a systematic literature review of smart technologies that promote health and wellbeing of older people living at home
May 2012 Authors
Meg Morris, PhD Chair Physiotherapy, The University of Melbourne Elizabeth Ozanne, PhD Associate Professor, Social Work, The University of Melbourne Kim Miller, PhD Senior Lecturer Physiotherapy, The University of Melbourne Nick Santamaria, PhD Chair Translational Nursing, The University of Melbourne Alan Pearce, PhD Senior Research Fellow, Deakin University Catherine Said, PhD Research Fellow Physiotherapy, The University of Melbourne Brooke Adair, B.Phys Research Assistant, The University of Melbourne
With appreciation to Lauren Byrne, David Carey, Caroline De Losa, Robert Powell, Michelle Ward, Tania Celeste, William Kurowski, Patricia Gillespie, Ralph Hampson, Erin Hickingbotham, Zuzana Machotka, Michelle Hall, Yasmin Ahamed, Kelly Bower and Clarissa Martin.
Institute for a Broadband-Enabled Society Level 4, Building 193 The University of Melbourne, Victoria 3010, Australia ISBN 978 0 7340 4781 6
© The University of Melbourne 2012 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be produced by any process without prior written permission from the University of Melbourne.
Australia, along with many parts of the world, has an ageing population. An ageing population puts pressure on existing structures such as hospitals and aged care facilities. Effective management of the demands of this population will present new challenges for policy makers, clinicians and the broader community. Smart technologies can assist older Australians to live safely and live well at home and in the community. A number of articles have explored the role of smart technologies however; there is a lack of scientific validation in the literature. This literature review systematically examined over 8,000 papers in six key areas:
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Smart homes Robotics Virtual reality and gaming Telemedicine for clinicians Telemedicine for consumers Social connectedness
The review identified many gaps in the scientific literature on smart technologies to assist older Australians to stay living at home. Current gaps include:
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The most beneficial technology systems to optimise health, safety and wellbeing for older Australians The health benefits of assistive technology The social impact of assistive technologies for older Australians The impact of assistive technologies in influencing the quality of life of elderly citizens in rural and regional Australia.
System wide planning is needed to harness the benefits of smart technologies. The systematic review identified the following key areas for future analysis:
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How smart technologies can be used to increase health and wellbeing at home How assistive technology can improve quality of life in elderly people, including in rural and regional Australia What policies, procedures and infrastructure are required for large scale installation of smart technologies into homes The need for economic evaluations to assess the impact of assistive technologies for elderly Australians
The findings from this review aim to inform future health policies and processes to transform the ways that ageing support services are delivered. A holistic, system wide approach to planning is essential if Australia is to make smart technologies accessible to older Australians, health and social care professionals, policy makers and the general community. Smart technologies for older people
Executive Summary 1 Introduction: Smart technologies for older people 2 Literature review 3 Smart homes 4 Robotics 5 Virtual reality and gaming 6 Telemedicine 7 Social connectedness 8 Discussion and conclusions Appendix A: Methodology Appendix B: Summary of literature References...