Objectives

To map the current state-of-knowledge about the effectiveness of smart home technologies to support the health outcomes of community-dwelling older adults living with dementia.

Design

A scoping review following the methodological frameworks described by Arksey and O’Malley (2005) and Levac et al. (2010).

Data sources

Electronic databases and online sources were searched in April 2020 using database specific medical subject headings and keywords about ‘smart homes’ and ‘dementia’.

Methods

Empirical peer-reviewed articles were included if they were written in English; used a quantitative, qualitative, or mixed method design; and presented the effects of a smart home technology on the health outcomes of community-dwelling adults living with dementia. Methodological and reporting quality of studies was assessed using the Mixed Methods Appraisal Tool – Version 2018.

Results

Five studies described evaluations of five smart home technology systems with a total of n = 617 community-dwelling people living with dementia. Collectively, studies showed potential effectiveness of the technologies on a range of health outcomes (physical activity, activities of daily living, sleep, anxiety, depression, agitation, irritability, risk of falls, cognitive functioning, night-time injury, unattended home exits). However, the overall methodological and reporting quality of studies was low and profiled a research field lacking in rigorous evaluation.

Conclusions

Based on current evidence, the success of smart home technologies to support people with dementia to live at home remains unclear. Recommendations are provided to inform future research into smart home technologies for community-based dementia care.

中文翻译：

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智能家居技术在支持社区居住的痴呆症老年人的健康结果方面的有效性：范围审查

目标

绘制有关智能家居技术有效性的当前知识状况，以支持社区居住的痴呆症老年人的健康结果。

设计

遵循 Arksey 和 O'Malley（2005 年）以及 Levac 等人描述的方法框架的范围界定审查。(2010)。

数据源

2020 年 4 月，使用数据库特定的医学主题标题和有关“智能家居”和“痴呆症”的关键字搜索了电子数据库和在线资源。

方法

如果文章是用英语写的，则包括经验性同行评审文章；使用定量、定性或混合方法设计；并介绍了智能家居技术对患有痴呆症的社区居民健康结果的影响。使用混合方法评估工具 - 2018 版评估研究的方法学和报告质量。

结果

五项研究描述了对五个智能家居技术系统的评估，共有n = 617 名社区居民患有痴呆症。总体而言，研究表明这些技术对一系列健康结果（身体活动、日常生活活动、睡眠、焦虑、抑郁、激动、易怒、跌倒风险、认知功能、夜间受伤、无人看管的家门口）的潜在有效性. 然而，研究的整体方法和报告质量较低，并且描述了一个缺乏严格评估的研究领域。

结论

根据目前的证据，智能家居技术能否成功支持痴呆症患者居家生活尚不清楚。提供了建议，以告知未来对基于社区的痴呆症护理的智能家居技术的研究。