Kwangtae Mun, PhD, OT, is Researcher, Department of Occupational Therapy, University of Yonsei, Wonju, South Korea;
Jongbae Kim, PhD, is Professor, Department of Occupational Therapy, University of Yonsei, Wonju, South Korea.
Am J Occup Ther. 2024 Sep 1;78(5). doi: 10.5014/ajot.2024.050651.
There is a critical gap between the potential of smart home technologies to enhance the lives of people with physical disabilities (PwPD) and their limited use because of complex interfaces, high costs, technical issues, and insufficient institutional support.
To bridge this gap and ensure that PwPD can fully benefit from smart home advancements to improve their daily living and quality of life by developing a smart home modification program.
A Delphi survey involving three rounds was conducted with experts in disability and smart home technologies.
Online survey.
Thirty multidisciplinary health care experts.
Experts rated the level of relevance in smart home modification with each survey. Consensus was set at ≥75%, content validity (CVR) was ≥.33, and convergence was ≤.5.
The first Delphi result selected 26 items, and the second included 59 items after adjusting for values that fell below a CVR of .33. In the third Delphi survey, 59 items were selected. The final Delphi study had an average CVR of .96 and a coefficient of variation of .10. The last survey's consensus point was .92, indicating a high level of agreement among participants.
On the basis of expert consensus, the study provides a validated framework for smart home modifications to aid PwPD. Plain-Language Summary: This research highlights the role of smart home adaptations to promote responsible, independent living for people with physical disabilities. There is a critical gap between the potential of smart home technologies to improve the lives of people with physical disabilities and their limited use because of complex interfaces, high costs, technical issues, and insufficient institutional support. The study authors developed a smart home modification program with the goal of closing this gap and to ensure that people with physical disabilities can fully benefit from smart home advancements to improve their daily living and quality of life. Based on expert ratings, the study findings provide a validated framework that occupational therapists can use to recommend smart home modifications to help people with physical disabilities. The framework can also be used by occupational therapists to identify people who may need more extensive environmental modifications and interventions.
智能家居技术具有增强身体残疾人士（PwPD）生活的潜力，但由于复杂的界面、高成本、技术问题和机构支持不足，其使用受到限制，因此存在着一个巨大的差距。
通过开发智能家居改造计划，弥合这一差距，确保 PwPD 能够充分受益于智能家居的进步，改善他们的日常生活和生活质量。
与残疾和智能家居技术专家进行了三轮德尔菲调查。
在线调查。
30 名多学科保健专家。
专家在每次调查中都对智能家居改造的相关性水平进行了评分。一致性设定为≥75%，内容有效性（CVR）≥.33，收敛性≤.5。
第一轮德尔菲研究结果选择了 26 项，第二轮调整了低于 CVR.33 的数值后纳入了 59 项。在第三轮德尔菲调查中，选择了 59 项。最后一轮德尔菲研究的平均 CVR 为.96，变异系数为.10。最后一次调查的一致性为.92，表明参与者之间存在高度的共识。
基于专家的共识，该研究为智能家居改造提供了一个经过验证的框架，以帮助 PwPD。
这项研究强调了智能家居适应能力在促进身体残疾人士负责任、独立生活方面的作用。智能家居技术具有改善身体残疾人士生活的潜力，但由于界面复杂、成本高、技术问题和机构支持不足，其使用受到限制。研究人员开发了智能家居改造计划，旨在缩小这一差距，并确保身体残疾人士能够充分受益于智能家居的进步，改善他们的日常生活和生活质量。基于专家评分，研究结果提供了一个经过验证的框架，职业治疗师可以使用该框架来推荐智能家居改造，以帮助身体残疾人士。该框架还可以帮助职业治疗师确定哪些人可能需要更广泛的环境改造和干预措施。
