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Implementation of an integrated home internet of things system for vulnerable older adults using a frailty-centered approach

 Ji Yeon Baek  ;  Se Hee Na  ;  Heayon Lee  ;  Hee-Won Jung  ;  Eunju Lee  ;  Min-Woo Jo  ;  Yu Rang Park  ;  Il-Young Jang 
 SCIENTIFIC REPORTS, Vol.12(1) : 1922, 2022-02 
Journal Title
Issue Date
Activities of Daily Living* ; Age Factors ; Aged ; Aged, 80 and over ; Attitude to Computers* ; Computer Literacy* ; Feasibility Studies ; Female ; Frail Elderly / psychology* ; Frailty / diagnosis ; Frailty / physiopathology ; Frailty / psychology* ; Home Care Services* ; Humans ; Independent Living ; Internet of Things* ; Male ; Patient Satisfaction ; Prospective Studies ; Time Factors ; Vulnerable Populations / psychology*
Although integrated home internet of things (IoT) services can be beneficial, especially for vulnerable older adults, the hurdle of usability hinders implementation of the technology. This study aimed to evaluate the practical usability of home IoT services in older adults, by frailty status, and to determine the potential obstacles. From August 2019 to July 2020, we randomly selected 20 vulnerable older adults (prefrailty group [n = 11], and frailty group [n = 9]) who had already been identified as needing home IoT services in a community-based prospective cohort study, the Aging Study of the Pyeongchang Rural Area. Integrated home IoT services were provided for 1 year, and a face-to-face survey evaluating usability and satisfaction of each service was conducted. The usability of the integrated home IoT services declined gradually throughout the study. However, prefrail participants showed higher usability than frail older adults (difference-in-difference = - 19.431, p = 0.012). According to the frailty status, the change in usability for each service type also showed a different pattern. During the 12-month study period, the service with the highest satisfaction converged from various service needs to light control by remote control (77.8%) in the prefrailty group and automatic gas circuit breaker (72.7%) in the frailty group. For wider implementation of home IoT services, organizing services expected to have high usability and satisfaction based on user's frailty status is crucial. Also, providing education before service implementation might help older adults coping with digital literacy.
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1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers
Yonsei Authors
Park, Yu Rang(박유랑) ORCID logo https://orcid.org/0000-0002-4210-2094
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