Korenhof Sophie A, Fang Yuan, Luo Jie, van der Cammen Tischa J M, Raat Hein, van Grieken Amy
Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands.
Section of Geriatrics, Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, Netherlands.
JMIR Aging. 2023 Mar 31;6:e41187. doi: 10.2196/41187.
Due to the aging population, there is a need for monitoring well-being and safety while living independently. A low-intrusive monitoring system is based on a person's use of energy or water.
The study's objective was to provide a systematic overview of studies that monitor the health and well-being of older people using energy (eg, electricity and gas) and water usage data and study the outcomes on health and well-being.
CENTRAL, Embase, MEDLINE (Ovid), Scopus, Web of Science, and Google Scholar were searched systematically from inception until November 8, 2021. The inclusion criteria were that the study had to be published in English, have full-text availability, target independent-living people aged 60 years and older from the general population, have an observational design, and assess the outcomes of a monitoring system based on energy (ie, electricity, gas, or water) usage on well-being and safety. The quality of the studies was assessed by the QualSyst systematic review tool.
The search strategy identified 2920 articles. The majority of studies focused on the technical algorithms underlying energy usage data and related sensors. One study was included in this review. This study reported that the smart energy meter data monitoring system was considered unobtrusive and was well accepted by the older people and professionals involved. Energy usage in a household acted as a unique signature and therefore provided useful insight into well-being and safety. This study lacked statistical power due to the small number of participants and the low number of observed events. In addition, the quality of the study was rated as low.
This review identified only 1 study that evaluated the impact of an energy usage monitoring system on the well-being and safety of older people. The absence of reliable evidence impedes any definitive guidance or recommendations for practice. Because this emerging field has not yet been studied thoroughly, many questions remain open for further research. Future studies should focus on the further development of a monitoring system and the evaluation of the implementation and outcomes of these systems.
PROSPERO CRD42022245713; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=245713.
由于人口老龄化，需要在老年人独立生活时监测其健康状况和安全情况。一种低侵入性监测系统基于个人的能源或水的使用情况。
本研究的目的是系统综述利用能源（如电和天然气）及用水数据监测老年人健康和幸福状况的研究，并探讨其对健康和幸福状况的影响。
从创刊至2021年11月8日，系统检索CENTRAL、Embase、MEDLINE（Ovid）、Scopus、Web of Science和谷歌学术。纳入标准为：研究必须以英文发表，有全文可获取，目标人群为60岁及以上的普通独立生活人群，采用观察性设计，并评估基于能源（即电、天然气或水）使用情况的监测系统对健康和安全的影响。采用QualSyst系统评价工具评估研究质量。
检索策略共识别出2920篇文章。大多数研究聚焦于能源使用数据和相关传感器背后的技术算法。本综述纳入了1项研究。该研究报告称，智能电表数据监测系统被认为干扰性小，受到老年人及相关专业人员的广泛接受。家庭能源使用情况具有独特特征，因此能为健康和安全状况提供有用的洞察。由于参与者数量少且观察到的事件数量少，该研究缺乏统计学效力。此外，该研究质量评级较低。
本综述仅识别出1项评估能源使用监测系统对老年人健康和安全影响的研究。缺乏可靠证据阻碍了为实践提供任何明确的指导或建议。由于这个新兴领域尚未得到充分研究，许多问题仍有待进一步探讨。未来研究应聚焦于监测系统的进一步开发以及这些系统实施情况和效果的评估。
PROSPERO CRD42022245713；https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=245713 。
