Enabling Older People to Stay at Home: The Costs of Substituting and Supplementing Care with Assistive Technology

Goodacre, Kate; McCreadie, Claudine; Flanagan, Susan; Lansley, Peter

doi:10.1177/030802260807100402

Cited by 20 publications

(5 citation statements)

References 6 publications

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“…In response to the demographic changes in Western countries (Pammolli et al, 2012), and a resulting increase in the demand for treatment and care of the growing aging population, specialized technologies have been developed and applied in elder care (Rodeschini, 2011). Literature in the field of assistive technology reveals that the appliances are viewed as a means of saving resources and improving traditional healthcare delivery (Goodacre et al, 2008;Agree & Freedman, 2011;Eyers et al, 2013;Lexis et al, 2013;Ramacciati, 2013), and as a means of stimulating userdirected self-management (Rosser & Eccleston, 2009;Mitchell & Begoray, 2010;Brandt et al, 2012;Persson & Husberg, 2012) and quality of life (Ocepek et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Attitudes to a robot bathtub in Danish elder care: A hermeneutic interview study

Beedholm

Frederiksen

et al. 2015

Nursing & Health Sciences

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In Western countries, assistive technology is implemented on a large scale in elder care settings. Only a few studies have attempted to explore the different attitudes to assistive technology among various groups of users. In this study, we investigated and explained the different attitudes among the involved leaders, nursing staff, and older people to a newly-implemented robot bathtub. Qualitative analyses of eight interviews with managers, nursing staff, and the older users revealed that the informants focused on different aspects (process, values, and functionality, respectively), used different implicit quality criteria, and ascribed different symbolic significance to the robot bathtub. Thus, the study demonstrated how attitudes toward the robot bathtub were connected to the informants' institutional role. The findings challenge the current paradigm, where technology is expected to operate as a passive tool, simply facilitating desired human acts and interactions. Further studies drawing on the epistemological and ontological perceptions of science technology studies are needed in order to understand human rationalities in the assistive technology context and to offer new insights into how technology "works" in organizations.

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Section: Introductionmentioning

confidence: 99%

Attitudes to a robot bathtub in Danish elder care: A hermeneutic interview study

Beedholm

Frederiksen

et al. 2015

Nursing & Health Sciences

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“…32,63 More broadly, this research is aligned with the UK government’s encouragement for clinicians to adopt new technologies and develop associated strategies that respond to ongoing challenges in health-care delivery. 4,64 Having technology that addresses issues with prescribing the right AE could have cost-saving implications for the health and social care system, 19 providing that adequate training and support is available to stakeholders. While implications that relate to deploying the application in practice have been noted in this study, the application as a component is interoperable; hence, giving some flexibility to clinicians from different health services to develop their own ad hoc solutions via the support of the application and move away from a ‘one-size-fits-all’ approach.…”

Section: Discussionmentioning

confidence: 99%

“…17,18 The impact of such practice is, therefore, significant and widespread and includes a negative impact on patient health outcomes; accelerated functional decline; an overall increase in exposure to fall risks in the home; and, more generally, an unnecessary depletion of valuable health-care resources. 19…”

Section: Introductionmentioning

confidence: 99%

Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments

Hamm¹,

Money

Atwal

et al. 2017

Health Informatics J

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The assistive equipment provision process is routinely carried out with patients to mitigate fall risk factors via the fitment of assistive equipment within the home. However, currently, over 50% of assistive equipment is abandoned by the patients due to poor fit between the patient and the assistive equipment. This paper explores clinician perceptions of an early stage three-dimensional measurement aid prototype, which provides enhanced assistive equipment provision process guidance to clinicians. Ten occupational therapists trialled the three-dimensional measurement aid prototype application; think-aloud and semi-structured interview data was collected. Usability was measured with the System Usability Scale. Participants scored three-dimensional measurement aid prototype as 'excellent' and agreed strongly with items relating to the usability and learnability of the application. The qualitative analysis identified opportunities for improving existing practice, including, improved interpretation/recording measurements; enhanced collaborative practice within the assistive equipment provision process. Future research is needed to determine the clinical utility of this application compared with two-dimensional counterpart paper-based guidance leaflets.

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“…One of the principal reasons of equipment abandonment is due to “poor fit” between the equipment and the individual using it, despite the fact that trained OTs carry out the measurement tasks [ 24 , 25 ]. The impact of this “poor fit” issue is significant and wide-spread and negatively impacts patient health outcomes, accelerates functional decline, increases overall exposure to fall risks in the home, and more generally, unnecessarily depletes already scarce and valuable health care resources [ 26 , 27 ]. To compound this issue, it is anticipated that due to time and OT resource limitations, the responsibility of taking and recording of measurements will soon become that of the service users or their family members or carers [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Fall Prevention Self-Assessments Via Mobile 3D Visualization Technologies: Community Dwelling Older Adults’ Perceptions of Opportunities and Challenges

Hamm¹,

Money²,

Atwal³

2017

JMIR Hum Factors

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BackgroundIn the field of occupational therapy, the assistive equipment provision process (AEPP) is a prominent preventive strategy used to promote independent living and to identify and alleviate fall risk factors via the provision of assistive equipment within the home environment. Current practice involves the use of paper-based forms that include 2D measurement guidance diagrams that aim to communicate the precise points and dimensions that must be measured in order to make AEPP assessments. There are, however, issues such as “poor fit” of equipment due to inaccurate measurements taken and recorded, resulting in more than 50% of equipment installed within the home being abandoned by patients. This paper presents a novel 3D measurement aid prototype (3D-MAP) that provides enhanced measurement and assessment guidance to patients via the use of 3D visualization technologies.ObjectiveThe purpose of this study was to explore the perceptions of older adults with regard to the barriers and opportunities of using the 3D-MAP application as a tool that enables patient self-delivery of the AEPP.MethodsThirty-three community-dwelling older adults participated in interactive sessions with a bespoke 3D-MAP application utilizing the retrospective think-aloud protocol and semistructured focus group discussions. The system usability scale (SUS) questionnaire was used to evaluate the application’s usability. Thematic template analysis was carried out on the SUS item discussions, think-aloud, and semistructured focus group data.ResultsThe quantitative SUS results revealed that the application may be described as having “marginal-high” and “good” levels of usability, along with strong agreement with items relating to the usability (P=.004) and learnability (P<.001) of the application. Four high-level themes emerged from think-aloud and focus groups discussions: (1) perceived usefulness (PU), (2) perceived ease of use (PEOU), (3) application use (AU) and (4) self-assessment (SA). The application was seen as a useful tool to enhance visualization of measurement guidance and also to promote independent living, ownership of care, and potentially reduce waiting times. Several design and functionality recommendations emerged from the study, such as a need to manipulate the view and position of the 3D furniture models, and a need for clearer visual prompts and alternative keyboard interface for measurement entry.ConclusionsParticipants perceived the 3D-MAP application as a useful tool that has the potential to make significant improvements to the AEPP, not only in terms of accuracy of measurement, but also by potentially enabling older adult patients to carry out the data collection element of the AEPP themselves. Further research is needed to further adapt the 3D-MAP application in line with the study outcomes and to establish its clinical utility with regards to effectiveness, efficiency, accuracy, and reliability of measurements that are recorded using the application and to compare it with 2D measurement guidance leaflets.

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Enabling Older People to Stay at Home: The Costs of Substituting and Supplementing Care with Assistive Technology

Cited by 20 publications

References 6 publications

Attitudes to a robot bathtub in Danish elder care: A hermeneutic interview study

Attitudes to a robot bathtub in Danish elder care: A hermeneutic interview study

Mobile three-dimensional visualisation technologies for clinician-led fall prevention assessments

Fall Prevention Self-Assessments Via Mobile 3D Visualization Technologies: Community Dwelling Older Adults’ Perceptions of Opportunities and Challenges

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