Assessing the impact of a care innovation: telecare

Bayer, Steffen; Barlow, James; Curry, Richard

doi:10.1002/sdr.361

Cited by 50 publications

(41 citation statements)

References 11 publications

(15 reference statements)

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“…Research on how technology affects carers has shown that technology can benefit them through greater 'peace of mind' and lowered stress, by creating opportunities for carers to take breaks or engage with wider social networks and may enhance some caring relationships (Magnusson et al, 2005;AKTIVE Consortium, 2013). Some older people have been shown to value assistive technology for the improved sense of security it can provide, and there are known ways in which assistive technology can support the independence and autonomy of disabled or older people, including those with cognitive, sensory, mobility or other impairments (Bayer et al, 2007;Beale et al, 2009;Hamblin et al, 2016). However recent studies suggest the potential and claimed benefits of care technologies are not yet fully realised, especially when care arrangements are complex, with different family members, workers, neighbours or friends involved in a frail older person's support (Schmidt et al, 2011).…”

Section: Technology and Carementioning

confidence: 99%

Care and caring: interdisciplinary perspectives on a societal issue of global significance

Yeandle

Chou

Fine

et al. 2017

International Journal of Care and Caring

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IntroductionThe International Journal of Care and Caring (IJCC) commences publication with the present issue. In this opening editorial article we set out our vision for the new journal, which -as we will show -creates a timely and significant new space for critical engagement with global scholarship, policy and practice on care and caring. The article has three aims: to describe what will be distinctive and different about the International Journal of Care and Caring; to highlight our ambitions for it, including our determination that the new journal will have genuine global reach and international impact; and to explore some of the many different dimensions of research, scholarship and debate on care and caring which we hope to see further explored and developed in future issues of IJCC.As members of IJCC's Editorial Team, each of us has contributed to the founding concept for the journal, described here. We have been guided in this by our shared conviction that care and caring is a topic of huge and growing importance. We are persuaded, too, that within care and caring there is scope for significant theoretical and empirical development, and a real need for a new journal in which international scholarly debate on care and caring, based in sound research and scholarly endeavour, can emerge and thrive. We also believe that robust evidence and scholarship have the capacity to influence policy, practice and public discourse about care and caring, and in so doing to shape a more positive lived reality of caring relations and contexts around the world. 2These convictions underpin the vital and challenging agenda which lies before scholars and other researchers in the field of care and caring, in whichever part of the globe they and their studies are located. As we will explain, care and caring are central to human life and relations; associated with a wide range of emotions (spanning, for example, grief to joy, patience to exasperation, fear to security; and living and dying); and also -especially as the capacity to extend and save lives increases -have profound implications for the distribution of human, economic and other resources, in global, national and local contexts.Together we have sought international support for the idea of a new journal on care and caring across multiple disciplines, bringing the International Journal of Care and Caring to fruition as a new journal of the Policy Press. Giving it their strong support, distinguished scholars from diverse disciplines have highlighted the unique contribution IJCC can make, describing it as 'long overdue', 'exciting', 'timely and significant', and as a development which will 'bring a new level of scholarship and attention to issues facing our humanity for the future'. They also highlight its capacity to provide 'an important international and interdisciplinary evidence base'; to become 'essential reading' for 'academics, policy makers and practitioners interested in the complexities and nuances of care and caring'; and to 'create new synergies for the rising ...

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Section: Technology and Carementioning

confidence: 99%

Care and caring: interdisciplinary perspectives on a societal issue of global significance

Yeandle

Chou

Fine

et al. 2017

International Journal of Care and Caring

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“…The stated objective is to support a growing proportion of older people to live independently in their own home for longer, by preventing unnecessary hospital admissions, permitting earlier discharges and reducing the numbers admitted to residential care [1]. Less often stated, but perhaps of greater concern in terms of its implications for the end users of support services, is the need to control the escalating costs of healthcare for those in later life.Evidence is gradually accumulating that shows the efficacy of telecare in reducing hospital admissions and unblocking beds [6,24]. Early trials suggest that it may be efficacious in managing chronic disease, by harnessing ICT to deliver continuous care to people in their own homes [9,19].…”

mentioning

confidence: 99%

“…Evidence is gradually accumulating that shows the efficacy of telecare in reducing hospital admissions and unblocking beds [6,24]. Early trials suggest that it may be efficacious in managing chronic disease, by harnessing ICT to deliver continuous care to people in their own homes [9,19].…”

mentioning

confidence: 99%

Attitudes to telecare among older people, professional care workers and informal carers: a preventative strategy or crisis management?

Hanson

Percival

Aldred

et al. 2007

Univ Access Inf Soc

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This paper reports findings from an attitudinal survey towards telecare that emerged from twenty-two focus groups comprising ninety-two older people, fifty-five professional stakeholders and thirty-nine carers. These were convened in three different regions of England as a precursor to telecare service development. The results from this study suggest that informants' views were shaped by prior knowledge of conventional health and social care delivery in their locality and the implication is that expectations and requirements in respect of telecare services in general are likely to be informed by wider perceptions about the extent to which community care should operate as a preventative strategy or as a mechanism for crisis management. to 'mainstreaming' telecare services in the homes of older people.A major impetus for the formation of the consortium was the inclusion of three project partners where live telecare installations were planned to take place within the lifetime of the project. These provided field sites for action research that constituted three very different physical settings, each representing a major type of housing for older people.Barnsley's patients are living in mainstream housing stock, much of which comprises ageing terraced and semi-detached houses and post-war council flats that were not inclusively designed. The Anchor Trust is developing a technology-enabled retirement village in South Bucks, with houses and bungalows for sale to more affluent older people as well as affordable housing in the form of flats and bungalows for rent, whilst Thomas Pocklington Trust, a leading provider of housing for people with impaired vision, is currently upgrading its extra care housing scheme for older people in Plymouth. Before embarking on any telecare interventions in these varied physical settings, the consortium felt it was important to benchmark the opinions and attitudes to telecare held by older people, care professionals and informal carers in all three areas where the service would subsequently be introduced. What is Telecare?Promoting the independence of older people forms a key part of the government's health and social care agenda, and new care delivery models supported by information and communication technology (ICT) are being developed to assist in realising this goal [2,3].Telecare is one such model that uses ICT to bring health and social care directly to the end user by providing safety and security monitoring, physiological health and activity A typical telecare service involves a system connecting sensors of various kinds that are dispersed in the homes of (or worn by) an older person, to a call centre. The sensors are either activated directly by the user, or raise an alert passively by recognising and responding to a change in the user's status such as a fall. The alert goes to a call centre, which then triggers a response that may involve informal carers, resident or mobile support staff or an emergency service, as required [8]. In some ways, then, telecare is simply an e...

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“…Two-way visual contact through webcams and television monitors is also available, though less widely, and relatively inexpensively. This enables family or paid support workers to 'look in' on an older person and their home without travelling (Bayer et al 2007;Bowes and McColgan 2006). If older people are comfortable with computers, virtual visiting is cheap and easily accessed-no more difficult to obtain than a Skype account-and there are virtual visiting systems simpler than Skype which operate using local broadband networks.…”

Section: Robots 'Presence' and The Requirements Of Carementioning

confidence: 99%

Robot carers, ethics, and older people

2014

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This paper offers an ethical framework for the development of robots as home companions that are intended to address the isolation and reduced physical functioning of frail older people with capacity, especially those living alone in a noninstitutional setting. Our ethical framework gives autonomy priority in a list of purposes served by assistive technology in general, and carebots in particular. It first introduces the notion of ''presence'' and draws a distinction between humanoid multi-function robots and nonhumanoid robots to suggest that the former provide a more sophisticated presence than the latter. It then looks at the difference between lower-tech assistive technological support for older people and its benefits, and contrasts these with what robots can offer. This provides some context for the ethical assessment of robotic assistive technology. We then consider what might need to be added to presence to produce care from a companion robot that deals with older people's reduced functioning and isolation. Finally, we outline and explain our ethical framework. We discuss how it combines sometimes conflicting values that the design of a carebot might incorporate, if informed by an analysis of the different roles that can be served by a companion robot.Keywords Robots Á Ethics Á Telecare Á Assistive technology Á Autonomy Á Nature of care Á ACCOMPANY What role might robots have in the future care at home of older people? That depends on the kind of robot and the aspects of ageing addressed. We argue that social robotsrepresented in our discussion by the Care-O-bot Ò -commendably integrate the functions of useful non-robotic telecare devices, and that they also have a claim to the potentially therapeutic property we call ''presence''. The relevant normative requirements that we discuss are mostly ethical, though they might also include value for money, and considerations about the range of physical environments in which the relevant technology can operate. The ethical framework we present in this paper was developed in the European Union-funded FP7 ACCOMPANY project, which has adapted the Care-O-bot Ò as a home companion for older people. ACCOMPANY scenarios primarily address the isolation and reduced physical functioning of some older people, especially those living alone in a non-institutional setting. Our ethical framework gives autonomy priority in a list of purposes served by assistive technology in general, and carebots in particular, for isolated and frail older people.The paper consists of four sections. In the first, the capacity of robots to be ''present'' to their users is introduced. We argue that presence is a necessary condition for being a companion robot but a far from sufficient condition of being a carer or even of being a care-robot in a substantial sense of 'care'. In the second section we describe relatively low tech assistive technology and its benefits, and contrast these with what a robot can offer. The possible ethical problems of carebot design are then considered, on the ...

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Assessing the impact of a care innovation: telecare

Cited by 50 publications

References 11 publications

Care and caring: interdisciplinary perspectives on a societal issue of global significance

Care and caring: interdisciplinary perspectives on a societal issue of global significance

Attitudes to telecare among older people, professional care workers and informal carers: a preventative strategy or crisis management?

Robot carers, ethics, and older people

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