Building trust in long-term care settings using assistive technology: a systematic review.
Kangjie Zheng, Fred Han, Siyu Yang and 1 others
PMID 39649373WHAT IT FOUND
In long-term care, trust in assistive technology depends on reliable, useful, easy devices, privacy, caregiver support, and realistic expectations.
Technical failures, stigma, and weakened contact can reduce trust and lead to abandonment.
Key findings
01Trust in assistive technology in long-term care is influenced by care receiver factors, caregiver factors, and technology-related factors.
02Devices that are unreliable, difficult to use, privacy-invasive, or socially disruptive can reduce trust and lead to abandonment.
03Caregiver experience, communication, collaboration, and knowledge support care receivers' trust in assistive technology.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The review did not formally assess study quality, so included articles may vary in methodological rigor. Full-text screening was done by one reviewer, which can increase selection error. It included only peer-reviewed evidence syntheses after 2000 and excluded grey literature, so relevant reports may be missing. The authors report that trust terms were inconsistently defined across articles, which made interpretation difficult. The review used thematic synthesis rather than quantitative effect estimates, and the authors say the limited assistive technology types made comparisons difficult. Findings cover many chronic conditions and settings, so they may not apply to every disease or care context. The evidence base was 32 articles, which is small for broad trust claims.
Declared interests
The authors declared no financial support for the research, authorship, or publication.
The easy way to misread this
Do not conclude that assistive technology automatically builds trust or improves long-term care. The review found trust depends on device reliability, ease, privacy, caregiver support, and realistic expectations, and it included no formal quality assessment or measured treatment effects.