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Cited by 123Technology Use by Older AdultsAssistive Technology in Communication and MobilityAging, Health, and Disability

Benefits and barriers associated with the use of smart home health technologies in the care of older persons: a systematic review

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Tian, Yi Jiao, Felber, Nadine Andrea, Pageau, Félix, Schwab, Delphine Roulet, Wangmo, Tenzin·2024·BMC Geriatrics
DOI 10.1186/s12877-024-04702-1PMC PMC10865618
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Abstract

Background: Smart home health technologies (SHHTs) have been discussed in the frame of caregiving to enable aging-in-place and independence. A systematic review was conducted in accordance with the PRISMA guidelines to gather the up-to-date knowledge on the benefits and barriers of using SHHTs in the care of older persons from the perspective of older persons and their caregivers. Methods: Ten electronic databases were reviewed for empirical peer-reviewed literature published from 01.01.2000 to 31.12.2021 in English, German, and French reporting on experimental, qualitative, quantitative, and other empirical study designs were included. Included studies contained user-feedback from older persons over 65 years of age or their caregivers (formal and informal). We used an extraction document to collect relevant data from all included studies and applied narrative synthesis to analyze data related to benefits and barriers of SHHTs. Results: 163 empirical peer-reviewed articles were included, the majority of those published between 2014 and 2021. Five first-order categories of benefits and five of barriers were found with individual sub-themes. SHHTs could be useful in the care context where continuous monitoring is needed. They improve self-management and independent living of older persons. Barriers currently exist with respect to ease of usability, social acceptance, and cost. Conclusions: SHHTs could be useful in the care context but are not without concerns. Researchers and policy makers can use the information as a starting point to better understand how the roles and outcomes of SHHTs could be improved for the care of older persons, while caregivers of older adults could use our findings to comprehend the scope of SHHTs and to decide when and where such technology could best address their individual family needs. Limitations lie in the possible exclusion of relevant articles published outside the inclusion criteria as well as the fact that due to digital divide, our review represents opinions of those who could and wanted to participate in the included 163 studies. Trial registration: This review has been registered as PROSPERO CRD42021248543. A protocol was completed in March 2021 with the PRISMA-P guidance. We have extended the review period from 2000 to 2020 since the registration of the protocol to 2000–2021.

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  • Cost concerns have been identified as a major barrier to adopting smart technology for older adults with fixed incomes, due to the costs of enabling and maintaining the continuous operation of complete and pervasive devices.

    “Especially for older adults with fixed incomes [60], cost concerns have also been identified as a major barrier to adopting smart technology, due to the costs of enabling and maintaining the continuous operation of complete and pervasive devices [61].”

    From Smart Speakers for Health and Well-Being of Older Adults: A Mixed-Methods Review (2025) · cites this paper as [61]

  • Technology has been utilized to support the well-being and independence of older adults, expanding to various technologies integrated into geriatric care.

    “Technology has been utilized to support the well-being and independence of older adults, expanding to various technologies integrated into geriatric care [61].”

    From Smart Speakers for Health and Well-Being of Older Adults: A Mixed-Methods Review (2025) · cites this paper as [61]

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Cited by

Sorted by citations

Authors
Tian, Y. J., Felber, N. A., Pageau, F., Schwab, D. R., & Wangmo, T.
Affiliations
  • University of Basel (CH)
  • Université Laval (CA)
  • HES-SO University of Applied Sciences and Arts Western Switzerland (CH)
Corresponding author
Tian, Yi Jiao
ORCID
Venue
BMC Geriatrics
Publisher
Springer Science and Business Media LLC
Published
2024-02-14
Volume
24
Issue
1
Pages
152-152
ISSN
1471-2318 (ISSN-L)
DOI
10.1186/s12877-024-04702-1
PMC
PMC10865618
OpenAlex
W4391822097
Cited by
123
References
15
Citations by year
2026: 56 · 2025: 55 · 2024: 12
FWCI
12.85
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Geriatrics (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • ArODES (HES-SO (https://www.hes-so.ch/)) (submittedVersion)
Funders
University of Basel
Topics
  • Social Sciences › Demography › Technology Use by Older Adults
  • Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
older adults, aging in place, caregiver perspectives, user experience, continuous monitoring, self-management, independent living, usability, social acceptance, cost barriers, digital divide, informal caregivers
MeSH terms
Systematic Reviews as Topic, Aged, Aged, 80 and over, Home Care Services, Humans, Palliative Care, Meta-Analysis as Topic, Caregivers, Telemedicine, Biomedical Technology, Independent Living

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