Evidence map›Paper›PMID 42462157›Full record

ArticleJMIR aging2026

Smart Home Technology Integration in Home Modification Programs Serving Older Adults: Focus Group Study With Program Grantees.

Haomin Hu, Moriah Clarke, Meredith Hughes, Palash Sharma, Jack Fried, Portia Singh, Pamela Toto

Abstract read
In one paragraph

Article in JMIR aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Haomin HuDepartment of Health Information Management, University of Pittsburgh, 3396 Fifth Ave, Room 4178, Pittsburgh, PA, 15213, United States, 1 412 503 3886.ORCID http://orcid.org/0000-0001-9200-062X
Moriah ClarkeDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, United States.ORCID http://orcid.org/0009-0008-9853-6714
Meredith HughesDepartment of Health Policy and Management, University of Pittsburgh, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0003-0040-5641
Palash SharmaHealth Policy Institute, University of Pittsburgh, Pittsburgh, PA, United States.ORCID http://orcid.org/0009-0003-9157-464X
Jack FriedDepartment of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0002-5601-4853
Portia SinghDepartment of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA, United States.ORCID http://orcid.org/0009-0004-7029-0573
Pamela TotoDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, United States.ORCID http://orcid.org/0000-0002-8561-5068

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As people age over the coming decades, demand for in-home support and other interventions, such as home modifications, to help older adults age in place successfully, is also expected to rise. Smart home technologies have the potential to enhance aging in place by complementing traditional home modifications; however, adoption within federally funded home modification programs remains limited. Objective: This study explored grantees' perspectives on the Older Adults Home Modification Program (OAHMP) to understand current practices, perceived benefits, barriers, and strategies for integrating smart home technologies into home modification services. Methods: An exploratory qualitative study was conducted with staff, occupational therapists, and home builders from 3 OAHMP grantee organizations. A 1.5-hour virtual focus group was held and thematically analyzed using a deductive approach grounded in the discussion agenda. Results: A total of 11 participants reported early adoption of select smart devices-most commonly smart speakers, doorbell cameras, motion-activated lights, and smart plugs-to enhance home safety, communication, and independence. Barriers to broader implementation emerged at three levels: (1) older adults' digital literacy, privacy concerns, and device maintenance burden; (2) contextual constraints, such as unreliable internet in rural areas; and (3) organizational limitations, including training needs, staffing capacity, and funding challenges. Participants emphasized the importance of progressive adoption, hands-on training, and low-maintenance technology. In addition, partnerships with university educational programs were well established among selected grantees to provide technology training resources for older adults. To inform a reasonable technology selection for home modifications, criteria were proposed across 5 domains: installation, usability, accessibility, sustainability, and security and privacy. Conclusions: Integrating smart home technologies into home modification programs provides a scalable, cost-effective opportunity to improve aging in place outcomes. Policy support, workforce training, valid selection criteria, and sustainable funding models are needed to promote equitable adoption across OAHMP and similar federally supported programs.

Indexed as

Home Care ServicesAgedAged, 80 and overAging in PlaceFemaleFocus GroupsHumansIndependent LivingMaleQualitative Researchaging in placehome modification programinternet of thingssmart home technologytechnology adoption

Identifiers

PMID42462157
PMCPMC13375085

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.