Journal
DISABILITY AND REHABILITATION-ASSISTIVE TECHNOLOGY
Volume 17, Issue 6, Pages 624-644Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/17483107.2020.1818138
Keywords
Assistive technology; disability; complex needs; smart technology; outcomes
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Smart home and communication technology can improve independence, participation, and quality of life for people with disabilities and complex needs, although ethical considerations and the need for personalization, flexibility, and ongoing support are important factors to consider for successful implementation.
Purpose The links between disability, activity limitation and participation restriction are well established. Recent and continued advancement of technology, particularly smart home and communication technologies, presents new ways in which some of the limitations and restrictions experienced by people with disabilities can be overcome. The aim of this scoping review was to explore the impact of smart home and communication technology on the outcomes of people with disabilities and complex needs. Method This review involved systematic searching of four databases, hand searches and data extraction. Eligibility criteria included [1] participant outcomes of [2] technology used within the home [3] among adults with a disability and complex needs. Results Of the 2400 studies identified, 21 met our inclusion criteria. Studies were characterized by significant diversity in relation to disability and type of technology. Overall, technology appeared to improve independence, participation and quality of life among people with a disability and complex needs. Despite this, ethical considerations were raised given the vulnerability of this population, including potential risks through social participation and privacy concerns of using monitoring technology. Conclusions Smart home and communication technology can improve outcomes for people living with disabilities and complex needs. However, a number of factors impact the successful implementation of technology, including personalization, flexibility and ongoing support to the person with a disability and their close others. Future research should utilize high-quality study designs and established measures of important outcomes for this group.
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