Technology for Healthy Aging and Wellbeing: Co-producing Solutions

Astell, Arlene; Andrews, Jacob A; Bennion, Matthew Russell; Clayton, David A.

doi:10.3389/fpsyg.2021.745947

Cited by 4 publications

(7 citation statements)

References 24 publications

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“…Research into the co-production of digital technologies is important in the engagement of older people to using the technologies as they can identify important gaps, priorities and new solutions that are needed. Astell et al (2021) conducted a pivotal study exploring interactive methods to explore the feasibility of co-production for investigating the potential of mental health self-help technologies in older people. A range of participants was included in the interactive sessions, from stakeholders with an interest in older adult mental health to older adults and informal caregivers.…”

Section: Discussionmentioning

confidence: 99%

Methodologies assessing digital technologies to assist “ageing in place”: a scoping review

Horne,

Bailey,

Kenney

2023

WWOP

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Purpose Despite continuing workforce challenges over the last decade, the social care system is considered a key enabler in keeping older people out of hospital. In response to the workforce challenges, White Paper was released, which acknowledged the opportunities afforded by digital technology to assist older people ageing at home, often supported by informal caregivers. Given the policy emphasis on digital-enabled care, the most appropriate methods for evaluating its impact on social care outcomes have yet to be determined. The purpose this study was to review the current literature using a systematic approach to understand the methodological limitations to inform more robust evaluations in their use in future research. Design/methodology/approach This scoping review used a systematic approach adopting the framework of Arksey and O’Malley to examine studies examining the adoption of digital technologies to assist in older people’s ability to age in place. Findings The 21 relevant studies identified on digital technology to assist ageing-in-place are evolving. To date, it has focused on the efficacy and usability of the digital technologies themselves rather than investigating the impact of such technologies on re/enablement outcomes for older people. To rebalance this emphasis, there needs to be more research investigating the factors that enhance useability of digital technologies by older people and exploiting narrative data gained from qualitative research as they can provide valuable insights. Originality/value To the best of the authors’ knowledge, this is the first scoping review to consider qualitative methodological approaches for exploring ageing in place.

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Section: Discussionmentioning

confidence: 99%

Methodologies assessing digital technologies to assist “ageing in place”: a scoping review

Horne,

Bailey,

Kenney

2023

WWOP

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“…The authentic partnership approach was developed over a decade of participatory work with persons with dementia and their families and outlines both guiding principles and enablers of authentic partnerships [ 33 ]. We followed the enablers and principles of authentic partnerships to create a space where members appreciated and respected each other, and where each person’s perspectives and experiences were valued and incorporated in the decision-making process [ 33 , 34 , 41 ]. In addition, the co-development process loosely aligned with the the steps of the Canadian Institutes of Health Research Knowledge to Action cycle, an iterative and dynamic process meant to capture knowledge creation through to its translation to practice and policy [ 42 ].…”

Section: Dream Participatory Co-development Processmentioning

confidence: 99%

Dementia resources for eating, activity, and meaningful inclusion (DREAM) toolkit co-development: process, output, and lessons learned

Middleton,

Freeman,

Pelletier

et al. 2023

Res Involv Engagem

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Promoting wellbeing of persons with dementia and their families is a priority of research and practice. Engaging diverse partners, including persons with dementia and their families, to co-develop interventions promotes relevant and impactful solutions. We describe the process, output, and lessons learned from the dementia resources for eating, activity, and meaningful inclusion (DREAM) project, which co-developed tools/resources with persons with dementia, care partners, community service providers, health care professionals, and researchers with the aim of increasing supports for physical activity, healthy eating, and wellbeing of persons with dementia. Our process included: (1) Engaging and maintaining the DREAM Steering Team; (2) Setting and navigating ways of engagement; (3) Selecting the priority audience and content; (4) Drafting the toolkit; (5) Iterative co-development of tools and resources; (6) Usability testing; and (7) Implementation and evaluation. In virtual meetings, the DREAM Steering Team confirmed the toolkit audiences (primary: community service providers; secondary: persons with dementia and care partners) and identified and evolved content areas. An environmental scan identified few existing, high-quality resources aligned with content areas. The Steering Team, additional multi-perspective partners, and external contractors iteratively co-developed new tools/resources to meet gaps over a 4-month virtual process that included virtual meetings, email exchange of documents and feedback, and one-on-one calls by telephone or email. The final DREAM toolkit includes a website with seven learning modules (on the diversity of dementia, rights and inclusion of persons living with dementia, physical activity, healthy eating, dementia-inclusive practices), a learning manual, six videos, nine handouts, and four wallet cards (www.dementiawellness.ca). Our co-development participants rated the process highly in relation to the principles and enablers of authentic partnership even though all engagement was virtual. Through use of the co-developed DREAM toolkit, we anticipate community service providers will gain the knowledge and confidence needed to provide dementia-inclusive wellness programs and services that benefit persons with dementia and their families.

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“…There are two substantial limitations to the evidence provided from the reviewed papers. Firstly, with just a handful of exceptions (Wherton et al, 2012(Wherton et al, , 2015Brookfield et al, 2020;Knight-Davidson et al, 2020;Astell et al, 2021), the studies employ co-production techniques, but do not explicitly set out to evaluate them. Hence, evidence on what works in co-production is drawn primarily from descriptions of methods and reflections in the discussion sections of the reviewed papers.…”

Section: What Work In Co-productionmentioning

confidence: 99%

“…Moreover, where devices will form part of a wider system, such as personal alarms, it can be important to involve staff working at different points in the system in order to co-produce processes as well as devices (Wilson et al, 2012;Farshchian et al, 2017). Clearly, involving different stakeholders has the potential to create disagreement, but well-designed co-production processes can also help people to understand each other's perspectives (Wherton et al, 2015;Astell et al, 2021) and envision innovative solutions to complex problems (Macdonald et al, 2012).…”

Section: Who Needs To Be Involvedmentioning

confidence: 99%

What works in co-producing assistive technology solutions with older people: a scoping review of the evidence

et al. 2023

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Assistive technology for older people promises much, but the research evidence suggests that it delivers little. One hypothesis to explain the lack of positive impact is that assistive technology is often implemented with little involvement of older people or other stakeholders, such as family members or care staff. The suggestion is that co-production may ensure that assistive technology solutions are better tailored to people's needs, capacities and living situations. In this article, we review existing studies to examine what works in co-production in relation to processes of design and implementation of assistive technology for older people. Our results show a growing interest in co-production as an approach in this field, with a wide range of approaches being employed. We highlight a number of key lessons from the research, including key issues around who needs to be engaged in the co-production, as well as essential elements of the process itself. Our review suggests that there is considerable potential in using co-production to improve effectiveness of technological solutions to the challenges of age-related impairments. However, we also emphasise the need for more longitudinal research in this area, to examine whether such collaborative approaches can truly deliver the promise of assistive technology for older people.

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Technology for Healthy Aging and Wellbeing: Co-producing Solutions

Cited by 4 publications

References 24 publications

Methodologies assessing digital technologies to assist “ageing in place”: a scoping review

Methodologies assessing digital technologies to assist “ageing in place”: a scoping review

Dementia resources for eating, activity, and meaningful inclusion (DREAM) toolkit co-development: process, output, and lessons learned

What works in co-producing assistive technology solutions with older people: a scoping review of the evidence

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