Evaluation of 1-Year in-Home Monitoring Technology by Home-Dwelling Older Adults, Family Caregivers, and Nurses

Pais, Bruno; Buluschek, Philipp; DuPasquier, Guillaume; Nef, Tobias; Schütz, Narayan; Saner, Hugo; Gatica-Perez, Daniel; Santschi, Valérie (2020). Evaluation of 1-Year in-Home Monitoring Technology by Home-Dwelling Older Adults, Family Caregivers, and Nurses. Frontiers in Public Health, 8, p. 518957. Frontiers Research Foundation 10.3389/fpubh.2020.518957

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Introduction: Population aging is increasing the needs and costs of healthcare. Both frailty and the chronic diseases affecting older people reduce their ability to live independently. However, most older people prefer to age in their own homes. New development of in-home monitoring can play a role in staying independent, active, and healthy for older people. This 12-month observational study aimed to evaluate a new in-home monitoring system among home-dwelling older adults (OA), their family caregivers (FC), and nurses for the support of home care.

Methods: The in-home monitoring system evaluated in this study continuously monitored OA's daily activities (e.g., mobility, sleep habits, fridge visits, door events) by ambient sensor system (DomoCare®) and health-related events by wearable sensors (Activity tracker, ECG). In the case of deviations in daily activities, alerts were transmitted to nurses via email. Using specific questionnaires, the opinions of 13 OA, 13 FC, and 20 nurses were collected at the end of 12-months follow-up focusing on user experience and the impact of in-home monitoring on home care services.

Results: The majority of OA, FC, and nurses considered that in-home sensors can help with staying at home, improving home care and quality of life, preventing domestic accidents, and reducing family stress. The opinion tended to be more frequently favorable toward ambient sensors (76%; 95% CI: 61–87%) than toward wearable sensors (Activity tracker: 65%; 95% CI: 50–79%); ECG: 60%; 95% CI: 45–75%). On average, OA (74%; 95% CI: 46–95%) and FC (70%; 95% CI: 39–91%) tended to be more enthusiastic than nurses (60%; 95% CI: 36–81%). Some barriers reported by nurses were a fear of weakening of the relationship with OA and lack of time.

Discussion/Conclusion: Overall, the opinions of OA, FC, and nurses were positively related to in-home sensors, with nurses being less enthusiastic about their use in clinical practice.

Item Type:

Journal Article (Original Article)

Division/Institute:

10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research
10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Gerontechnology and Rehabilitation

UniBE Contributor:

Nef, Tobias; Schütz, Narayan and Saner, Hugo Ernst

Subjects:

500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health
600 Technology > 620 Engineering

ISSN:

2296-2565

Publisher:

Frontiers Research Foundation

Language:

English

Submitter:

Angela Amira Botros

Date Deposited:

20 Nov 2020 16:53

Last Modified:

22 Nov 2020 02:50

Publisher DOI:

10.3389/fpubh.2020.518957

PubMed ID:

33134236

BORIS DOI:

10.7892/boris.147791

URI:

https://boris.unibe.ch/id/eprint/147791

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