Evidence map›Paper›PMID 39622026›Full record

SynthesisJMIR aging2024

In-Home Positioning for Remote Home Health Monitoring in Older Adults: Systematic Review.

Andrew Chan, Joanne Cai, Linna Qian, Brendan Coutts, Steven Phan, Geoff Gregson, Michael Lipsett, Adriana M Ríos Rincón

Abstract readSystematic Review
In one paragraph

Synthesis in JMIR aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andrew ChanGlenrose Rehabilitation Hospital, Edmonton, AB, Canada.ORCID 0000-0002-2487-4357
Joanne CaiUniversity of Alberta, Edmonton, AB, Canada.ORCID 0009-0000-4881-0932
Linna QianUniversity of Alberta, Edmonton, AB, Canada.ORCID 0009-0004-4364-7186
Brendan CouttsUniversity of Alberta, Edmonton, AB, Canada.ORCID 0009-0009-0749-5548
Steven PhanUniversity of Alberta, Edmonton, AB, Canada.ORCID 0009-0001-1435-7372
Geoff GregsonGlenrose Rehabilitation Hospital, Edmonton, AB, Canada.ORCID 0000-0002-0481-2036
Michael LipsettUniversity of Alberta, Edmonton, AB, Canada.ORCID 0000-0001-9248-1945
Adriana M Ríos RincónUniversity of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-9018-9761

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the growing proportion of Canadians aged >65 years, smart home and health monitoring technologies may help older adults manage chronic disease and support aging in place. Localization technologies have been used to support the management of frailty and dementia by detecting activities in the home.

objectiveThis systematic review aims to summarize the clinical evidence for in-home localization technologies, review the acceptability of monitoring, and summarize the range of technologies being used for in-home localization.

methodsThe PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodology was followed. MEDLINE, Embase, CINAHL, and Scopus were searched with 2 reviewers performing screening, extractions, and quality assessments.

resultsA total of 1935 articles were found, with 36 technology-focused articles and 10 articles that reported on patient outcomes being included. From moderate- to high-quality studies, 2 studies reported mixed results on identifying mild cognitive dementia or frailty, while 4 studies reported mixed results on the acceptability of localization technology. Technologies included ambient sensors; Bluetooth- or Wi-Fi-received signal strength; localizer tags using radio frequency identification, ultra-wideband, Zigbee, or GPS; and inertial measurement units with localizer tags.

conclusionsThe clinical utility of localization remains mixed, with in-home sensors not being able to differentiate between older adults with healthy cognition and older adults with mild cognitive impairment. However, frailty was detectable using in-home sensors. Acceptability is moderately positive, particularly with ambient sensors. Localization technologies can achieve room detection accuracies up to 92% and linear accuracies of up to 5-20 cm that may be promising for future clinical applications.

trial registrationPROSPERO CRD42022339845; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=339845.

Indexed as

Home Care ServicesAgedAged, 80 and overCanadaHumansIndependent LivingRemote Sensing Technologyacceptabilityagingaging-in-placeambient sensorclinical studiescognitioncognitive impairmentdigital healthe-healthelderlygeriatricsgerontologyhealth monitorhome monitorlocalizationneuroolder adulttechnologytelehealthwearable sensor

Identifiers

PMID39622026
PMCPMC11661402

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.