SEARCHNARRATIVE_REVIEWgeriatrics, neurology

narrative_review·geriatrics, neurology, public health, biomedical research, systematic review·PMC10218107

Active and Assisted Living, a Practice for the Ageing Population and People with Cognitive Disabilities: An Architectural Perspective

International Journal of Environmental Research and Public Health · 3 authors, 2 centres

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TL;DR

The central finding is that while AAL holds promise for improving quality of life, its implementation remains limited due to barriers like user acceptance, privacy concerns, and technical interoperability.

Full summary

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The authors identify that the AAL concept emerged around 2008 and was re-termed in 2014, with a sharp increase in publications in recent years. The review synthesizes findings from various research projects and applications, discussing the main goals of AAL to enable older adults to benefit from digital health services. Key barriers include older adults' limited capacity to absorb ubiquitous technology, ethical and legal concerns over data privacy, and issues with device reliability, safety, and interoperability. The development of AAL services has been uneven, with most efforts focused on small-scale, home-based telemonitoring projects, and a lack of application in non-domestic or urban planning scales. The review concludes by identifying a need for more architectural research and development to address these implementation challenges.

STUDY TYPE

narrative_review

SPECIALTY

geriatrics

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AI pipeline

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ORIGINAL PAPER

PMC10218107

Active and Assisted Living, a Practice for the Ageing Population and People with Cognitive Disabilities: An Architectural Perspective

International Journal of Environmental Research and Public Health

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ABSTRACT

Abstract The current digital revolution is causing a paradigm shift encompassing all environments in which human beings conduct their daily activities. Technology is starting to govern the world, gradually modifying not only individual and social behaviour, but also ways of living. The necessary adaptation to new information and communication technologies forces societies to rethink both public and private spaces, in which evolution is slower than rapid social transformation. As part of this change, the concept of Active Assisted Living (AAL) has developed. Assisted spaces can be designed to provide older adults, carers, or people who have cognitive disabilities, such as Alzheimer’s disease or other dementias, with a healthier, safer, and more comfortable life, while also affording them greater personal autonomy. AAL aims to improve people’s quality of life and allow them to remain in their own homes for as long as possible, not in residences. This study conducted a critical review about AAL from an architectural point of view. The research adopted a qualitative approach in which we collected the studies during the last twenty years, then used descriptive, narrative and critical analysis methods. Based on these, this paper aims to explain this new technological paradigm, its characteristics, its main development trends, and its implementation limitations. The results obtained show how the development of AAL will be in the next ten years, and how this concept, and its application, can influence architecture and provide the bases for further research into the design of buildings and cities. Keywords: Active Assisted Living, ambient intelligence, Ambient Assisted Living, health humanities, healthy architecture, ageing, ambient adapted to Alzheimer’s outpatients, cognitive architectural design

CITATION EXPORT

Santiago Quesada-García, Pablo Valero-Flores, María Lozano-Gómez. Active and Assisted Living, a Practice for the Ageing Population and People with Cognitive Disabilities: An Architectural Perspective. International Journal of Environmental Research and Public Health. (2023). https://doi.org/10.3390/ijerph20105886

AUTHORS

3 · 2 CENTRES

Santiago Quesada-García, Pablo Valero-Flores, María Lozano-Gómez

1Department of Architectural Design, University of Seville, Av. Reina Mercedes 2, 41012 Seville, Spain; [email protected]
2Faculty of Medicine, Campus Teatinos, University of Malaga, Blvr. Louis Pasteur, 32, 29010 Malaga, Spain; [email protected]

Santiago Quesada-García, Pablo Valero-Flores, María Lozano-Gómez. Active and Assisted Living, a Practice for the Ageing Population and People with Cognitive Disabilities: An Architectural Perspective. International Journal of Environmental Research and Public Health. (2023). https://doi.org/10.3390/ijerph20105886