In-Home Positioning for Remote Home Health Monitoring in Older Adults
Author Information
Author(s): Quialheiro Anna, Agbangla Nounagnon Frutueux, Wahl Hans-Werner, Chan Andrew MD, PhD, PEng, Cai Joanne BSc, Qian Linna BSc, Coutts Brendan BSc, Phan Steven BSc, Gregson Geoff MSc, LLM, PhD, Lipsett Michael PhD, PEng, Ríos Rincón Adriana M MSc, PhD
Primary Institution: Glenrose Rehabilitation Hospital, University of Alberta
Hypothesis
This systematic review aims to summarize the clinical evidence for in-home localization technologies, review the acceptability of monitoring, and summarize the range of technologies being used for in-home localization.
Conclusion
The clinical utility of localization remains mixed, with in-home sensors not being able to differentiate between older adults with healthy cognition and older adults with mild cognitive impairment, but frailty was detectable using in-home sensors.
Supporting Evidence
- Localization technologies can achieve room detection accuracies up to 92%.
- Linear accuracies of up to 5-20 cm may be promising for future clinical applications.
- Acceptability of localization technology is moderately positive, particularly with ambient sensors.
- Two studies reported mixed results on identifying mild cognitive dementia or frailty.
- Four studies reported mixed results on the acceptability of localization technology.
Takeaway
This study looked at technologies that help older people stay safe at home. Some of these technologies work well, but others don't always tell the difference between healthy and forgetful people.
Methodology
The PRISMA methodology was followed, with searches conducted in MEDLINE, Embase, CINAHL, and Scopus, and data extracted by two reviewers.
Potential Biases
The quality of studies was mixed, with many having fewer than 25 participants and case study designs.
Limitations
The clinical evidence for using localization technology to support care of older adults is currently limited, with many studies having small sample sizes and mixed quality.
Participant Demographics
The studies included older adults, with some focusing on those with mild cognitive impairment or dementia.
Digital Object Identifier (DOI)
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