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Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review

BACKGROUND: The worldwide increase in older persons demands technological solutions to combat the shortage of caregiving and to enable aging in place. Smart home health technologies (SHHTs) are promoted and implemented as a possible solution from an economic and practical perspective. However, ethic...

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Autores principales: Felber, Nadine Andrea, Tian, Yi Jiao (Angelina), Pageau, Félix, Elger, Bernice Simone, Wangmo, Tenzin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061702/
https://www.ncbi.nlm.nih.gov/pubmed/36991423
http://dx.doi.org/10.1186/s12910-023-00898-w
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author Felber, Nadine Andrea
Tian, Yi Jiao (Angelina)
Pageau, Félix
Elger, Bernice Simone
Wangmo, Tenzin
author_facet Felber, Nadine Andrea
Tian, Yi Jiao (Angelina)
Pageau, Félix
Elger, Bernice Simone
Wangmo, Tenzin
author_sort Felber, Nadine Andrea
collection PubMed
description BACKGROUND: The worldwide increase in older persons demands technological solutions to combat the shortage of caregiving and to enable aging in place. Smart home health technologies (SHHTs) are promoted and implemented as a possible solution from an economic and practical perspective. However, ethical considerations are equally important and need to be investigated. METHODS: We conducted a systematic review according to the PRISMA guidelines to investigate if and how ethical questions are discussed in the field of SHHTs in caregiving for older persons. RESULTS: 156 peer-reviewed articles published in English, German and French were retrieved and analyzed across 10 electronic databases. Using narrative analysis, 7 ethical categories were mapped: privacy, autonomy, responsibility, human vs. artificial interactions, trust, ageism and stigma, and other concerns. CONCLUSION: The findings of our systematic review show the (lack of) ethical consideration when it comes to the development and implementation of SHHTs for older persons. Our analysis is useful to promote careful ethical consideration when carrying out technology development, research and deployment to care for older persons. REGISTRATION: We registered our systematic review in the PROSPERO network under CRD42021248543. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12910-023-00898-w.
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spelling pubmed-100617022023-03-31 Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review Felber, Nadine Andrea Tian, Yi Jiao (Angelina) Pageau, Félix Elger, Bernice Simone Wangmo, Tenzin BMC Med Ethics Research BACKGROUND: The worldwide increase in older persons demands technological solutions to combat the shortage of caregiving and to enable aging in place. Smart home health technologies (SHHTs) are promoted and implemented as a possible solution from an economic and practical perspective. However, ethical considerations are equally important and need to be investigated. METHODS: We conducted a systematic review according to the PRISMA guidelines to investigate if and how ethical questions are discussed in the field of SHHTs in caregiving for older persons. RESULTS: 156 peer-reviewed articles published in English, German and French were retrieved and analyzed across 10 electronic databases. Using narrative analysis, 7 ethical categories were mapped: privacy, autonomy, responsibility, human vs. artificial interactions, trust, ageism and stigma, and other concerns. CONCLUSION: The findings of our systematic review show the (lack of) ethical consideration when it comes to the development and implementation of SHHTs for older persons. Our analysis is useful to promote careful ethical consideration when carrying out technology development, research and deployment to care for older persons. REGISTRATION: We registered our systematic review in the PROSPERO network under CRD42021248543. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12910-023-00898-w. BioMed Central 2023-03-29 /pmc/articles/PMC10061702/ /pubmed/36991423 http://dx.doi.org/10.1186/s12910-023-00898-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Felber, Nadine Andrea
Tian, Yi Jiao (Angelina)
Pageau, Félix
Elger, Bernice Simone
Wangmo, Tenzin
Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_full Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_fullStr Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_full_unstemmed Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_short Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
title_sort mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061702/
https://www.ncbi.nlm.nih.gov/pubmed/36991423
http://dx.doi.org/10.1186/s12910-023-00898-w
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