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Related Experiment Video

Updated: Jan 15, 2026

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An Accessible Multifunctional System to Support Safe and Independent Aging in Place: Iterative Development and

Céline Madeleine Aldenhoven1,2, Matthew Milton2,3, Lisa D'Ambrosio2

  • 1Software Engineering (Elite Graduate Program), Technical University of Munich, Ludwig Maximilian University, University of Augsburg, Munich and Augsburg, Germany.

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Summary

Technology supporting older adults enhances autonomy and quality of life. The LifeTomorrow system prioritizes user needs, fostering competence, autonomy, and relatedness for independent aging.

Keywords:
aging in placegerontologyinformal caregiversiterative designmobile appsolder adultsqualitative text analysisself-determination theory

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Area of Science:

  • Gerontology and Health Informatics
  • Human-Computer Interaction
  • Assistive Technology

Background:

  • Increasing aging population and declining caregiver numbers necessitate innovative aging-in-place solutions.
  • Existing caregiving technologies often prioritize caregiver needs, potentially disempowering older adults.
  • A critical need exists for technologies that support older adults' autonomy and independence.

Purpose of the Study:

  • To explore older adults' and designers' responses to the LifeTomorrow system, designed with older adults as primary users.
  • To assess how the system supports older adults' autonomy, informed choices, and independent living.
  • To balance the social and functional needs of older adults and informal caregivers.

Main Methods:

  • Two iterative rounds of user studies involving 37 participants (older adults, caregivers, designers).
  • Qualitative thematic analysis using Self-Determination Theory to evaluate fulfillment of psychological needs (competence, autonomy, relatedness).
  • System design refinement based on user feedback and identified caregiving needs.

Main Results:

  • The LifeTomorrow system demonstrated value for both older adults and caregivers, supporting psychological needs.
  • Relatedness was enhanced through communication features; autonomy was supported by health data management and safety features.
  • Competence was improved via accessible design, intuitive navigation, and multigenerational usability, boosting user confidence.

Conclusions:

  • The LifeTomorrow system offers a holistic approach to support safe, independent aging in place, prioritizing older adults' autonomy.
  • Centering older adults as active participants signifies a shift towards equitable, user-centered caregiving technology.
  • Further research is recommended to investigate the long-term impact of such systems on aging-in-place outcomes.