Tannou Thomas, Lihoreau Thomas, Couture Mélanie, Giroux Sylvain, Wang Rosalie H, Spalla Guillaume, Zarshenas Sareh, Gagnon-Roy Mireille, Aboujaoudé Aline, Yaddaden Amel, Morin Lucas, Bier Nathalie
Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, CIUSSS Centre-sud-de l'île-de-Montréal, Montreal, Quebec, Canada; Service de Gériatrie, Besançon University Hospital, F-25000, France; Inserm CIC 1431, CHU Besançon, F-25000 Besançon, France; Laboratoire de Recherches Intégratives en Neurosciences et Psychologie Cognitive - UR LINC, UFC, UBFC, Besançon, France.
Inserm CIC 1431, CHU Besançon, F-25000 Besançon, France.
Ageing Res Rev. 2023 Feb;84:101830. doi: 10.1016/j.arr.2022.101830. Epub 2022 Dec 21.
To enable ageing in place, innovative and integrative technologies such as smart living environments may be part of the solution. Despite extensive published literature reviews on this topic, the effectiveness of smart living environments in supporting ageing in place, and in particular involving unobtrusive technologies, remains unclear. The main objective of our umbrella review was to synthesize evidence on this topic.
According to the PRIOR process, we included reviews from multiple databases that focused on unobtrusive technologies used to analyze and share information about older adults' behaviors and assessed the effectiveness of unobtrusive technologies to support ageing in place. Selection, extraction and quality appraisal were done independently by two reviewers.
By synthesizing 17 published reviews that covered 191 distinct primary studies, we found that smart living environments based on unobtrusive technologies had low to moderate effectiveness to support older adults to age in place. Effectiveness appears to be strongest in the recognition of activities of daily living. The results must, however, be interpreted in light of the low overall level of evidence, i.e., low methodological value of the primary studies and poor methodological quality of the literature reviews. Most reviews concluded that unobtrusive technologies are not mature enough for widespread adoption.
There is a necessity to support primary studies that can move beyond the proof-of-concept or pilot stages and expand scientific knowledge significantly on the topic. There is also an urgent need to publish high quality literature reviews to better support policy makers and funding agencies in the field of smart living environments.
为了实现就地养老，创新和整合技术（如智能生活环境）可能是解决方案的一部分。尽管已发表了大量关于该主题的文献综述，但智能生活环境在支持就地养老方面的有效性，特别是涉及非侵入式技术的有效性仍不明确。我们这项综合性综述的主要目的是综合该主题的证据。
根据PRIOR流程，我们纳入了多个数据库中关注用于分析和共享老年人行为信息的非侵入式技术的综述，并评估了非侵入式技术支持就地养老的有效性。两名评审员独立进行筛选、提取和质量评估。
通过综合17篇已发表的综述（涵盖191项不同的原始研究），我们发现基于非侵入式技术的智能生活环境在支持老年人就地养老方面的有效性为低到中等。在识别日常生活活动方面，有效性似乎最强。然而，这些结果必须结合证据的总体水平较低来解释，即原始研究的方法学价值较低，且文献综述的方法学质量较差。大多数综述得出结论，非侵入式技术还不够成熟，无法广泛应用。
有必要支持能够超越概念验证或试点阶段的原始研究，并显著扩展该主题的科学知识。迫切需要发表高质量的文献综述，以更好地支持智能生活环境领域的政策制定者和资助机构。
