Personal smart technologies are becoming increasingly interwoven into everyday life, yet the usability and usefulness for some of these off-the-shelf technologies for persons with disabilities has yet to be determined. Smart speakers with both their native and downloadable functionalities (skills) have great potential to support individuals with disabilities through communication functionalities, smart home integrations, and more. However, the potential for usefulness does not always translate to how something is actually perceived or used in the real-world. Therefore, the objective of this qualitative study was to gather insight from individuals with disabilities on their experiences with smart speakers and smart speaker skills. Participant feedback highlighted several primary themes: (1) external factors that might influence extent of, and advancement in smart speaker use, (2) Smart speaker use barriers, (3) Smart speaker use facilitators, and (4) Smart speaker uses specific to individuals with disabilities. Continued research and development is needed to help ensure that commercially available technologies are designed with universal design principles that will ensure accessibility for all potential users.
Smart speaker skills are being used for smart home management by persons with disabilities, but these functionalities are not without barriers.Persons with various disabilities should be involved in the development and translation of smart speaker functions that are intended to, or that could, support the needs of this population.

BACKGROUND: The integration of smart technologies, including wearables and voice-activated devices, is increasingly recognized for enhancing the independence and well-being of older adults. However, the long-term dynamics of their use and the coadaptation process with older adults remain poorly understood. This scoping review explores how interactions between older adults and smart technologies evolve over time to improve both user experience and technology utility.
OBJECTIVE: This review synthesizes existing research on the coadaptation between older adults and smart technologies, focusing on longitudinal changes in use patterns, the effectiveness of technological adaptations, and the implications for future technology development and deployment to improve user experiences.
METHODS: Following the Joanna Briggs Institute Reviewer\'s Manual and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines, this scoping review examined peer-reviewed papers from databases including Ovid MEDLINE, Ovid Embase, PEDro, Ovid PsycINFO, and EBSCO CINAHL from the year 2000 to August 28, 2023, and included forward and backward searches. The search was updated on March 1, 2024. Empirical studies were included if they involved (1) individuals aged 55 years or older living independently and (2) focused on interactions and adaptations between older adults and wearables and voice-activated virtual assistants in interventions for a minimum period of 8 weeks. Data extraction was informed by the selection and optimization with compensation framework and the sex- and gender-based analysis plus theoretical framework and used a directed content analysis approach.
RESULTS: The search yielded 16,143 papers. Following title and abstract screening and a full-text review, 5 papers met the inclusion criteria. Study populations were mostly female participants and aged 73-83 years from the United States and engaged with voice-activated virtual assistants accessed through smart speakers and wearables. Users frequently used simple commands related to music and weather, integrating devices into daily routines. However, communication barriers often led to frustration due to devices\' inability to recognize cues or provide personalized responses. The findings suggest that while older adults can integrate smart technologies into their lives, a lack of customization and user-friendly interfaces hinder long-term adoption and satisfaction. The studies highlight the need for technology to be further developed so they can better meet this demographic\'s evolving needs and call for research addressing small sample sizes and limited diversity.
CONCLUSIONS: Our findings highlight a critical need for continued research into the dynamic and reciprocal relationship between smart technologies and older adults over time. Future studies should focus on more diverse populations and extend monitoring periods to provide deeper insights into the coadaptation process. Insights gained from this review are vital for informing the development of more intuitive, user-centric smart technology solutions to better support the aging population in maintaining independence and enhancing their quality of life.
UNASSIGNED: RR2-10.2196/51129.

OBJECTIVE: The goal of this review is to provide sleep physicians, dentists, and researchers with an evidence-based overview of the literature on smart mandibular advancement devices (MADs) for the treatment of obstructive sleep apnea.
METHODS: A systematic literature search was conducted by two blinded reviewers and an information specialist. A smart MAD was defined as any MAD with additional functionality besides mandibular protrusion. The bibliographic databases Medline, Embase, and Scopus were used to identify relevant publications. Studies were included if they described any stage of development of smart MADs. A total of 3162 titles and abstracts were screened for their relevance. In total, 58 articles were selected for full-text screening, 26 of which were included in this review.
RESULTS: The overall quality of the available literature was low. Most of the studies were observational, clinical or applied-research articles. The authors classified MADs into two main groups: passive and active. Passive MADs measured patient data, most commonly patient compliance. Active MADs adjusted protrusion of the mandible in response to patient data and were found in various phases of technological readiness (in development, demonstration, or deployment).
CONCLUSIONS: Innovations in smart mandibular advancement devices most frequently track patient compliance. Devices measuring other health parameters and active, feedback-controlled, devices are increasingly reported on. However, studies demonstrating their added benefit over traditional methods remain sparse. With further study, smart mandibular advancement devices have the potential to improve the efficiency of obstructive sleep apnea treatment and provide new treatment possibilities.

UNASSIGNED: Sleep disturbances are common among individuals with autism spectrum disorder (ASD) and can have a negative impact on their daily functioning and core symptoms. As the use of smart technologies continues to rise, it is crucial to understand how these devices affect the sleep quality of individuals with ASD.
UNASSIGNED: The objective of this study was to examine the relationship between the use of smart technology and sleep quality in individuals with ASD.
UNASSIGNED: A mixed-methods approach was employed, combining both quantitative and qualitative data collection techniques. A sample of 83 individuals with ASD, aged between 8 and 25 years, assessed their sleep quality using the Pittsburgh Sleep Quality Index. Additionally, information regarding patterns of smart technology use and relevant covariates was collected. Correlation and regression analyses were conducted to analyze the data. Furthermore, semi-structured interviews were conducted with a subset of participants and their caregivers.
UNASSIGNED: Significant positive correlations were found between poorer sleep quality scores and total screen time (r = 0.42, p < 0.001), pre-bedtime technology use (r = 0.51, p < 0.001), gaming (r = 0.32, p = 0.003), and social media use (r = 0.29, p = 0.008). Pre-bedtime technology use was a significant predictor of poorer sleep quality (β = 0.32, p = 0.006), even after controlling for age, gender, and ASD severity.
UNASSIGNED: The findings of this study emphasize the significant associations between the use of smart technology, particularly before bedtime, and poorer sleep quality in individuals with ASD. These results underscore the importance of developing evidence-based interventions and guidelines to promote healthy sleep habits and mitigate the negative effects of technology exposure in this population.

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Because of the critical importance to national healthcare of developing and applying smart technologies to address the needs of Taiwan\'s rapidly aging society, \"gerontechnology\" is an industry sector that must be promoted to achieve related policy goals. The scope of technologies involved in gerontechnology is broad, with the application of smart technology often the focus of industrial development. The most crucial feature of gerontechnology-related \"smart\" products is the collection, analysis, and feedback of target data in the application process necessary to facilitate the provision of \"precision\" aged care. The application of smart technology to meet the rapidly increasing life and care needs of older adults in aging societies is increasingly valued worldwide. However, the practical implementation of smart technology in aged care is still not widespread, and thus represents an urgent problem to be solved. There are many aspects to consider in the practical application of gerontechnology, among which caregivers are the key to practical application, with product suitability being the first concern of caregivers. In this article, a process is proposed to allow caregivers to assess the suitability of gerontechnology smart products in terms of \"data sensing and transmission,\" \"indicator identification and analysis,\" \"event prediction and feedback,\" and \"intervention measures.\" Based on the World Health Organization\'s concept of implementing research in healthcare, decision-making evaluation indicators for product selection and a product suitability questionnaire for institutional care are proposed with the goal of providing a practical tool for care institutions to assess the suitability of gerontechnology smart products.
BACKGROUND: 高齡智慧科技落地應用第一步—產品適用性評估.
我國高齡社會政策重視「智慧科技」發展與應用，積極推動「高齡科技」成為未來重點發展產業，以「落地應用」為行動目標。高齡科技含括的技術範疇非常廣，其中智慧科技應用常是產業界發展的重點；高齡「智慧」科技產品最重要特徵，應是產品應用過程中長者相關數據的蒐集、分析與回饋，以達成「精準」高齡照顧。應用智慧科技滿足高齡社會快速增加的長者生活與照顧需求，在全世界都受到重視，然而平心而論，智慧科技在高齡照顧落地應用仍不普及，在世界各國都仍是亟待解決的問題。高齡智慧科技落地應用有許多層面的思考，其中照顧者是落地應用的關鍵，產品是否適用則是照顧者面對的第一個問題。本文從高齡智慧科技產品「數據感測與傳輸」、「指標辨識與分析」、「事件預測與回饋」、「採取介入措施」的應用流程，提出照顧者對產品適用性評估思考流程；接著依據世界衛生組織（World Heahth Organization）提出健康照護「實施研究」選擇產品決策評估指標，參考其他常見之評估指標，具體擬出機構照顧之「適用性問卷」，提供照顧機構評估高齡智慧科技產品適用性的工具。.

BACKGROUND: Immersive technologies such as smart glasses can benefit nursing training and clinical practice. In this paper, we explore the views of nursing graduate students about their experience with smart glasses.
METHODS: Nursing graduate students (n = 13) were recruited using purposeful sampling. First, a virtual reality intervention for hyperglycemia in nursing care was shown. This was an attempt to introduce people to the technology and start discussions about how it might be used in nursing care. After that, participants underwent online interviews. Thematic analysis was used to examine the data.
RESULTS: The study findings indicated that the use of smart glasses as an enjoyable learning experience and immersive games positively affects nursing students. In addition, it was determined that they had negative experiences such as costs, lack of infrastructure, and smart glass side effects.
CONCLUSIONS: Smart glasses indicate good usability and availability in nursing education and potential for use in hospital nursing practice.

The Health App Review Tool (HART) is an evaluation tool that is designed to help the users in evaluation of the health apps for Alzheimer\'s Disease and Related Dementias (ADRD) population. As the development of the HART continues, the domain items that HART addresses require evaluation to determine if they meet the intended required criteria for the users.To complete content validation of the HART 10 health care professions provided content validation of the HART via a content validation form. Specifically, data collection took place virtually through Microsoft Teams and Qualtrics-based content validity index. Following, revisions were made through a consensus process involving 3 rehabilitation experts, minimizing potential conflicts.Findings indicate 76 of 109 items were considered acceptable, 19 items were in need of review and 14 items in need of revision. In sum 30% of the total HART items required either review or revision to improve HART validity. The changes were implemented through consensus revisions.

BACKGROUND: The exponential increase of the older population is coinciding with the growing challenges of digital technology in the different socio-cultural environments. This pilot study aimed to examine the knowledge of institutionalized elderly people about the use of technology and digital literacy and to analyze the perspectives of older users on the impact of smart technology on their lives during the Covid-19 pandemic.
METHODS: 10 users of the Home for the Elderly and Infirm \"Jordanovac\", Zagreb participated in a semi-structured 1:1 interview conducted in January 2021 after the approval of the Ethics Committee, respecting all epidemiologically prescribed measures. All narratives were recorded, then transcribed into tables, and went through a content analysis process.
RESULTS: All 10 participants (average age: 83.4) use and own a mobile device, but only 4 of them use smart devices. They mostly use ordinary calls for communication, and of the applications, with only 3 users, Viber, WhatsApp, and video calling are equally represented. Only one user uses Skype to communicate with their family.
CONCLUSIONS: Despite long-term isolation, respondents do not see technology as an opportunity to establish and maintain social contacts and do not have enough knowledge about using it. Most were educated on their own or by their families, which can be a good starting point for developing strategies in the form of activating volunteers who would teach the elderly about the possibilities of using digital content after the Covid crisis.

The optimal cycle light configuration for maximizing cyclists\' conspicuity to drivers is not clear. Advances in sensor technology has led to the development of \'reactive\' cycle lights that detect changes in the environment and consequently increase their flashing speed and brightness in risky situations - for example, when a rearward car is approaching - but no research has examined the effect of such lights on driver perception. The aim of the present study is to compare different cycle light configurations, including \'reactive\' light technology, on drivers\' ability to detect cyclists and estimate their proximity. We recruited 32 drivers to participate in two experiments, in which they viewed life-size real-world stimuli filmed from a driver\'s perspective in daytime and at dusk. The footage showed a cyclist on a bicycle with a rear light mounted on the seat post, in various configurations: static light, steady flashing, reactive flashing and no light. In Experiment 1, the drivers were required to detect the presence or absence of a cyclist on the road ahead as quickly as possible. In Experiment 2, they were required to estimate the distance of the cyclist from their vehicle, and to rate their confidence in their estimates. Experiment 1 revealed that drivers were quicker to detect the cyclist\'s presence in all rear cycle light conditions relative to the no light condition, but there were no differences in speed or accuracy across rear light conditions. Experiment 2 showed that drivers were more accurate in estimating the cyclist\'s proximity in the steady flashing and reactive flashing conditions, compared to static and no light conditions. Drivers were also more confident in their judgements in all rear light conditions compared to the no light condition. In conclusion, flashing rear cycle lights, regardless of reactive technology, enhanced drivers\' perception of a cyclist ahead, notably in terms of their judgements of distance to that cyclist. Further investigation is needed to fully understand the impact of cycle light technology on driver perception, as well as the use of drivers\' distance-to-cyclist estimates as an index of cyclists\' cognitive conspicuity.