How Wearable Technologies Generate Value in Older Adult Care: An Axiomatic Model.

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Title: How Wearable Technologies Generate Value in Older Adult Care: An Axiomatic Model.
Authors: Vasquez, Brian A. (AUTHOR), Maniago, Jestoni D. (AUTHOR), Soriano, Gil P. (AUTHOR), Elmido, Juanito G. (AUTHOR), Calong, Kathyrine A. Calong (AUTHOR)
Source: Scandinavian Journal of Caring Sciences. Jun2026, Vol. 40 Issue 2, p1-14. 14p.
Subjects: Elder care, Patient compliance, Patient autonomy, Nurse-patient relationships, Geriatric nursing, Patient safety, Research funding, Value-based healthcare, Dignity, Wearable technology, Psychological well-being, Nursing practice, Conceptual structures, Mathematical models, Trust, Research, Theory, Patient satisfaction
Abstract: Background: Wearable technologies are increasingly used in older adult care; however, a coherent framework explaining how these technologies generate value remains lacking. Aim: This study aims to develop a clear and ethically grounded framework for understanding how wearable technologies generate value in older adult care, with relevance to nursing practice. Methods: Using a formal, non‐numerical axiomatic conceptualization approach, we constructed a theory‐building model by defining key system components, specifying foundational assumptions and logically deriving their implications for care and design. Results: The framework identifies 10 core system entities and nine governing axioms that describe the necessary conditions under which wearable‐generated data become meaningful, actionable and ethically acceptable in older adult care. From these axioms, six logically derived theorems articulate how monitoring can support early detection, safety, adherence and care integration. These theorems are translated into seven practical design principles to guide evaluation and implementation. Value generation is conceptualized as a staged process, from data capture to care outcomes, conditioned by human and system factors such as adherence, usability, trust, safety, relevance and clinical integration. Conclusion: This model provides a common language for researchers, designers, and nurses to evaluate and design wearable technologies that enhance safety, autonomy, and well‐being while preserving dignity, trust and relational care in older adult populations. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: How Wearable Technologies Generate Value in Older Adult Care: An Axiomatic Model.
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  Data: <searchLink fieldCode="AR" term="%22Vasquez%2C+Brian+A%2E%22">Vasquez, Brian A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maniago%2C+Jestoni+D%2E%22">Maniago, Jestoni D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Soriano%2C+Gil+P%2E%22">Soriano, Gil P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Elmido%2C+Juanito+G%2E%22">Elmido, Juanito G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Calong%2C+Kathyrine+A%2E+Calong%22">Calong, Kathyrine A. Calong</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Jun2026, Vol. 40 Issue 2, p1-14. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Elder+care%22">Elder care</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+autonomy%22">Patient autonomy</searchLink><br /><searchLink fieldCode="DE" term="%22Nurse-patient+relationships%22">Nurse-patient relationships</searchLink><br /><searchLink fieldCode="DE" term="%22Geriatric+nursing%22">Geriatric nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Value-based+healthcare%22">Value-based healthcare</searchLink><br /><searchLink fieldCode="DE" term="%22Dignity%22">Dignity</searchLink><br /><searchLink fieldCode="DE" term="%22Wearable+technology%22">Wearable technology</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+well-being%22">Psychological well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+practice%22">Nursing practice</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Mathematical+models%22">Mathematical models</searchLink><br /><searchLink fieldCode="DE" term="%22Trust%22">Trust</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Theory%22">Theory</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+satisfaction%22">Patient satisfaction</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Wearable technologies are increasingly used in older adult care; however, a coherent framework explaining how these technologies generate value remains lacking. Aim: This study aims to develop a clear and ethically grounded framework for understanding how wearable technologies generate value in older adult care, with relevance to nursing practice. Methods: Using a formal, non‐numerical axiomatic conceptualization approach, we constructed a theory‐building model by defining key system components, specifying foundational assumptions and logically deriving their implications for care and design. Results: The framework identifies 10 core system entities and nine governing axioms that describe the necessary conditions under which wearable‐generated data become meaningful, actionable and ethically acceptable in older adult care. From these axioms, six logically derived theorems articulate how monitoring can support early detection, safety, adherence and care integration. These theorems are translated into seven practical design principles to guide evaluation and implementation. Value generation is conceptualized as a staged process, from data capture to care outcomes, conditioned by human and system factors such as adherence, usability, trust, safety, relevance and clinical integration. Conclusion: This model provides a common language for researchers, designers, and nurses to evaluate and design wearable technologies that enhance safety, autonomy, and well‐being while preserving dignity, trust and relational care in older adult populations. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/scs.70283
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      – Code: eng
        Text: English
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        PageCount: 14
        StartPage: 1
    Subjects:
      – SubjectFull: Elder care
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Patient autonomy
        Type: general
      – SubjectFull: Nurse-patient relationships
        Type: general
      – SubjectFull: Geriatric nursing
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Value-based healthcare
        Type: general
      – SubjectFull: Dignity
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      – SubjectFull: Wearable technology
        Type: general
      – SubjectFull: Psychological well-being
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      – SubjectFull: Nursing practice
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      – SubjectFull: Conceptual structures
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      – SubjectFull: Theory
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      – SubjectFull: Patient satisfaction
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    Titles:
      – TitleFull: How Wearable Technologies Generate Value in Older Adult Care: An Axiomatic Model.
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              Text: Jun2026
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              Y: 2026
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