Ethical considerations in home monitoring technologies for persons living with cognitive impairment: a scoping review
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Le résumé fourni par la source
BACKGROUND AND OBJECTIVES: As the global population of people living with cognitive impairment grows, Home Monitoring Technologies (HMTs), such as cameras, motion sensors, wearable trackers, and artificial intelligence enabled ones are increasingly used to enhance safety and support aging in place. However, these technologies raise ethical concerns, particularly regarding privacy, autonomy, trust, and transparency. This scoping review explores these ethical implications and identifies key themes to inform future research, practice, and policy development. RESEARCH DESIGN AND METHODS: Following Arksey and O'Malley's scoping review framework, systematic searches were conducted in PubMed, EMBASE, CINAHL, and PsycINFO (Arksey & O'Malley (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8, 19-32). Studies were included if they examined HMTs for people living with cognitive impairment and addressed ethical concerns. Our eight central themes were derived inductively during data synthesis, and the Rubeis' 4D Risks Framework offered a valuable conceptual scaffold to organize and interpret the broader patterns of ethical risk. RESULTS: A total of 110 publications from 30 countries were reviewed. Ethical concerns were identified in each of the 4 areas of the framework, including privacy violations, loss of autonomy, erosion of trust, and unintended consequences such as social isolation and reduced human interaction. Person-centered design approaches, which engage both people with cognitive impairment and caregivers, were identified as crucial for mitigating risks and fostering ethical implementation. DISCUSSION AND IMPLICATIONS: Findings underscore the need for evidence-informed guidelines that explicitly incorporate ethical frameworks to ensure consideration of the balance of health and safety with autonomy and dignity.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Ethical considerations in home monitoring technologies for persons living with cognitive impairment: a scoping review
- Date Crossref
- 21/11/2025
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of New Hampshire pays non établi dans la noticeUniversité ou école supérieure
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University of New Hampshire at Manchester pays non établi dans la noticeUniversité ou école supérieure
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Universitätsmedizin Greifswald pays non établi dans la noticeÉtablissement de santé
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Universität Greifswald pays non établi dans la noticeUniversité ou école supérieure
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University of Toronto pays non établi dans la noticeUniversité ou école supérieure
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College of Health and Human Services pays non établi dans la noticeUniversité ou école supérieure
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Greifswald University Institute of Ethics and History of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Lawrence Bloomberg Faculty of Nursing pays non établi dans la noticeUniversité ou école supérieure
University of New Hampshire, University of New Hampshire at Manchester et Universitätsmedizin Greifswald, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.