible for monitoring the activities of the elderly and is expected to enhance the safety and quality of life of the subject.
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BRADFORD, DANA KAI, YASMIN VAN KASTEREN, QING ZHANG, and MOHAN KARUNANITHI. "Watching over me: positive, negative and neutral perceptions of in-home monitoring held by independent-living older residents in an Australian pilot study." Ageing and Society 38, no. 7 (February 27, 2017): 1377–98. http://dx.doi.org/10.1017/s0144686x1700006x.
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ABSTRACTWith an increase in the proportion of Australians aged over 65, and high government expenditure on residential care, there is a strong imperative to find smart, safe solutions to support older people to stay in their own homes. There is a growing interest in Australia for assistive technologies that provide home monitoring to promote health and wellbeing. This solution will only be viable if it meets with the expectations of older residents and their families. In the first smart homes pilot in Australia, we sought to ascertain barriers and facilitators of this technology. There was an overall positive response to the system, despite a slight tendency for residents to modify their behaviour due to perceived surveillance. Positive outcomes included increases in family communication, health autonomy and advances in technology uptake. Our findings suggest that a combination of considered placement of in-home technology, straightforward medical devices and a supportive human element will ensure that the technology meets the balance of service provision and preservation of dignity. Smart homes could mitigate the challenges associated with aged care while affording peace of mind for seniors and families.
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Papadopoulos, Irena, Christina Koulouglioti, Runa Lazzarino, and Sheila Ali. "Enablers and barriers to the implementation of socially assistive humanoid robots in health and social care: a systematic review." BMJ Open 10, no. 1 (January 2020): e033096. http://dx.doi.org/10.1136/bmjopen-2019-033096.
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ObjectivesSocially assistive humanoid robots are considered a promising technology to tackle the challenges in health and social care posed by the growth of the ageing population. The purpose of our study was to explore the current evidence on barriers and enablers for the implementation of humanoid robots in health and social care.DesignSystematic review of studies entailing hands-on interactions with a humanoid robot.SettingFrom April 2018 to June 2018, databases were searched using a combination of the same search terms for articles published during the last decade. Data collection was conducted by using theRayyansoftware, a standardised predefined grid, and a risk of bias and a quality assessment tool.ParticipantsPost-experimental data were collected and analysed for a total of 420 participants. Participants comprised: older adults (n=307) aged ≥60 years, with no or some degree of age-related cognitive impairment, residing either in residential care facilities or at their home; care home staff (n=106); and informal caregivers (n=7).Primary outcomesIdentification of enablers and barriers to the implementation of socially assistive humanoid robots in health and social care, and consequent insights and impact. Future developments to inform further research.ResultsTwelve studies met the eligibility criteria and were included. None of the selected studies had an experimental design; hence overall quality was low, with high risks of biases. Several studies had no comparator, no baseline, small samples, and self-reported measures only. Within this limited evidence base, the enablers found were enjoyment, usability, personalisation and familiarisation. Barriers were related to technical problems, to the robots’ limited capabilities and the negative preconceptions towards the use of robots in healthcare. Factors which produced mixed results were the robot’s human-like attributes, previous experience with technology and views of formal and informal carers.ConclusionsThe available evidence related to implementation factors of socially assistive humanoid robots for older adults is limited, mainly focusing on aspects at individual level, and exploring acceptance of this technology. Investigation of elements linked to the environment, organisation, societal and cultural milieu, policy and legal framework is necessary.PROSPERO registration numberCRD42018092866.
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Summers, Michael P., and George Verikios. "Assistive technology pricing in Australia: is it efficient and equitable?" Australian Health Review 42, no. 1 (2018): 100. http://dx.doi.org/10.1071/ah16042.
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Objective To examine available systematically collected evidence regarding prices for assistive technology (AT; e.g. disability aids and equipment) in Australia with other comparable countries. Issues of appropriate AT pricing are coming to the fore as a consequence of efforts to move to consumer-centric purchasing decisions with the National Disability Insurance Scheme (NDIS) and also in the recent aged care reforms. Methods We identified and present three sets of AT price comparisons. Two comparisons were based solely on the lowest prices advertised on the internet, and one comparison examined recommended retail prices. Variables essential to ensuring accurate comparisons, as well as significant supply-chain issues were also examined and considered in the analyses. Results The first internet-only price comparison found that overall AT prices were 38% higher in Australia compared to other countries, but did not factor in shipping and other related costs that are essential to include given that most AT is imported. The second internet-only price comparison found that overall Australian prices were 24% lower when shipping and related costs were included. The recommended retail price comparisons found that Australian prices were between 14% and 27% lower. Prices for internet-only retailers (those with no bricks-and-mortar presence) are consistently lower for all products than those sold by retailers with actual shop-fronts. Further, there is no evidence of suppliers earning supranormal profits in Australia. Conclusions The results indicate that AT prices in Australia are efficient and equitable, with no significant indicators of market failure which would require government intervention. Efforts to reduce prices through the excessive use of large-scale government procurement programs are likely to reduce diversity and innovation in AT and raise AT prices over time. Open markets and competition with centralised tracking of purchases and providers to minimise possible over-servicing/over-charging align well with the original intention of the NDIS, and are likely to yield the best outcomes for consumers at the lowest costs. What is known about the topic? Government-funded programs are used extensively to purchase AT because it is a primary enabler for people of all ages with disabilities. Perceptions of unreasonably high prices for AT in Australia are resulting in the widespread adoption of bulk purchasing and related strategies by governments. What does this paper add? Carefully undertaken systematic price comparisons between Australia and comparable Organization For Economic Cooperation and Development countries indicate that, on average, Australian prices are lower than elsewhere when delivery to Australia is taken into account. It was also found that prices at brick-and-mortar shops, with all the services they provide to ensure the appropriateness of the products provided to meet the consumers’ needs and goals, are substantially higher than Internet purchases in which the consumer bears all the risks and responsibilities for outcomes. What are the implications? Overuse of government bulk purchasing and similar arrangements will lead to less diversity in the available AT products, related services and retail outlets, resulting in less choice for consumers and higher risks of poor outcomes through less focus on matching consumers with the ‘right’ products for their needs and goals, and ultimately higher AT prices over time as competition is reduced to a few major suppliers.
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Streffing, G., M. Siebers, E. Gräßel, and U. Schmid. "Exploring the needs of people with dementia regarding assistive technology to save quality of life and independent living at home." European Psychiatry 26, S2 (March 2011): 501. http://dx.doi.org/10.1016/s0924-9338(11)72208-8.
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Research on assistive home technology (AT) aims to reduce care costs and increase quality of life of people with dementia. Currently it is unclear what the needs of people with dementia are and what kind of support they desire. The reported survey aims to identify personal attitudes towards AT in daily living: As how disturbing is the loss of competence in activities of daily living (ADL) experienced? For which ADLs would AT be accepted? Which kind of sensor technology and interaction devices would be tolerated at home? Interviews with open questions and rating scales were conducted with 53 persons (m = 14, f = 39; aged 19–59). Subjects were professional care givers (n = 23), relatives of people with dementia (n = 15), and persons without dementia background (n = 15). The answers were evaluated statistically. Loosing the ability to take care of own body hygiene was judged as most disturbing. Washing clothes was judged as least disturbing. In general people preferred being helped by family members. However, AT was mostly preferred over professional care. People can best imagine AT help for using the telephone and managing medicine taking. Help by AT is nearly excluded for social relationships and finances. Transponders on objects are accepted best, closely followed by motion sensors. Video sensors are approved least. The PDA is the most accepted shape of AT. When developing AT, it is worthwhile to include potential user groups in decisions about areas of support as well as technical design to increase acceptance.
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Silva, Cynthia Roberta Dias Torres, Khelyane Mesquita de Carvalho, Maria do Livramento Fortes Figueiredo, Fernando Lopes Silva-Júnior, Elaine Maria Leite Rangel Andrade, and Lydia Tolstenko Nogueira. "Health promotion of frail elderly individuals and at risk of frailty." Revista Brasileira de Enfermagem 72, suppl 2 (2019): 319–27. http://dx.doi.org/10.1590/0034-7167-2018-0575.
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ABSTRACT Objective: To identify interventions for the health promotion of frail elderly individuals and those at risk of frailty. Method: Integrative review of the literature performed in the following databases: LILACS, CINAHL, MEDLINE, Web of Science, COCHRANE and Scopus, using the Descriptors: “frail elderly”, “aging”, “health services for the aged” and “health promotion” combined with Boolean operators “AND” and “OR”. Results: Randomized controlled clinical trials (RCTs) classified as level of evidence II represented 82.6% of studies. Interventions were analyzed according to the following categories: Interventions for the elderly at risk of frailty and Interventions for the frail elderly. Conclusion: The following interventions were identified: educational multiprofessional group meetings, physical training, home visit/home care program, nutrition assessment and supplementation, health maintenance programs and cognitive training; models/programs of management and monitoring, use of assistive technology devices and hospitalization program for geriatric rehabilitation.
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Adams, Anne, Jenay Beer, Xian Wu, Jane Komsky, and Jason Zamer. "Social Activities in Community Settings: Impact of COVID-19 and Technology Solutions." Innovation in Aging 4, Supplement_1 (December 1, 2020): 957. http://dx.doi.org/10.1093/geroni/igaa057.3499.
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Abstract COVID-19 has created challenges for staff in promoting resident activity. To better understand the pandemic-related challenges that Activity Professionals are facing, we asked COVID-19 specific questions as part of a larger survey. The overall survey focused on identifying challenges and potential technology solutions (e.g., socially assistive robots) to assist Activity Professionals in their job duties. Activity Professionals (N=19) completed the online questionnaire. Respondents (aged M=48.00, SD=12.87; 95% female, 100% native English speakers, 68% White/Caucasian, 21% Black/African American) were highly educated/experienced: 68% had a Bachelor’s degree or above, and 53% had 10-35 years of experience. Respondents worked in Independent Living (68%), Assisted Living (37%), Memory Care (26%), Skilled Nursing (21%), or Personal Care (11%). All Activity Professionals reported impact by COVID-19, as follows: 1) Cancelled activities: Group activities/gatherings; hosting outside entertainment; fewer volunteers, vendors, paid sources. 2) New restrictions: Number of people in elevators, rooms; no contact with residents. 3) Unexpected new tasks: More 1:1 meetings; video conferencing; additional phone calls with residents, staff, and families; ordering groceries online. Daily duties changed significantly with less help and limited availability of technology. 4) Effect: Fewer activities and new delivery models (online, TV). Concerns about potential negative effects on residents while trying to meet the creativity challenge: “This has caused lots of “out of the box” thinking for ways to engage residents and keep things upbeat despite the challenges.” Results illustrate the breadth of challenges that staff are facing, some of which can be addressed by technology.
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Hubner, Sarah, Julie Blaskewicz Boron, and Brenda Nguyen. "Technology Implementation in Persons With Dementia: A Systematic Review and Meta-Analysis." Innovation in Aging 4, Supplement_1 (December 1, 2020): 316. http://dx.doi.org/10.1093/geroni/igaa057.1012.
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Abstract Maintaining independence and quality of life (QOL) is a primary goal for adults. To support this goal, assistive and interactive technology (AIT) has been implemented to improve function and mitigate disease. To assess AIT effect on QOL in community-dwelling persons with dementia and mild cognitive impairment (MCI), a systematic review was performed, and articles were prepared for meta-analysis. Electronic database searches were carried out in PubMed, Cumulative Index for Nursing and Allied Health Literature, PsychINFO, and Web of Knowledge/Web of Science. Peer-reviewed journal articles published in English between January 2010 and February 2020 were included in the search. Studies investigated personal AIT use aimed at improving QOL (i.e. satisfaction/mood, functional ability, psychological/social function, independence). Technology was implemented in the home in everyday life. Studies were limited to those including community-dwelling participants aged 65+ with a diagnosis or report of MCI or dementia. Initial search resulted in 2624 total titles. After duplicate deletion, 1546 unique articles were identified. After title and abstract deletion, 60 articles were screened at full-text. After full-text screening, five usable articles remained. Usable studies presented: 1) a digital tablet companion, 2) a digital reminder calendar, 3) a medication-adherence bottle, 4) an automatic medication dispenser, and 5) a comprehensive tele-care computer system. These studies provide outcome measures focused on functional improvement and/or subjective QOL, informing future research in AIT implementation. Additionally, the severe paucity of applicable studies indicates a need for increased primary research on intersections between dementia and technology in the home environment.
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Lautenschlager, Nicola T., Janine Diehl-Schmid, Samantha M. Loi, Johannes Mayer, Maria Tensil, and Alexander F. Kurz. "Modern technology to support carers of care recipients with dementia or functional mental illness: promising progress, but a long road ahead." International Psychogeriatrics 29, no. 12 (November 13, 2017): 1933–35. http://dx.doi.org/10.1017/s1041610217002150.
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There is no doubt that family carers who look after a family member with dementia or with a functional mental illness fulfill an important role, not only for their loved one, but also for the health and aged care systems of the countries they live in. Due to increasing life expectancy, but also improved healthcare the number of family carers supporting older care recipients with functional mental illness or dementia is on the rise. While the carer role often can offer rewarding experiences caregivers are at increased risk of stress, depression, sleep problems, and often experience poor health outcomes with increased morbidity and mortality (Oyebode, 2003). Next to the stressors directly associated with the carer role, they often do not have the time to engage in healthy behavior to protect their physical, mental, and cognitive health (Loi et al., 2014). There is a wealth of literature providing evidence about effective strategies to support carers and the recent Lancet Commission on Dementia prevention, intervention, and care highlighted the importance of exploring how the use of technological innovations could support carers better (Livingston et al., 2017). The use of modern technology in this context can mean a variety of approaches, such as internet-based programs to provide education and skill-building, virtual support to assist with monitoring and managing challenging behavior, online support groups, and the use of assistive or therapeutic technology to improve safety, enable positive activities, and support communication between carer and care recipient, to name just a few (D'Onofrio et al., 2017; Ienca et al., 2017; Livingston et al., 2017). More specifically, telehealth approaches via videoconferences have the potential to better support carers who live in rural or remote regions (O'Connell et al., 2014) or who cannot attend face-to-face support programs for other reasons such as inability to leave the care recipient alone at home, being a multiple carer or having a disability themselves to give just some examples.
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Khalili-Mahani, Najmeh, and Kim Sawchuk. "Double-Bind of Recruitment of Older Adults Into Studies of Successful Aging via Assistive Information and Communication Technologies: Mapping Review." JMIR Aging 5, no. 4 (December 23, 2022): e43564. http://dx.doi.org/10.2196/43564.
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Background Two fields of research and development targeting the needs of the aging population of the world are flourishing, successful aging and assistive information and communication technologies (A-ICTs). The risks of ageist stereotypes emerging from how we communicate in both discourses are long known. This raises questions about whether using specific age criteria in the context of “aging deficits” can bias participation in, or compliance with, the research process by older adults who try to avoid age-related stigma. Objective This study aimed to examine subject recruitment, study designs (based on age >65 years criteria), as well as discourses in research objectives and conclusions in health research on affordances of A-ICTs for older adults. Methods A systematic mapping approach was used to characterize rationales, methods, stated objectives, and expected outcomes of studies indexed in PubMed and retrieved through the search logic ([“Older Adults” OR Seniors OR Elderly] AND [ICT OR gerontechnology OR “Assistive Technology”)] AND (“Healthy Aging” OR “Successful Aging” OR “healthy ageing” OR “successful ageing”). Inclusion criteria were as follows: the study should have recruited older participants (aged >65 years), been qualitative or quantitative research, and involved the introduction of at least one A-ICT for health-related improvements. Exclusion criteria were as follows: reviews, viewpoints, surveys, or studies that used information and communication technology for data collection instead of lifestyle interventions. Content, thematic, and discourse analyses were used to map the study characteristics and synthesize results with respect to the research question. Results Of 180 studies that passed the search logic, 31 (17.2%) satisfied the inclusion criteria (6 randomized controlled trials, 4 purely quantitative studies, 9 focus groups, 2 observational studies, and 10 mixed methods studies). In all but one case, recruitment was pragmatic and nonrandom. Thematic analysis of rationales revealed a high likelihood of emphasis on the burdens of aging, such as rising costs of care (12/31, 39%) and age-related deficits (14/31, 45%). The objectives of the research fell under 4 categories: promotion of physical activity, acceptance and feasibility of robots and remote health monitoring systems, risk detection, and the future of A-ICTs in health care for older adults. Qualitative studies were more attentive to the nonageist research guidelines. Heterogeneity in the study results (both qualitative and quantitative) was not related to age but to individual agency, acceptance, and adherence. A combination of research strategies (participatory, longitudinal, playful, flexible, and need-based designs) proved successful in characterizing variations in study outcomes. Studies that documented recruitment dynamics revealed that fear of stigma was a factor that biased participants’ engagement. Conclusions This review indicates that age is not an informative criterion for recruitment and retention of participants. Charting the dynamics of adoption of, and interaction with, A-ICTs is critical for advancing research and technology development.
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Robinson, Erin, Gashaye Melaku Tefera, Geunhye Park, Marjorie Skubic, Noah Marchal, Mihail Popescu, James Keller, and Rantz Marilyn. "DEPLOYING IN-HOME SENSORS TO COMMUNITY-DWELLING OLDER ADULTS: ADOPTION OF TECHNOLOGY AND LESSONS LEARNED." Innovation in Aging 6, Supplement_1 (November 1, 2022): 741. http://dx.doi.org/10.1093/geroni/igac059.2697.
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Abstract In-home, sensor technologies can promote chronic disease self-management and independence among older adults. However, the translation of these technologies from assistive living/long-term care to community-dwelling older adults is lacking. This study aimed to tailor such technologies for private use by older adults, and gather feedback about adoption/interpretation of sensor-generated health information to make informed health decisions. Participants (Nf33; 72.7% female) aged 60+ (Mean=79.5) had three types of sensors installed: 1) depth sensors that track gait parameters and falls; 2) passive infrared motion sensors that track room activity; and 3) hydraulic bed mats that track sleep, respiration, and heart rate. Participants were also offered a Garmin smartwatch/fitness tracker. A health app was developed for participants to retrieve their sensor-generated health information via an Amazon Echo Show device with touch display and voice-activated capabilities, and a web-based interface. Data were collected over two years, and feedback was solicited during four quarterly interviews and one exit interview. Thematic analysis revealed participants used the Echo Show to retrieve their health information, set medication/health appointment reminders, and for non-health related purposes (e.g. music, weather). Regular retrieval of health information was low, partly due to technology skills, lack of interest, health issues, and technical/internet issues. Despite this, participants reported a sense of security in having the sensors installed and valued the depth sensor’s fall detection abilities. This study yielded many additional findings that will be presented, such as participant recommendations to facilitate greater adoption. Implications can inform technological solutions for older adult health self-management and aging-in-place.
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Brereton, Louise, Philip Wahlster, Kati Mozygemba, Kristin Bakke Lysdahl, Jake Burns, Stephanie Polus, Marcia Tummers, et al. "STAKEHOLDER INVOLVEMENT THROUGHOUT HEALTH TECHNOLOGY ASSESSMENT: AN EXAMPLE FROM PALLIATIVE CARE." International Journal of Technology Assessment in Health Care 33, no. 5 (2017): 552–61. http://dx.doi.org/10.1017/s026646231700068x.
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Objectives: Internationally, funders require stakeholder involvement throughout health technology assessment (HTA). We report successes, challenges, and lessons learned from extensive stakeholder involvement throughout a palliative care case study that demonstrates new concepts and methods for HTA.Methods: A 5-step “INTEGRATE-HTA Model” developed within the INTEGRATE-HTA project guided the case study. Using convenience or purposive sampling or directly / indirectly identifying and approaching individuals / groups, stakeholders participated in qualitative research or consultation meetings. During scoping, 132 stakeholders, aged ≥ 18 years in seven countries (England, Italy, Germany, The Netherlands, Norway, Lithuania, and Poland), highlighted key issues in palliative care that assisted identification of the intervention and comparator. Subsequently stakeholders in four countries participated in face–face, telephone and / or video Skype meetings to inform evidence collection and / or review assessment results. An applicability assessment to identify contextual and implementation barriers and enablers for the case study findings involved twelve professionals in the three countries. Finally, thirteen stakeholders participated in a mock decision-making meeting in England.Results: Views about the best methods of stakeholder involvement vary internationally. Stakeholders make valuable contributions in all stages of HTA; assisting decision making about interventions, comparators, research questions; providing evidence and insights into findings, gap analyses and applicability assessments. Key challenges exist regarding inclusivity, time, and resource use.Conclusion: Stakeholder involvement is feasible and worthwhile throughout HTA, sometimes providing unique insights. Various methods can be used to include stakeholders, although challenges exist. Recognition of stakeholder expertise and further guidance about stakeholder consultation methods is needed.
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Shishehgar, Majid, Donald Kerr, and Jacqueline Blake. "The effectiveness of various robotic technologies in assisting older adults." Health Informatics Journal 25, no. 3 (September 19, 2017): 892–918. http://dx.doi.org/10.1177/1460458217729729.
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There is concern about the expanding size of the ageing population and burgeoning care costs for older adults. Robotic technology could assist older adults. In this study, the effectiveness of the robotic technologies is evaluated. A systematic literature review was undertaken of peer-reviewed literature. An initial set of 8533 studies was evaluated for relevance; these were reduced to a final subset of 58 studies finally subjected to analysis. This study categorised the problems encountered by older adults, identified robot types deployed to overcome them and derived a subjective effectiveness score. The most used and most effective robots were companion robots followed by telepresence robots. The findings imply positive effects of robotic technologies in helping elderly people’s problems. Although robotic technologies could bring some innovation into aged care, more research is needed to design and develop robots to be of assistance and support elderly in having an independent lifestyle.
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Bechtold, Ulrike, Natalie Stauder, and Martin Fieder. "Let’s Walk It: Mobility and the Perceived Quality of Life in Older Adults." International Journal of Environmental Research and Public Health 18, no. 21 (November 2, 2021): 11515. http://dx.doi.org/10.3390/ijerph182111515.
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European policy and the research and development landscape put forward a number of arguments in favor of implementing “Active Assisted Living” (AAL) for older adults: it will improve older adults’ quality of life, allow them to age in place, and keep costs for an ageing society down by exploiting new technology markets. The idea is that older adults who are supported by AAL and make use of assistive technologies will enjoy more freedom, autonomy, and mobility and also improved social integration and better communication. Yet, despite a history of more than 10 years of European research and development, the use of AAL applications is not as widespread as expected. To examine older adults’ attitudes to assistive technologies, we conducted a study in Vienna (Austria) between 2018 and 2020 questioning 245 older adults aged 61–93 years (M = 74.27 SD = 6.654) who lived at their private homes and had different support needs (ranging from “no support” to “everyday visit of social and/or care organizations”). The three goals of the study encompassed: (1) examination of their quality of life, (2) their attitudes and use of assistive technologies, and (3) the way they perceive their own and others’ life-course and getting older. AAL as a concept links “ageing in place” and “quality of life”. However, “mobility” is also of major importance here. In this paper, we aim to investigate the relation between the independent variables “Quality of life” and “Mobility” and their possible associations with the following dependent variables: cohabitation, social integration, self-rated health, sportive activities, locomotion, home well-being and safety, physical limitations, falls, and self-perception of their own ageing (compared to others). We calculated multivariate models regressing on these explaining and confounding variables. We found a positive correlation between mobility and quality of life. In detail, our results show a significant positive association between QOL and mobility regarding self-rated health and self-perception. Experiencing vertigo, walking difficulties, and balance problems significantly and negatively influence self-rated health and self-perception compared to others. Our findings can also be read as a clear message that there is a need to improve both health and the culture of ageing and to facilitate positive attitudes toward ageing as an efficient way to enhance the Quality of life of older adults.
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Abuga, Jonathan, Lucy Mwangi, Joyce Ndolo, Symon Kariuki, and Charles Newton. "Healthcare utilization by children with neurological impairments and disabilities in rural Kenya: a retrospective cohort study combined with secondary analysis of audit data." Wellcome Open Research 7 (November 9, 2022): 278. http://dx.doi.org/10.12688/wellcomeopenres.18405.1.
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Background: There is a paucity of data on healthcare utilization by children with neurological impairments (NI) in sub-Saharan Africa. We determined the rate, risk factors, causes, and outcomes of hospital admission and utilization patterns for rehabilitative care among children with NI in a defined rural area in Kenya. Methods: We designed two sub-studies to address the primary objectives. Firstly, we retrospectively observed 251 children aged 6–9 years with NI and 2162 age-matched controls to determine the rate, causes and outcomes of hospitalization in a local referral hospital. The two cohorts were identified from an epidemiological survey conducted in 2015 in a defined geographical area. Secondly, we reviewed hospital records to characterize utilization patterns for rehabilitative care. Results: Thirty-four in-patient admissions occurred in 8503 person-years of observation (PYO), yielding a crude rate of 400 admissions per 100 000 PYO (95% confidence interval (Cl): 286–560). The risk of admission was similar between cases and controls (rate ratio=0.70, 95%CI: 0.10–2.30, p = 0.31). The presence of electricity in the household was associated with reduced odds of admission (odds ratio=0.32, 95% Cl: 0.10–0.90, p < 0.01). Seizures and malaria were the main causes of admission. We confirmed six (0.3%) deaths during the follow-up period. Over 93% of outpatient paediatric visits for rehabilitative care were related to cerebral palsy and intellectual developmental delay. Health education (87%), rehabilitative exercises (79%) and assistive technology (64%) were the most common interventions. Conclusions: Surprisingly, the risk of hospitalization was not different between children with NI and those without, possibly because those with severe NI who died before this follow-up were under seclusion and restraint in the community. Evidence-based and tailored rehabilitative interventions are urgently required based on the existing secondary data.
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Mann, Jennifer, Sue Devine, and Robyn McDermott. "Integrated care for community dwelling older Australians." Journal of Integrated Care 27, no. 2 (April 15, 2019): 173–87. http://dx.doi.org/10.1108/jica-10-2018-0063.
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PurposeIntegrated care is gaining popularity in Australian public policy as an acceptable means to address the needs of the unwell aged. The purpose of this paper is to investigate contemporary models of integrated care for community dwelling older persons in Australia and discuss how public policy has been interpreted at the service delivery level to improve the quality of care for the older person.Design/methodology/approachA scoping review was conducted for peer-reviewed and grey literature on integrated care for the older person in Australia. Publications from 2007 to present that described community-based enablement models were included.FindingsCare co-ordination is popular in assisting the older person to bridge the gap between existing, disparate health and social care services. The role of primary care is respected but communication with the general practitioner and introduction of new roles into an existing system is challenging. Older persons value the role of the care co-ordinator and while robust model evaluation is rare, there is evidence of integrated care reducing emergency department presentations and stabilising quality of life of participants. Technology is an underutilised facilitator of integration in Australia. Innovative funding solutions and a long-term commitment to health system redesign is required for integrated care to extend beyond care co-ordination.Originality/valueThis scoping review summarises the contemporary evidence base for integrated care for the community dwelling older person in Australia and proposes the barriers and enablers for consideration of implementation of any such model within this health system.
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Brattwall, Metha, Magareta Warrén Stomberg, Pether Jildenstål, Irene Sellbrandt, and Jan G. Jakobsson. "What can a mobile App add to improve quality of care, with focus on ambulatory surgery?" European Journal for Person Centered Healthcare 6, no. 1 (April 30, 2018): 20. http://dx.doi.org/10.5750/ejpch.v6i1.1370.
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Rationale, aims and objectives: Many surgical procedures are nowadays performed as ambulatory or short stay procedures, reducing hospital length of stay. Patient safety and quality of care remain imperative especially when adopting enhanced recovery pathways. Patients should be adequately informed and prepared prior to admission. Recovery is to a major extent dependent after discharge on self-care and thus techniques to follow the post-operative course after leaving hospital are warranted. Telemedicine has grown tremendously over recent years and the incorporation of mobile telephone app technology for the pre- and post-operative coaching of the ambulatory surgical patient may represent an effective means of assisting patients. The present paper presents a feasibility study of a mobile telephone app providing pre-operative information and following the post-operative recovery following day surgery.Method: Patients scheduled for elective day surgery were asked to participate, testing the app and to assess its usefulness on visual analogue scales.Results: Sixty-nine patients aged 18 to 73 years tested the app. Patients aged 30 to 50 where the most frequent users and patients < 30 less frequent. The app was in general assessed as useful and most users expressed an interest in the option of having an app as a source of information before undergoing a scheduled procedure. General pre-operative information was assessed as the most important. A willingness to submit follow-up information decreased rapidly, only 26 and 16 responded at day 10 and 30, respectively.Conclusion: A mobile telephone app is a feasible and appreciated tool for pre-operative information and coaching as part of person-centered healthcare, but its use for follow-up after discharge is challenging and requires further investigation.
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Saloojee, Gillian, Francis Ekwan, Carin Andrews, Diane L. Damiano, Angelina Kakooza-Mwesige, and Hans Forssberg. "Akwenda intervention programme for children and youth with cerebral palsy in a low-resource setting in sub-Saharan Africa: protocol for a quasi-randomised controlled study." BMJ Open 11, no. 3 (March 2021): e047634. http://dx.doi.org/10.1136/bmjopen-2020-047634.
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IntroductionCerebral palsy (CP) is the most common childhood-onset motor disorder accompanied by associated impairments, placing a heavy burden on families and health systems. Most children with CP live in low/middle-income countries with little access to rehabilitation services. This study will evaluate the Akwenda CP programme, a multidimensional intervention designed for low-resource settings and aiming at improving: (1) participation, motor function and daily activities for children with CP; (2) quality of life, stress and knowledge for caregivers; and (3) knowledge and attitudes towards children with CP in the communities.MethodsThis quasi-randomised controlled clinical study will recruit children and youth with CP aged 2–23 years in a rural area of Uganda. Children will be allocated to one of two groups with at least 44 children in each group. Groups will be matched for age, sex and motor impairment. The intervention arm will receive a comprehensive, multidimensional programme over a period of 11 months comprising (1) caregiver-led training workshops, (2) therapist-led practical group sessions, (3) provision of technical assistive devices, (4) goal-directed training and (5) community communication and advocacy. The other group will receive usual care. The outcome of the intervention will be assessed before and after the intervention and will be measured at three levels: (1) child, (2) caregiver and (3) community. Standard analysis methods for randomised controlled trial will be used to compare groups. Retention of effects will be examined at 12-month follow-up.Ethics and disseminationThe study has been approved by the Uganda National Council for Science and Technology (SS 5173) and registered in accordance with WHO and ICMJE standards. Written informed consent will be obtained from caregivers. Results will be disseminated among participants and stakeholders through public engagement events, scientific reports and conference presentations.Trial registration numberPan African Clinical Trials Registry (PACTR202011738099314) Pre-results.
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HSIEH, Hsin-Ming, and Alex MARITZ. "The Effect of Self-Rated Health Status and Health Behaviour on Medical Resource Utilization of the Elderly." Revista de Cercetare si Interventie Sociala, no. 76 (March 31, 2022): 7–17. http://dx.doi.org/10.33788/rcis.76.1.
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Changes in the global demographic structure in past years have resulted in different types of population aging. Along with the advance of medical technology, the improvement of public health, the extension of life expectancy, and the decrease in fertility rates, the global demographic structure is gradually aging. The aging speed is increasing in various countries, and domestic aging speed is fast and rush that how to effectively deal with various elderly care problems shows the urgency; otherwise, it would become troublesome when becoming a national, governmental, social, and family burden. Precautions are therefore essential and urgent; especially, elderly economic problems involving in living standards may have a burden on families. Taking the elderly in Taiwan as the questionnaire samples, a total 500 questionnaires were distributed. After excluding invalid and incomplete questionnaires, 367 copies were valid, with the retrieval rate of 73%. Based on the results we propose suggestions, assisting governmental sectors to implement welfare policies conforming to national benefits and taking care of elderly health and wellbeing to cope with the population aging trend. We also provide social and economic suggestions in the form of mature aged entrepreneurship as a driver od social innovation.
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Rong, Jinjin, Xu Ji, Xin Fang, and Moon-Hwan Jee. "Research on Material Design of Medical Products for Elderly Families Based on Artificial Intelligence." Applied Bionics and Biomechanics 2022 (January 18, 2022): 1–6. http://dx.doi.org/10.1155/2022/7058477.
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Due to the rapid growth of the elderly around the world, the artificial intelligence control framework can collect information and apply it and perform other tasks. Artificial intelligence plays an important role in focusing on the elderly. For example, it can improve the relationship between the elderly and family members or nursing teams. In addition, AI chat robot can communicate with the elderly without obstacles and can remind the elderly when to take medicine, regular physical examination, etc. A significant number of the AI applications on cell phones accessible today could screen wellbeing information, like every day exercises, diet, and surprisingly the senior’s way of life, in a less nosy way. In such cases, it could help in expecting and, subsequently, forestalling any conceivable hypertension or unpredictable heart rate. Essentially, mechanical ‘pets’ are likewise assisting with fighting off feelings of loneliness, while additionally assisting with upgrading patient consideration simultaneously. One model is Tombot, a little dog like model, which was made to diminish misery and tension among dementia patients. Its head developments, looks, and swaying tail feel basically the same as the real thing, causing occupants to feel as though they have their very own pet to really focus on. One of the issues that growing societies are presently facing is the care of elderly individuals. The dearth of skilled workers in the senior healthcare setting has been exacerbated by the worldwide shift of aging populations. There might be an enhanced need for old nursing since the global older demographic is expected to nearly triple in the coming three decades. There are advancements in computer technologies for supporting the aged plus associated caregivers, checking their wellbeing, and offering company to them. Given the global elderly demographic development possibilities, it is no coincidence that the aided care market is drawing fast advancement, rendering health management for nurses a breeze. While the world’s governments manage the aging population next years, these ideas will become extremely vital. They will almost certainly encounter economic and political demands to modify state medical care management, retirement benefits, and social security in order to meet the needs of an aging population. Considering that the demand for physicians is growing, a necessity has developed to deliver individualized care for the aged as well as to respond appropriately in emergencies. As a result, in the technological society, healthcare is exploring artificial intelligence to deliver personalized treatment to individuals in need. The challenges of the aged are determined in this study, and answers are supplied via a tailored computer (robot). With the crucial details given via Internet of Things gadgets, emergency events may be foreseen relatively promptly, and appropriate actions can be proposed by AI technology. Individuals’ vital health information is collected using the Internet of Things based on smart technology. The information is evaluated, and decisions are made by AI, while the developed machine performs the appropriate task. This research, therefore, looks at the material design of medical products for elderly people based on artificial intelligence. It goes further and explains some of the challenges encountered in the process and possible remedies.
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Sepasgozar, Samad, Reyhaneh Karimi, Leila Farahzadi, Farimah Moezzi, Sara Shirowzhan, Sanee M. Ebrahimzadeh, Felix Hui, and Lu Aye. "A Systematic Content Review of Artificial Intelligence and the Internet of Things Applications in Smart Home." Applied Sciences 10, no. 9 (April 28, 2020): 3074. http://dx.doi.org/10.3390/app10093074.
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This article reviewed the state-of-the-art applications of the Internet of things (IoT) technology applied in homes for making them smart, automated, and digitalized in many respects. The literature presented various applications, systems, or methods and reported the results of using IoT, artificial intelligence (AI), and geographic information system (GIS) at homes. Because the technology has been advancing and users are experiencing IoT boom for smart built environment applications, especially smart homes and smart energy systems, it is necessary to identify the gaps, relation between current methods, and provide a coherent instruction of the whole process of designing smart homes. This article reviewed relevant papers within databases, such as Scopus, including journal papers published in between 2010 and 2019. These papers were then analyzed in terms of bibliography and content to identify more related systems, practices, and contributors. A designed systematic review method was used to identify and select the relevant papers, which were then reviewed for their content by means of coding. The presented systematic critical review focuses on systems developed and technologies used for smart homes. The main question is ”What has been learned from a decade trailing smart system developments in different fields?”. We found that there is a considerable gap in the integration of AI and IoT and the use of geospatial data in smart home development. It was also found that there is a large gap in the literature in terms of limited integrated systems for energy efficiency and aged care system development. This article would enable researchers and professionals to fully understand those gaps in IoT-based environments and suggest ways to fill the gaps while designing smart homes where users have a higher level of thermal comfort while saving energy and greenhouse gas emissions. This article also raised new challenging questions on how IoT and existing developed systems could be improved and be further developed to address other issues of energy saving, which can steer the research direction to full smart systems. This would significantly help to design fully automated assistive systems to improve quality of life and decrease energy consumption.
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Miskelly, F. G. "Assistive technology in elderly care." Age and Ageing 30, no. 6 (November 1, 2001): 455–58. http://dx.doi.org/10.1093/ageing/30.6.455.
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Khaksar, Seyed Mohammad Sadegh, Fatemeh S. Shahmehr, Rajiv Khosla, and Mei Tai Chu. "Dynamic capabilities in aged care service innovation: the role of social assistive technologies and consumer-directed care strategy." Journal of Services Marketing 31, no. 7 (October 9, 2017): 745–59. http://dx.doi.org/10.1108/jsm-06-2016-0243.
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Purpose By developing a conceptual model, the purpose of this paper is to improve the understanding of the role of social assistive technologies in facilitating the process of service innovation in care providing organisations to adopt the principles of the consumer-directed care strategy and reduce perceived consumer vulnerability. Design/methodology/approach Using a cross-sectional survey method, the authors collected data through a survey questionnaire distributed among 335 aged caregivers and specialists. The conceptual model and its 11 research hypotheses were examined using confirmatory factor analysis in structural equation modelling. The rival and mediation models were also estimated. Findings The conceptual model was validated and eight of eleven hypotheses were supported. It was found that dynamic capabilities are crucial to developing service innovation concept in care providing organisations. In this way, social assistive technologies play a facilitating role to promote the consumer-directed care strategy throughout care providing organisations and allow care providers to enhance wellbeing of vulnerable older people based on their socio-economic status. From the lens of aged care providers, it was also found that the consumer-directed care strategy implemented in aged care facilities may help reduce consumer vulnerability among older people especially when they use social assistive technologies in their service settings. Practical implications This study suggests aged care service providers should boost dynamic service innovation capabilities to improve the need for social assistive technologies in aged care facilities with respect to the importance of the consumer-directed care strategy. Originality/value This study contributes to the development and validation of a conceptual model for the use of social assistive technologies to sustain service innovation in aged care business models and enhance the consumer-directed care strategy’s performance to better understand consumer vulnerability among older people.
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Devlin, Hannah, Clodagh Nolan, and Niall Turner. "Assistive technology and schizophrenia." Irish Journal of Occupational Therapy 47, no. 2 (November 4, 2019): 124–36. http://dx.doi.org/10.1108/ijot-12-2018-0024.
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Purpose Assistive technology (AT) has been highlighted as a tool that can support self-management for people living with schizophrenia. A gap in the literature exists regarding the views held by the stakeholders involved in the health care of an individual living with schizophrenia regarding the potential use of AT to enable the self-management of this condition. The purpose of this paper is to explore how individuals living with schizophrenia, their relatives and their mental health care professionals view AT as a tool to facilitate self-management. Design/methodology/approach This mixed methods research paper will discuss the findings of the second stage of a two-stage research study. The paper will discuss the findings of questionnaires that were disseminated to service users living with schizophrenia, their relatives and the health-care professionals of a community mental health service in the Greater Dublin area. Findings The results indicate that the introduction of AT for the self-management of schizophrenia would be accepted by key stakeholders. Research limitations/implications As AT continues to develop, it is clear from the findings presented in this paper that the main stakeholder groups involved in the care of an individual living with schizophrenia are amenable to the use of AT to facilitate the self-management of this condition. Further research is required to explore correct policing and management of its implementation. Originality/value This study is the first study of its kind within an Irish context to explore the use of assistive technology as a tool for self-management from the perspective of those experiencing schizophrenia, their relatives and the health-care professionals working alongside them.
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Rathod, Rohit Ravikant, and Dinesh Vitthalrao Rojatkar. "Assistive Technology for Aged and Physically Challeged People." International Journal of Trend in Scientific Research and Development Volume-1, Issue-6 (October 31, 2017): 861–64. http://dx.doi.org/10.31142/ijtsrd4704.
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Martinez-Martin, Ester, and Angelo Costa. "Assistive Technology for Elderly Care: An Overview." IEEE Access 9 (2021): 92420–30. http://dx.doi.org/10.1109/access.2021.3092407.
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Borg, Johan, Moudud Alam, Anne-Marie Boström, and Lena Marmstål Hammar. "Experiences of Assistive Products and Home Care among Older Clients with and without Dementia in Sweden." International Journal of Environmental Research and Public Health 19, no. 19 (September 28, 2022): 12350. http://dx.doi.org/10.3390/ijerph191912350.
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The purpose was to compare selection, use and outcomes of assistive products among older home care clients with and without dementia in Sweden, and to explore the relations between the use of assistive products and perceptions of home care, loneliness and safety. Self-reported data from 89,811 home care clients aged 65 years or more, of whom 8.9% had dementia, were analysed using regression models. Excluding spectacles, 88.2% of them used assistive products. Respondents without dementia were more likely to use at least one assistive product but less likely to use assistive products for remembering. Respondents with dementia participated less in the selection of assistive products, used less assistive products, and benefited less from them. Users of assistive products were more likely to be anxious and bothered by loneliness, to feel unsafe at home with home care, to experience that their opinions and wishes regarding assistance were disregarded by home care personnel, and to be treated worse by home care personnel. The findings raise concerns about whether the needs for assistive products among home care clients with dementia are adequately provided for. They also indicate a need to strengthen a person-centred approach to providing home care to users of assistive products.
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Tanaka, Takayuki, Yasuhisa Hasegawa, Takanori Miyoshi, Shunji Shimizu, and Toru Ifukube. "Special Issue on Assistive Technology Based on ICT/IRT for Aged Society." Journal of Robotics and Mechatronics 25, no. 6 (December 20, 2013): 887. http://dx.doi.org/10.20965/jrm.2013.p0887.
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Although Japan and many other countries are going to the super-aging society quickly prior to the world, according to the latest investigations, there are a lot of elderly persons who do not suffer instrumental activity of daily living (IADL). This special issue made a broad call for papers on research and development of assistive technologies to support and enhance their employment and daily-life activity based on information-communication technology (ICT) and information-robotics technology (IRT). The topics of the special issue include wearable assistive device, power/skill assist, mobility assist, locomotive assist, communication assist, kinesthetic feedback assist, sensor/actuator technologies for assistive system, robotics and mechatronics to support elderly persons. We finally believe that these assistive technologies greatly contribute to support many elderly persons and make their lives more worth living. We thank the authors for their fine contributions and the reviewers for their generous time and effort. In closing, we thank the Editorial Board of the Journal of Robotics and Mechatronics for helping make this issue possible.
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Ciobanu, Gabriela, Maria Harja, and Octavian Ciobanu. "An Overview on Assistive Technology Training Courses for Salespersons." Applied Mechanics and Materials 659 (October 2014): 585–88. http://dx.doi.org/10.4028/www.scientific.net/amm.659.585.
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Assistive technology is any device or system that increases, maintains or improves the functional capabilities of people with disabilities. There are a lot of national and international Assistive technology training programs aiming to expand the knowledge base of professionals, and introduce newcomers to the disability field. These training programs help participants in understanding the utility and the effects of assistive technology and the possible areas of application. The paper presents the training courses of an educational European project called "Launching of Sector Skills Alliance for Training & Apprenticeship of Health Care and Food Supplements Salespersons" (H-CARE). The H-CARE project uses e-learning technologies to provide training courses and apprenticeship in the area of Health care (Assistive Technology) and food supplements. (H-CARE) was developed by a consortium of partners made of governmental organizations, universities, associations and small enterprises that complement each other in their respective contributions to the project. The graduates will be able to explain the Assistive Technology solutions to meet the needs of disabled people, to identify and select appropriate devices and to evaluate the implementation of Assistive Technology solutions through marketing principles.
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Miwa, Hiroyasu, Kentaro Watanabe, and Marketta Niemelä. "Classification of Care Assistive Technology Based on the Relationship Between Users and Technologies." Journal of Robotics and Mechatronics 33, no. 4 (August 20, 2021): 858–67. http://dx.doi.org/10.20965/jrm.2021.p0858.
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While an aging population in Japan and other countries is resulting in an increased demand for nursing care services, there is a shortage of care workers due to a decrease in the working population. The use of care assistive technologies such as robots, artificial intelligence, and information technology is expected to compensate for this shortage, and many care assistive technologies such as power assist devices and communication robots have been developed. However, their introduction and widespread use in actual service have not progressed. The aim of this study is to address the problem on less technology introduction in nursing care by surveying the attitudes of potential users to care assistive technologies, clarify the factors affecting the use of such technologies, and propose a new design method for the technologies. We surveyed attitudes to the use of care assistive technology from the perspective of function and information utilization for three groups: active seniors, informal carers, and formal carers. The survey was conducted in Japan and Finland, which have high aging populations. Based on the survey results, we proposed, as a design method, a classification of care assistive technologies according to their interaction with users as well as the nursing care process.
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Khan, Arshia. "Robotic Assistive Technology Augmenting Dementia Care: Technology Design and Preliminary Acceptability." Psychiatry, Depression & Anxiety 7, no. 1 (July 22, 2021): 1–5. http://dx.doi.org/10.24966/pda-0150/100037.
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Cash, Marilyn. "Assistive technology and people with dementia." Reviews in Clinical Gerontology 13, no. 4 (November 2003): 313–19. http://dx.doi.org/10.1017/s0959259804001169.
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The use of the term ‘technology’ in relation to dementia care provokes conflicting reactions. For some, ‘technology is a saviour, the way to paradise; others are deeply suspicious of technology and scrutinize its proponents carefully for any tell-tale marks of the Beast’. These conflicting reactions may be attributed to the confusion surrounding the term ‘technology’, the lack of awareness at all levels of the potential of technology to assist people with dementia, and the ethical issues surrounding the use of technology.
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Abdi, J., A. Al-Hindawi, and M. Vizcaychipi. "52USE OF SOCIALLY ASSISTIVE ROBOT TECHNOLOGY IN ELDERLY CARE." Age and Ageing 46, suppl_1 (May 2017): i1—i22. http://dx.doi.org/10.1093/ageing/afx055.52.
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Katsuya, Kayoko, and Arpad Kelemen. "A Systematic Review of Intelligent Patient Care Assistive Technology." CIN: Computers, Informatics, Nursing 29, no. 8 (August 2011): 441–42. http://dx.doi.org/10.1097/ncn.0b013e3182305d5a.
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Otake-Matsuura, M., M. S. Abe, T. Sekiguchi, S. Tokunaga, H. Sugimoto, T. M. Rutkowski, and K. W. Miura. "Cognitive behavioral assistive technology (CBAT) as AI for super aged society." Gerontechnology 21, s (October 23, 2022): 1. http://dx.doi.org/10.4017/gt.2022.21.s.713.opp3.
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Carmeli, Eli, Carmit Cahana, and Joav Merrick. "The Assimilation of Assistive Technology in Residential Care Centers for People with Intellectual Disabilities." Scientific World JOURNAL 4 (2004): 178–85. http://dx.doi.org/10.1100/tsw.2004.16.
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People with intellectual disability (ID) require special support in order to achieve independence in their daily life. Persons with ID are less exposed to assistive technology, although studies have shown that the availability of aids afford an opportunity to reach independence and cooperation. The aim of this study was to examine the nature of the relationship between involvement of the physiotherapy (PT) team and the degree to which assistive technology was used. A questionnaire was sent to all PTs employed at all 54 residential care centers for persons with ID of the Division for Mental Retardation at the Ministry of Social Affairs in Israel. A significantly positive correlation was found between the degree of involvement of the PT and the utilization of assistive technology. The study results may be summarized by stating that PTs demonstrated a great deal of involvement, particularly in relation to the extent of their work in the residential care centers. PT's awareness of the importance was indicated as the major reason to use assistive technology.
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Saborowski, Maxine, and Ingrid Kollak. "“How do you care for technology?” – Care professionals' experiences with assistive technology in care of the elderly." Technological Forecasting and Social Change 93 (April 2015): 133–40. http://dx.doi.org/10.1016/j.techfore.2014.05.006.
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Altendorf, Annette, and Jason Schreiber. "Assistive technology in dementia care: methodological issues in research design." Journal of Assistive Technologies 9, no. 1 (March 16, 2015): 38–47. http://dx.doi.org/10.1108/jat-11-2013-0032.
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Purpose – The purpose of this paper is to illustrate some of the ethical issues and methodological obstacles encountered when trialling and using safer walking technologies and monitoring devices in dementia care. Design/methodology/approach – Using a number of recent studies as examples statistical, methodological and ethical issues are illustrated, which impact on the feasibility of randomised controlled trials or quasi-experimental designs. Findings – Much has already been achieved in using technology to aid people with memory and related problems. However, statistical evidence for the effectiveness of safer walking and monitoring devices in dementia care is still lacking. Careful considerations such as “treat the client as you would like to be treated” should be applied, when making a decision about a particular device. Originality/value – Safer walking and monitoring technology for people with memory and related problems is a rapidly advancing field of research. This is an updated discussion on methodological, statistical and ethical issues.
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Mao, Hui-Fen, Ling-Hui Chang, Grace Yao, Wan-Yin Chen, and Wen-Ni Wennie Huang. "Indicators of perceived useful dementia care assistive technology: Caregivers' perspectives." Geriatrics & Gerontology International 15, no. 8 (November 19, 2014): 1049–57. http://dx.doi.org/10.1111/ggi.12398.
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