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Negotiating contradictions: engaging disparate stakeholder demands in designing for active and healthy ageing
- Authors:
- VAZIRI Daryoush Daniel, et al
- Journal article citation:
- Journal of Enabling Technologies, 13(1), 2019, pp.40-50.
- Publisher:
- Emerald
Purpose: Designing technologies for active and healthy ageing (AHA) requires a subtle understanding of end users (primary stakeholders) and healthcare professionals (secondary stakeholders). Often, their perspectives can be heterogeneous and contradictory. Identifying and negotiating them may be a challenge for designers. The purpose of this paper is to presents an approach to understanding and negotiating contradictory stakeholder perspectives when designing AHA technologies for older adults. Design/methodology/approach: The authors conducted an exploratory interview study with 15 community-dwelling older adults and 11 healthcare stakeholders, including doctors, health insurance agencies, policymakers and caregivers. The authors analysed the interview material and negotiated contradictory perspectives. Findings: Three major issues among stakeholders emerged: perspectives on AHA; perceived benefits and drawbacks of AHA technologies; and concerns about data privacy, control and trust. Research limitations/implications: The results show the heterogeneity and contradictions in stakeholder perspectives on AHA technologies and how these perspectives may be negotiated. This could help understand and facilitate long-term use of AHA technologies among older adults. Originality/value: This study alerts researchers to contradictory perspectives among older people and healthcare stakeholders and the importance of involving them in the design of AHA technologies. (Edited publisher abstract)
Risk time framing for wellbeing in older people: a multi-national appreciative inquiry
- Authors:
- CLARKE Charlotte Laura, et al
- Journal article citation:
- Journal of Mental Health Training Education and Practice, 13(1), 2018, pp.44-53.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the experience of older people and their sense of developing wellbeing, including consideration of the strategies they employ to respond to perceived risk. Design/methodology/approach: An Appreciative Inquiry study was used, which collected data with 58 participants in focus group and individual interviews. Interviews focused on ways in which older people in South Africa, Australia, Germany and the UK understand and seek to maintain wellbeing. Findings: The changing time horizons of older people lead to perceptions of risk and concerns that embrace societal as well as individual concerns. Often, this leads to a sense of societal responsibility and desire for social change, which is frustrated by a perceived exclusion from participation in society. Social implications: In mental health practice and education, it is imperative to embrace the shift from ageist concerns (with later life viewed as risky and tragic in itself) towards a greater sensitivity for older people’s resilience, the strategies they deploy to maintain this, and their desire for more control and respect for their potential to contribute to society. Originality/value: Variation in time horizons leads to changes in temporal accounting, which may be under-utilised by society. Consequently, societies may not recognise and support the resilience of older people to the detriment of older people as individuals and to the wider society. (Publisher abstract)
Acceptance of seniors towards automatic in home fall detection devices
- Authors:
- FELDWIESER Florian, et al
- Journal article citation:
- Journal of Assistive Technologies, 10(4), 2016, pp.178-186.
- Publisher:
- Emerald
Purpose: Senior citizen falls are one of the highest-cost factors of healthcare within this population group. Various approaches for automatic fall detection exist. However, little is known about the seniors’ acceptance of these systems. The purpose of this paper is to investigate the acceptance of automatic fall detection devices as well as the technological commitment and the health status in community-dwelling adults with a predefined risk of falling. Design/methodology/approach: Seniors with a risk of falling were equipped with either an accelerometer or an accelerometer with an additional visual and optical fall detection system in a sub-group of the study population for a period of eight weeks. Pre- and post-study questionnaires were used to assess attitudes and acceptance toward technology. Findings: In total, 14 subjects with a mean age of 75.1 years completed the study. Acceptance toward all sensors was high and subjects were confident in their ability to handle technology. Medical assessments showed only very mild physical and no mental impairments. Measures that assured subjects privacy protection were welcomed. Sensor technology should be as unobtrusive as possible. Originality/value: Privacy protection and uncomplicated use of the fall detection equipment led to high acceptance in seniors with high-technical commitment and good health status. Issues to further improve acceptance could be identified. Future research on different populations is necessary. (Publisher abstract)
Housing and ageing in France and Germany: the intergenerational solution
- Authors:
- LABIT Anne, DUBOST Nathalie
- Journal article citation:
- Housing Care and Support, 19(2), 2016, pp.45-54.
- Publisher:
- Emerald
Purpose: In France and Germany, intergenerational housing is put forward as an option by public authorities. This kind of housing scheme seems like a good solution for seniors and young people, from both an economic and a social point of view. But beyond this common philosophy, there are differences in the way intergenerational housing is being implemented in the two countries. France mainly favours the student-senior home-sharing model whereas the intergenerational collaborative housing (co-housing) model based on solidarity between seniors and families is gaining ground in Germany. This paper explores the reasons for these differences and present results from field surveys conducted in both countries. Design/methodology/approach: The qualitative methodology of the field surveys consisted essentially of semi-structured interviews with the young people and seniors living in these types of housing, in order to understand how they experienced intergenerational solidarity. Findings: The authors’ surveys revealed that certain conditions are essential for this intergenerational solidarity to be fully effective, notably voluntary participation and commitment to the project, and possibly external support to ensure that it is designed and implemented in the best possible way. Originality/value: This paper provides useful recommendations for decision makers who wish to support this type of housing concept based on intergenerational solidarity. (Publisher abstract)
Patient, co-producer and consumer in one person: Identity facets of the user in integrated health care
- Author:
- EWERT Benjamin
- Journal article citation:
- Journal of Integrated Care, 24(3), 2016, pp.161-172.
- Publisher:
- Emerald
Purpose: Integrated health care lacks a theoretical concept of the user figure that is appropriate to reflect users’ various claims and multi-dimensional interrelations in the care process. The paper aims to discuss this issue. Design/methodology/approach: Key goals of integrated health care, such as a continuity of care, seamless services and better health outcomes depend strongly on users’ capabilities to engage themselves in the care process. These goals are hardly reachable if integrated health care schemes operate with a one-dimensional understanding of users’ identity. Findings: The suggested concept of users’ identity facets suggests that users draw from different sources while receiving integrated health care. Thus, users are patients, co-producers, citizens, consumers and community members in one person and at the same time. Each facet of the user identity gains or loses relevance depending on health care contexts, health statuses, personal values and the design of service arrangements. As demonstrated by the example of disease management programmes (DMPs), care schemes for chronically ill persons, users have to apply different facets of their identities in order to benefit best from service provision. Moreover, addressing users’ identity may facilitate the extent of integration in DMPs. Originality/value: Integrated health care schemes are challenged to invent strategies that facilitate and support coherence among users’ diverse identities in the process of service provision. Lessons could be learned from small-scale and localised integrated health care networks. (Publisher abstract)
Evaluating an accessible web interface for older adults: the impact of mild cognitive impairment (MCI)
- Authors:
- HAESNER Marten, et al
- Journal article citation:
- Journal of Assistive Technologies, 9(4), 2015, pp.219-232.
- Publisher:
- Emerald
Purpose: Cognitive changes occur with age and cognitive limitations can negatively influence computer use. Human-interaction studies show that especially older adults benefit considerably from using web platforms. The purpose of this paper is to measure the possible impact of cognitive impairment in web usability and to analyse the differences between older adults with and without cognitive impairment. Design/methodology/approach: In the presented pilot study, 50 older adults tested a web-based interface on a PC and tablet computer that was designed based on a styleguide for this specific user group. In two sessions participants had to conduct six tasks. In a third session older adults were left unsupervised in the laboratory where they were confronted with unexpected events triggered by a principal investigator. Findings: The performance results differed significantly between the two groups. Older adults with mild cognitive impairment (MCI) needed more time and were more likely to make mistakes when using a web platform. After analysing error data, it became apparent that errors made by older adults with MCI occurred due to a lack of orientation in websites. Originality/value: The authors present valid data of this interesting target group and reveal their specific problems when handling a new online platform. The importance of a flat website hierarchy can be essential in developing senior friendly web pages. The authors also highlight methodological issues and illustrate the importance of qualitative information of the usability data, e.g. the different types of problems or errors. (Edited publisher abstract)
Black African asylum seekers’ experiences of health care access in an eastern German state
- Author:
- SCOTT Penelope
- Journal article citation:
- International Journal of Migration Health and Social Care, 10(3), 2014, pp.134-147.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine how access to health care for (rejected) asylum seekers in an eastern German state is structured and experienced and to consider the implications for their human rights. Design/methodology/approach: The paper is based on 12 in-depth interviews with rejected black African asylum seekers and also draws on ethnographic research undertaken at a grassroots refugee organisation and asylum homes. The analysis of the interview data are framed by theorisations of “everyday practices” as “tactics” of resistance to an imposed order. Findings: Accomplishing health care access involved a range of structural barriers and humiliating interactions with administrative and health care staff, which had adverse consequences for their health status and were injurious to their human rights and dignity. The study participants used a range of oppositional and discursive tactics in an effort to secure certain (health) outcomes, mediate social relations and resist their domination as asylum seekers. Research limitations/implications: Further research should focus on the cumulative micro-level effects of asylum policies on health care access and how they create health inequities and violate asylum seekers’ rights and dignity. Practical implications: Policy priorities should include the provision of human rights education as well as training and support for administrative and health staff. Originality/value: There is limited qualitative research on the health care experiences of asylum seekers in Germany. This paper makes policy recommendations and identifies areas for further research and human rights advocacy. (Publisher abstract)
Economics of ageing: research area and perspectives
- Author:
- MEINERS Norbert
- Journal article citation:
- Quality in Ageing and Older Adults, 15(2), 2014, pp.63-75.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to analyse the latest findings on the economic potential of ageing and compare them primarily from a consumables perspective. The relevant question relating to this research was: What are the economic consequences of the demographic development in relation to consumer demand for products and services in old age? Design/methodology/approach: Narrative systematic publications were thoroughly reviewed and collated. A systematic search was carried out in journals, books, databases, the internet as well as within the scientific community from November 2012 to May 2013. Findings: A total of 115 relevant scientific publications were identified in this review (from 1964 to 2013). In order to gain an actual overview of the relevant literature, the results show the most recent publications from 2000 to 2013. Research limitations/implications: There are three limitations within this paper: First, the search process used only four databases. Second, this review only took into account publications in English and German. Therefore, the review may fail to encompass all published literature. Finally, this study did not endeavour to evaluate the methodological quality of each scientific publication. Study findings were taken as reported. Originality/value: This paper aims at analysing the economic potentials of ageing primarily from the perspective of consumption. The focus of this economics of ageing investigation is on the “demography-related” consequences in terms of the demand behaviour of the older consumers (the elderly as potential buyers). The paper deals with all the “silver economy” as a cross-sector campaign and research area for economics of ageing – a still fairly young discipline, both in science and in practical applications. (Publisher abstract)
The chronicity and severity of abuse among older persons by country: a European study
- Author:
- SOARES Joaquim J.F.
- Journal article citation:
- Journal of Aggression Conflict and Peace Research, 6(1), 2014, pp.3-25.
- Publisher:
- Emerald
Using a cross-sectional study design, this study investigates the chronicity (frequency) in different abuse types and overall abuse by severity in seven European cities, and scrutinize factors associated with high chronicity levels in psychological and overall abuse by severity. The sample consisted of 4,467 randomly selected women/men (2,559 women) aged 60-84 years from seven European cities, and data were analysed with bivariate and multivariate methods. Chronicity varied across country and by abuse type. Germany had the highest chronicity means in physical and sexual abuse; Greece in physical, injury, sexual and overall abuse; Lithuania in physical, injury, financial and overall abuse; Portugal in physical abuse; Spain in physical, sexual and financial abuse; and Sweden in psychological, injury, financial and overall abuse. In general, Italy had the lowest chronicity means. The main perpetrators were people close to the respondents and women (in some cases). Independent relationship between chronicity/severity of abuse, country and other variables (e.g. depression) was examined only for psychological and overall abuse. More research into this issue with other types of abuse, for example sexual abuse is warranted. (Edited publisher abstract)
Abuse and neglect of older care recipients in domestic settings: results of a survey among nursing staff of home care services in Hanover (Germany)
- Authors:
- RABOLD Susann, GOERGEN Thomas
- Journal article citation:
- Journal of Adult Protection, 15(3), 2013, pp.127-140.
- Publisher:
- Emerald
A self-report study was conducted among home care nursing staff in the German city of Hanover to determine the scope and risk factors of abuse and neglect of community dwelling older care recipients by home care staff. A total of 503 professional caregivers took part in the study; the response rate was 43.3 per cent. Nearly 40 per cent of all respondents reported at least one incident of abuse or neglect of an older care recipient within the last 12 months. Psychological abuse/verbal aggression and neglect were most common. Serious problem behaviour can be predicted by care recipients’ aggressive behaviour, the number of a nurse's clients suffering from dementia, subjects’ use of alcohol as a means of alleviating work-related stress, and general judgments of quality of care delivered by the respective home care service. The study provides a first impression about the extent and potential causes of abuse and neglect by home care nursing staff. Findings show that the problem of abuse and neglect of care recipients is not limited to nursing homes and care by family members. The paper also points at opportunities for prevention and accentuates the need for further research in this field. (Edited publisher abstract)