{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T18:04:36Z","timestamp":1779386676170,"version":"3.53.1"},"reference-count":37,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T00:00:00Z","timestamp":1684454400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Regional Development Fund (ERDF-FEDER)"},{"name":"Council of Economic Transformation, Industry, Knowledge, and Universities of the Andalusian Government (Consejer\u00eda de Transformaci\u00f3n Econ\u00f3mica, Industria, Conocimiento y Universidades, Junta de Andaluc\u00eda) within the ERDF-FEDER 2014\u20132020 Operational Program"},{"name":"University of Seville, with the Research, Development, and Innovation Project"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The current digital revolution is causing a paradigm shift encompassing all environments in which human beings conduct their daily activities. Technology is starting to govern the world, gradually modifying not only individual and social behaviour, but also ways of living. The necessary adaptation to new information and communication technologies forces societies to rethink both public and private spaces, in which evolution is slower than rapid social transformation. As part of this change, the concept of Active Assisted Living (AAL) has developed. Assisted spaces can be designed to provide older adults, carers, or people who have cognitive disabilities, such as Alzheimer\u2019s disease or other dementias, with a healthier, safer, and more comfortable life, while also affording them greater personal autonomy. AAL aims to improve people\u2019s quality of life and allow them to remain in their own homes for as long as possible, not in residences. This study conducted a critical review about AAL from an architectural point of view. The research adopted a qualitative approach in which we collected the studies during the last twenty years, then used descriptive, narrative and critical analysis methods. Based on these, this paper aims to explain this new technological paradigm, its characteristics, its main development trends, and its implementation limitations. The results obtained show how the development of AAL will be in the next ten years, and how this concept, and its application, can influence architecture and provide the bases for further research into the design of buildings and cities.<\/jats:p>","DOI":"10.3390\/ijerph20105886","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T10:08:55Z","timestamp":1684490935000},"page":"5886","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Active and Assisted Living, a Practice for the Ageing Population and People with Cognitive Disabilities: An Architectural Perspective"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6108-459X","authenticated-orcid":false,"given":"Santiago","family":"Quesada-Garc\u00eda","sequence":"first","affiliation":[{"name":"Department of Architectural Design, University of Seville, Av. Reina Mercedes 2, 41012 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-4410","authenticated-orcid":false,"given":"Pablo","family":"Valero-Flores","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Campus Teatinos, University of Malaga, Blvr. Louis Pasteur, 32, 29010 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2815-3549","authenticated-orcid":false,"given":"Mar\u00eda","family":"Lozano-G\u00f3mez","sequence":"additional","affiliation":[{"name":"Department of Architectural Design, University of Seville, Av. Reina Mercedes 2, 41012 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,19]]},"reference":[{"key":"ref_1","unstructured":"Mena, R., and Trad, F.J. (2021). El Ocaso de la Democracia. La Seducci\u00f3n del Autoritarismo, Debate. [1st ed.]."},{"key":"ref_2","unstructured":"Echevarr\u00eda, J. (1999). Tel\u00e9polis, Destino."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Almod\u00f3var-Melendo, J., Quesada-Garc\u00eda, S., Valero-Flores, P., and Cabeza-Lainez, J. (2022). Solar Radiation in Architectural Projects as a Key Design Factor for the Well-Being of Persons with Alzheimer\u2019s Disease. Buildings, 12.","DOI":"10.20944\/preprints202204.0113.v1"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Cicirelli, G., Marani, R., Petitti AMilella, A., and D\u2019Orazio, T. (2021). Ambient Assisted Living: A Review of Technologies, Methodologies and Future Perspectives for Healthy Aging of Population. Sensors, 21.","DOI":"10.3390\/s21103549"},{"key":"ref_5","unstructured":"Deschavanne, E., and Tavoillot, P. (2007). Philosophie Des Ages de la Vie, Grasset."},{"key":"ref_6","unstructured":"Bruckner, P. (2019). Une Br\u00e8ve \u00c9ternit\u00e9, Editons Grasset & Fasquelle."},{"key":"ref_7","unstructured":"United Nations Department of Economic and Social Affairs, Population Division (2022, November 18). World Population Ageing 2019. Highlights (ST\/ESA\/SER.A\/430). United Nations. Available online: https:\/\/www.un.org\/en\/development\/desa\/population\/publications\/pdf\/ageing\/WorldPopulationAgeing2019-Highlights.pdf."},{"key":"ref_8","unstructured":"European Commission (2022, November 18). The 2021 Ageing Report Economic & Budgetary Projections for the EU Member States (2019\u20132070). European Commission. Available online: https:\/\/economy-finance.ec.europa.eu\/system\/files\/2021-10\/ip148_en.pdf."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/01.NAJ.0000314810.46029.74","article-title":"The Lawton Instrumental Activities of Daily Living Scale","volume":"108","author":"Graf","year":"2008","journal-title":"Am. J. Nurs."},{"key":"ref_10","first-page":"64","article-title":"Where am I? Who am I? The Relation Between Spatial Cognition, Social Cognition and Individual Differences in the Built Environment","volume":"7","author":"Proulx","year":"2016","journal-title":"Front. Psychol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Robinson, S., and Pallasmaa, J. (2015). Mind in Architecture: Neuroscience, Embodiment, and the Future of Design, The MIT Press.","DOI":"10.7551\/mitpress\/10318.001.0001"},{"key":"ref_12","unstructured":"Lle\u00f3, B., Varela, \u00c1., Elvira, J., Pino, F., and Chiba, M. (2015). Vivir 100 A\u00f1os, Longevidad y Ciudad Futura, V100A Unidad Docente Blanca Lle\u00f3 14\/15."},{"key":"ref_13","unstructured":"L\u00f3pez, M.L. (2012). Greencities & Sostenibilidad. 3er Sal\u00f3n de la Eficiencia Energ\u00e9tica en Edificaci\u00f3n y Espacios Urbanos, COA Malaga."},{"key":"ref_14","unstructured":"Ashton, K. (2009). That \u201cInternet of Things\u201d Think. RFID J., Available online: https:\/\/www.rfidjournal.com\/articles\/view?4986."},{"key":"ref_15","unstructured":"Mazziotta, D., and Jenkins, H. (2016). Smart House. Smart City, Reda."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/j.1471-1842.2009.00848.x","article-title":"A typology of reviews: An analysis of 14 review types and associated methodologies","volume":"26","author":"Grant","year":"2009","journal-title":"Health Inf. Libr. J."},{"key":"ref_17","unstructured":"Zelkha, E., Epstein, B., Birrell, S., and Dodsworth, C. (2022, November 20). From Devices to \u2018Ambient Intelligence\u2019: The Transformation of Consumer Electronics, Digital Living Room Conference, Philips. Available online: https:\/\/epstein.org\/ambient-intelligence\/."},{"key":"ref_18","unstructured":"Gunnarsd\u00f3ttir, K., and Arribas-Ayllon, M. (2011). Ambient Intelligence: A Narrative in Search of Users (Discussion Paper), Lancaster University and SOCSI Cardiff University, Cesagen. Available online: https:\/\/www.researchgate.net\/publication\/281236379_DISCUSSION_PAPER_Ambient_intelligence_a_narrative_in_search_of_users."},{"key":"ref_19","first-page":"S2090","article-title":"Design for the Ambient Assisted Living","volume":"20","author":"Losco","year":"2017","journal-title":"Des. J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1080\/10400435.1998.10131957","article-title":"Universal Design in Housing","volume":"10","author":"Mace","year":"1998","journal-title":"Assist. Technol."},{"key":"ref_21","unstructured":"Connell, B.R., Jones, M., Mace, R., Mueller, J., Mullick, A., Ostroff, E., Sanford, J., d Steinfeld, E., Story, M., and Vanderheiden, G. (2022, November 20). The Principles of Universal Design Version 2.0. NC State University, The Center for Universal Design. Available online: https:\/\/projects.ncsu.edu\/ncsu\/design\/cud\/about_ud\/udprinciplestext.htm."},{"key":"ref_22","unstructured":"Koolhaas, R. (2014). Fundamentals. 14. Mostra Internazionale di Architettura, Marsilio Editori."},{"key":"ref_23","unstructured":"Denning, P. (2001). The Invisible Future: The Seamless Integration of Technology into Everyday Life, McGraw-Hill Education."},{"key":"ref_24","unstructured":"Neufert, E. (1970). Architects\u2019 Data, Crosby Lockwood Staples."},{"key":"ref_25","unstructured":"Becker, M. (2008). Assisted Living Systems-Models, Architectures and Engineering Approaches, Fraunhofer IESE Internat Ed."},{"key":"ref_26","unstructured":"AAL Programme (2022, November 11). AAL Programme. Ageing Well in the Digital World. Available online: http:\/\/www.aal-europe.eu\/."},{"key":"ref_27","first-page":"12","article-title":"Vida Asistida por el Entorno","volume":"47","year":"2008","journal-title":"Ter. Ocup. Rev. Inf. Asoc. Prof. Espa\u00f1ola Ter. Ocup."},{"key":"ref_28","unstructured":"Guill\u00e9n, S., and Arredondo, M.T. (2011). El ePaciente y Las Redes Sociales, Fundation Vodafone and ITACA TSB, Publidisa Ed."},{"key":"ref_29","unstructured":"AALIANCE (2009). Ambient Assisted Living Roadmap, VDI\/VDE-IT and AALIANCE Office."},{"key":"ref_30","unstructured":"(2022, November 18). Vadeo. Available online: http:\/\/vadeo.webs.upv.es\/html\/inicio.php."},{"key":"ref_31","unstructured":"SilverGame (2022, November 18). Silver Game Project. Available online: http:\/\/www.aal-europe.eu\/projects\/silver-game\/."},{"key":"ref_32","unstructured":"AAL Programme (2022, November 18). Five AAL Technologies That Can Help You Look After Your Loved Ones. Available online: http:\/\/www.aal-europe.eu\/five-aal-technologies-that-can-help-you-look-after-your-loved-ones\/."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1093\/itnow\/bws037","article-title":"Ambient Assisted Living Initiatives","volume":"54","author":"Wrede","year":"2012","journal-title":"ITNOW"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1017\/S0144686X0400248X","article-title":"The Acceptability of Assistive Technology to Older People","volume":"25","author":"McCreadie","year":"2005","journal-title":"Ageing Soc."},{"key":"ref_35","unstructured":"Fugger, E., Prazak, B., Hanke, S., and Wassertheurer, S. (2007). Universal Access in Human Computer Interaction. Coping with Diversity, Stephanidis, C., Ed., Springer."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"89","DOI":"10.5209\/ARIS.54602","article-title":"Proyectar Espacios para Habitantes con Alzh\u00e9imer, una Visi\u00f3n desde la Arquitectura","volume":"29","year":"2017","journal-title":"Arte Individuo Y Soc."},{"key":"ref_37","unstructured":"Bartra, R. (2014). Antropolog\u00eda del Cerebro. Consciencia, Cultura y Libre Albedr\u00edo, Pre-Textos."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/10\/5886\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:38:41Z","timestamp":1760125121000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/10\/5886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,19]]},"references-count":37,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2023,5]]}},"alternative-id":["ijerph20105886"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20105886","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,19]]}}}