背景:智能技术的集成,包括可穿戴设备和语音激活设备,在增强老年人的独立性和福祉方面越来越得到认可。然而,他们使用的长期动态和与老年人的共适应过程仍然知之甚少。本范围审查探讨了老年人与智能技术之间的互动如何随着时间的推移而发展,以改善用户体验和技术实用性。
目的:这篇综述综合了关于老年人与智能技术之间的共适应的现有研究,关注使用模式的纵向变化,技术适应的有效性,以及对未来技术开发和部署以改善用户体验的影响。
方法:遵循JoannaBriggsInstitute审阅者手册和PRISMA-ScR(系统审阅的首选报告项目和范围审阅的Meta分析扩展)指南,本次范围审查审查了来自OvidMEDLINE等数据库的同行评审论文,OvidEmbase,PEDro,OvidPsycINFO,和EBSCOCINAHL从2000年到2023年8月28日,包括向前和向后搜索。搜索于2024年3月1日更新。如果实证研究涉及(1)55岁或以上的独立生活的个体,以及(2)关注老年人与可穿戴设备和语音激活的虚拟助理之间的互动和适应,至少为期8周。数据提取是通过薪酬框架的选择和优化以及基于性别和性别的分析加上理论框架,并使用了定向内容分析方法。
结果:搜索产生了16,143篇论文。在标题和摘要筛选以及全文审查之后,5篇论文符合纳入标准。研究人群主要是女性参与者,年龄在73-83岁之间,来自美国,并通过智能扬声器和可穿戴设备访问语音激活的虚拟助理。用户经常使用与音乐和天气相关的简单命令,将设备集成到日常生活中。然而,由于设备无法识别线索或提供个性化响应,沟通障碍通常会导致沮丧。研究结果表明,虽然老年人可以将智能技术融入他们的生活,缺乏定制和用户友好的界面阻碍了长期的采用和满意度。这些研究强调了技术需要进一步发展,以便更好地满足这一人口不断发展的需求,并呼吁针对小样本量和有限多样性的研究。
结论:我们的研究结果突出表明,随着时间的推移,需要继续研究智能技术与老年人之间的动态和互惠关系。未来的研究应侧重于更多样化的人群,并延长监测期,以提供对共适应过程的更深入的见解。从这次审查中获得的见解对于告知更直观的发展至关重要,以用户为中心的智能技术解决方案,以更好地支持老龄化人口保持独立性和提高他们的生活质量。
■RR2-10.2196/51129。
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.