Objectives

Ambient assisted living technologies (AALTs) are being used to help community-dwelling older adults (OAs) age in place. Although many AALT are available, their acceptance (perceived usefulness, ease of use, intention to use and actual usage) is needed to improve their design and impact. This study aims to 1) identify AALTs that underwent an acceptance evaluation in rehabilitation contexts, 2) identify methodological tools and approaches to measure acceptance in ambient assisted living (AAL) in rehabilitation research, and 3) summarize AALT acceptance results in existing rehabilitation literature with a focus on peer-reviewed scientific articles.

Methods

A scoping review was conducted in the following databases: Medline, Embase, Cinahl, and PsycInfo, following the Arksey and O’Malley framework (2009). Four acceptance attributes were extracted: ‘user acceptance’, ‘perceived usefulness’, ‘ease of use’, and ‘intention to use’. Data regarding AALT, participants, acceptance evaluation methods and results were extracted.

Results

A total of 21 articles were included among 634 studies retrieved from the literature. We identified 51 AALTs dedicated to various rehabilitation contexts, most of which focused on monitoring OAs’ activities and environmental changes. Acceptance of AALT was evaluated using interviews, questionnaires, focus groups, informal feedback, observation, card sort tasks, and surveys. Although OAs intend to use – or can perceive the usefulness of – AALTs, they are hesitant to accept the technology and have concerns about its adoption.

Discussion and conclusions

The assessment of AALT acceptance in contexts of rehabilitation requires more comprehensive and standardized methodologies. The use of mixed-methods research is encouraged to cover the needs of particular studies. The timing of acceptance assessment should be considered throughout technology development phases to maximize AALT implementation.

中文翻译：

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评估环境辅助生活技术（AALT）在康复中的接受程度：范围界定审查

目标

使用环境辅助生活技术（AALT）来帮助社区居住的老年人（OAs）到位。尽管有许多AALT可用，但仍需要接受它们（感知的有用性，易用性，使用意图和实际使用）以改善其设计和影响。这项研究的目的是：1）确定在康复环境中接受接受评估的AALT； 2）确定在康复研究中测量环境辅助生活（AAL）接受程度的方法学工具和方法； 3）在现有康复文献中总结AALT接受结果，包括：专注于同行评审的科学文章。

方法

遵循Arksey和O'Malley框架（2009），在以下数据库中进行了范围界定审查：Medline，Embase，Cinahl和PsycInfo。提取了四个接受属性：“用户接受”，“感知有用性”，“易于使用”和“使用意图”。提取有关AALT，参与者，验收评估方法和结果的数据。

结果

从文献中检索出的634项研究中总共包括21篇文章。我们确定了51个AALT，这些AALT专门用于各种康复环境，其中大多数集中于监视OA的活动和环境变化。使用访谈，问卷调查，焦点小组，非正式反馈，观察，卡片分类任务和调查来评估对AALT的接受程度。尽管OA打算使用AALT或意识到AALT的有用性，但他们仍不愿接受该技术，并对其采用感到担忧。

讨论和结论

在康复情况下对AALT接受度的评估需要更全面和标准化的方法。鼓励使用混合方法研究以满足特定研究的需求。应在整个技术开发阶段中考虑验收评估的时机，以最大程度地实施AALT。