Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
ACH Group Inc., Adelaide, South Australia, Australia.
Australas J Ageing. 2022 Sep;41(3):e257-e265. doi: 10.1111/ajag.13095. Epub 2022 May 30.
Increasing numbers of older people are living longer, often alone, in their own homes. Services and products that enable older people to remain safely in their own homes are required. The My Smart Home project recruited 30 community-dwelling people aged 65+ to co-design a package of technology to address their individual goals for safety and security at home. The technology package, up to the value of $4000, included installation of health monitoring, communication and entertainment devices, and security alarms, with 6 hours of technology coaching.
Participants completed the Personal Wellbeing Index (PWI), the Australian Quality of Life-8 Dimensions (AQoL-8D) and the Canadian Occupational Performance Measure (COPM) at baseline, and after 4 weeks' use of the technology package. Semi-structured interviews were also used to qualitatively understand the challenges, enablers and outcomes of the project with respect to safety and security in the home.
Significant improvements in PWI (p < 0.01), AQoL-8D (p < 0.001) and COPM for goal performance (p < 0.001) and goal satisfaction (p < 0.001) were reported. Participants also reported feeling safer and more secure in their own homes. Common barriers to adoption of technology, cost, integration with already-owned technology and lack of confidence were overcome with this technology and coaching package.
An individualised package of technology, with coaching, that supports older people to realise their personal goals with technology resulted in improved well-being, quality of life and sense of safety and security in community-dwelling older people. Ultimately, this should support a longer and better quality of life at home.
越来越多的老年人寿命延长，通常独自居住在自己家中。需要提供使老年人能够安全地留在自己家中的服务和产品。My Smart Home 项目招募了 30 名 65 岁以上的社区居民共同设计一整套技术方案，以满足他们在家中安全和保障方面的个人目标。该技术方案价值高达 4000 美元，包括健康监测、通信和娱乐设备以及安全警报器的安装，并提供 6 小时的技术指导。
参与者在基线时和使用技术方案 4 周后完成个人幸福感指数（PWI）、澳大利亚生活质量-8 维度（AQoL-8D）和加拿大职业表现测量（COPM）的评估。还使用半结构化访谈从定性角度了解该项目在家中安全和保障方面的挑战、促成因素和结果。
报告显示 PWI（p<0.01）、AQoL-8D（p<0.001）和 COPM 中目标表现（p<0.001）和目标满意度（p<0.001）均有显著改善。参与者还报告说，他们在家中感到更安全、更有保障。采用技术的常见障碍，如成本、与已经拥有的技术的集成以及缺乏信心等，通过这种技术和指导方案得到了克服。
个性化的技术方案，加上指导，可以帮助老年人实现他们使用技术的个人目标，从而提高幸福感、生活质量以及社区居住的老年人的安全感和保障感。最终，这应该支持他们在家中更长时间、更好地生活。
