Evidence map›Paper›PMID 41269110›Full record

ArticleThe Gerontologist2026

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

Jing Wang, Sajay Arthanat, Eugenia Opuda, Dain LaRoche, Samantha Hamilton, Amber Li, Chloe Mitchell, Aubrie Woodward, Guowei Li, Momotaz Begum and 3 more

Abstract readScoping Review
In one paragraph

Article in The Gerontologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jing WangCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.
Sajay ArthanatCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.
Eugenia OpudaCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.
Dain LaRocheCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.
Samantha HamiltonCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.
Amber LiCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.
Chloe MitchellCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.
Aubrie WoodwardCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.
Guowei LiCollege of Engineering and Physical Sciences, University of New Hampshire, New Hampshire, United States.
Momotaz BegumCollege of Engineering and Physical Sciences, University of New Hampshire, New Hampshire, United States.
Giovanni RubeisInstitute of Ethics and History of Medicine, Greifswald University, Greifswald, Germany.
Charlene ChuLawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-0333-7210
Kirsten CorazziniCollege of Health and Human Services, University of New Hampshire, Durham, New Hampshire, United States.

Funding

Effectiveness and adoption of a Smart home-based social assistive robot for care of individuals with Alzheimer's DiseaseR01AG075892 · NIA · UNIVERSITY OF NEW HAMPSHIRE · PI ARTHANAT, SAJAY, BEGUM, MOMOTAZ · 2022 to 2025
$2.6M
Fostering Ethical Adoption of Artificial Intelligence-Enabled Assistive Robots (AIAR) Grounded in Person-Centered Dementia CareR21EB036448 · NIBIB · UNIVERSITY OF NEW HAMPSHIRE · PI WANG, JING · 2024 to 2025
$394k
Fostering Ethical Adoption of Artificial Intelligence-Enabled Assistive Robots R21EB036448NIA NIH HHS R01 AG075892NIBIB NIH HHS R21 EB036448
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAs 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

methodsFollowing 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.

resultsA 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.

Indexed as

Cognitive DysfunctionHumansIndependent LivingPersonal AutonomyPrivacyTrustAging in placeCaregiverHome monitoring technologiesPeople living with cognitive impairment

Identifiers

PMID41269110
PMCPMC13377237

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.