ArticleUse of Currently Available Smart Home Technology by Frail Elders: Process and OutcomesTomita, Machiko R. PhD; Mann, William C. OTR, PhD; Stanton, Kathleen BS; Tomita, Akihiko D.; Sundar, Vidyalakshmi OTAuthor Information Department of Rehabilitation Science, University at Buffalo, State University of New York (Dr Tomita and Mss Stanton, and Sundar); Rehabilitation Engineering Research Center on Technology for Successful Aging, Department of Occupational Therapy, University of Florida, Gainesville (Dr Mann); and the Department of Electrical and Computer Engineering, University of Illinois, Urbana-Champaign (Mr Tomita). Corresponding author: Machiko R. Tomita, PhD, Department of Rehabilitation Science, University at Buffalo, State University of New York, 515 Kimball Tower, Buffalo, NY 14214 (e-mail: email@example.com). This research project was funded by the National Institute of Disability and Rehabilitation Research. Topics in Geriatric Rehabilitation: January-March 2007 - Volume 23 - Issue 1 - p 24-34 Buy Abstract A 2-year randomized controlled trial conducted to test the feasibility and effectiveness of currently available smart home technology compared 46 treatment and 67 control home-based frail elders who lived alone. Treatment group participants were provided with a computer with Internet access and X10-based smart home technology. Problems in the use of the technology were categorized into 4 areas: person, computer, X10 products, and home. For each area, solutions were identified. Participants benefited from the smart home technology, and 91% recommended its use by others. The treatment group maintained physical and cognitive status, whereas the control group declined significantly in both. © 2007 Lippincott Williams & Wilkins, Inc.