Nguyen-Truong Connie Kim Yen, Fritz Roschelle L
College of Nursing in Vancouver, Washington State University, Vancouver, WA, USA.
Asian Pac Isl Nurs J. 2018;3(4):154-159. doi: 10.31372/20180304.1087.
Caring for America's aging population is a complex humanitarian issue. The number of older adults is expected to increase to 98.5 million by 2060 with a 295% growth in foreign-born older adults, including Asian immigrants. Most older adults will have one or more chronic conditions and 95% of healthcare costs will be attributed to caring for these conditions. Among Asian Americans, common chronic conditions include respiratory disease, cancer, cardiovascular disease, and pain. The National Institutes of Health, Institute on Aging, and National Science Foundation call for innovative technologies to be developed by multidisciplinary teams to address these concerns. Asian community leaders at Asian Health & Service Center and community members in Oregon identified the use of health-assistive technologies as a priority for potentially reducing stress and improving quality of life for both older adults and their caregivers. The purpose of this article is to introduce nurses and healthcare workers, advocating for the interests of Asian/Pacific Island community members, to the innovative health-assistive smart home. The health-assistive smart home uses artificial intelligence to identify and predict health events. Inclusion of minority persons' data in the development of artificial intelligence has been generally overlooked. This may result in continued health inequities and is incompatible with the goals of global health. Integration of minority voices while exploring the efficacious use of the health-assistive smart home is of significant value to minority populations. Asian immigrant older adults engaging in smart home research and development will enhance the cultural and technical safety of future devices. Asian families may be particularly interested in smart homes for extending independence because they place an emphasis on collective culture and family-based care. Community engagement of stakeholders and steadfast leadership are needed so that future technologies used in healthcare delivery are both technically and culturally sound. A community-engaged research approach promotes community empowerment that is responsive to community identified priorities and is a good fit for studying adoption of smart home monitoring for health-assistance.
关爱美国的老龄人口是一个复杂的人道主义问题。预计到2060年，老年人数量将增至9850万，其中包括亚洲移民在内的外国出生的老年人数量将增长295%。大多数老年人将患有一种或多种慢性病，95%的医疗费用将用于护理这些疾病。在亚裔美国人中，常见的慢性病包括呼吸系统疾病、癌症、心血管疾病和疼痛。美国国立卫生研究院、老龄化研究所和美国国家科学基金会呼吁多学科团队开发创新技术来解决这些问题。亚洲健康与服务中心的亚裔社区领袖以及俄勒冈州的社区成员认为，使用健康辅助技术是减轻老年人及其护理人员压力、提高生活质量的优先事项。本文旨在向倡导亚太裔社区成员利益的护士和医护人员介绍创新型健康辅助智能家居。健康辅助智能家居利用人工智能识别和预测健康事件。在人工智能开发过程中，少数族裔的数据通常被忽视。这可能会导致持续的健康不平等，与全球健康目标相悖。在探索有效利用健康辅助智能家居时纳入少数族裔的声音，对少数族裔群体具有重要价值。参与智能家居研发的亚洲移民老年人将提高未来设备的文化和技术安全性。亚洲家庭可能对智能家居特别感兴趣，因为智能家居可以延长他们的独立生活能力，因为亚洲家庭强调集体文化和家庭护理。需要利益相关者的社区参与和坚定的领导，以便医疗保健服务中使用的未来技术在技术和文化上都合理。社区参与式研究方法促进社区赋权，这种赋权能够响应社区确定的优先事项，并非常适合研究采用智能家居监测进行健康辅助。
