Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada; Centre on Aging, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada.
Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E 0T6, Canada.
Int J Med Inform. 2021 Jun;150:104461. doi: 10.1016/j.ijmedinf.2021.104461. Epub 2021 Apr 14.
Ambient assisted living technologies (AALTs) are being used to help community-dwelling older adults (OAs) age in place. Although many AALT are available, their acceptance (perceived usefulness, ease of use, intention to use and actual usage) is needed to improve their design and impact. This study aims to 1) identify AALTs that underwent an acceptance evaluation in rehabilitation contexts, 2) identify methodological tools and approaches to measure acceptance in ambient assisted living (AAL) in rehabilitation research, and 3) summarize AALT acceptance results in existing rehabilitation literature with a focus on peer-reviewed scientific articles.
A scoping review was conducted in the following databases: Medline, Embase, Cinahl, and PsycInfo, following the Arksey and O'Malley framework (2009). Four acceptance attributes were extracted: 'user acceptance', 'perceived usefulness', 'ease of use', and 'intention to use'. Data regarding AALT, participants, acceptance evaluation methods and results were extracted.
A total of 21 articles were included among 634 studies retrieved from the literature. We identified 51 AALTs dedicated to various rehabilitation contexts, most of which focused on monitoring OAs' activities and environmental changes. Acceptance of AALT was evaluated using interviews, questionnaires, focus groups, informal feedback, observation, card sort tasks, and surveys. Although OAs intend to use - or can perceive the usefulness of - AALTs, they are hesitant to accept the technology and have concerns about its adoption.
The assessment of AALT acceptance in contexts of rehabilitation requires more comprehensive and standardized methodologies. The use of mixed-methods research is encouraged to cover the needs of particular studies. The timing of acceptance assessment should be considered throughout technology development phases to maximize AALT implementation.
环境辅助生活技术（AALTs）正被用于帮助社区居住的老年人（OAs）就地养老。尽管有许多 AALT 可用，但需要评估它们的接受程度（感知有用性、易用性、使用意愿和实际使用），以改进其设计和影响。本研究旨在：1）确定在康复环境中接受评估的 AALTs；2）确定用于康复研究中评估环境辅助生活（AAL）的接受度的方法学工具和方法；3）总结现有康复文献中 AALT 接受度的研究结果，重点是经过同行评审的科学文章。
根据 Arksey 和 O'Malley 框架（2009 年），在 Medline、Embase、Cinahl 和 PsycInfo 数据库中进行了范围综述。提取了 4 个接受属性：“用户接受度”、“感知有用性”、“易用性”和“使用意愿”。提取了有关 AALT、参与者、接受度评估方法和结果的数据。
从文献中检索到的 634 项研究中，共纳入 21 篇文章。我们确定了 51 种专门用于各种康复环境的 AALTs，其中大多数专注于监测 OAs 的活动和环境变化。使用访谈、问卷、焦点小组、非正式反馈、观察、卡片分类任务和调查来评估 AALT 的接受度。尽管 OAs 打算使用或能感知 AALT 的有用性，但他们对接受技术犹豫不决，对其采用存在担忧。
在康复环境中评估 AALT 的接受度需要更全面和标准化的方法。鼓励使用混合方法研究来满足特定研究的需求。应考虑在整个技术开发阶段进行接受度评估，以最大限度地实现 AALT 的实施。
