{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:48:16Z","timestamp":1791852496099,"version":"4.3.4"},"reference-count":53,"publisher":"Georg Thieme Verlag KG","issue":"04","funder":[{"name":"International Macquarie Research Excellence Scholarship","award":["20224280"],"award-info":[{"award-number":["20224280"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background Falls are a leading cause of morbidity, functional decline, and premature care entry among older adults. Assistive living technologies (ALTs) are increasingly used for fall prevention, detection, and risk monitoring, but their value depends on how older adults, caregivers, and care staff experience them in practice.<\/jats:p>\n                  <jats:p>Objectives The objective of this study is to synthesize user-reported experiences of ALTs used for fall prevention, detection, or monitoring across private homes, retirement villages (RVs), and residential aged care homes (RACHs), examining perceived value, implementation friction, adaptation over time, and contextual differences.<\/jats:p>\n                  <jats:p>Methods A thematic synthesis was conducted within a scoping review. Searches of Embase, MEDLINE, CINAHL, and Scopus covered 2010 to June 2025. Studies reporting user experience data on real-world ALT deployment in nonhospital settings were included. Line-by-line codes were developed into descriptive subthemes and three analytical themes: negotiated value, implementation friction, and adaptation as relational work. Findings were compared by setting, technology, and evidence source.<\/jats:p>\n                  <jats:p>Results Twenty studies published between 2012 and 2024 were included. Eighteen reported at least one implementation challenge; the remaining two did not provide evidence challenges were absent. Perceived value was negotiated by setting: autonomy and self-management dominated in private homes, whereas RACH evidence was staff or family mediated and tied to situational awareness and workflow. Implementation friction stemmed from unreliable alerts, device burden, privacy concerns, infrastructure, and organizational integration. Twelve studies described some changes during deployment, but reporting was heterogeneous and did not support a universal familiarization timeframe. The single RV study offered no user experience evidence.<\/jats:p>\n                  <jats:p>Conclusion ALT value is produced through alignment among technology, user roles, care context, and available resources. Sustained use requires user-centered design, workflow integration, infrastructure and financial planning, and support tailored rather than assumed. Future research should prioritize RVs, direct resident perspectives in RACHs, cost and socioeconomic reporting, and prospective cross-setting comparisons.<\/jats:p>","DOI":"10.1055\/a-2969-2451","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:05:43Z","timestamp":1791849943000},"page":"933-944","source":"Crossref","is-referenced-by-count":0,"title":["User Experiences of Assistive Living Technologies for Fall Prevention, Detection, and Monitoring in Older Adults: A Thematic Synthesis"],"prefix":"10.1055","volume":"17","author":[{"given":"Amy D.","family":"Nguyen","sequence":"first","affiliation":[{"name":"Macquarie University, New South Wales, Australia","place":["Sydney"],"department":["Centre for Health Systems and Safety Research, Australian Institute of Health Innovation"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maeve","family":"Ryan","sequence":"first","affiliation":[{"name":"Macquarie University, New South Wales, Australia","place":["Sydney"],"department":["Centre for Health Systems and Safety Research, Australian Institute of Health Innovation"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie Y.S.","family":"Lau","sequence":"first","affiliation":[{"name":"Macquarie University, New South Wales, Australia","place":["Sydney"],"department":["Centre for Health Informatics, Australian Institute of Health Innovation"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1328-5490","authenticated-orcid":false,"given":"Nida","family":"Afzal","sequence":"additional","affiliation":[{"name":"Macquarie University, New South Wales, Australia","place":["Sydney"],"department":["Centre for Health Informatics, Australian Institute of Health Innovation"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1007\/s00198-009-1100-1","article-title":"Cost of falls in old age: a systematic review","volume":"21","author":"S Heinrich","year":"2010","journal-title":"Osteoporos Int"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jsr.2016.05.001","article-title":"The direct costs of fatal and non-fatal falls among older adults - United States","volume":"58","author":"E R Burns","year":"2016","journal-title":"J Saf Res"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"e18","DOI":"10.2196\/jmir.4596","article-title":"The effect of information communication technology interventions on reducing social isolation in the elderly: a systematic review","volume":"18","author":"Y-RR Chen","year":"2016","journal-title":"J Med Internet Res"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1080\/02763893.2017.1280582","article-title":"Preferences and predictors of aging in place: longitudinal evidence from Melbourne, Australia","volume":"31","author":"H Kendig","year":"2017","journal-title":"J Hous Elder"},{"issue":"11","key":"ref7","doi-asserted-by":"crossref","first-page":"2496","DOI":"10.3390\/s17112496","article-title":"Smart homes for elderly healthcare\u2014recent advances and research challenges","volume":"17","author":"S Majumder","year":"2017","journal-title":"Sensors"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/s12877-024-04702-1","article-title":"Benefits and barriers associated with the use of smart home health technologies in the care of older persons: a systematic review","volume":"24","author":"Y JA Tian","year":"2024","journal-title":"BMC Geriatr"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1108\/ITP-07-2019-0357","article-title":"Unlocking the smart home: exploring key factors affecting the smart lock adoption intention","volume":"34","author":"S Mamonov","year":"2021","journal-title":"Inf Technol People"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40327-018-0066-5","article-title":"Ageing in place and the internet of things\u2013how smart home technologies, the built environment and caregiving intersect","volume":"6","author":"P Carnemolla","year":"2018","journal-title":"Visual Eng"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1055\/a-2896-8054","article-title":"Electronic strategies for tailored exercise to prevent falls (eSTEPS): evaluating implementation in primary care","volume":"17","author":"J Reisler","year":"2026","journal-title":"Appl Clin Inform"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1055\/a-2267-1727","article-title":"Human-centered design and development of a fall prevention exercise app for older adults in primary care settings","volume":"15","author":"N K Czuber","year":"2024","journal-title":"Appl Clin Inform"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1055\/a-2006-4936","article-title":"Usability testing of an interoperable computerized clinical decision support tool for fall risk management in primary care","volume":"14","author":"K Shear","year":"2023","journal-title":"Appl Clin Inform"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.1055\/a-2638-8750","article-title":"A mixed methods exploration of temporospatial fall alert patterns in Australian aged care settings","volume":"16","author":"N Afzal","year":"2025","journal-title":"Appl Clin Inform"},{"issue":"11","key":"ref15","doi-asserted-by":"crossref","first-page":"e367","DOI":"10.2196\/jmir.8775","article-title":"Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies","volume":"19","author":"T Greenhalgh","year":"2017","journal-title":"J Med Internet Res"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"e53640","DOI":"10.2196\/53640","article-title":"Determinants of successful implementation of assistive technologies for dementia: exploratory survey","volume":"7","author":"H G Van der","year":"2024","journal-title":"JMIR Aging"},{"issue":"04","key":"ref17","doi-asserted-by":"crossref","first-page":"e001574","DOI":"10.1136\/bmjopen-2012-001574","article-title":"The organising vision for telehealth and telecare: discourse analysis","volume":"2","author":"T Greenhalgh","year":"2012","journal-title":"BMJ Open"},{"issue":"02","key":"ref18","doi-asserted-by":"crossref","first-page":"e010208","DOI":"10.1136\/bmjopen-2015-010208","article-title":"SCALS: a fourth-generation study of assisted living technologies in their organisational, social, political and policy context","volume":"6","author":"T Greenhalgh","year":"2016","journal-title":"BMJ Open"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.ijmedinf.2014.01.004","article-title":"Factors influencing acceptance of technology for aging in place: a systematic review","volume":"83","author":"S T Peek","year":"2014","journal-title":"Int J Med Inform"},{"issue":"06","key":"ref20","doi-asserted-by":"crossref","first-page":"1687","DOI":"10.1016\/j.apergo.2014.05.019","article-title":"Understanding challenges in the front lines of home health care: a human-systems approach","volume":"45","author":"J M Beer","year":"2014","journal-title":"Appl Ergon"},{"issue":"04","key":"ref21","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1055\/a-2591-4016","article-title":"Real-world challenges of using assisted living technologies across different Australian aged care settings: a qualitative study of user experiences","volume":"16","author":"N Afzal","year":"2025","journal-title":"Appl Clin Inform"},{"issue":"03","key":"ref22","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/s12126-008-9019-y","article-title":"Ageing in place in the United Kingdom","volume":"32","author":"A Sixsmith","year":"2008","journal-title":"Ageing Int"},{"key":"ref23","volume-title":"Relocation to a Retirement Village: Who Considers Relocation and What are People Looking For?","author":"D Crisp","year":"2013"},{"issue":"05","key":"ref25","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1080\/10400435.2018.1531952","article-title":"Effects of assistive home technology on quality of life and falls of people with dementia and job satisfaction of caregivers: results from a pilot randomized controlled trial","volume":"32","author":"S Lauriks","year":"2020","journal-title":"Assist Technol"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"103","DOI":"10.3233\/TAD-2012-0339","article-title":"How assistive technology can support dementia care: A study about the effects of the IST Vivago watch on patients\u2019 sleeping behavior and the care delivery process in a nursing home","volume":"24","author":"N Nijhof","year":"2012","journal-title":"Technol Disabil"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1145\/3610029","article-title":"\u201cHow do I compare to the other people?\u201d: Older Adults\u2019 Perspectives on Personal Smart Home Data for Self-Management","volume":"7","author":"C Caldeira","year":"2023","journal-title":"Proc ACM Hum-Comput Interact"},{"issue":"02","key":"ref28","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1080\/17483107.2018.1541103","article-title":"The feasibility and acceptability of smart home technology using the Howz system for people with stroke","volume":"15","author":"L Rogerson","year":"2020","journal-title":"Disabil Rehabil Assist Technol"},{"issue":"05","key":"ref29","doi-asserted-by":"crossref","first-page":"1817","DOI":"10.1080\/17483107.2023.2239277","article-title":"A scoping review of the use of intelligent assistive technologies in rehabilitation practice with older adults","volume":"19","author":"M MacNeil","year":"2024","journal-title":"Disabil Rehabil Assist Technol"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"100584","DOI":"10.1016\/j.ssmqr.2025.100584","article-title":"Digital assistive technologies to support community-dwelling older adults: an interpretative synthesis of experienced benefits and harms","volume":"8","author":"K Kruithof","year":"2025","journal-title":"SSM Qual Res Health"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3389\/frobt.2020.00071","article-title":"Elderly fall detection systems: a literature survey","volume":"7","author":"X Wang","year":"2020","journal-title":"Front Robot AI"},{"issue":"01","key":"ref32","doi-asserted-by":"crossref","first-page":"105347","DOI":"10.1016\/j.jamda.2024.105347","article-title":"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","volume":"26","author":"C X Yeoh Lui","year":"2025","journal-title":"J Am Med Dir Assoc"},{"issue":"02","key":"ref33","doi-asserted-by":"crossref","first-page":"e31916","DOI":"10.2196\/31916","article-title":"The effectiveness of assistive technologies for older adults and the influence of frailty: systematic literature review of randomized controlled trials","volume":"5","author":"M L Fotteler","year":"2022","journal-title":"JMIR Aging"},{"issue":"05","key":"ref34","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.2196\/jmir.5253","article-title":"What it takes to successfully implement technology for aging in place: focus groups with stakeholders","volume":"18","author":"S T Peek","year":"2016","journal-title":"J Med Internet Res"},{"issue":"01","key":"ref36","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping studies: towards a methodological framework","volume":"8","author":"H Arksey","year":"2005","journal-title":"Int J Soc Res Methodol"},{"issue":"07","key":"ref37","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation","volume":"169","author":"A C Tricco","year":"2018","journal-title":"Ann Intern Med"},{"issue":"01","key":"ref38","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/1471-2288-8-45","article-title":"Methods for the thematic synthesis of qualitative research in systematic reviews","volume":"8","author":"J Thomas","year":"2008","journal-title":"BMC Med Res Methodol"},{"issue":"01","key":"ref39","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/1471-2288-13-48","article-title":"Enhancing the scoping study methodology: a large, inter-professional team\u2019s experience with Arksey and O\u2019Malley\u2019s framework","volume":"13","author":"H ML Daudt","year":"2013","journal-title":"BMC Med Res Methodol"},{"issue":"04","key":"ref41","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.3233\/JAD-160348","article-title":"A novel and intelligent home monitoring system for care support of elders with cognitive impairment","volume":"54","author":"I Lazarou","year":"2016","journal-title":"J Alzheimer\u2019s Dis"},{"issue":"05","key":"ref42","doi-asserted-by":"crossref","first-page":"e16854","DOI":"10.2196\/16854","article-title":"Early detection of mild cognitive impairment with in-home sensors to monitor behavior patterns in community-dwelling senior citizens in Singapore: cross-sectional feasibility study","volume":"22","author":"I Rawtaer","year":"2020","journal-title":"J Med Internet Res"},{"issue":"02","key":"ref43","doi-asserted-by":"crossref","first-page":"112","DOI":"10.3109\/17483107.2013.805824","article-title":"Implementing technology-based embedded assessment in the home and community life of individuals aging with disabilities: a participatory research and development study","volume":"9","author":"K-Y Chen","year":"2014","journal-title":"Disabil Rehabil Assist Technol"},{"issue":"03\/04","key":"ref44","doi-asserted-by":"crossref","first-page":"210","DOI":"10.3109\/17538157.2014.931857","article-title":"Working with a domestic assessment system to estimate the need of support and care of elderly and disabled persons: results from field studies","volume":"39","author":"A Hein","year":"2014","journal-title":"Inform Health Soc Care"},{"issue":"01","key":"ref45","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1186\/s12877-022-02789-y","article-title":"Smart clothes-assisted home-nursing care program for family caregivers of older persons with dementia and hip fracture: a mixed-methods study","volume":"22","author":"Y-J Hou","year":"2022","journal-title":"BMC Geriatr"},{"issue":"01","key":"ref46","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1472-6947-13-42","article-title":"Deployment of assistive living technology in a nursing home environment: methods and lessons learned","volume":"13","author":"H Aloulou","year":"2013","journal-title":"BMC Med Inform Decis Mak"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1109\/JTEHM.2023.3256893","article-title":"Real world evidence of wearable Smartbelt for mitigation of fall impact in older adult care","volume":"11","author":"R J Tarbert","year":"2023","journal-title":"IEEE J Transl Eng Health Med"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"111012","DOI":"10.1109\/ACCESS.2019.2933994","article-title":"Predicting sensor events, activities, and time of occurrence using binary sensor data from homes with older adults","volume":"7","author":"F D Casagrande","year":"2019","journal-title":"IEEE Access"},{"issue":"02","key":"ref49","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.outlook.2018.11.004","article-title":"A nurse-driven method for developing artificial intelligence in \u201csmart\u201d homes for aging-in-place","volume":"67","author":"R L Fritz","year":"2019","journal-title":"Nurs Outlook"},{"issue":"1\/2","key":"ref50","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1111\/jocn.14599","article-title":"Usability of a wearable fall detection prototype from the perspective of older people\u2013a real field testing approach","volume":"28","author":"F JS Thilo","year":"2019","journal-title":"J Clin Nurs"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"3703745","DOI":"10.1155\/2016\/3703745","article-title":"Could in-home sensors surpass human observation of people with Parkinson\u2019s at high risk of falling? An ethnographic study","volume":"2016","author":"E Stack","year":"2016","journal-title":"Biomed Res Int"},{"issue":"01","key":"ref52","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1186\/s12913-019-4191-1","article-title":"Towards successful digital transformation through co-creation: a longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia","volume":"19","author":"J Dugstad","year":"2019","journal-title":"BMC Health Serv Res"},{"issue":"03","key":"ref53","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1080\/17483107.2022.2125088","article-title":"Smart home automation technology to support caring of individuals with Alzheimer\u2019s disease and related dementia: an early intervention framework","volume":"19","author":"S Arthanat","year":"2024","journal-title":"Disabil Rehabil Assist Technol"},{"issue":"01","key":"ref54","doi-asserted-by":"crossref","first-page":"e12489","DOI":"10.1111\/opn.12489","article-title":"Smart home technology to support older people\u2019s quality of life: a longitudinal pilot study","volume":"18","author":"C Aggar","year":"2023","journal-title":"Int J Older People Nursing"},{"issue":"01","key":"ref55","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1186\/s12877-024-05397-0","article-title":"Experiences with home monitoring technology in older adults with traumatic brain injury: a qualitative study","volume":"24","author":"M E Parkinson","year":"2024","journal-title":"BMC Geriatr"},{"issue":"01","key":"ref56","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1186\/s12877-025-06100-7","article-title":"Older persons\u2019 experiences with wearable sensor-based fall risk screening in free-living conditions - a qualitative study","volume":"25","author":"M T\u00f6rnblom","year":"2025","journal-title":"BMC Geriatr"},{"issue":"01","key":"ref57","doi-asserted-by":"crossref","first-page":"e12490","DOI":"10.1111\/opn.12490","article-title":"Community-dwelling older adults\u2019 acceptance of smartwatches for health and location tracking","volume":"18","author":"J Chung","year":"2023","journal-title":"Int J Older People Nursing"},{"issue":"03","key":"ref58","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1080\/17483107.2022.2110951","article-title":"Utilizing activity sensors to identify the behavioural activity patterns of elderly home care clients","volume":"19","author":"S Hyv\u00e4ri","year":"2024","journal-title":"Disabil Rehabil Assist Technol"}],"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2969-2451.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:06:05Z","timestamp":1791849965000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2969-2451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":53,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,8,14]]},"published-print":{"date-parts":[[2026,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2969-2451","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]}}}