{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:08:15Z","timestamp":1780582095258,"version":"3.54.1"},"reference-count":44,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims to assess the impact of assistive smart home technology use on the health-related quality of life (HRQoL) and to examine the moderating effect of depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using data from the 2021 Psychology and Behavior Investigation of Chinese Residents (PBICR), a total of 1,147 participants (aged \u2265 60 years) were included after excluding samples with missing core values. An Ordinary Least Squares (OLS) regression model was employed to examine the association between assistive smart home technology use and HRQoL among older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Assistive smart home technology use was significantly and positively associated with HRQoL among older adults. Moderation analysis further revealed that depressive symptoms strengthened this association, with individuals experiencing higher depressive symptoms showing a greater increase in HRQoL when using assistive smart home technology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that assistive smart home technology may contribute to improving HRQoL among older adults, particularly for those with higher depressive symptoms. Promoting age-friendly smart home devices, community-based training, and integration with healthcare services may enhance the benefits of technology adoption and support aging in place in China.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1726983","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:09:46Z","timestamp":1765807786000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The adoption of assistive smart home technology and health-related quality of life among older adults: the moderating role of depressive symptoms"],"prefix":"10.3389","volume":"13","author":[{"given":"Yuwei","family":"Qiao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Longtao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanli","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weichao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"ref1","year":""},{"key":"ref2","year":"2024"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e37347","DOI":"10.2196\/37347","article-title":"Health monitoring using smart home technologies: scoping review","volume":"11","author":"Morita","year":"2023","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1055\/s-0038-1638580","article-title":"Technologies for an aging society: a systematic review of \u201csmart home\u201d applications","volume":"17","author":"Demiris","year":"2008","journal-title":"Yearb Med Inform"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/j.erss.2018.11.019","article-title":"Robotic vacuum cleaners save energy? Raising cleanliness conventions and energy demand in Australian households with smart home technologies","volume":"50","author":"Nicholls","year":"2019","journal-title":"Energy Res Soc Sci"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1502","DOI":"10.3390\/smartcities7040062","article-title":"The role of smart homes in providing care for older adults: a systematic literature review from 2010 to 2023","volume":"7","author":"Vran\u010di\u0107","year":"2024","journal-title":"Smart Cities"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2072","DOI":"10.1016\/j.socscimed.2008.09.050","article-title":"The evolving concept of health literacy","volume":"67","author":"Nutbeam","year":"2008","journal-title":"Soc Sci Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"92244","DOI":"10.1109\/ACCESS.2020.2992727","article-title":"Systematic literature review of smart home monitoring technologies based on IoT for the elderly","volume":"8","author":"Maswadi","year":"2020","journal-title":"IEEE Access"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1016\/j.jnca.2017.08.017","article-title":"A review of smart home applications based on internet of things","volume":"97","author":"Alaa","year":"2017","journal-title":"J Netw Comput Appl"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1109\/CNS.2014.6997467","article-title":"Securing smart home: technologies, security challenges, and security requirements","volume-title":"2014 IEEE conference on communications and network security","author":"Lee","year":"2014"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"791","DOI":"10.1007\/s11136-020-02680-6","article-title":"Smart wearable devices as a psychological intervention for healthy lifestyle and quality of life: a randomized controlled trial","volume":"30","author":"Yen","year":"2021","journal-title":"Qual Life Res"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e12489","DOI":"10.1111\/opn.12489","article-title":"Smart home technology to support older people's quality of life: a longitudinal pilot study","volume":"18","author":"Aggar","year":"2023","journal-title":"Int J Older People Nursing"},{"key":"ref13","first-page":"894","article-title":"A framework for cloud-based smart home","volume-title":"Proceedings of 2011 international conference on computer science and network technology","author":"Ye","year":"2011"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.techfore.2018.08.015","article-title":"A systematic review of the smart home literature: a user perspective","volume":"138","author":"Marikyan","year":"2019","journal-title":"Technol Forecast Soc Change"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1080\/02763890802665049","article-title":"Smart homes for patients at the end of life","volume":"23","author":"Demiris","year":"2009","journal-title":"J Hous Elderly"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1016\/j.ijmedinf.2013.03.007","article-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","volume":"82","author":"Reeder","year":"2013","journal-title":"Int J Med Inform"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.outlook.2004.05.004","article-title":"A technology and nursing collaboration to help older adults age in place","volume":"53","author":"Rantz","year":"2005","journal-title":"Nurs Outlook"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1016\/j.cmpb.2008.02.001","article-title":"A review of smart homes\u2014present state and future challenges","volume":"91","author":"Chan","year":"2008","journal-title":"Comput Methods Prog Biomed"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"888","DOI":"10.1177\/0261018306068480","article-title":"Big brother or brave new world? Telecare and its implications for older people's independence and social inclusion","volume":"26","author":"Percival","year":"2006","journal-title":"Crit Soc Policy"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1504\/IJEH.2004.004655","article-title":"Electronic home healthcare: concepts and challenges","volume":"1","author":"Demiris","year":"2004","journal-title":"Int J Electron Healthc"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"50","DOI":"10.16405\/j.cnki.1004-129X.2023.06.004","article-title":"Smart wearable devices and health in old age: evidence from smart bracelets","volume":"45","author":"Ni","year":"2019","journal-title":"Popul J"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1016\/j.eurger.2015.02.009","article-title":"Coincidence of low social support and high depressive score on quality of life in elderly","volume":"6","author":"Unalan","year":"2015","journal-title":"Eur Geriatr Med"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"19","DOI":"10.53388\/202219","article-title":"Study protocol: a cross-sectional study on psychology and behavior investigation of Chinese residents, PBICR","volume":"4","author":"Wang","year":"2022","journal-title":"Psychosomat Med Res"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"S11093","DOI":"10.4137\/HSI.S11093","article-title":"Article commentary: patient-reported outcomes (pros) and patient-reported outcome measures (PROMs)","volume":"6","author":"Weldring","year":"2013","journal-title":"Health services insights"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1007\/s11136-012-0200-0","article-title":"Developing the Chinese version of the new 5-level EQ-5D descriptive system: the response scaling approach","volume":"22","author":"Luo","year":"2013","journal-title":"Qual Life Res"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.1016\/j.jval.2024.06.012","article-title":"EQ-5D-5L population scores in mainland China: results from a nationally representative survey 2021","volume":"27","author":"Yao","year":"2024","journal-title":"Value Health"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1007\/s11136-010-9649-x","article-title":"Feasibility, reliability, and validity of the EQ-5D-Y: results from a multinational study","volume":"19","author":"Ravens-Sieberer","year":"2010","journal-title":"Qual Life Res"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"894174","DOI":"10.3389\/fpsyt.2022.894174","article-title":"COVID-19 information overload, negative emotions and posttraumatic stress disorder: a cross-sectional study","volume":"13","author":"Wang","year":"2022","journal-title":"Front Psych"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1007\/s12529-014-9389-3","article-title":"Psychometric evaluation of the Chinese version of the subjective happiness scale: evidence from the Hong Kong FAMILY cohort","volume":"21","author":"Nan","year":"2014","journal-title":"Int J Behav Med"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1016\/j.genhosppsych.2014.05.021","article-title":"Reliability and validity of the Chinese version of the patient health questionnaire (PHQ-9) in the general population","volume":"36","author":"Wang","year":"2014","journal-title":"Gen Hosp Psychiatry"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1016\/j.heliyon.2023.e15889","article-title":"Chronic conditions and depressive symptoms in middle-aged and older Chinese adults: Roles of perceived social support and area of residence","volume":"340","author":"Miao","year":"2023","journal-title":"Journal of Affective Disorders"},{"key":"ref33","first-page":"268","article-title":"Comparison and application of regulatory effect and mediating effect","volume":"2","author":"Wen","year":"2005","journal-title":"J Psychol"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s00779-015-0856-x","article-title":"Information and communications technologies for elderly ubiquitous healthcare in a smart home","volume":"19","author":"Deen","year":"2015","journal-title":"Pers Ubiquit Comput"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"41","DOI":"10.3928\/00989134-20191105-06","article-title":"Emerging smart home technologies to facilitate engaging with aging","volume":"45","author":"Choi","year":"2019","journal-title":"J Gerontol Nurs"},{"key":"ref36","doi-asserted-by":"publisher","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":"Mamonov","year":"2021","journal-title":"Inf Technol People"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1016\/j.pec.2019.12.003","article-title":"Self-efficacy and health-related quality of life in chronic obstructive pulmonary disease: a meta-analysis","volume":"103","author":"Selzler","year":"2020","journal-title":"Patient Educ Couns"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"736","DOI":"10.1111\/papr.12660","article-title":"The influence of self-efficacy, fear-avoidance belief, and coping styles on quality of life for Chinese patients with chronic nonspecific low back pain: a multisite cross-sectional study","volume":"18","author":"Du","year":"2018","journal-title":"Pain Pract"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1177\/17540739231164367","article-title":"Using bandura's self-efficacy theory to explain individual differences in the appraisal of problem-focused coping potential","volume":"15","author":"Poluektova","year":"2023","journal-title":"Emot Rev"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1177\/07334648221138283","article-title":"Socially assistive humanoid robots: effects on depression and health-related quality of life among low-income, socially isolated older adults in South Korea","volume":"42","author":"Lee","year":"2023","journal-title":"J Appl Gerontol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"104979","DOI":"10.1016\/j.jamda.2024.02.017","article-title":"The effect of social robots on depression and loneliness for older residents in long-term care facilities: a meta-analysis of randomized controlled trials","volume":"25","author":"Yen","year":"2024","journal-title":"J Am Med Dir Assoc"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1007\/s10209-018-0642-4","article-title":"The use and acceptance of ICT by senior citizens: a comparison of technology acceptance model (TAM) for elderly and young people","volume":"19","author":"Guner","year":"2020","journal-title":"Univ Access Inf Soc"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.ijmedinf.2016.04.007","article-title":"Smart homes and home health monitoring technologies for older adults: a systematic review","volume":"91","author":"Liu","year":"2016","journal-title":"Int J Med Inform"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"102571","DOI":"10.1016\/j.ijhcs.2020.102571","article-title":"Older adults' perspectives of smart home technology: are we developing the technology that older people want?","volume":"147","author":"Ghorayeb","year":"2021","journal-title":"Int J Hum Comput Stud"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1726983\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T14:09:48Z","timestamp":1765807788000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1726983\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,15]]},"references-count":44,"alternative-id":["10.3389\/fpubh.2025.1726983"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1726983","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,15]]},"article-number":"1726983"}}