BACKGROUND: The idea of product usability has been discussed in several research areas including product research and development. Usability, in telecare monitoring systems, determines how much the system is effective and efficient for the telecare users. Usability has been considered an important factor in the acceptance of telecare monitoring systems by individuals who encounter challenges in the use of such systems and who possess a limited knowledge of their use.

OBJECTIVES: The purpose of this study is to explore the relevant usability issues and identify possible solutions to improve the usability of telecare monitoring systems.

METHOD: The study is based on eight research questions and to find the answers to those research questions, a systematic literature is performed.

RESULTS: The research findings highlight various usability issues, including the complexity of the interface, difficulty in reading the text, and insufficient provision of instructions. These studies have also suggested solutions to enhance the usability of systems, including development of the technical skills of users, explanations of usability evaluation techniques for telecare monitoring systems, and engaging the appropriate users during the development of telecare monitoring systems. Implications for rehabilitation Successful implementation of telecare monitoring systems can increase the chances of acceptance of telecare monitoring systems by the users. Implementing an efficient and effective system will make telecare users more independent at their homes. The development of usable telecare monitoring systems can significantly contribute to a basis for clinical and home-based implementation of the telehealth technology to promote remote monitoring for elderly and people with disabilities. Considering the usability issues and solutions identified in this study, it will go a long way towards aiding subsequent researchers and developers in the implementation of more usable and valid telecare monitoring systems.