Needing smart home technologies: the perspectives of older adults in continuing care retirement communities

Abstract

Background At present, the vast majority of older adults reside in the community. Though many older adults live in their own homes, increasing numbers are choosing continuing care retirement communities (CCRCs), which range from independent apartments to assisted living and skilled-nursing facilities. With predictions of a large increase in the segment of the population aged 65 and older, a subsequent increase in demand on CCRCs can be anticipated. With these expectations, researchers have begun exploring the use of smart home information-based technologies in these care facilities to enhance resident quality of life and safety, but little evaluation research exists on older adults' acceptance and use of these technologies. Objective This study investigated the factors that influence the willingness of older adults living in independent and assisted living CCRCs to adopt smart home technology. Subjects and setting Participants (n = 14) were recruited from community-dwelling older adults, aged 65 or older, living in one of two mid-western US CCRC facilities (independent living and assisted living type facilities).

The Ethical Implications of Personal Health Monitoring

“…Nordgren, 2012;Anders Nordgren, 2013;Palm, Nordgren, Verweij & Collste, 2012;Pentland, 2009;Rigby, 2007;Robinson, Hutchings, Corner, Finch, Hughes, Brittain & Bond, 2007;Ziefle & Röcker, 2010, 2010 Environmental Monitors (n = 45) Devices and sensors embedded in an environment, such as a home, vehicle, or workplace, or a stationary medical appliance. Agree, Freedman, Cornman, Wolf & Marcotte, 2005;Bowes, Dawson & Bell, 2012;Brey, 2005;Courtney, Demiris & Hensel, 2007;Courtney, 2008;Courtney, Demiris, Rantz & Skubic, 2008;Demiris, 2009;Demiris, Oliver, Dickey, Skubic & Rantz, 2008;Ding, Cooper, Pasquina & Fici-Pasquina, 2011;Dorsten, Sifford, Bharucha, Mecca & Wactlar, 2009;Essén, 2008;Fellbaum, 2008;Friedewald, Vildjiounaite, Punie & Wright, 2007;Fugger, Prazak, Hanke & Wassertheurer, 2007;Gentry, 2009;Kenner, 2008;Lauriks, Reinersmann, Van der Roest, Meiland, Davies, Moelaert et al 2007;Lyon, 2001;Mahoney, Purtilo, Webbe, Alwan, Bharucha, Adlam et al, 2007;Martin, Cunningham & Nugent, 2007;McLean, 2011;Niemeijer, Frederiks, Riphagen, Legemaate, Eefsting & Hertogh, 2010, 2010A. Nordgren, 2012;Anders Nordgren, 2013;Palm, Nordgren, Verweij & Collste, 2012;Palm, 2011;Remmers, 2010;Rigby, 2007;…”

“…While the content of the 'need' for PHM was often taken for granted, one study (Courtney, Demiris, Rantz & Skubic, 2008) explored perceptions of need in depth, describing it as multi-factored concept built upon internal and external perceptions of health and well-being, as well as the fit of the specific technology to the user's environment and current care regime.…”

Ethics of the health-related internet of things: a narrative review

“…This type of 'tradeoff' highlights the potential for H-IoT to simultaneously violate and enhance privacy. A tradeoff has been observed between personal privacy and safety, particularly among the mentally impaired patients (Ojasalo et al 2010;Stowe and Harding 2010;Landau et al 2010), as well as frail elderly (Melenhorst et al 2004;Courtney 2008;Courtney et al 2008;Steele et al 2009), and chronically ill persons (Salih et al 2011;Neild et al 2004). In these contexts, it has been stressed that personal privacy can be both protected by eliminating the need for in-person care (Ojasalo et al 2010;Essén 2008) and violated by the presence of a monitoring device (Melenhorst et al 2004;Steele et al 2009;Salih et al 2011).…”

Personalized Differential Privacy Preserving Data Aggregation for Smart Homes

“…Privacy concerns from smart homes have been proposed in plenty of literatures (e.g. in [13], [14]). The work [6] proposed a framework which is based upon k-anonymity and role access control.…”