Effectiveness Evaluation of Smart Home Technology in Preventing and Detecting Falls in Community and Residential Care Settings for Older Adults: A Systematic Review and Meta-Analysis.

Autor:	Yeoh Lui CX; Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore., Yang N; Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore., Tang A; School of Science, Engineering and Technology, RMIT University, Ho Chi Minh City, Vietnam. Electronic address: arthur.tang@rmit.edu.vn., Tam WWS; Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
Jazyk:	angličtina
Zdroj:	Journal of the American Medical Directors Association [J Am Med Dir Assoc] 2024 Nov 06; Vol. 26 (1), pp. 105347. Date of Electronic Publication: 2024 Nov 06.
DOI:	10.1016/j.jamda.2024.105347
Abstrakt:	Objectives: To assess the effectiveness of smart home technologies (SHTs) in preventing and detecting falls among older adults in community and residential care settings. Design: Systematic review and meta-analysis of controlled trials on SHTs, which reported fall incidence, fear of falling, or hospitalization outcomes, was conducted. Searches were conducted across 6 academic databases for scholarly articles (PubMed, Cochrane, CINAHL, Scopus, Embase, and IEEE Xplore) and 2 databases for gray literature (ProQuest and ClinicalTrials.gov) in August 2023. Setting and Participants: Residents of long-term residential settings ≥60 years of age. Methods: Eight databases were searched in August 2023 for controlled trials on SHT which reported fall incidence, fear of falling, or hospitalization outcomes. Two reviewers independently screened for studies, performed data extraction, and performed quality assessment using the Joanna Briggs Institute critical appraisal checklists. The RevMan Web was used for meta-analysis. Results: A total of 12,756 studies were retrieved from the databases search; after removing duplicates and irrelevant title/abstracts, 46 full texts were examined. Overall, 13 studies comprising 1941 participants were included. Two were classified as low quality, 5 were classified as moderate quality, and 6 were classified as high quality. SHTs were found to significantly decrease fall incidences (relative risk, 0.72; 95% CI, 0.57-0.93; z = 2.55; P = .01) but have no significant impact in influencing the fear of falling (standardized mean difference, 0.19; 95% CI, -0.15 to 0.53; z = 1.11; P = .27), and their effect on hospitalization was inconclusive. Conclusions and Implications: SHTs may be beneficial in reducing fall incidence, enhancing the safety and supporting independent living among older adults in community and residential care settings. Future research should conduct more high-quality studies and use standardized outcome measurements. Long-term residential settings could also consider adopting SHTs for fall prevention and detection to enhance the well-being of older adults. Competing Interests: Disclosure The authors declare no conflicts of interest. (Copyright © 2024 Post-Acute and Long-Term Care Medical Association. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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