Evidence map›Paper›PMID 42052619›Full record

ReviewRisk management and healthcare policy2026

Privacy, Security & Governance Frameworks for AI-Powered Wearable Internet of Health Things in Elderly Care: A Comprehensive Review.

Dhika Dharmansyah, Laili Rahayuwati, Iqbal Pramukti, Kuswandewi Mutyara

Abstract readReview
In one paragraph

Review in Risk management and healthcare policy, 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

4 authors.

Dhika DharmansyahDoctoral Program in Medicine, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia.ORCID 0000-0001-6338-3852
Laili RahayuwatiDepartment of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.ORCID 0000-0002-2732-3534
Iqbal PramuktiDepartment of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, West Java, Indonesia.ORCID 0000-0002-0645-0534
Kuswandewi MutyaraDepartment of Public Health, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, Indonesia.ORCID 0000-0003-2971-3672

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global aging population is expanding at an unprecedented rate, with projections indicating that 1.4 billion people will be aged 60 years or older by 2030 and 2.1 billion by 2050, placing immense pressure on healthcare systems worldwide. Artificial intelligence (AI)-powered wearable Internet of Health Things (IoHT) devices - including smartwatches, biosensors, and continuous health monitors - have emerged as transformative tools for real-time elderly health monitoring, fall detection, and predictive analytics. However, the massive collection of sensitive biometric data by these devices raises critical concerns regarding privacy, security, and governance that remain insufficiently addressed, particularly for elderly populations. This comprehensive review synthesizes evidence from 333 peer-reviewed articles published between 2018 and 2025 cross PubMed, Scopus, Web of Science, IEEE Xplore, and Google Scholar to identify, analyze, and compare governance frameworks for AI-powered wearable IoHT in elderly care. The analysis reveals significant regulatory fragmentation across jurisdictions: while the European Union's General Data Protection Regulation (GDPR) and AI Act provide the most comprehensive rights-based framework, the United States relies on a patchwork of sector-specific regulations with notable gaps for consumer wearables, and Asia-Pacific nations exhibit highly variable approaches ranging from mature (Singapore, Japan) to nascent (Indonesia, Malaysia). Elderly-specific provisions remain conspicuously absent across all regulatory regimes examined. This review proposes a novel five-layer integrative governance framework - the first to unify technical security, privacy protection, ethical AI governance, regulatory compliance, and person-centered governance specifically designed for elderly care contexts. The framework addresses unique vulnerabilities associated with cognitive decline, reduced digital literacy, and caregiver dependency. Findings underscore the urgent need for harmonized, age-sensitive regulatory approaches and privacy-preserving technologies such as federated learning and differential privacy to ensure that AI-powered wearable IoHT fulfills its promise of enhancing elderly healthcare without compromising dignity, autonomy, or data security.

Indexed as

data securityelderly careinternet of health thingsIoHTprivacy governanceregulatory frameworkrisk managementwearable AI

Identifiers

PMID42052619
PMCPMC13117830

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.