Evaluating Challenges and Adoption Factors for Active Assisted Living Smart Environments

Lam, Lena; Fadrique, Laura Xavier; Noon, Gaya Bin; Shah, Aakanksha; Morita, Plinio Pelegrini

doi:10.3389/fdgth.2022.891634

Cited by 7 publications

(3 citation statements)

References 28 publications

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“…The findings from our research have shown that although several potential benefits exist for the use of AAL systems within the continuum of care for older adults, additional work is needed to address concerns and barriers before these benefits can be fully realized. Much of the potential of AAL lies in its ability to support integrated care, meaning continuous and coordinated care that is quick, effective, and includes self-care support, respect for care recipients’ preferences, and appropriate involvement of family members and other informal caregivers [ 18 , 19 ]. AAL can improve care by facilitating better monitoring of care recipients’ health and empowering care recipients to pursue their health goals.…”

Section: Discussionmentioning

confidence: 99%

“…Over the years, attempts have been made to integrate IoT and AAL technologies into the homes of older adults; however, there are practical and financial considerations for developing and implementing these integrations [8,13,18]. Besides these considerations, there is a trade-off between health technology use and the right to privacy, but the incentive must be at least greater than the effort of learning how to use the technology and loss of one's privacy because of sharing data with service providers [19][20][21][22].…”

Section: Study Rationalementioning

confidence: 99%

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Exploring the Role of Active Assisted Living in the Continuum of Care for Older Adults: Thematic Analysis

Noon¹,

Hanjahanja-Phiri²,

Dave³

et al. 2023

JMIR Aging

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Background Active assisted living (AAL) refers to systems designed to improve the quality of life, aid in independence, and create healthier lifestyles for those who need assistance at any stage of their lives. As the population of older adults in Canada grows, there is a pressing need for nonintrusive, continuous, adaptable, and reliable health monitoring tools to support aging in place and reduce health care costs. AAL has great potential to support these efforts with the wide variety of solutions currently available; however, additional work is required to address the concerns of care recipients and their care providers with regard to the integration of AAL into care. Objective This study aims to work closely with stakeholders to ensure that the recommendations for system-service integrations for AAL aligned with the needs and capacity of health care and allied health systems. To this end, an exploratory study was conducted to understand the perceptions of, and concerns with, AAL technology use. Methods A total of 18 semistructured group interviews were conducted with stakeholders, with each group comprising several participants from the same organization. These participant groups were categorized into care organizations, technology development organizations, technology integration organizations, and potential care recipient or patient advocacy groups. The results of the interviews were coded using a thematic analysis to identify future steps and opportunities regarding AAL. Results The participants discussed how the use of AAL systems may lead to improved support for care recipients through more comprehensive monitoring and alerting, greater confidence in aging in place, and increased care recipient empowerment and access to care. However, they also raised concerns regarding the management and monetization of data emerging from AAL systems as well as general accountability and liability. Finally, the participants discussed potential barriers to the use and implementation of AAL systems, especially addressing the question of whether AAL systems are even worth it considering the investment required and encroachment on privacy. Other barriers raised included issues with the institutional decision-making process and equity. Conclusions Better definition of roles is needed in terms of who can access the data and who is responsible for acting on the gathered data. It is important for stakeholders to understand the trade-off between using AAL technologies in care settings and the costs of AAL technologies, including the loss of patient privacy and control. Finally, further work is needed to address the gaps, explore the equity in AAL access, and develop a data governance framework for AAL in the continuum of care.

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Section: Discussionmentioning

confidence: 99%

Section: Study Rationalementioning

confidence: 99%

Exploring the Role of Active Assisted Living in the Continuum of Care for Older Adults: Thematic Analysis

Noon¹,

Hanjahanja-Phiri²,

Dave³

et al. 2023

JMIR Aging

Self Cite

View full text Add to dashboard Cite

show abstract

“…The challenges of interoperability, data privacy, legal frameworks, systemic acceptability, and project financing are obstacles to large-scale digital platforms [ 201 , 202 , 203 , 204 , 205 ].…”

Section: Challenges In Healthcare Systems That Need To Be Accounted F...mentioning

confidence: 99%

The Constrained-Disorder Principle Assists in Overcoming Significant Challenges in Digital Health: Moving from “Nice to Have” to Mandatory Systems

Hurvitz,

Ilan

2023

Clinics and Practice

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The success of artificial intelligence depends on whether it can penetrate the boundaries of evidence-based medicine, the lack of policies, and the resistance of medical professionals to its use. The failure of digital health to meet expectations requires rethinking some of the challenges faced. We discuss some of the most significant challenges faced by patients, physicians, payers, pharmaceutical companies, and health systems in the digital world. The goal of healthcare systems is to improve outcomes. Assisting in diagnosing, collecting data, and simplifying processes is a “nice to have” tool, but it is not essential. Many of these systems have yet to be shown to improve outcomes. Current outcome-based expectations and economic constraints make “nice to have,” “assists,” and “ease processes” insufficient. Complex biological systems are defined by their inherent disorder, bounded by dynamic boundaries, as described by the constrained disorder principle (CDP). It provides a platform for correcting systems’ malfunctions by regulating their degree of variability. A CDP-based second-generation artificial intelligence system provides solutions to some challenges digital health faces. Therapeutic interventions are held to improve outcomes with these systems. In addition to improving clinically meaningful endpoints, CDP-based second-generation algorithms ensure patient and physician engagement and reduce the health system’s costs.

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Bringing older people’s perspectives on consumer socially assistive robots into debates about the future of privacy protection and AI governance

Slane,

Pedersen

2024

AI & Soc

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Evaluating Challenges and Adoption Factors for Active Assisted Living Smart Environments

Cited by 7 publications

References 28 publications

Exploring the Role of Active Assisted Living in the Continuum of Care for Older Adults: Thematic Analysis

Exploring the Role of Active Assisted Living in the Continuum of Care for Older Adults: Thematic Analysis

The Constrained-Disorder Principle Assists in Overcoming Significant Challenges in Digital Health: Moving from “Nice to Have” to Mandatory Systems

Bringing older people’s perspectives on consumer socially assistive robots into debates about the future of privacy protection and AI governance

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