Health applications of gerontechnology, privacy, and surveillance: A scoping review

Abstract

In this era of technological advances designed to assist older adults to age in place and monitor health challenges, the emphasis has been on the surveillance of older adults for their safety and the peace of mind of caregivers. This article focuses on two emerging gerontechnologies: wearables and smart home or ambient assistive living (AAL) devices. In order to explore the intersections of the ageing enterprise and surveillance capitalism, this scoping review addresses the following questions: (1) what are the existing technologies; (2) what are the privacy concerns raised by participants, researchers, and caregivers due to intended and unintended uses of these technologies? Specifically, this article synthesizes twenty relevant sources concerning the surveillance potentials of these gerontechnologies and the privacy implications for adults aged sixty-five and over. While these technologies may offer older adults greater autonomy/safety and caregivers peace of mind, their surveillance and privacy infringement potentials cannot be overlooked or cast as a trade-off. Amidst the automation of the care, collection, combination, and commodification of various forms of personal, health, and wellness metadata, the right to privacy, dignity, and ageing in place must remain central to the adoption and use of these technologies.