Participatory Design in Gerontechnology: A Systematic Literature Review

Merkel, Sebastian; Kucharski, Alexander Bajwa

doi:10.1093/geront/gny034

Cited by 135 publications

(159 citation statements)

References 40 publications

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“…The arrangement of home care services builds on scripts of old age as passive, and welfare technology appears to be developed from the view that older people want to live at home [16]. In recent years, design processes for technology often have explicit approaches to user participation in the development of the new technology [17]. Such participatory design is meant to lead to technology which is better adapted to user needs than previous technological solutions [18].…”

Section: Technological Implementation In a Care Contextmentioning

confidence: 99%

Health professionals’ experiences with the implementation of a digital medication dispenser in home care services – a qualitative study

Kleiven¹,

Ljunggren²,

Solbjør³

2020

BMC Health Serv Res

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Background: Implementing digital technology in home care services challenges care arrangements built on faceto-face encounters. Digital welfare technology has been suggested as a solution to increasing demands on health care services from an ageing population. Medication delivery is a major task for home care services, and digital medication devices could lessen the need for resources. But technology has scripts based on how designers picture its use, and these might not fit with users' needs and practices. New technology must go through processes of domestication among its users. In the present study, we investigate how health professionals experienced the implementation of a digital medication dispenser into home care services in Norway. Methods: This was a qualitative interview study with 26 health professionals from home care services in five municipalities. Results: All five municipalities had implemented a digital medication dispenser in home care services. Prior to the introduction of the dispenser, medication practices had been based on home visits. The safety of medication practices was the main concern of health professionals who had to negotiate the technological script in order to make it work in a new care arrangement. Rationalities of effectiveness collided with rationalities of care, symbolized by warm hands. Professionals who had been used to working independently became dependent on technical support. Being unfamiliar with the new medication arrangement led to resistance towards the digital dispenser, but more direct experiences changed the focus from technology to new care arrangements. Negotiating practical and organizational arrangements led health professionals to trust the digital medication dispenser to contribute to safe and good care for service users.

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Section: Technological Implementation In a Care Contextmentioning

confidence: 99%

Health professionals’ experiences with the implementation of a digital medication dispenser in home care services – a qualitative study

Kleiven¹,

Ljunggren²,

Solbjør³

2020

BMC Health Serv Res

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“…Older adults are frequently left out of these processes, despite evidence that their involvement can result in more successful product design and higher acceptance rates (McGrath et al , 2016). While participatory design approaches have been applied in human–computer interaction (Hakobyan et al , 2015), gerontechnology (Merkel and Kucharski, 2019) and gaming studies (DeSmet et al , 2016), the type of input requested from older adults has related more to function, usability and perceived ease of use than the aesthetics and social influences of the devices themselves. Future participatory design efforts, applied by inter-disciplinary research groups ( e.g.…”

Section: Discussionmentioning

confidence: 99%

‘That's for old so and so's!’: does identity influence older adults’ technology adoption decisions?

2019

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The role of identity in older adults’ decision-making about assistive technology adoption has been suggested but not fully explored. This scoping review was conducted to understand better how older adults’ self-image and their desire to maintain this influence their decision-making processes regarding assistive technology adoption. Using the five-stage scoping review framework by Arksey and O'Malley, a total of 416 search combinations were run across nine databases, resulting in a final yield of 49 articles. From these 49 articles, five themes emerged: (a) resisting the negative reality of an ageing and/or disabled identity; (b) independence and control are key; (c) the aesthetic dimension of usability; (d) assistive technology as a last resort; and (e) privacy versus pragmatics. The findings highlight the importance of older adults’ desire to portray an identity consistent with independence, self-reliance and competence, and how this desire directly impacts their assistive technology decision-making adoption patterns. These findings aim to support the adoption of assistive technologies by older adults to facilitate engagement in meaningful activities, enable social participation within the community, and promote health and wellbeing in later life.

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“…Authors of [123] suggest a Maslow hierarchy of human needs, displaying that users will be unlikely to assimilate IoT technologies which do not focus on their current needs and technology-oriented wellness parameters such as neurologically relevant kinematic parameters [124]. Whereas involving older people in the process of developing new gerontechnologies leads to a better acceptance and/or use of the innovative products [125]. According to [126], technology can make impact on affective quality, engagement, and connectedness of our behavior.…”

Section: The Need For Considering Psychosocial Factors Of Human-technmentioning

confidence: 99%

A Review of Internet of Things Technologies for Ambient Assisted Living Environments

2019

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The internet of things (IoT) aims to extend the internet to real-world objects, connecting smart and sensing devices into a global network infrastructure by connecting physical and virtual objects. The IoT has the potential to increase the quality of life of inhabitants and users of intelligent ambient assisted living (AAL) environments. The paper overviews and discusses the IoT technologies and their foreseen impacts and challenges for the AAL domain. The results of this review are summarized as the IoT based gerontechnology acceptance model for the assisted living domain. The model focuses on the acceptance of new technologies by older people and underscores the need for the adoption of the IoT for the AAL domain.

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Participatory Design in Gerontechnology: A Systematic Literature Review

Cited by 135 publications

References 40 publications

Health professionals’ experiences with the implementation of a digital medication dispenser in home care services – a qualitative study

Health professionals’ experiences with the implementation of a digital medication dispenser in home care services – a qualitative study

‘That's for old so and so's!’: does identity influence older adults’ technology adoption decisions?

A Review of Internet of Things Technologies for Ambient Assisted Living Environments

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