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Digital alarm system with safety sensor and camera in special housing facilities—supportive or intrusive? A qualitative study of older adults’ experiences
School of Health Sciences, University of Skövde, Högskolevägen. Box 408, Skövde, 54128, Sweden.ORCID iD: 0009-0004-0418-5652
School of Health Sciences, University of Skövde, Högskolevägen. Box 408, Skövde, 54128, Sweden; College of Nursing, University of Rhode Island, Kingston, RI, USA.ORCID iD: 0000-0003-3970-1288
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. The Swedish Red Cross University, Stockholm, Sweden.ORCID iD: 0000-0002-9194-3244
School of Health Sciences, University of Skövde, Högskolevägen. Box 408, Skövde, 54128, Sweden.ORCID iD: 0000-0002-5014-7831
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2026 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 26, no 1, article id 839Article in journal (Refereed) Published
Abstract [en]

Background

The aging population is increasing due to advancements in medical research and public health, leading to a growing demand for healthcare services and special housing facilities (SHF). Welfare technology (WT) has been introduced to support older adults by enhancing safety, independence, and care efficiency. Despite its potential, WT adoption remains limited, and research on older adults' experiences, particularly in SHFs, is scarce. This study explores the experiences of older adults using a digital alarm system with a safety sensor and camera function (DASSCF) in SHFs.

Methods

An inductive qualitative study was conducted using semi-structured interviews with older adults (3 men, 14 women, aged 67–98) in SHF equipped with DASSCF in a municipality in western Sweden. Data were collected between April and September 2024 and analyzed using qualitative content analysis.

Results

Experiences of DASSCF resulted in balancing vulnerability, tolerance, and having peace of mind in daily life categorized into: emotional aspects, where DASSCF contributed to security in everyday life but also raised concerns about privacy; integrity aspects, highlighting the process of learning to live with surveillance and the tension between safety and autonomy; and technological aspects, which focused on usability challenges and the desire to have control over the system.

Conclusions

When integrating DASSCF into SHF, WT should be as supportive as possible without being too intrusive, allowing older adults to feel strengthened while ensuring their safety and independence.

Place, publisher, year, edition, pages
2026. Vol. 26, no 1, article id 839
Keywords [en]
Welfare technology, Digital alarm system, Safety sensor, Camera surveillance, Special housing facilities, Nursing homes, Older adults' experiences, Technological tolerance, Nursing care
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
URN: urn:nbn:se:hb:diva-35722DOI: 10.1186/s12877-026-07776-1ISI: 001794172700001PubMedID: 42288729Scopus ID: 2-s2.0-105041781143OAI: oai:DiVA.org:hb-35722DiVA, id: diva2:2077424
Funder
University of SkövdeSwedish Research Council, 2022–06348
Note

Funding: Open access funding provided by University of Skövde. This work was supported by Infrastructure of the Swedish Research School in Integrated Care for Future Teachers (SHIFT CARE), funded by the Swedish Research Council (DNr 2022–06348). It was also supported by the School of Health Sciences, University of Skövde, Sweden.

Available from: 2026-06-23 Created: 2026-06-23 Last updated: 2026-06-24Bibliographically approved

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Sundler, Annelie J.

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Beslic, Sanela HuskicGillsjö, CatharinaSundler, Annelie J.Ridelberg, MikaelaHallgren, Jenny
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