Mujirishvili, Tamara, Maidhof, Caterina, Flórez-Revuelta, Francisco, Ziefle, Martina, Richart-Martínez, Miguel, Cabrero-García, Julio Acceptance and Privacy Perceptions Toward Video-based Active and Assisted Living Technologies: Scoping Review Journal of Medical Internet Research. 2023, 25: e45297. https://doi.org/10.2196/45297 URI: http://hdl.handle.net/10045/134096 DOI: 10.2196/45297 ISSN: 1438-8871 Abstract: Background: The aging society posits new socioeconomic challenges to which a potential solution is active and assisted living (AAL) technologies. Visual-based sensing systems are technologically among the most advantageous forms of AAL technologies in providing health and social care; however, they come at the risk of violating rights to privacy. With the immersion of video-based technologies, privacy-preserving smart solutions are being developed; however, the user acceptance research about these developments is not yet being systematized. Objective: With this scoping review, we aimed to gain an overview of existing studies examining the viewpoints of older adults and/or their caregivers on technology acceptance and privacy perceptions, specifically toward video-based AAL technology. Methods: A total of 22 studies were identified with a primary focus on user acceptance and privacy attitudes during a literature search of major databases. Methodological quality assessment and thematic analysis of the selected studies were executed and principal findings are summarized. The PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines were followed at every step of this scoping review. Results: Acceptance attitudes toward video-based AAL technologies are rather conditional, and are summarized into five main themes seen from the two end-user perspectives: caregiver and care receiver. With privacy being a major barrier to video-based AAL technologies, security and medical safety were identified as the major benefits across the studies. Conclusions: This review reveals a very low methodological quality of the empirical studies assessing user acceptance of video-based AAL technologies. We propose that more specific and more end user– and real life–targeting research is needed to assess the acceptance of proposed solutions. Keywords:Video-based active assisted living technologies, Video monitoring, Life logging, User acceptance, Privacy, Older adults, Disability, eHealth, Virtual assistance, Technology, Assistive technology, Virtual assistant, Virtual reality JMIR Publications info:eu-repo/semantics/article