Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.
Glenrose Rehabilitation Research Center, Edmonton, Canada.
Disabil Rehabil Assist Technol. 2024 May;19(4):1424-1433. doi: 10.1080/17483107.2023.2192245. Epub 2023 Mar 24.
As the older adult population rise globally, technologies to monitoring activities of daily living (ADL) may have a role in supporting aging in place for older adults. The objective of this systematic literature review was to study the scope, diversity and readiness of technologies developed to monitor ADL in older adults.
We systematically searched two scientific databases (CINAHL and IEEE), following Preferred Reporting Items for Systematic reviews and Meta Analyses (PRISMA) guidelines. We included studies on technologies used to monitor older adults' ADL in the home but excluded studies focused on communication technologies (phone calls, text messages) or monitoring postures alone. The JBI checklist for case series was used for quality assessment. Extracted details included population characteristics, ADL assessment outcomes, types of monitoring technology, and technology readiness and usability.
The search found 147 papers, with 16 papers included in the final analysis. The literature described 48 types of technologies. Of moderate quality studies, five studies used wearables at technology readiness level 4-6 to monitor basic ADL (walking, transfers and walking up stairs) and one used ambient sensors to detect urinary incontinence.
Monitoring technologies remain at development stages. More research is needed to strengthen technologies that monitor activities of daily living.
随着全球老年人口的增加，监测日常生活活动（ADL）的技术可能在支持老年人就地养老方面发挥作用。本系统文献综述的目的是研究为监测老年人 ADL 而开发的技术的范围、多样性和准备情况。
我们按照系统评价和荟萃分析的首选报告项目（PRISMA）指南，系统地搜索了两个科学数据库（CINAHL 和 IEEE）。我们纳入了在家中使用技术监测老年人 ADL 的研究，但排除了仅关注通信技术（电话、短信）或监测姿势的研究。使用 JBI 病例系列清单进行质量评估。提取的详细信息包括人口特征、ADL 评估结果、监测技术类型以及技术准备情况和可用性。
搜索发现了 147 篇论文，其中 16 篇论文被纳入最终分析。文献描述了 48 种技术。五项研究使用技术准备水平 4-6 的可穿戴设备监测基本日常生活活动（行走、转移和上楼梯），一项研究使用环境传感器检测尿失禁，这些研究的质量为中等。
监测技术仍处于发展阶段。需要更多的研究来加强监测日常生活活动的技术。
