1
|
Fessele KL, Syrkin G. Mobility Assessment Instruments. Semin Oncol Nurs 2024; 40:151660. [PMID: 39013731 DOI: 10.1016/j.soncn.2024.151660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 05/13/2024] [Accepted: 05/14/2024] [Indexed: 07/18/2024]
Abstract
OBJECTIVES Review commonly used mobility assessment instruments and discuss their use in multidisciplinary research and clinical practice. METHODS Data sources include peer-reviewed articles sourced in electronic databases (PubMed, CINAHL), government websites, national, and international best practice guidelines to describe frequently used mobility assessment instruments. RESULTS Numerous clinician-, observer-, patient-reported, and performance outcome instruments and evidence-based implementation program resources exist, though these vary in their intended purpose and setting. Wearable and ambient sensors provide new opportunities to collect passive, objective physical activity data and observe changes in mobility across settings. CONCLUSIONS Selection among multiple assessment tools requires consideration of the available evidence for use in the desired population, the outcomes of interest, whether use is feasible for the setting, and the strength of validity and reliability data for the tool. IMPLICATIONS FOR NURSING PRACTICE Nurses, especially in the inpatient setting, are typically in most frequent contact with patients and are well-positioned to assess mobility and ensure that safe, progressive mobility care plans are in place. Development of an organization-wide mobility culture requires a systematic, multidisciplinary approach and long-term commitment.
Collapse
Affiliation(s)
- Kristen L Fessele
- Department of Nursing, Office of Nursing Research, Memorial Sloan Kettering Cancer Center, New York, NY.
| | - Grigory Syrkin
- Department of Neurology, Rehabilitation Service, Memorial Sloan Kettering Cancer Center, New York, NY
| |
Collapse
|
2
|
Elavsky S, Knapova L, Janiš K, Cimler R, Kuhnova J, Cernicky T. Multiple Perspectives on the Adoption of SMART Technologies for Improving Care of Older People: Mixed Methods Study. J Med Internet Res 2024; 26:e45492. [PMID: 38324345 PMCID: PMC10882473 DOI: 10.2196/45492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 07/04/2023] [Accepted: 11/25/2023] [Indexed: 02/08/2024] Open
Abstract
BACKGROUND Despite the ever-increasing offering of SMART technologies (ie, computer-controlled devices acting intelligently and capable of monitoring, analyzing or reporting), a wide gap exists between the development of new technological innovations and their adoption in everyday care for older adults. OBJECTIVE This study aims to explore the barriers and concerns related to the adoption of SMART technologies among different groups of stakeholders. METHODS Data from 4 sources were used: semistructured in-person or internet-based interviews with professional caregivers (n=12), structured email interviews with experts in the area of aging (n=9), a web-based survey of older adults (>55 years) attending the Virtual University of the Third Age (n=369), and a case study on the adoption of new technology by an older adult care facility. RESULTS Although all stakeholders noted the potential of SMART technologies to improve older adult care, multiple barriers to their adoption were identified. Caregivers perceived older adults as disinterested or incompetent in using technology, reported preferring known strategies over new technologies, and noted own fears of using technology. Experts viewed technologies as essential but expressed concerns about cost, low digital competency of older adults, and lack of support or willingness to implement technologies in older adult care. Older adults reported few concerns overall, but among the mentioned concerns were lack of ability or interest, misuse of data, and limited usefulness (in specific subgroups or situations). In addition, older adults' ratings of the usefulness of different technologies correlated with their self-rating of digital competency (r=0.258; P<.001). CONCLUSIONS Older adults appeared to have more positive views of various technologies than professional caregivers; however, their concerns varied by the type of technology. Lack of competence and lack of support were among the common themes, suggesting that educationally oriented programs for both older adults and their caregivers should be pursued.
Collapse
Affiliation(s)
- Steriani Elavsky
- Department of Human Movement Studies, University of Ostrava, Ostrava, Czech Republic
| | - Lenka Knapova
- Department of Human Movement Studies, University of Ostrava, Ostrava, Czech Republic
| | - Kamil Janiš
- Department of Human Movement Studies, University of Ostrava, Ostrava, Czech Republic
| | | | - Jitka Kuhnova
- Faculty of Science, University of Hradec Karlove, Hradec Kralove, Czech Republic
| | | |
Collapse
|
3
|
Yang E. Implications of immersive technologies in healthcare sector and its built environment. FRONTIERS IN MEDICAL TECHNOLOGY 2023; 5:1184925. [PMID: 37799269 PMCID: PMC10548380 DOI: 10.3389/fmedt.2023.1184925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2023] [Accepted: 09/04/2023] [Indexed: 10/07/2023] Open
Abstract
Objectives This research focuses on how built environment experts can contribute to the MXR-enabled digital innovation as part of the multidisciplinary team effort to ensure post-pandemic resilience in healthcare built environment. The goal of this research is to help healthcare providers, built environment experts, and policy makers respectively: (1) Advocate the benefits of MXR for innovating health and social care; (2) Spark debate across networks of expertise to create health-promoting environment; and (3) Understand the overriding priorities in making effective pathways to the implementation of MXR. Methods To highlight the novelty of this research, the study relies on two qualitative methodologies: exploratory literature review and semi-structured interviews. Based on the evaluation of prior works and cross-national case studies, hypotheses are formulated from three arenas: (1) Cross-sectional Initiatives for Post-pandemic Resilience; (2) Interoperability and Usability of Next-gen Medicines; and (3) Metaverse and New Forms of Value in Future Healthcare Ecosystems. To verify those hypotheses, empirical findings are derived from in-depth interviews with nine key informants. Results The main findings are summarized under the following three themes: (1) Synergism between Architecture and Technology; (2) Patient Empowerment and Staff Support; and (3) Scalable Health and Wellbeing in Non-hospital and Therapeutic Settings. Firstly, both built environment and healthcare sectors can benefit from the various capabilities of MXR through cross-sectional initiatives, evidence-based practices, and participatory approaches. Secondly, a confluence of knowledge and methods of HCI and HBI can increase the interoperability and usability of MXR for the patient-centered and value-based healthcare models. Thirdly, the MXR-enabled technological regime will largely affect the new forms of value in healthcare premises by fostering more decentralized, preventive, and therapeutic characteristics in the future healthcare ecosystems. Conclusion Whether it's virtual or physical, our healthcare systems have placed great emphasis on the rigor of evidence-based approach linking health outcome to a clinical environment. Henceforth, built environment experts should seek closer ties with the MXR ecosystems for the co-production of scalable health and wellbeing in non-hospital and therapeutic settings. Ultimately, this is to improve resource efficiency in the healthcare sector while considering the transition of health resources towards in silico status by increasing the implementation of MXR.
Collapse
Affiliation(s)
- Eunsil Yang
- Healthcare Facilities, Bartlett School of Sustainable Construction, University College London, London, United Kingdom
| |
Collapse
|
4
|
Wang J, Liang Y, Cao S, Cai P, Fan Y. Application of Artificial Intelligence in Geriatric Care: Bibliometric Analysis. J Med Internet Res 2023; 25:e46014. [PMID: 37351923 PMCID: PMC10337465 DOI: 10.2196/46014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 05/02/2023] [Accepted: 05/25/2023] [Indexed: 06/24/2023] Open
Abstract
BACKGROUND Artificial intelligence (AI) can improve the health and well-being of older adults and has the potential to assist and improve nursing care. In recent years, research in this area has been increasing. Therefore, it is necessary to understand the status of development and main research hotspots and identify the main contributors and their relationships in the application of AI in geriatric care via bibliometric analysis. OBJECTIVE Using bibliometric analysis, this study aims to examine the current research hotspots and collaborative networks in the application of AI in geriatric care over the past 23 years. METHODS The Web of Science Core Collection database was used as a source. All publications from inception to August 2022 were downloaded. The external characteristics of the publications were summarized through HistCite and the Web of Science. Keywords and collaborative networks were analyzed using VOSviewers and Citespace. RESULTS We obtained a total of 230 publications. The works originated in 499 institutions in 39 countries, were published in 124 journals, and were written by 1216 authors. Publications increased sharply from 2014 to 2022, accounting for 90.87% (209/230) of all publications. The United States and the International Journal of Social Robotics had the highest number of publications on this topic. The 1216 authors were divided into 5 main clusters. Among the 230 publications, 4 clusters were modeled, including Alzheimer disease, aged care, acceptance, and the surveillance and treatment of diseases. Machine learning, deep learning, and rehabilitation had also become recent research hotspots. CONCLUSIONS Research on the application of AI in geriatric care has developed rapidly. The development of research and cooperation among countries/regions and institutions are limited. In the future, strengthening the cooperation and communication between different countries/regions and institutions may further drive this field's development. This study provides researchers with the information necessary to understand the current state, collaborative networks, and main research hotspots of the field. In addition, our results suggest a series of recommendations for future research.
Collapse
Affiliation(s)
- Jingjing Wang
- Department of Nursing, The Affiliated Hospital of Jiangsu University, Zhenjiang, China
- Medical College, Jiangsu University, Zhenjiang, China
| | - Yiqing Liang
- Department of Nursing, The Affiliated Hospital of Jiangsu University, Zhenjiang, China
- Medical College, Jiangsu University, Zhenjiang, China
| | - Songmei Cao
- Department of Nursing, The Affiliated Hospital of Jiangsu University, Zhenjiang, China
| | - Peixuan Cai
- Medical College, Jiangsu University, Zhenjiang, China
- Department of Geriatrics, The Affiliated Huaian No 1 People's Hospital of Nanjing Medical University, Huaian, China
| | - Yimeng Fan
- Department of Nursing, The Affiliated Hospital of Jiangsu University, Zhenjiang, China
- Medical College, Jiangsu University, Zhenjiang, China
| |
Collapse
|
5
|
Oyibo K, Wang K, Morita PP. Using Smart Home Technologies to Promote Physical Activity Among the General and Aging Populations: Scoping Review. J Med Internet Res 2023; 25:e41942. [PMID: 37171839 DOI: 10.2196/41942] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 02/21/2023] [Accepted: 03/30/2023] [Indexed: 05/13/2023] Open
Abstract
BACKGROUND Health-monitoring smart homes are becoming popular, with experts arguing that 9-to-5 health care services might soon become a thing of the past. However, no review has explored the landscape of smart home technologies that aim to promote physical activity and independent living among a wide range of age groups. OBJECTIVE This review aims to map published studies on smart home technologies aimed at promoting physical activity among the general and aging populations to unveil the state of the art, its potential, and the research gaps and opportunities. METHODS Articles were retrieved from 6 databases (PubMed, CINAHL, Scopus, IEEE Xplore, ACM Library, and Web of Science). The criteria for inclusion were that the articles must be user studies that dealt with smart home or Active Assisted Living technologies and physical activity, were written in English, and were published in peer-reviewed journals. In total, 3 researchers independently and collaboratively assessed the eligibility of the retrieved articles and elicited the relevant data and findings using tables and charts. RESULTS This review synthesized 20 articles that met the inclusion criteria, 70% (14/20) of which were conducted between 2018 and 2020. Three-quarters of the studies (15/20, 75%) were conducted in Western countries, with the United States accounting for 25% (5/20). Activities of daily living were the most studied (9/20, 45%), followed by physical activity (6/20, 30%), therapeutic exercise (4/20, 20%), and bodyweight exercise (1/20, 5%). K-nearest neighbor and naïve Bayes classifier were the most used machine learning algorithms for activity recognition, with at least 10% (2/20) of the studies using either algorithm. Ambient and wearable technologies were equally studied (8/20, 40% each), followed by robots (3/20, 15%). Activity recognition was the most common goal of the evaluated smart home technologies, with 55% (11/20) of the studies reporting it, followed by activity monitoring (7/20, 35%). Most studies (8/20, 40%) were conducted in a laboratory setting. Moreover, 25% (5/20) and 10% (2/20) were conducted in a home and hospital setting, respectively. Finally, 75% (15/20) had a positive outcome, 15% (3/20) had a mixed outcome, and 10% (2/20) had an indeterminate outcome. CONCLUSIONS Our results suggest that smart home technologies, especially digital personal assistants, coaches, and robots, are effective in promoting physical activity among the young population. Although only few studies were identified among the older population, smart home technologies hold bright prospects in assisting and aiding older people to age in place and function independently, especially in Western countries, where there are shortages of long-term care workers. Hence, there is a need to do more work (eg, cross-cultural studies and randomized controlled trials) among the growing aging population on the effectiveness and acceptance of smart home technologies that aim to promote physical activity.
Collapse
Affiliation(s)
- Kiemute Oyibo
- Department of Electrical Engineering & Computer Science, York University, Toronto, ON, Canada
| | - Kang Wang
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada
| | - Plinio Pelegrini Morita
- School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada
- Department of Systems Design Engineering, University of Waterloo, Waterloo, ON, Canada
- Centre for Digital Therapeutics, Techna Institute, University Health Network, Toronto, ON, Canada
- Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada
| |
Collapse
|
6
|
Hu H, Ambadar Z, Quinby E, Choi YK, Setiawan IMA, Saptono A, Parmanto B, Dicianno BE. The iMHere 2.0 System for Family Caregivers of Older Adults: A Focus Group. Int J Telerehabil 2023; 15:e6557. [PMID: 38046547 PMCID: PMC10687951 DOI: 10.5195/ijt.2023.6557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2023] Open
Abstract
Background Family caregivers with continuous caregiving responsibilities are at increased risk for adverse physical and mental health outcomes. In response to the challenges of caregiving, a mobile health system (iMHere 2.0) was developed to support caregivers. The study's objective was to gather feedback from family caregivers of older adults on the current features of iMHere 2.0 and to formulate design criteria for future iterations of the system. Methods An exploratory qualitative study with thematic analyses of focus group feedback. Findings A total of 10 caregivers of older adults participated in a focus group. Five themes emerged: (1) Monitoring health data, (2) Setting up customized reminders, (3) Supporting care coordination, (4) Balancing security and multiple user access, and (5) Disseminating iMHere 2.0 into the community, along with some potential barriers to implementation. Conclusions Design criteria were developed to provide a framework for iterative design and development of the iMHere system to support caregivers of older adults.
Collapse
Affiliation(s)
- Haomin Hu
- Department of Health Information Management, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Zara Ambadar
- Department of Physical Medicine and Rehabilitation, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Eleanor Quinby
- Department of Physical Medicine and Rehabilitation, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Yong K. Choi
- Department of Health Information Management, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - I Made Agus Setiawan
- Department of Health Information Management, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- Department of Computer Science, Udayana University, Badung, Bali, Indonesia
| | - Andi Saptono
- Department of Health Information Management, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Bambang Parmanto
- Department of Health Information Management, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Brad E. Dicianno
- Department of Physical Medicine and Rehabilitation, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
- Human Engineering Research Laboratories, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA
| |
Collapse
|
7
|
Garcia Reyes EP, Kelly R, Buchanan G, Waycott J. Understanding Older Adults' Experiences With Technologies for Health Self-management: Interview Study. JMIR Aging 2023; 6:e43197. [PMID: 36943333 PMCID: PMC10131633 DOI: 10.2196/43197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 02/13/2023] [Accepted: 02/13/2023] [Indexed: 03/23/2023] Open
Abstract
BACKGROUND Many older adults now use technologies such as wearable devices and telehealth services to support their health and well-being while living independently at home. However, older adults vary in how they use these technologies, and there is a lack of knowledge regarding the motivations that influence their acceptance and use of health-related technologies in home environments. OBJECTIVE This study aimed to understand the types of technologies that older adults use to support their health and the factors that motivate them to use their chosen technologies to support their health. In addition, we aimed to understand the factors that enable the effective use of technologies for health self-management and to identify the barriers that can negatively affect the adoption of technologies. METHODS A total of 22 older adults participated in semistructured interviews regarding their experiences of using technologies for health self-management. Interview transcripts were analyzed through an in-depth thematic analysis. RESULTS The interviews revealed that a range of technologies, such as videoconferencing software, fitness trackers, and other devices, were being used by older adults to support their health. Interviews showed that participants were motivated to use technologies to monitor health issues, to stay active and connected, and to record and change their behavior in the light of foreseen risks related to their future health status. Enablers that facilitated the effective use of technologies include social and organizational influence, convenient access to health care and safety provided by the technology, and easy setup and low cost of the technology. Barriers include information overload and a sense of futility about future health decline; telehealth being an inadequate substitute for in-person consultation; concerns about trust related to privacy and accuracy; and technologies being stigmatizing, uncomfortable to use, expensive, and unfamiliar. CONCLUSIONS This study suggested that older adults were using a variety of technologies to prevent or prepare for future health decline, evidencing a resilient attitude toward health and aging. In addition, older adults were willing to continue using the technology when there was a perceived need. The enabler mentioned by most participants was the social and organizational influence that included health care staff, family, friends, and organizations. This analysis provides a better understanding of how older adults use technologies to support their health and can guide the provision of appropriate health technologies for them.
Collapse
Affiliation(s)
- Elsy Paola Garcia Reyes
- School of Computing and Information Systems, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Australia
| | - Ryan Kelly
- School of Computing and Information Systems, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Australia
| | - George Buchanan
- School of Computing and Information Systems, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Australia
| | - Jenny Waycott
- School of Computing and Information Systems, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Australia
| |
Collapse
|
8
|
Becerik-Gerber B, Lucas G, Aryal A, Awada M, Bergés M, Billington S, Boric-Lubecke O, Ghahramani A, Heydarian A, Höelscher C, Jazizadeh F, Khan A, Langevin J, Liu R, Marks F, Mauriello ML, Murnane E, Noh H, Pritoni M, Roll S, Schaumann D, Seyedrezaei M, Taylor JE, Zhao J, Zhu R. The field of human building interaction for convergent research and innovation for intelligent built environments. Sci Rep 2022; 12:22092. [PMID: 36543830 PMCID: PMC9769481 DOI: 10.1038/s41598-022-25047-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 11/23/2022] [Indexed: 12/24/2022] Open
Abstract
Human-Building Interaction (HBI) is a convergent field that represents the growing complexities of the dynamic interplay between human experience and intelligence within built environments. This paper provides core definitions, research dimensions, and an overall vision for the future of HBI as developed through consensus among 25 interdisciplinary experts in a series of facilitated workshops. Three primary areas contribute to and require attention in HBI research: humans (human experiences, performance, and well-being), buildings (building design and operations), and technologies (sensing, inference, and awareness). Three critical interdisciplinary research domains intersect these areas: control systems and decision making, trust and collaboration, and modeling and simulation. Finally, at the core, it is vital for HBI research to center on and support equity, privacy, and sustainability. Compelling research questions are posed for each primary area, research domain, and core principle. State-of-the-art methods used in HBI studies are discussed, and examples of original research are offered to illustrate opportunities for the advancement of HBI research.
Collapse
Affiliation(s)
- Burcin Becerik-Gerber
- grid.42505.360000 0001 2156 6853Sonny Astani Department of Civil and Environmental Engineering, University of Southern California, Los Angeles, USA
| | - Gale Lucas
- grid.42505.360000 0001 2156 6853Institute for Creative Technologies, University of Southern California, Los Angeles, USA
| | - Ashrant Aryal
- grid.264756.40000 0004 4687 2082Department of Construction Science, Texas A&M University, College Station, USA
| | - Mohamad Awada
- grid.42505.360000 0001 2156 6853Sonny Astani Department of Civil and Environmental Engineering, University of Southern California, Los Angeles, USA
| | - Mario Bergés
- grid.147455.60000 0001 2097 0344Department of Civil and Environmental Engineering, Carnegie Mellon University, Pittsburgh, USA
| | - Sarah Billington
- grid.168010.e0000000419368956Department of Civil and Environmental Engineering, Stanford University, Stanford, USA
| | - Olga Boric-Lubecke
- grid.410445.00000 0001 2188 0957Department of Electrical and Computer Engineering, University of Hawaii at Manoa, Honolulu, USA
| | - Ali Ghahramani
- grid.4280.e0000 0001 2180 6431Department of the Built Environment, National University of Singapore, Singapore, Singapore
| | - Arsalan Heydarian
- grid.27755.320000 0000 9136 933XDepartment of Engineering Systems and Environment, Link Lab, University of Virginia, Charlottesville, USA
| | - Christoph Höelscher
- grid.5801.c0000 0001 2156 2780Department of Humanities, Social and Political Sciences, ETH Zurich, Zurich, Switzerland ,grid.514054.10000 0004 9450 5164Future Cities Laboratory Global, Singapore ETH Centre, Singapore, Singapore
| | - Farrokh Jazizadeh
- grid.438526.e0000 0001 0694 4940Department of Civil and Environmental Engineering, Virginia Tech, Blacksburg, USA
| | - Azam Khan
- Trax.Co, Toronto, Canada ,grid.17063.330000 0001 2157 2938University of Toronto, Toronto, Canada
| | - Jared Langevin
- grid.184769.50000 0001 2231 4551Lawrence Berkeley National Laboratory, Berkeley, USA
| | - Ruying Liu
- grid.42505.360000 0001 2156 6853Sonny Astani Department of Civil and Environmental Engineering, University of Southern California, Los Angeles, USA
| | - Frederick Marks
- grid.250671.70000 0001 0662 7144Salk Institute for Biological Studies, La Jolla, USA
| | - Matthew Louis Mauriello
- grid.33489.350000 0001 0454 4791Department of Computer and Information Sciences, University of Delaware, Newark, USA
| | - Elizabeth Murnane
- grid.254880.30000 0001 2179 2404Thayer School of Engineering, Dartmouth College, Hanover, USA
| | - Haeyoung Noh
- grid.168010.e0000000419368956Department of Civil and Environmental Engineering, Stanford University, Stanford, USA
| | - Marco Pritoni
- grid.184769.50000 0001 2231 4551Building Technology and Urban Systems Division, Lawrence Berkeley National Laboratory, Berkeley, USA
| | - Shawn Roll
- grid.42505.360000 0001 2156 6853Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, USA
| | - Davide Schaumann
- grid.6451.60000000121102151Faculty of Architecture and Town Planning, Technion – Israel Institute of Technology, Haifa, Israel
| | - Mirmahdi Seyedrezaei
- grid.42505.360000 0001 2156 6853Sonny Astani Department of Civil and Environmental Engineering, University of Southern California, Los Angeles, USA
| | - John E. Taylor
- grid.213917.f0000 0001 2097 4943School of Civil and Environmental Engineering, Georgia Institute of Technology, Atlanta, USA
| | - Jie Zhao
- Delos Labs, Delos, USA ,grid.25879.310000 0004 1936 8972Weitzman School of Design, University of Pennsylvania, Philadelphia, USA
| | - Runhe Zhu
- grid.42505.360000 0001 2156 6853Sonny Astani Department of Civil and Environmental Engineering, University of Southern California, Los Angeles, USA
| |
Collapse
|
9
|
Lee C. Technology and aging: the jigsaw puzzle of design, development and distribution. NATURE AGING 2022; 2:1077-1079. [PMID: 37118534 DOI: 10.1038/s43587-022-00325-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Affiliation(s)
- Chaiwoo Lee
- Massachusetts Institute of Technology AgeLab, Cambridge, MA, USA.
| |
Collapse
|
10
|
Wadu Mesthrige J, Oladinrin OT, Ojo LD. Critical Barriers of Using Smart Home Technologies (SHTs) to the Elderly in Hong Kong. JOURNAL OF AGING AND ENVIRONMENT 2022. [DOI: 10.1080/26892618.2022.2062805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Jayantha Wadu Mesthrige
- School of Property Construction and Project Management, RMIT University, Melbourne, Australia
| | - Olugbenga Timo Oladinrin
- School of Architecture and Built Environment, University of Wolverhampton, Wolverhampton, United Kingdom
| | - Lekan Damilola Ojo
- Department of Architecture and Civil Engineering, City University of Hong Kong, Kowloon Tong, Kowloon, Hong Kong
| |
Collapse
|
11
|
Fong JH, Youn Y. Assessing patterns and stability of ADL hierarchical scales for functional disability assessment. THE GERONTOLOGIST 2022; 63:773-782. [PMID: 35443060 DOI: 10.1093/geront/gnac057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND AND OBJECTIVES This study examined the stability over time of activities of daily living (ADL) items in three comparable longitudinal datasets and evaluated ADL loss sequences for older adults in the U.S., South Korea, and Japan. RESEARCH DESIGN AND METHODS Data from the U.S. Health and Retirement Study, and its two international sister surveys, were analyzed. Subjects were community-dwelling adults aged 60 and above. For each dataset, Rasch analysis was implemented to determine if the ordering of items remained stable across multiple waves (2006-2014), such that a single ADL hierarchy may be derived from multi-wave data. RESULTS Data fitted the Rasch model well. Item calibrations were sufficiently stable across measurement periods in each dataset, reflecting a stable frame of reference. Results were also robust to sample variations. The derived ADL hierarchies based on scaled logit scores revealed that "dressing" and "bathing" were relatively more difficult items for older adults in all study populations. DISCUSSION AND IMPLICATIONS Scale stability is essential when exploiting longitudinal data to analyze patterns in ADL disabilities. The consistency in ADL scales across measurement periods supports their use as screening tools and identifying those at risk for transitions in care. Interventions to reduce dependency in bathing and dressing can help improve independent functioning for community-dwelling elderly.
Collapse
Affiliation(s)
- Joelle H Fong
- Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore
| | - Yongjoon Youn
- Lee Kuan Yew School of Public Policy, National University of Singapore, Singapore
| |
Collapse
|
12
|
Wang J, Fu Y, Lou V, Tan SY, Chui E. A systematic review of factors influencing attitudes towards and intention to use the long-distance caregiving technologies for older adults. Int J Med Inform 2021; 153:104536. [PMID: 34325206 DOI: 10.1016/j.ijmedinf.2021.104536] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 07/05/2021] [Accepted: 07/14/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE Long-distance caregiving (LDC) technologies play a significant role in enabling distant care and facilitating living-alone older adults to keep socially connected. However, there is scarce research exploring the older adults' attitudes towards and intention to use such technologies. This paper is based on a systematic review of existing literature to explore the multifarious factors influencing independent community-living older adults' attitudes towards and intention to use LDC technologies. METHODS Articles published in English between 2006 and 2020 were reviewed by searching electronic databases of PubMed, ProQuest, EBSCOhost. The inclusion criteria were limited to quantitative, qualitative, or mixed-methods studies that involved: 1) distant caregiving; 2) older adults aged 60 years or above, who were living alone or with only their spouse in the community (even though the samples might also involve other non-older adults); 3) technologies including ICT-based devices, systems, or programs enabling data transmission were used; 4), intention to use or behavioral usage in regard to the technologies were reported or discussed. RESULTS In total, 41 out of 8674 articles were included. Both determinants and moderators of affecting the use of the ICT-based LDC technologies were identified with theoretical guidance. To summarize, there are personal factors involved, such as personality, concerns regarding security and privacy, health conditions, requisite knowledge, financial conditions, and influence from significant others, encompassing formal and informal caregivers; and factors related to the devices, in terms of their user-friendliness and functionality. CONCLUSION This review highlights the importance of striking a good balance between functionality and privacy concerns, besides considering the direct and indirect cost to users. LDC technology education should be promoted at the societal level to facilitate older adults' better understanding of the device utilities by enhancing their technological literacy. Implications for various stakeholders to cope with the challenges of an aging population are also discussed.
Collapse
Affiliation(s)
- J Wang
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam Road, Hong Kong.
| | - Y Fu
- School of Social Development and Public Policy, Beijing Normal University, North Main Building 2003, 19 Xinjiekou Wai St., Beijing 100875, China.
| | - V Lou
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam Road, Hong Kong; Sau Po Centre on Ageing, The University of Hong Kong, Pokfulam Road, Hong Kong.
| | - S Y Tan
- Lee Kuan Yew School of Public Policy, National University of Singapore, 469C Bukit Timah Road, Singapore 259772, Singapore.
| | - E Chui
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam Road, Hong Kong.
| |
Collapse
|
13
|
How the nursing profession should adapt for a digital future. BRITISH MEDICAL JOURNAL 2021. [PMCID: PMC8201520 DOI: 10.1136/bmj.n1190] [Citation(s) in RCA: 60] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
|
14
|
Despins LA, Guidoboni G, Skubic M, Sala L, Enayati M, Popescu M, Deroche CB. Using Sensor Signals in the Early Detection of Heart Failure: A Case Study. J Gerontol Nurs 2021; 46:41-46. [PMID: 32598000 DOI: 10.3928/00989134-20200605-07] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Early detection of heart failure in older adults will be a significant issue for the foreseeable future. The current article presents a case study to describe how monitoring ballistocardiogram (BCG) waveforms captured non-invasively using sensors placed under a bed mattress can detect early heart failure changes. Heart and respiratory rates obtained from the bed sensor of a female older adult who was hospitalized with acute mixed congestive heart failure, clinic notes, and data from computer simulations reflecting increasing diastolic dysfunction were analyzed. Mean heart and respiratory rate trends obtained from her bed sensor in the prior 2 months did not indicate heart failure. BCG waveforms resulting from the simulations demonstrated changes associated with decreasing cardiac output as diastolic function worsened. Developing new methods for clinically interpreting BCG waveforms presents a significant opportunity for improving early heart failure detection. [Journal of Gerontological Nursing, 46(7), 41-46.].
Collapse
|
15
|
Berridge C, Demiris G, Kaye J. Domain Experts on Dementia-Care Technologies: Mitigating Risk in Design and Implementation. SCIENCE AND ENGINEERING ETHICS 2021; 27:14. [PMID: 33599847 PMCID: PMC7892732 DOI: 10.1007/s11948-021-00286-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Accepted: 12/21/2020] [Indexed: 06/12/2023]
Abstract
There is an urgent need to learn how to appropriately integrate technologies into dementia care. The aims of this Delphi study were to project which technologies will be most prevalent in dementia care in five years, articulate potential benefits and risks, and identify specific options to mitigate risks. Participants were also asked to identify technologies that are most likely to cause value tensions and thus most warrant a conversation with an older person with mild dementia when families are deciding about their use. Twenty-one interdisciplinary domain experts from academia and industry in aging and technology in the U.S. and Canada participated in a two-round online survey using the Delphi approach with an 84% response rate and no attrition between rounds. Rankings were analyzed using frequency counts and written-in responses were thematically analyzed. Twelve technology categories were identified along with a detailed list of risks and benefits for each. Suggestions to mitigate the most commonly raised risks are categorized as follows: intervene during design, make specific technical choices, build in choice and control, require data transparency, place restrictions on data use and ensure security, enable informed consent, and proactively educate users. This study provides information that is needed to navigate person-centered technology use in dementia care. The specific recommendations participants offered are relevant to designers, clinicians, researchers, ethicists, and policy makers and require proactive engagement from design through implementation.
Collapse
Affiliation(s)
- Clara Berridge
- School of Social Work, University of Washington, Seattle, WA USA
| | - George Demiris
- School of Nursing and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA USA
| | - Jeffrey Kaye
- School of Medicine, Oregon Health and Science University, Portland, OR USA
| |
Collapse
|
16
|
Cramer SC, Dodakian L, Le V, McKenzie A, See J, Augsburger R, Zhou RJ, Raefsky SM, Nguyen T, Vanderschelden B, Wong G, Bandak D, Nazarzai L, Dhand A, Scacchi W, Heckhausen J. A Feasibility Study of Expanded Home-Based Telerehabilitation After Stroke. Front Neurol 2021; 11:611453. [PMID: 33613417 PMCID: PMC7888185 DOI: 10.3389/fneur.2020.611453] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 12/04/2020] [Indexed: 01/17/2023] Open
Abstract
Introduction: High doses of activity-based rehabilitation therapy improve outcomes after stroke, but many patients do not receive this for various reasons such as poor access, transportation difficulties, and low compliance. Home-based telerehabilitation (TR) can address these issues. The current study evaluated the feasibility of an expanded TR program. Methods: Under the supervision of a licensed therapist, adults with stroke and limb weakness received home-based TR (1 h/day, 6 days/week) delivered using games and exercises. New features examined include extending therapy to 12 weeks duration, treating both arm and leg motor deficits, patient assessments performed with no therapist supervision, adding sensors to real objects, ingesting a daily experimental (placebo) pill, and generating automated actionable reports. Results: Enrollees (n = 13) were median age 61 (IQR 52-65.5), and 129 (52-486) days post-stroke. Patients initiated therapy on 79.9% of assigned days and completed therapy on 65.7% of days; median therapy dose was 50.4 (33.3-56.7) h. Non-compliance doubled during weeks 7-12. Modified Rankin scores improved in 6/13 patients, 3 of whom were >3 months post-stroke. Fugl-Meyer motor scores increased by 6 (2.5-12.5) points in the arm and 1 (-0.5 to 5) point in the leg. Assessments spanning numerous dimensions of stroke outcomes were successfully implemented; some, including a weekly measure that documented a decline in fatigue (p = 0.004), were successfully scored without therapist supervision. Using data from an attached sensor, real objects could be used to drive game play. The experimental pill was taken on 90.9% of therapy days. Automatic actionable reports reliably notified study personnel when critical values were reached. Conclusions: Several new features performed well, and useful insights were obtained for those that did not. A home-based telehealth system supports a holistic approach to rehabilitation care, including intensive rehabilitation therapy, secondary stroke prevention, screening for complications of stroke, and daily ingestion of a pill. This feasibility study informs future efforts to expand stroke TR. Clinical Trial Registration: Clinicaltrials.gov, # NCT03460587.
Collapse
Affiliation(s)
- Steven C. Cramer
- Department of Neurology, University of California, Los Angeles, Los Angeles, CA, United States
- California Rehabilitation Institute, Los Angeles, CA, United States
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Lucy Dodakian
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Vu Le
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Alison McKenzie
- Department of Physical Therapy, Chapman University, Orange, CA, United States
| | - Jill See
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Renee Augsburger
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Robert J. Zhou
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Sophia M. Raefsky
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Thalia Nguyen
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | | | - Gene Wong
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Daniel Bandak
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Laila Nazarzai
- Department of Neurology, University of California, Irvine, Irvine, CA, United States
| | - Amar Dhand
- Department of Neurology, Brigham and Women's Hospital, Boston, MA, United States
| | - Walt Scacchi
- Institute for Software Research, University of California, Irvine, Irvine, CA, United States
| | - Jutta Heckhausen
- Department of Psychological Science, University of California, Irvine, Irvine, CA, United States
| |
Collapse
|
17
|
Li L, Sun N, Yu L, Dong X, Zhao J, Ying Y. The Needs of Older Adults With Disabilities With Regard to Adaptation to Aging and Home Care: Questionnaire Study. JMIR Rehabil Assist Technol 2020; 7:e16012. [PMID: 33104000 PMCID: PMC7652685 DOI: 10.2196/16012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Revised: 07/21/2020] [Accepted: 09/12/2020] [Indexed: 11/13/2022] Open
Abstract
Background The home environment is an important means of support in home-based care services for older people. A home environment that facilitates healthy aging can help older adults maximize their self-care abilities and integrate and utilize care resources. However, some home environments fail to meet the needs of older adults with disabilities. Objective This paper aimed to study the needs of older adults with disabilities with respect to adaptation to aging, and to analyze the associations of individual factors and dysfunction with those needs. Methods A questionnaire survey was administered to 400 older adults with disabilities from 10 communities in Ningbo City, Zhejiang Province, China. The survey was conducted from August 2018 to February 2019. Results A total of 370 participants completed the survey. The proportion of participants with mild dysfunction was the highest (128/370, 34.59%), followed by those with extremely mild (107/370, 28.92%), moderate (72/370, 19.46%), and severe (63/370, 17.03%) dysfunction. The care needs of older adults with extremely mild and mild dysfunction pertained primarily to resting, a supportive environment, and transformation of indoor activity spaces. The care needs of older adults with moderate dysfunction pertained mainly to resting and renovation of bathing and toilet spaces. Factors influencing the needs of older adults with disabilities were dysfunction (P=.007), age (P=.006), monthly income (P=.005), and living conditions (P=.04). Conclusions The needs of older adults with disabilities varied by the degree of dysfunction, and many factors influenced these needs in the community. These findings may provide a scientific basis for developing community-specific aging-related adaptation services for older adults with disabilities in the future.
Collapse
Affiliation(s)
- Laiyou Li
- Ningbo College of Health Sciences, Ningbo, China
| | - Ning Sun
- Ningbo College of Health Sciences, Ningbo, China
| | - Libo Yu
- Ningbo College of Health Sciences, Ningbo, China
| | - Xiaoxin Dong
- Ningbo College of Health Sciences, Ningbo, China
| | - Jing Zhao
- Ningbo College of Health Sciences, Ningbo, China
| | - Yuchen Ying
- Ningbo College of Health Sciences, Ningbo, China
| |
Collapse
|
18
|
Gance-Cleveland B, McDonald CC, Walker RK. Use of theory to guide development and application of sensor technologies in Nursing. Nurs Outlook 2020; 68:698-710. [PMID: 32620271 DOI: 10.1016/j.outlook.2020.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 04/01/2020] [Accepted: 04/25/2020] [Indexed: 11/28/2022]
Abstract
Sensor technologies for health care, research, and consumers have expanded and evolved rapidly. Many technologies developed in commercial or engineering spaces, lack theoretical grounding and scientific evidence to support their need, safety, and efficacy. Theory is a mechanism for synthesizing and guiding knowledge generation for the discipline of nursing, including the design, implementation, and evaluation of sensors and related technologies such as artificial intelligence and machine learning. In this paper, three nurse scientists summarize their presentations at the Council for the Advancement of Nursing Science 2019 Advanced Methods Conference on Expanding Science of Sensor Technology in Research discussing the theoretical underpinnings of sensor technologies development and use in nursing research and practice. Multiple theories with diverse epistemological roots guide decision-making about whether or not to apply sensors to a given use; development of, components of, and mechanisms by which sensor technologies are expected to work; and possible outcomes.
Collapse
Affiliation(s)
| | - Catherine C McDonald
- University of Pennsylvania School of Nursing, University of Pennsylvania Injury Science Center, Center for Injury Research Prevention at the Children's Hospital of Philadelphia, Philadelphia, PA
| | - Rachel K Walker
- College of Nursing, IALS Center for Health & Human Performance, University of Massachusetts-Amherst, Amherst, MA
| |
Collapse
|
19
|
Affiliation(s)
- Basia Belza
- The Aljoya Endowed Professor of Aging, School of Nursing, University of Washington, Seattle, Washington
| | - Janet Primomo
- Associate Professor Emeritus, University of Washington Tacoma, School of Nursing & Healthcare Leadership, Tacoma, Washington
| |
Collapse
|