BACKGROUND
Anomaly detection technologies have emerged as valuable tools for monitoring people living with dementia (PLwD) in home environments. These technologies address critical behaviors such as wandering, sleep disturbances, and agitation, which affect both patients and caregivers. Effective monitoring improves safety, supports early diagnosis, and alleviates caregiver stress. However, challenges such as sensor reliability, data accuracy, and privacy concerns hinder optimal use.
OBJECTIVE
This narrative literature review aims to explore the technologies employed for detecting behavioural anomalies in dementia care within home settings. It identifies the types of activities monitored, the sensor technologies used, and the trade-offs between system benefits and limitations.
METHODS
A comprehensive search was conducted across MEDLINE, IEEE Xplore, ACM Digital Library, and Web of Science databases, focusing on English-language studies published from 2000 onward. A total of 1,562 references were identified, with 78 studies selected for the final review after a multi-stage screening process. Thematic analysis was applied to categorize the findings according to activities monitored, detection purposes, sensor technologies, and the impact on caregiver and patient outcomes.
RESULTS
Three key motivations for the use of anomaly detection technologies were identified: (1) early diagnosis and clinical decision support, (2) safety monitoring and intervention, and (3) reduction of caregiver stress and promotion of autonomy for PLwD. Technologies used include GPS tracking, wearables, environmental sensors, and smart home systems. While wearable devices and GPS systems offer real-time alerts, environmental sensors provide non-intrusive monitoring. However, these technologies present limitations, including user compliance challenges, high false-positive rates, and privacy concerns, especially for audio-visual monitoring.
CONCLUSIONS
Anomaly detection technologies provide significant benefits in dementia care by enhancing safety, promoting autonomy, and reducing caregiver burden. However, sensor accuracy, usability, and ethical concerns must be addressed to ensure long-term effectiveness. Future research should focus on refining sensor technologies, integrating AI for personalized interventions, and addressing privacy concerns through non-intrusive designs. By overcoming these challenges, these technologies can better support the well-being of both PLwD and their caregivers, fostering safer, more independent living environments.