Activity and participation, quality of life and user satisfaction outcomes of environmental control systems and smart home technology: a systematic review.
OBJECTIVE
To examine activity and participation, quality of life, and user satisfaction outcomes of environmental control systems (ECSs) and smart home technology (SHT) interventions for persons with impairments.


METHODS
A systematic review. Seventeen databases, three conference proceedings, and two journals were searched without language or study design restrictions covering the period January 1993 - June 2009. Reviewers selected studies, extracted data, and assessed the methodological quality independently.


RESULTS
Of 1739 studies identified, five effect studies and six descriptive studies were included. One study was on SHT and the remainder on ECS; functionalities were overlapping. The studies varied in most aspects, and no synthesis could be drawn. However, ECS/SHT tended to increase study participants' independence, instrumental activities of daily living, socialising, and quality of life. Two studies showed high user satisfaction. The level of evidence was regarded as low, mainly due to small study sizes, lacking confounder control, and a majority of descriptive studies.


CONCLUSIONS
Due to few and small studies and study diversity, it was not possible to determine whether ECS/SHT have positive outcomes for persons with impairment, even though the technologies seem to be promising. High quality outcomes studies such as randomised controlled trials, when feasible, and large longitudinal multi-centre studies are required.
The Danish Centre for Assistive Technology, Århus, Denmark. aab@hmi.dk
Ase
A
Brandt
Kersti
K
Samuelsson
Outi
O
Töytäri
Anna-Liisa
AL
Salminen
D000203:Activities of Daily Living; D004777:Environment; D006801:Humans; D009043:Motor Activity; D009788:Occupational Therapy; D010549:Personal Satisfaction; D011788:Quality of Life / Q000523:psychology*; D012656:Self-Help Devices; D012938:Social Perception