The effectiveness of smart home technologies to support the health outcomes of community-dwelling older adults living with dementia: A scoping review
Open accessAbstract
Objectives To map the current state-of-knowledge about the effectiveness of smart home technologies to support the health outcomes of community-dwelling older adults living with dementia. Design A scoping review following the methodological frameworks described by Arksey and O'Malley (2005) and Levac et al. (2010). Data sources Electronic databases and online sources were searched in April 2020 using database specific medical subject headings and keywords about 'smart homes' and 'dementia'. Methods Empirical peer-reviewed articles were included if they were written in English; used a quantitative, qualitative, or mixed method design; and presented the effects of a smart home technology on the health outcomes of community-dwelling adults living with dementia. Methodological and reporting quality of studies was assessed using the Mixed Methods Appraisal Tool - Version 2018. Results Five studies described evaluations of five smart home technology systems with a total of n = 617 community-dwelling people living with dementia. Collectively, studies showed potential effectiveness of the technologies on a range of health outcomes (physical activity, activities of daily living, sleep, anxiety, depression, agitation, irritability, risk of falls, cognitive functioning, night-time injury, unattended home exits). However, the overall methodological and reporting quality of studies was low and profiled a research field lacking in rigorous evaluation. Conclusions Based on current evidence,…
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A scoping review indicated that smart-home technologies are not ready for implementation for people with dementia, and that there was not clear evidence of efficacy.
“A scoping review indicated that smart-home technologies, which are appliances and devices in the home connected via the internet to enhance the living environment, are not ready for implementation for people with dementia, and that there was not clear evidence of efficacy .(560)”
From Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission (2024) · cites this paper as [560]
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Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission
Livingston, G., Huntley, J., Liu, K. Y., Costafreda, S. G., Selbæk, G., Alladi, S., Ames, D., Banerjee, S., Burns, A., Brayne, C., et al. (2024) · The Lancet · doi:10.1016/s0140-6736(24)01296-0 · Cited by 3,860 · see citing works
- Authors
- Moyle, W., Murfield, J., & Lion, K.
- Affiliations
- Griffith University (AU)
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2021-09
- Volume
- 153
- Pages
- 104513
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W3172563701
- Cited by
- 75
- References
- 7
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 18 · 2023: 16 · 2022: 17 · 2021: 1
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Griffith Research Online (submittedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Keywords
- smart home technology, dementia, community-dwelling older adults, health outcomes, activities of daily living, physical activity, sleep, depression, anxiety, agitation, falls, cognitive function, community-based dementia care
- MeSH terms
- Activities of Daily Living, Aged, Dementia, Humans, Technology, Outcome Assessment, Health Care, Independent Living
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