Technological applications to enhance independence in daily activities for older adults: a systematic review

Abstract

Introduction: Monitoring daily activities in older adults using sensor technologies has grown significantly over the past two decades, evolving from simple tools to advanced systems that integrate Artificial Intelligence (AI) and the Internet of Things (IoT) for predictive monitoring. Despite these advances, there is still a need for a comprehensive review that addresses both technological progress and its impact on autonomous aging. Objective: To conduct a systematic review of sensor technologies used to monitor the daily activities of independent older adults, focusing on sensor types, applications, usage contexts, and their evolution over time. Methodology: A search was conducted in PubMed, Scopus, Web of Science, PsycInfo, and Google Scholar databases, covering studies published between 2000 and 2024. The 37 selected studies were assessed in terms of methodological quality and organized into four chronological stages, allowing for an examination of the progressive development of these technologies. Each stage represents an advance in sensor type, technological application, and implementation context, ranging from basic sensors to intelligent systems in multi-resident homes. Results: Findings indicate a clear progression in the accuracy and applicability of sensors, which evolved from fall detection to predictive interventions tailored to each user’s needs. Furthermore, the taxonomic classification of studies shows how sensors have been adapted to monitor physical, cognitive, and social dimensions, laying the groundwork for personalized care. Conclusion: Sensors represent a promising tool for promoting the independence and well-being of older adults, enabling proactive and personalized interventions in everyday settings. However, the lack of standardization in key parameters limits comparability between studies and highlights the need for consensus to facilitate the design of effective interventions that promote autonomous and healthy aging.