Study Shows Smart Home Technology to Be Beneficial for Aging in Place
By JONATHAN KING
Saul Morse believes his wife might not have survived a recent health episode without assistive technology.
“Had it not been for our voice-activated digital home assistant, we would not have been able to get my wife the urgent care she needed when she was having a stroke,” said Morse, a College of Applied Health Sciences alumnus and wheelchair user who has post-polio syndrome and is among the growing population of older adults who are aging in place with mobility disabilities.
At the time of his wife’s stroke, Morse—the 2023 Harold Scharper Award recipient—was a participant in a study led by Health and Kinesiology Professor Wendy Rogers, whose research team equipped Morse with the smart home devices that became life-saving tools for him and his wife. Rogers’ study is but one pillar of her storied research career, during which she has worked closely with older adults aging in place to understand their unique challenges and accelerate innovations to improve their quality of life.
Mobility disabilities, defined as a “serious difficulty walking or climbing stairs,” affect approximately 21 percent of adults 65 years of age and older, and this population of older adults only continues to increase, according to a paper from Rogers and her colleagues published in the Gerontechnology journal. Despite the challenges of mobility impairments, a majority of older adults choose to age in place to maintain autonomy and connection to their community. More than 75 percent of Americans 50 years of age and older choose this path.
With the rise in the availability of smart home technology, Rogers identified the potential role of this technology to provide a significant boon to the growing population of older adults with mobility disabilities. Rogers initiated an investigation into smart home technology for older adults in 2019, prior to the COVID-19 pandemic. The pandemic’s stay-at-home orders only further highlighted the critical role that smart home technology can play to boost independence and reduce isolation for many older adults aging in place.
“It is important to offer older adults with long-term mobility disabilities suitable strategies to maintain and postpone significant declines in functional independence,” said Rogers, who, along with Kim Graber, is one of two Shahid and Ann Carlson Khan Professors of Applied Health Sciences.
In this strategic research project, Rogers’ preliminary study, funded in part by the Illinois Department of Aging, investigated ways of reducing feelings of isolation and loneliness and increasing support for older adults. Since then, Rogers has developed a robust portfolio documenting her lab’s study of the role of smart home technology for older adults aging in place.
In January 2020, Rogers and her team published the first paper of this study detailing perceptions of digital assistant devices by early technology adopting older adults. From there, they introduced a group of older adults to two different Amazon digital home assistants, the Echo Show and Echo Speaker, to investigate how older adults interact with those devices and what activities the devices supported. A 2023 paper reported Rogers’ study of specific technology-training needs shared by older adults who do not have experience with such devices.
Those findings informed the next stage of Rogers’ multi-year research project funded by the National Institute on Disability, Independent Living, and Rehabilitation Research: the creation of a technology suite to equip and empower older adults with all the tools necessary to overcome the obstacles to technology adoption and proper usage. To that end, Rogers’ team developed the Digital Assistance in a Box, or DAB, for the study’s 24 participants, who used the at-home technologies for five weeks.
The DAB included an Amazon Echo Show 8, Philips Hue Smart Lightbulb, an Amazon Smart Plug and a custom-designed instructional manual.
“I never intended to use this kind of technology, because I was concerned about what would be recorded on the manufacturer’s servers,” Morse said. “But as a participant in the study, we installed a digital voice assistant and smart bulbs and plugs in my office and in our living room and bedroom. Being in a wheelchair, I saw the utility of these technologies right away. What most impressed me, though, were the custom user manuals—even a technophobe could use and appreciate them.”
Rogers’ most recent papers from this project are “Supporting older adults with mobility disabilities through voice-activated digital assistants and smart home technologies” (2024) and “Multifaceted perspectives about digital home assistants and privacy from older adults with mobility disabilities” (2025), both published in the Gerontechnology journal. This latest paper reports findings from an optional follow-up 10-week study conducted for previous study participants.
Where previous studies looked at the viability of smart home technology for older adults, considering the range of activities they can support and how they might remedy loneliness, Rogers’ latest investigation zeroed in on a deeper exploration of older adults’ attitudes specifically regarding DHAs. Rogers’ team identified a few primary threats that might prevent older adults from adopting DHAs. In addition to the common barrier of learning to use a new technology, only a few older adults reported a lack of trust for manufacturers and a concern for their privacy.
Overall, study participants reported using DHAs for a wide variety of everyday activities and shared that the benefits of DHAs outweigh the risks. Participants reported using DHAs for leisure, hobby, entertainment, and health monitoring and maintenance endeavors. In fact, the results emphasize that DHAs specifically are particularly useful for older adults with mobility disabilities because of the voice-activated nature of such technologies.
“There’s a misperception that older adults don’t want to use technology,” Rogers said. “I’m an advocate for providing them with the support they need to use technology innovations. The benefits of reduced loneliness and isolation are a significant incentive. This latest study suggests that with increased education and training about privacy risks and protective strategies, older adults can experience the benefits of this assistant technology.”
In addition to this study, Rogers is working on multiple projects to benefit older adults aging in place. In partnership with researchers at TechSAge, she is investigating solutions for older adults with long-term vision or hearing impairments. Laura Rice, an associate professor in HK, and director of TechSAge, is leading a project to develop a fall-detection device for those in wheelchairs. At the McKechnie Family LIFE Home, Rogers is working with Girish Krishan, associate professor Industrial & Enterprise Systems Engineering, and Ian Rice, associate professor in HK, to develop a fall-prevention robotic shower. And there’s also a project with Katie Driggs-Campbell in Electrical and Computer Engineering to develop a wayfinding robot for adults with vision disabilities.
“We are studying the actual needs for aging in place for older adults and then coming back to our lab to work with engineers on how we can implement creative solutions that will improve the quality of life for older adults who are aging in place,” Rogers said. “Our study of DHAs, specifically, is a premier example of what makes Applied Health Sciences a special place, as we are doing the systematic interdisciplinary research necessary to produce responsive and supportive innovations to support people in our community.”