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Related Experiment Video

Updated: May 12, 2025

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Mainstream Smart Home Technology-Based Intervention to Enhance Functional Independence in Individuals With Complex

Dan Ding1, Lindsey Morris1, Gina Novario1

  • 1Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, United States.

JMIR Rehabilitation and Assistive Technologies
|April 24, 2025
PubMed
Summary

Mainstream smart home technologies (MSHT) significantly enhance functional independence for individuals with complex physical disabilities. The ASSIST intervention successfully improved task completion and satisfaction, demonstrating MSHT

Keywords:
AIartificial intelligenceassistive technologyassistive technology service deliveryfunctional independenceoccupational therapyparticipationphysical disabilitiessmart home technology

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Area of Science:

  • Assistive Technology
  • Smart Home Technology
  • Rehabilitation

Background:

  • Mainstream smart home technologies (MSHT) are increasingly accessible and integrated into daily life.
  • MSHTs offer potential as assistive technology to boost independence for individuals with disabilities.
  • This study explores the application of MSHT for individuals with complex physical disabilities.

Purpose of the Study:

  • To describe the ASSIST (Autonomy, Safety, and Social Integration via Smart Technologies) intervention.
  • To evaluate the feasibility of MSHT-based intervention in enhancing functional independence.
  • To assess the impact on autonomy, safety, and social integration for users with complex physical disabilities.

Main Methods:

  • The ASSIST intervention utilized a client-centered, human activity assistive technology model.
  • It involved assessments, technology installation, and up to 8 training sessions led by an occupational therapist.
  • Feasibility was measured by functional performance changes, perceived task performance, satisfaction, cost, and training effectiveness (Goal Attainment Scale).

Main Results:

  • 17 powered wheelchair users with complex physical disabilities completed the study.
  • 74.8% of addressed tasks transitioned to independent completion, with significant improvements in perceived performance (2.6 to 8.8) and satisfaction (2.9 to 9.0).
  • Training goals were largely achieved (average GAS score 77.2), with an average cost of $3308 per participant.

Conclusions:

  • The ASSIST intervention effectively enhanced functional independence and satisfaction using MSHT for individuals with complex physical disabilities.
  • MSHT presents a promising, cost-effective solution for daily living needs.
  • Barriers like digital literacy and caregiver involvement require further attention for scalable, real-world implementation.