# IoT-Based Intervention and Home Support to Address Frailty-Related Vulnerability and Well-Being in Older Adults Living in Rural Areas

## TL;DR

This study shows that combining IoT home monitoring with caregiver support improves well-being and quality of life for older adults in rural Spain.

## Contribution

The study introduces a combined IoT and Silver Caregiver intervention tailored for rural older adults.

## Key findings

- The intervention significantly improved cognitive status and reduced anxiety and depression.
- Participants reported better family functionality, social support, and life satisfaction.
- Basic physical function was maintained through the combined approach.

## Abstract

Background: Spain has an increasingly aging population in rural areas. These individuals often face the burden of illness and the limitations it causes in solitude, leading to greater impacts on their health and quality of life. Therefore, the aim of this study was to evaluate the effectiveness of a combined IoT-based home monitoring and Silver Caregiver support intervention on health-related quality of life and functional, cognitive, emotional, and social outcomes in older adults living alone in rural settings. Material and methods: A longitudinal study was conducted with a sample of 144 older adults from rural areas who received home support through a Silver Caregiver and IoT technology. Results: Statistically significant differences were observed in cognitive status, anxiety, depression, family functionality, social support, life satisfaction, and quality of life. Conclusions: The findings indicate that the combined intervention primarily enhances psychological well-being, social connectedness, and perceived quality of life while contributing to the maintenance of basic physical function in older adults living in rural areas.