title: Framing the evidence for health smart homes and home-based consumer health technologies as a public health intervention for independent aging: a systematic review.
abstract: BACKGROUND
  There is a critical need for public health interventions to support the independence of older adults as the world's population ages. Health smart homes (HSH) and home-based consumer health (HCH) technologies may play a role in these interventions.
  
  
  METHODS
  We conducted a systematic review of HSH and HCH literature from indexed repositories for health care and technology disciplines (e.g., MEDLINE, CINAHL, and IEEE Xplore) and classified included studies according to an evidence-based public health (EBPH) typology.
  
  
  RESULTS
  One thousand, six hundred and thirty-nine candidate articles were identified. Thirty-one studies from the years 1998-2011 were included. Twenty-one included studies were classified as emerging, 10 as promising and 3 as effective (first tier).
  
  
  CONCLUSIONS
  The majority of included studies were published in the period beginning in the year 2005. All 3 effective (first tier) studies and 9 of 10 of promising studies were published during this period. Almost all studies included an activity sensing component and most of them used passive infrared motion sensors. The three effective (first tier) studies all used a multicomponent technology approach that included activity sensing, reminders and other technologies tailored to individual preferences. Future research should explore the use of technology for self-management of health by older adults; social support; and self-reported health measures incorporated into personal health records, electronic medical records, and community health registries.
authors: Biobehavioral Nursing and Health Systems, School of Nursing, Box 357266, University of Washington, Seattle, WA 98195, USA. breeder@uw.edu
authors: Blaine
authors: B
authors: Reeder
authors: Ellen
authors: E
authors: Meyer
authors: Amanda
authors: A
authors: Lazar
authors: Shomir
authors: S
authors: Chaudhuri
authors: Hilaire J
authors: HJ
authors: Thompson
authors: George
authors: G
authors: Demiris
mesh_terms: D000328:Adult; D000368:Aged; D000375:Aging; D020811:Biomedical Technology; D006296:Health Services; D006699:Home Care Services; D006801:Humans; D012648:Self Care
references: Technol Health Care. 2009;17(3):183-201
references: 19641257
references: Int J Med Inform. 2006 Aug;75(8):565-76
references: 16298545
references: Health Serv Res. 1985 Feb;19(6 Pt 2):945-1006
references: 3918961
references: Stud Health Technol Inform. 2010;160(Pt 2):1206-10
references: 20841875
references: Int J Med Inform. 2013 Apr;82(4):209-19
references: 23117102
references: Int J Med Inform. 2009 Jan;78(1):1-9
references: 18930696
references: Annu Rev Public Health. 2009;30:175-201
references: 19296775
references: J Telemed Telecare. 2002;8(3):151-6
references: 12097176
references: Int J Med Inform. 2011 May;80(5):310-31
references: 21439898
references: Patient Educ Couns. 2011 Apr;83(1):37-44
references: 20452165
references: Inform Health Soc Care. 2013 Sep;38(3):211-22
references: 23323721
references: IEEE Trans Inf Technol Biomed. 2006 Jan;10(1):192-8
references: 16445264
references: Stud Health Technol Inform. 2006;124:45-50
references: 17108502
references: J Biomed Inform. 2008 Apr;41(2):327-39
references: 17981514
references: J Telemed Telecare. 2000;6(2):63-72
references: 10824373
references: J Psychiatr Res. 1975 Nov;12(3):189-98
references: 1202204
references: Public Health Nurs. 2004 Sep-Oct;21(5):453-68
references: 15363026
references: J Gerontol B Psychol Sci Soc Sci. 2011 Jul;66 Suppl 1:i180-90
references: 21743050
references: Med Inform Internet Med. 2004 Jun;29(2):87-94
references: 15370989
references: J Telemed Telecare. 2008;14(1):8-12
references: 18318922
references: J Med Syst. 2007 Oct;31(5):397-432
references: 17918694
references: PLoS Med. 2009 Jul 21;6(7):e1000097
references: 19621072
references: Maturitas. 2009 Jul 20;63(3):195-9
references: 19487092
references: Annu Rev Public Health. 2007;28:413-33
references: 17150029
references: IEEE Trans Inf Technol Biomed. 2010 Mar;14(2):447-55
references: 20007034
references: Yearb Med Inform. 2008;:33-40
references: 18660873
references: Comput Methods Programs Biomed. 2008 Jul;91(1):55-81
references: 18367286
references: Annu Rev Public Health. 2011;32:199-223
references: 21219169
references: Psychol Rev. 1977 Mar;84(2):191-215
references: 847061
references: Technol Health Care. 2008;16(2):111-8
references: 18487857
references: West J Med. 1984 Dec;141(6):832-45
references: 6395498
references: Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:6159-62
references: 19965076
references: Int J Rehabil Res. 2005 Mar;28(1):69-76
references: 15729100
references: Gerontologist. 2003 Oct;43(5):628-37
references: 14570959
references: Am J Public Health. 2006 Jan;96(1):17-9
references: 16322463
references: J Am Med Inform Assoc. 2012 May-Jun;19(3):413-22
references: 21828224
references: Annu Rev Public Health. 2004;25:457-73
references: 15015930
references: Educ Health (Abingdon). 2001;14(2):182-97
references: 14742017
references: J Pers Assess. 1985 Feb;49(1):71-5
references: 16367493
references: Health Matrix. 1989 Spring;7(1):30-9
references: 10293297
references: Health Aff (Millwood). 2012 Mar;31(3):497-504
references: 22392660
references: Open Med Inform J. 2007;1:1-7
references: 19415129
references: Nurs Adm Q. 2000 Spring;24(3):1-11
references: 10986927
references: J Biomed Inform. 2007 Aug;40(4):410-21
references: 17324632
references: J Gerontol. 1990 Nov;45(6):P239-43
references: 2229948
references: J Epidemiol Community Health. 2004 Jul;58(7):538-45
references: 15194712
references: Maturitas. 2009 Oct 20;64(2):90-7
references: 19729255
references: Methods Inf Med. 2012;51(2):104-11
references: 21373719
references: Health Informatics J. 2011 Sep;17(3):173-90
references: 21937461
references: Int J Telemed Appl. 2008;:142803
references: 18437225
references: Health Info Libr J. 2004 Dec;21(4):227-36
references: 15606880
references: Health Promot Int. 2006 Mar;21(1):76-83
references: 16249192