College of Public Health and Tropical Medicine, Jazan University, Jazan 45142, Saudi Arabia.
Applied College, Shaqra University, Shaqra 11961, Saudi Arabia.
Int J Environ Res Public Health. 2022 Dec 14;19(24):16760. doi: 10.3390/ijerph192416760.
Adoption of Ambient Assisted Living (AAL) technologies for geriatric healthcare is suboptimal. This study aims to present the AAL Adoption Diamond Framework, encompassing a set of key enablers/barriers as factors, and describe our approach to developing this framework. A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. SCOPUS, IEEE Xplore, PubMed, ProQuest, Science Direct, ACM Digital Library, SpringerLink, Wiley Online Library and grey literature were searched. Thematic analysis was performed to identify factors reported or perceived to be important for adopting AAL technologies. Of 3717 studies initially retrieved, 109 were thoroughly screened and 52 met our inclusion criteria. Nineteen unique technology adoption factors were identified. The most common factor was privacy (50%) whereas data accuracy and affordability were the least common factors (4%). The highest number of factors found per a given study was eleven whereas the average number of factors across all studies included in our sample was four (mean = 3.9). We formed an AAL technology adoption framework based on the retrieved information and named it the AAL Adoption Diamond Framework. This holistic framework was formed by organising the identified technology adoption factors into four key dimensions: Human, Technology, Business, and Organisation. To conclude, the AAL Adoption Diamond Framework is holistic in term of recognizing key factors for the adoption of AAL technologies, and novel and unmatched in term of structuring them into four overarching themes or dimensions, bringing together the individual and the systemic factors evolving around the adoption of AAL technology. This framework is useful for stakeholders (e.g., decision-makers, healthcare providers, and caregivers) to adopt and implement AAL technologies.
环境辅助生活（AAL）技术在老年医疗保健中的采用并不理想。本研究旨在提出 AAL 采用钻石框架，包括一组关键的促成因素/障碍因素，并描述我们开发该框架的方法。我们按照系统评价和荟萃分析的首选报告项目（PRISMA）指南进行了系统文献回顾。检索了 SCOPUS、IEEE Xplore、PubMed、ProQuest、Science Direct、ACM 数字图书馆、SpringerLink、Wiley Online Library 和灰色文献。进行了主题分析，以确定报告或被认为对采用 AAL 技术重要的因素。在最初检索到的 3717 项研究中，有 109 项经过了仔细筛选，有 52 项符合我们的纳入标准。确定了 19 个独特的技术采用因素。最常见的因素是隐私（50%），而数据准确性和负担能力是最不常见的因素（4%）。每个研究发现的因素最多为十一个，而我们样本中包括的所有研究的平均因素数为四个（平均值=3.9）。我们根据检索到的信息形成了一个 AAL 技术采用框架，并将其命名为 AAL 采用钻石框架。这个全面的框架是通过将确定的技术采用因素组织成四个关键维度形成的：人、技术、业务和组织。总之，AAL 采用钻石框架在认识到 AAL 技术采用的关键因素方面是全面的，并且在将它们构建成四个总体主题或维度方面是新颖的且无与伦比的，将个体和围绕 AAL 技术采用的系统因素结合在一起。该框架对利益相关者（例如决策者、医疗保健提供者和护理人员）采用和实施 AAL 技术非常有用。
