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Title: Decision-making factors toward the adoption of smart home sensors by older adults in Singapore: mixed methods study
Authors: Cao, Yuanyuan
Erdt, Mojisola
Robert, Caroline
Nurhazimah Binte Naharudin
Lee, Shan Qi
Theng, Yin-Leng
Keywords: Social sciences::Communication
Issue Date: 2022
Source: Cao, Y., Erdt, M., Robert, C., Nurhazimah Binte Naharudin, Lee, S. Q. & Theng, Y. (2022). Decision-making factors toward the adoption of smart home sensors by older adults in Singapore: mixed methods study. JMIR Aging, 5(2), e34239-.
Project: MOH/NIC/CAHIG03/2016 
Journal: JMIR Aging 
Abstract: Background: An increasing aging population has become a pressing problem in many countries. Smart systems and intelligent technologies support aging in place, thereby alleviating the strain on health care systems. Objective: This study aims to identify decision-making factors involved in the adoption of smart home sensors (SHS) by older adults in Singapore. Methods: The study involved 3 phases: as an intervention, SHS were installed in older adults’ homes (N=42) for 4 to 5 weeks; in-depth semistructured interviews were conducted with 18 older adults, 2 center managers, 1 family caregiver, and 1 volunteer to understand the factors involved in the decision-making process toward adoption of SHS; and follow-up feedback was collected from 42 older adult participants to understand the reasons for adopting or not adopting SHS. Results: Of the 42 participants, 31 (74%) adopted SHS after the intervention, whereas 11 (26%) did not adopt SHS. The reasons for not adopting SHS ranged from privacy concerns to a lack of family support. Some participants did not fully understand SHS functionality and did not perceive the benefits of using SHS. From the interviews, we found that the decision-making process toward the adoption of SHS technology involved intrinsic factors, such as understanding the technology and perceiving its usefulness and benefits, and more extrinsic factors, such as considering affordability and care support from the community. Conclusions: We found that training and a strong support ecosystem could empower older adults in their decision to adopt technology. We advise the consideration of human values and involvement of older adults in the design process to build user-centric assistive technology.
ISSN: 2561-7605
DOI: 10.2196/34239
Schools: Wee Kim Wee School of Communication and Information 
Research Centres: Centre for Healthy and Sustainable Cities (CHESS) 
Rights: ©Yuanyuan Cao, Mojisola Erdt, Caroline Robert, Nurhazimah Binte Naharudin, Shan Qi Lee, Yin-Leng Theng. Originally published in JMIR Aging (, 24.06.2022. This is an open-access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Aging, is properly cited. The complete bibliographic information, a link to the original publication on, as well as this copyright and license information must be included.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:WKWSCI Journal Articles

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