Psychosocial Impact of Passive Health Status Monitoring on Informal Caregivers and Older Adults Living in Independent Senior Housing

This paper describes a study designed to assess some psychosocial impacts of monitoring technology on seniors living in independent senior housing. monitoring systems were installed, in 25 independent living units in an apartment complex, to track the activities of daily living (ADLs) and key alert conditions of residents. Activity reports were sent to informal caregivers. Residents (N=25) were assessed using the satisfaction with life scales (SWLS) instrument, informal caregivers (N=26) were assessed using modified caregiver strain index (CSI) and caregiver burden interview (CBI) instruments, before and after the installation of the monitoring system. Paired t-test for means was applied to the pre- and post-monitoring scores of SWLS, CSI, and CBI. The Wilcoxon matched-pairs signed-ranks nonparametric test was applied to compare the number of informal care hours pre- and post-monitoring. No statistically significant increase was observed on SWLS results. No significant changes in CSI and CBI scores were detected. There was a statistically significant increase in the number of informal care hours provided by the informal caregivers of monitored individuals. The results indicate that monitoring technologies could have enabled informal caregivers to provide more care for their loved ones without increasing their burdens, strain levels or negatively affecting their quality of life

[1]  N H Lovell,et al.  The potential impact of home telecare on clinical practice , 1999, The Medical journal of Australia.

[2]  Ilkka Korhonen,et al.  Health monitoring in the home of the future. , 2003, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[3]  Jon Leachtenauer,et al.  Impact of monitoring technology in assisted living: outcome pilot , 2006, IEEE Transactions on Information Technology in Biomedicine.

[4]  S. Zarit,et al.  The Hidden Victims of Alzheimer's Disease: Families Under Stress , 1985 .

[5]  S. Dalal,et al.  Impact of Passive In-Home Health Status Monitoring Technology in Home Health: Outcome Pilot , 2006, 1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2..

[6]  Robin A. Felder,et al.  DERIVATION OF BASIC HUMAN GAIT CHARACTERISTICS FROM FLOOR VIBRATIONS , 2003 .

[7]  B. C. Robinson Validation of a Caregiver Strain Index. , 1983, Journal of gerontology.

[8]  R. Larsen,et al.  The Satisfaction with Life Scale , 1985, Journal of personality assessment.

[9]  Jon Leachtenauer,et al.  Validation of rule-based inference of selected independent activities of daily living. , 2005, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[10]  Donald E. Brown,et al.  Health-status monitoring through analysis of behavioral patterns , 2005, IEEE Transactions on Systems, Man, and Cybernetics - Part A: Systems and Humans.