Background: For successful aging-in-place strategy development, in-home monitoring technology is necessary as a new home modification strategy. Monitoring an older adult’s daily physical activity at home can positively impact their health and well-being by providing valuable information about functional, cognitive, and social health status. However, it is questionable how these in-home monitoring technologies have changed the traditional residential environment. A comprehensive review of existing research findings should be utilized to characterize recent relative technologies and to inform design considerations. Objective: The main purpose of this study was to classify recent smart home technologies that monitor older adults’ health and to architecturally describe these technologies as they are used in older adults’ homes. Methods: The scoping review method was employed to identify key characteristics of in-home monitoring technologies for older adults. In June 2021, four databases, including Web of Science, IEEE Xplore, ACM Digital Library, and Scopus, were searched for peer-reviewed articles pertaining to smart home technologies used to monitor older adults’ health in their homes. We used two search strings to retrieve articles: types of technology and types of users. For the title, abstract, and full-text screening, the inclusion criteria were original and peer-reviewed research written in English, and research on monitoring, detecting, recognizing, analyzing, or tracking human physical, emotional, and social behavior. The exclusion criteria included theoretical, conceptual, or review papers; studies on wearable systems; and qualitative research. Results: This scoping review identified 30 studies published between June 2016 and 2021 providing overviews of in-home monitoring technologies, including (1) features of smart home technologies and (2) sensor locations and sensor data. First, we found six functions of in-home monitoring technology among the reviewed papers: daily activities, abnormal behaviors, cognitive impairment, falls, indoor person positioning, and sleep quality. Most of the research (n=27 articles) focused on functional monitoring and analysis, such as activities of daily living, instrumental activities of daily living, or falls among older adults; a few studies (n=3) covered social interaction monitoring. Second, this scoping review also found 16 types of sensor technologies. The most common data types encountered were passive infrared motion sensors (n=21) and contact sensors (n=19), which were used to monitor human behaviors such as bodily presence and time spent on activities. Specific locations for each sensor were also identified. Conclusions: This wide-ranging synthesis demonstrates that in-home monitoring technologies within older adults’ homes play an essential role in aging in place, in that the technology monitors older adults’ daily activities and identifies various health-related issues. This research provides a key summarization of in-home monitoring technologies that can be applied in senior housing for successful aging in place. These findings will be significant when developing home modification strategies or new senior housing.

The decentralized nature of blockchain enables data traceability, transparency, and immutability as complementary security features to the existing Internet of Things (IoT) systems. These Blockchain-based IoT (BIoT) systems aim to mitigate security risks such as malicious control, data leakage, and dishonesty often found in traditional cloud-based, vendor-specific IoT networks. As we steadily advance into the era of situation-aware IoT, the use of machine learning (ML) techniques has become essential for synthesizing situations based on sensory contexts. However, the challenge to integrate learning-based situation awareness with BIoT systems restricts the full potential of such integration. This is primarily due to the conflicts between the deterministic nature of smart contracts and the non-deterministic nature of machine learning, as well as the high costs of conducting machine learning on blockchain. To address the challenge, we propose a framework named Situ-Oracle. With the framework, a computation oracle of the blockchain ecosystem is leveraged to provide situation analysis as a service, based on Recurrent Neural Network (RNN)-based learning models tailored for the Situ model, and specifically designed smart contracts are deployed as intermediary communication channels between the IoT devices and the computation oracle. We used smart homes as a case study to demonstrate the framework design. Subsequently, system-wide evaluations were conducted over a physically constructed BIoT system. The results indicate that the proposed framework achieves better situation analysis accuracy (above 95%) and improves gas consumption as well as network throughput and latency when compared to baseline systems (on-chain learning or off-chain model verification). Overall, the paper presents a promising approach for improving situation analysis for BIoT systems, with potential applications in various domains such as smart homes, healthcare, and industrial automation.