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      Involvement of older people in the development of fall detection systems: a scoping review

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          Abstract

          Background

          The involvement of users is recommended in the development of health related technologies, in order to address their needs and preferences and to improve the daily usage of these technologies.

          The objective of this literature review was to identify the nature and extent of research involving older people in the development of fall detection systems.

          Methods

          A scoping review according to the framework of Arksey and O’Malley was carried out. A key term search was employed in eight relevant databases. Included articles were summarized using a predetermined charting form and subsequently thematically analysed.

          Results

          A total of 53 articles was included. In 49 of the 53 articles, older people were involved in the design and/or testing stages, and in 4 of 53 articles, they were involved in the conceptual or market deployment stages. In 38 of the 53 articles, the main focus of the involvement of older people was technical aspects. In 15 of the 53 articles, the perspectives of the elderly related to the fall detection system under development were determined using focus groups, single interviews or questionnaires.

          Conclusions

          Until presently, involvement of older people in the development of fall detection systems has focused mainly on technical aspects. Little attention has been given to the specific needs and views of older people in the context of fall detection system development and usage.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s12877-016-0216-3) contains supplementary material, which is available to authorized users.

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          Most cited references71

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          A scoping review of scoping reviews: advancing the approach and enhancing the consistency

          Background The scoping review has become an increasingly popular approach for synthesizing research evidence. It is a relatively new approach for which a universal study definition or definitive procedure has not been established. The purpose of this scoping review was to provide an overview of scoping reviews in the literature. Methods A scoping review was conducted using the Arksey and O'Malley framework. A search was conducted in four bibliographic databases and the gray literature to identify scoping review studies. Review selection and characterization were performed by two independent reviewers using pretested forms. Results The search identified 344 scoping reviews published from 1999 to October 2012. The reviews varied in terms of purpose, methodology, and detail of reporting. Nearly three-quarter of reviews (74.1%) addressed a health topic. Study completion times varied from 2 weeks to 20 months, and 51% utilized a published methodological framework. Quality assessment of included studies was infrequently performed (22.38%). Conclusions Scoping reviews are a relatively new but increasingly common approach for mapping broad topics. Because of variability in their conduct, there is a need for their methodological standardization to ensure the utility and strength of evidence. © 2014 The Authors. Research Synthesis Methods published by John Wiley & Sons, Ltd.
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            Synthesising qualitative and quantitative evidence: a review of possible methods.

            The limitations of traditional forms of systematic review in making optimal use of all forms of evidence are increasingly evident, especially for policy-makers and practitioners. There is an urgent need for robust ways of incorporating qualitative evidence into systematic reviews. In this paper we provide a brief overview and critique of a selection of strategies for synthesising qualitative and quantitative evidence, ranging from techniques that are largely qualitative and interpretive through to techniques that are largely quantitative and integrative. A range of methods is available for synthesising diverse forms of evidence. These include narrative summary, thematic analysis, grounded theory, meta-ethnography, meta-study, realist synthesis, Miles and Huberman's data analysis techniques, content analysis, case survey, qualitative comparative analysis and Bayesian meta-analysis. Methods vary in their strengths and weaknesses, ability to deal with qualitative and quantitative forms of evidence, and type of question for which they are most suitable. We identify a number of procedural, conceptual and theoretical issues that need to be addressed in moving forward with this area, and emphasise the need for existing techniques to be evaluated and modified, rather than inventing new approaches.
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              Older adults' attitudes towards and perceptions of "smart home" technologies: a pilot study.

              The study aim is to explore the perceptions and expectations of seniors in regard to "smart home" technology installed and operated in their homes with the purpose of improving their quality of life and/or monitoring their health status. Three focus group sessions were conducted within this pilot study to assess older adults' perceptions of the technology and ways they believe technology can improve their daily lives. Themes discussed in these groups included participants' perceptions of the usefulness of devices and sensors in health-related issues such as preventing or detecting falls, assisting with visual or hearing impairments, improving mobility, reducing isolation, managing medications, and monitoring of physiological parameters. The audiotapes were transcribed and a content analysis was performed. A total of 15 older adults participated in three focus group sessions. Areas where advanced technologies would benefit older adult residents included emergency help, prevention and detection of falls, monitoring of physiological parameters, etc. Concerns were expressed about the user-friendliness of the devices, lack of human response and the need for training tailored to older learners. All participants had an overall positive attitude towards devices and sensors that can be installed in their homes in order to enhance their lives.
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                Author and article information

                Contributors
                +41-31-848-45-64 , friederike.thilo@bfh.ch
                Barbara.Huerlimann@insel.ch
                sabine.hahn@bfh.ch
                selina.bilger@bfh.ch
                jos.schols@maastrichtuniversity.nl
                r.halfens@maastrichtuniversity.nl
                Journal
                BMC Geriatr
                BMC Geriatr
                BMC Geriatrics
                BioMed Central (London )
                1471-2318
                11 February 2016
                11 February 2016
                2016
                : 16
                : 42
                Affiliations
                [ ]Applied Research & Development in Nursing, Health Division, Bern University of Applied Sciences, Murtenstrasse 10, CH-3008 Bern, Switzerland
                [ ]School CAPHRI, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands
                [ ]School CAPHRI, Department of General Practice, Maastricht University, Maastricht, The Netherlands
                [ ]Departments of Pulmonary Medicine and Thoracic Surgery, Inselspital, Bern University Hospital, Bern, Switzerland
                Article
                216
                10.1186/s12877-016-0216-3
                4750302
                26869259
                34bf262f-0735-4236-aefa-0de025718f7c
                © Thilo et al. 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 26 August 2015
                : 3 February 2016
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2016

                Geriatric medicine
                fall detection,user-involvement,scoping review,older people
                Geriatric medicine
                fall detection, user-involvement, scoping review, older people

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