Literature review on monitoring technologies and their outcomes in independently living elderly people

Abstract

Purpose: To obtain insight into what kind of monitoring technologies exist to monitor activity in-home, what the characteristics and aims of applying these technologies are, what kind of research has been conducted on their effects and what kind of outcomes are reported. Methods: A systematic document search was conducted within the scientific databases Pubmed, Embase, Cochrane, PsycINFO and Cinahl, complemented by Google Scholar. Documents were included in this review if they reported on monitoring technologies that detect activities of daily living (ADL) or significant events, e.g. falls, of elderly people in-home, with the aim of prolonging independent living. Results: Five main types of monitoring technologies were identified: PIR motion sensors, body-worn sensors, pressure sensors, video monitoring and sound recognition. In addition, multicomponent technologies and smart home technologies were identified. Research into the use of monitoring technologies is widespread, but in its infancy, consisting mainly of small-scale studies and including few longitudinal studies. Conclusions: Monitoring technology is a promising field, with applications to the long-term care of elderly persons. However, monitoring technologies have to be brought to the next level, with longitudinal studies that evaluate their (cost-) effectiveness to demonstrate the potential to prolong independent living of elderly persons.

Implications for Rehabilitation

• Insight was obtained of what kind of technologies exist to monitor activity of daily living, what their functionalities and outcomes of using these technologies are to prolong independent living of non-institutionalised elderly people.

• Five main groups of monitoring technologies exist with a wide range of functionalities. Research into the use of monitoring technologies is widespread but in its infancy, consisting mainly of small-scale studies and including few longitudinal studies.

• Research into the use of monitoring technologies demonstrated that the systems are able to monitor daily activities and have the potential of prolonging independent living of elderly people.

• Activities of daily living
• fall events
• functional health status
• prolonging independently living
• posture recognition

Declaration of interest

The authors report no declarations of interest.