Ethical considerations in home monitoring technologies for persons living with cognitive impairment: a scoping review

作者：Jing Wang, Sajay Arthanat, Eugenia Opuda, Dain P. LaRoche, Samantha Hamilton, Amber Li, Chloe Mitchell, Aubrie Woodward, Guowei Li, Momotaz Begum, Giovanni Rubeis, Charlene H. Chu, Kirsten Corazzini · 发表于：The Gerontologist · 年份：2025 · DOI：10.1093/geront/gnaf261 · 被引用次数：1 · 研究领域：EEG and Brain-Computer Interfaces、Healthcare Technology and Patient Monitoring、Artificial Intelligence in Healthcare and Education

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...