Ageing in place and the internet of things \u2013 how smart home technologies, the built environment and caregiving intersect

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Smart technologies and the Internet of Things (IoT), have the potential to play a significant role in enabling older people to age in place. Although there has been substantial development of new applications of sensor technology in the home, this has tended to be tele-health focused, and there has been less work done on the role of IoT and ageing in place that more broadly considers caregiving and the built environment. Research in the field of IoT development and evaluation has recognised a number of challenges and limitations associated with past smart technology developments to support Ageing in Place, calling for user centeredness and better integration with broader systems. Compounding this, research into Ageing in Place and home environments has focused on built environments and largely ignored the impact of technology in the lives of older people staying at home. Recognising a gap in acknowledging the potential impact of technology on Ageing in Place theories, the purpose of this paper is to conceptualise a way of framing smart technology within an Ageing in Place model that acknowledges the interaction of smart technology with the built environment and caregiving and to present a framework for visualising the interactions that take place. A review of Environmental Gerontology model development is undertaken and a new model is presented that recognises the role of technology in Ageing in Place. Based on this model, a template is developed and three case studies of older people’s experiences of smart home technology, home modifications and caregiving are mapped out. These are used to demonstrate “proof of concept” of the relationships put forward in the HAST model and the pre-curser for a template to help people map smart technology and its role in supporting caregiving and ageing in place. This paper’s position is that technologies such as IoT further support the role of the built environment and caregiving to produce outcomes that enable older people to remain autonomous, independent, safe and well at home. However, a number of risks were also identified through the case studies, the issues of maintenance, cost and ease of use, and willingness to use are considerations and potential barriers to the benefits of smart technology.

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Optimal aging in place has become a common preference among older adults to maintain identity and independence, thus smart home technologies are increasingly utilized to achieve these goals. However, disconnect may exist between potential technological benefit and perceptions of acceptability and usability (Lee & Coughlin, 2015). We assessed perceptions of adults aged 50+ (range 50-90 years) to analyze their priorities and ultimate acceptability of smart home technology. Data were collected through surveys, focus groups, and case study interviews. Three major themes emerged regarding smart home utilization: benefits, concerns, and expectations. Participants endorsed smart home technologies (e.g., sensors, telehealth devices) and identified benefits, such as the promotion of optimal aging (e.g., maintaining independence, staying active, safety). However, responses also reflected concerns about privacy, ease of use, and amount of control. Expectations regarding smart homes included more mobility, efficiency, and safety within the home. One participant described technology as having “options [that] are exhausting, but also exciting.” Survey responses (n=30) were analyzed to understand participants’ familiarity with smart home technologies, including: nanotechnology (10.7%), smart showers (42.9%), home sensors (70.4%), telehealth (74.1%), smart appliances (71.4%), personal sensors (81.5%), and voice-activated devices (96.4%). Additionally, respondents indicated their willingness to implement these technologies to maintain and/or improve their daily functioning: nanotechnology (53.8%), smart showers (28.6%), home sensors (66.6%), telehealth (81.5%), smart appliances (40.0%), personal sensors (55.5%), voice-activated devices (64.3%). Discussion focuses on the priorities and needs older adults express regarding technology utilization and the implications for person-centered design and implementation of future smart home technologies.

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