SMART technologies in older adult care: a scoping review and guide for caregivers

Abstract

Purpose: A wide gap exists between the innovation and development of self-monitoring, analysis and reporting technology (SMART) technologies and the actual adoption by older adults or those caring for them. This paper aims to increase awareness of available technologies and describes their suitability for older adults with different needs. SMART technologies are intelligent devices and systems that enable autonomous monitoring of their status, data analysis or direct feedback provision. Design/methodology/approach: This is a scoping review of SMART technologies used and marketed to older adults or for providing care. Findings: Five categories of SMART technologies were identified: (1) wearable technologies and smart tools of daily living; (2) noninvasive/unobtrusive technology (i.e. passive technologies monitoring the environment, health and behavior); (3) complex SMART systems; (4) interactive technologies; (5) assistive and rehabilitation devices. Technologies were then linked with needs related to everyday practical tasks (mainly applications supporting autonomous, independent living), social and emotional support, health monitoring/managing and compensatory assistance rehabilitation. Research limitations/implications: When developing, testing or implementing technologies for older adults, researchers should clearly identify concrete needs these technologies help meet to underscore their usefulness. Practical implications: Older adults and caregivers should weigh the pros and cons of different technologies and consider the key needs of older adults before investing in any tech solution. Social implications: SMART technologies meeting older adult needs help support both independent, autonomous life for as long as possible as well as aiding in the transition to assisted or institutionalized care. Originality/value: This is the first review to explicitly link existing SMART technologies with the concrete needs of older adults, serving as a useful guide for both older adults and caregivers in terms of available technology solutions. © 2024, Klára Rybenská, Lenka Knapová, Kamil Janiš, Jitka Kühnová, Richard Cimler and Steriani Elavsky.