Evidence map›Paper›PMID 41270265›Full record

ArticleJMIR nursing2025

Interpretation of Health-Smart Home Data and Implications for Clinical Decision-Making: Inductive Content Analysis.

Gordana Dermody, Diane J Cook, Roschelle L Fritz

Abstract read
In one paragraph

Article in JMIR nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Gordana Dermody *School of Health, University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, 4556, Australia, 610451980220.ORCID 0000-0003-0489-3881
Diane J Cook *School of Electrical Engineering and Computer Science, Washington State University, Pullman, WA, United States.ORCID 0000-0002-4441-7508
Roschelle L Fritz *Smart Aging and Gero Environments Lab, Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, United States.ORCID 0000-0002-0320-6763

Funding

A clinician-in-the-loop smart home to support health monitoring and intervention for chronic conditions: Supplement to focus on Alzheimer's and/or other dementiasR01NR016732 · NINR · WASHINGTON STATE UNIVERSITY · PI Diane Joyce Cook, Roschelle Fritz · 2017 to 2026
$3.5M
NINR NIH HHS R01 NR016732
6 · The paper itself

Abstract

Background: Health-smart home technologies offer real-time sensor-based monitoring of older adult activities of daily living, allowing for early detection of changes in health. The way clinicians interpret and use this data, particularly in visualized formats, such as bar, line, and pie graphs, remains underexplored. Objective: A qualitative descriptive study design with a quantitative component was used to explore how nurses interpret sensor-derived health data from health-smart homes in 3 cases. Methods: Using an inductive content analysis approach, we analyzed nurses' qualitative interpretations of existing sensor-derived health data from health-smart homes from 3 older adults living with ambient whole-home sensing. Nurses provided structured written feedback on visualized trends in sensor-derived health data, including activity, sleep, and mobility patterns. Results: The findings highlight both opportunities and challenges of using sensor-derived health data in older adults' care. Nurses identified key patterns in sleep, mobility, and home engagement, but interpretation difficulties, such as unclear sleep metrics and lack of clinical context, hindered decision-making. Nurses preferred bar and line graphs over pie charts for interpreting these data. Survey results show a statistically significant difference in how nurses rated different graph types (χ²2=17.1, P<.001), with pie charts rated significantly lower than both bar and line graphs (P<.001 and P=.008, respectively). These findings underscore the need for improved data visualization and integration to enhance the clinical utility of sensor-derived health data from health-smart homes. Conclusions: Findings indicate that nurses were able to provide accurate interpretations of the sensor-derived health data from health-smart homes. However, there is a need for improved visualization techniques and clinician training to optimize health-smart home data for early intervention. Standardized approaches to data representation could enhance nurses' ability to detect and act on subtle yet important information about older adults' health changes occurring in home settings.

Indexed as

Clinical Decision-MakingMonitoring, AmbulatoryActivities of Daily LivingAgedAged, 80 and overFemaleHome Care ServicesHumansMaleQualitative Researchaging-in-placecontent analysisdata visualizationdigital healthhealth-smart homenursing

Identifiers

PMID41270265
PMCPMC12638034

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Registered trials

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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.