Do community alarm users want telecare?

Brownsell, Simon; Bradley, David; Bragg, Rosalind; Catlin, P.; Carlier, Jean

doi:10.1258/1357633001935356

Cited by 60 publications

(44 citation statements)

References 3 publications

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“…Despite these difficulties, those who wore the fall detectors appropriately reported that they felt more confident and independent, and considered that the detector improved their safety. They also felt pleased that they had a fall detector, backing up the findings of a previous study which suggested that community alarm users would welcome automatic fall detection units [12]. 0.68 †Post scores after adjusting for pre scores using analysis of covariance *One person in the intervention group did not complete this questionnaire during follow up as it caused distress **P-values are for adjusted difference in scores after analysis of covariance 1.…”

Section: Discussionmentioning

confidence: 58%

Automatic fall detectors and the fear of falling

Brownsell

Hawley

2004

J Telemed Telecare

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Universities of Leeds SummaryWe studied the effect of automatic fall detection units on the fear of falling amongst community alarm users living in the community. A total of 55 community alarm users, at increased risk of falling were recruited: 34 received fall detectors (intervention group) and there were 21 in a control group. On intention to treat analysis, there was no significant difference between the intervention and control group on change in fear of falls (40.3 vs 37.5, difference 2.8, 95% CI -6.2 to 11.8), health-related quality of life or morale. Differences in fear of falling, between a group who wore their detector regularly (62%) and those who did not, suggest that some people may benefit from a fall detector; conversely, others may lose confidence if provided with a fall detector. Most users who wore their detectors regularly felt more confident and independent and considered that the detector improved their safety. IntroductionApproximately 33% of older people fall each year [1] and it has been suggested that falls account for up to 40% of residential care home admissions [2]. Fear of falling is also important. Between 30 and 50% of independently living older people are fearful of falling [3]. The fear of falling alone decreases quality of life [4] and increases the speed of decline in the ability to perform activities of daily living [5]. It can also lead to selfimposed isolation and refusal of mobility that can restrict the user's quality of life and add to the caregiver's burden [6].

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Section: Discussionmentioning

confidence: 58%

Automatic fall detectors and the fear of falling

Brownsell

Hawley

2004

J Telemed Telecare

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“…Magnusson and Hanson (2003) found that the majority of users of in-home technology were satisfied if and only if the technology was of direct benefit in their daily lives. Others have reported a willingness to trade privacy protection for enhanced safety and independence (Brownsell et al, 2000;Demiris et al, 2004;Mann et al, 2002;Melenhorst, Fisk, Mynatt and Rogers, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…Many existing and potential technologies under development for the maintenance and/or supervision of health and independence offer promise. These range from blood pressure monitors and falls detection to "lifestyle monitoring" that detects changes in behavior patterns (Brownsell, Bradley, Bragg, Catlin and Carlier, 2000). Unobtrusive activity monitoring is one important area of exploration.…”

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confidence: 99%

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Unobtrusive in-home monitoring of cognitive and physical health: Reactions and perceptions of older adults

Wild¹

2010

Gerontechnology

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While the potential benefits of unobtrusive in-home sensing technologies for maintaining health and independence of older adults have been highlighted in recent research, little is known about their views toward such technology. The aims of this project were to identify monitoring needs and expectations of community-residing elderly and their family members. Focus groups were presented with examples of in-home monitoring devices and data output; participants were asked to consider whether the data showed information that was meaningful to them, and how and to whom they would like to have such data disseminated. Content analysis of transcripts revealed four dominant themes: maintaining independence, detecting cognitive decline, sharing of information, and the tradeoff between privacy and usefulness of monitoring. The acceptance by elderly of unobtrusive in-home monitoring was closely tied to perceived utility of data generated by such systems. Privacy concerns appeared to be less of an issue than anticipated in this sample.

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“…The data generated from the qualitative interviews helped extend understanding of the perceptions of older people's experience and expectations of telemonitoring. As found in other studies [25], older people were reluctant to use fall detector and bed occupancy sensor for fear of causing inconvenience to others, as well as to safeguard their independence or control. However, the number of false alarms generated by the faulty devices did impact on the adherence by older people inn the use of these devices.…”

Section: Likelihood Of Using Fall Detector and Bed Occupancy Sensormentioning

confidence: 53%

Untitled

Horton¹

2008

JRRD

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This article reports the qualitative element of an observational study that examines whether an extended alarm service using fall detectors and bed occupancy sensors for community-dwelling older people who had recurrent falls can reduce their fear of falling.Seventeen participants in the intervention group used the extended alarm service while 18 in the control group used a standard pendant alarm. Individual tape-recorded interviews were also conducted and transcribed. Their fall history and whether they were afraid of falling were also explored. Interviews consisted of questions that were grounded in theories relating to falls and their expectations of and experiences with the use of telemonitoring devices while those in the control group were asked if they would consider using such devices in the future. Key themes from the analysis were expectations, feeling secure, Call Centre support, barriers to using assistive devices, adherence and likelihood of using telemonitoring devices. Older people found the use of telemonitoring gave them 'a greater sense of security' and enabled them to remain in their home. However, some found the devices 'intrusive' and did not feel they were in control of alerting the call centre, which played a key role in their adherence to using the devices.

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Do community alarm users want telecare?

Cited by 60 publications

References 3 publications

Automatic fall detectors and the fear of falling

Automatic fall detectors and the fear of falling

Unobtrusive in-home monitoring of cognitive and physical health: Reactions and perceptions of older adults

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