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The ADOPT model: accelerating diffusion of proven technologies for older adults
- Authors:
- WANG Ange, et al
- Journal article citation:
- Ageing International, 36(1), March 2011, pp.29-45.
- Publisher:
- Springer
- Place of publication:
- New York
Home and community-based technologies have proven to be an effective way of helping older adults improve health outcomes and maintain independence. This article presents a conceptual model of technology diffusion, ADOPT (Accelerating Diffusion of Proven Technologies), which discusses important considerations for diffusing health technologies in home and community-based settings for older adults. At the centre of the ADOPT model is a framework that highlights factors that affect technology adoption and use relevant to older adults, their collaborators, and their context. The model then overlays seven important diffusion strategies that older adults’ collaborators (including technology companies, aging services organizations, formal/informal caregivers, family members, medical providers, insurance companies, and others) can undertake to help facilitate technology diffusion. The goal of this article is to introduce the ADOPT model to guide older adults’ collaborators in achieving greater use of technology, in order to create widespread health outcome improvements and promote independent living for this population.
Scoping review on the use of socially assistive robot technology in elderly care
- Authors:
- ABDI Jordan, et al
- Journal article citation:
- BMJ Open, 8(2), 2018, Online only
- Publisher:
- BMJ Publishing Group
Objective: With an elderly population that is set to more than double by 2050 worldwide, there will be an increased demand for elderly care. This poses several impediments in the delivery of high-quality health and social care. Socially assistive robot (SAR) technology could assume new roles in health and social care to meet this higher demand. This review qualitatively examines the literature on the use of SAR in elderly care and aims to establish the roles this technology may play in the future. Design Scoping review.: Data sources Search of CINAHL, Cochrane Library, Embase, MEDLINE, PsychINFO and Scopus databases was conducted, complemented with a free search using Google Scholar and reference harvesting. All publications went through a selection process, which involved sequentially reviewing the title, abstract and full text of the publication. No limitations regarding date of publication were imposed, and only English publications were taken into account. The main search was conducted in March 2016, and the latest search was conducted in September 2017. Eligibility criteria: The inclusion criteria consist of elderly participants, any elderly healthcare facility, humanoid and pet robots and all social interaction types with the robot. Exclusions were acceptability studies, technical reports of robots and publications surrounding physically or surgically assistive robots. Results: In total, 61 final publications were included in the review, describing 33 studies and including 1574 participants and 11 robots. 28 of the 33 papers report positive findings. Five roles of SAR were identified: affective therapy, cognitive training, social facilitator, companionship and physiological therapy. Conclusions: Although many positive outcomes were reported, a large proportion of the studies have methodological issues, which limit the utility of the results. Nonetheless, the reported value of SAR in elderly care does warrant further investigation. Future studies should endeavour to validate the roles demonstrated in this review. (Edited publisher abstract)
Surveillance technologies in care homes: seven principles for their use
- Author:
- FISK Malcolm John
- Journal article citation:
- Working with Older People, 19(2), 2015, pp.51-59.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consider the use of surveillance technologies in care homes and the way in which they can help protect older people. It signals an ethical way forward for their use that de-fuses the heightened rhetoric associated with concerns about the abuse. Totally, seven principles are put forward by which the use of surveillance technologies can be supported. Design/methodology/approach: The paper recognises the significance of technological developments and the key part that they now play in helping people live more independently. Surveillance technologies have a part in this within care homes, but there are important ethical considerations – notably around the way in which concerns for privacy are balanced with those about people’s safety and autonomy. Findings: The paper points to an approach that can guide the use of surveillance technologies within care homes. The seven principles put forward will be built on through further work in 2015 including care home residents, family carers, formal care providers and others. In setting out these principles the paper mediates between the positions of those who argue the merits of such technologies and those who point to some of them, notably cameras, as undermining people’s privacy and the nature of the “care relationship”. Originality/value: The subject matter of the paper is important because of the attention being given to problems of abuse in care settings; and the freedom by which anyone can access technologies that can be used for surveillance. The paper is timely and carries substantial originality. (Publisher abstract)
New technologies and emerging spaces of care
- Authors:
- SCHILLMEIER Michael, DOMENECH Miquel, (eds.)
- Publisher:
- Ashgate
- Publication year:
- 2010
- Pagination:
- 240p.
- Place of publication:
- Farnham
This book provides the latest practice-oriented qualitative research and innovative conceptual discussions of how health and health care systems are currently dealing with complex transformations and varied reforms. Exploring and analysing the social and cultural impact of new technologies, the book examines the societal relevance of new technologies of care and the manner in which technological innovations configure and reconfigure institutionalised spaces of care. It addresses issues of social control, accountability, surveillance and disciplining; diverging patterns of inclusion and exclusion; new relations and subjectivities of patients and care givers; the relation between private and public forms of care and the practices and concerns generated by new technologies at the individual as well as the societal level. The book presents sophisticated theoretical discussions and detailed empirical case studies and compares and evaluates on a transnational level the role and impact of assistive technologies for elderly and disabled people on the concepts and practices of spaces of care.
Enablers and barriers to the implementation of socially assistive humanoid robots in health and social care: a systematic review
- Authors:
- PAPADOPOULOS Irena, et al
- Journal article citation:
- BMJ Open, 10(1), 2020, p.e033096. Online only
- Publisher:
- BMJ Publishing Group
Objectives Socially assistive humanoid robots are considered a promising technology to tackle the challenges in health and social care posed by the growth of the ageing population. The purpose of this study was to explore the current evidence on barriers and enablers for the implementation of humanoid robots in health and social care. Design Systematic review of studies entailing hands-on interactions with a humanoid robot. Setting from April 2018 to June 2018, databases were searched using a combination of the same search terms for articles published during the last decade. Data collection was conducted by using the Rayyan software, a standardised predefined grid, and a risk of bias and a quality assessment tool Participants: Post-experimental data were collected and analysed for a total of 420 participants. Participants comprised: older adults (n=307) aged ≥60 years, with no or some degree of age-related cognitive impairment, residing either in residential care facilities or at their home; care home staff (n=106); and informal caregivers (n=7). Primary outcomes: Identification of enablers and barriers to the implementation of socially assistive humanoid robots in health and social care, and consequent insights and impact. Future developments to inform further research. Results: Twelve studies met the eligibility criteria and were included. None of the selected studies had an experimental design; hence overall quality was low, with high risks of biases. Several studies had no comparator, no baseline, small samples, and self-reported measures only. Within this limited evidence base, the enablers found were enjoyment, usability, personalisation and familiarisation. Barriers were related to technical problems, to the robots’ limited capabilities and the negative preconceptions towards the use of robots in healthcare. Factors which produced mixed results were the robot’s human-like attributes, previous experience with technology and views of formal and informal carers. Conclusions: The available evidence related to implementation factors of socially assistive humanoid robots for older adults is limited, mainly focusing on aspects at individual level, and exploring acceptance of this technology. Investigation of elements linked to the environment, organisation, societal and cultural milieu, policy and legal framework is necessary. (Edited publisher abstract)
Research and development work relating to assistive technology: 2013-14
- Authors:
- PARR Aidan, DOWN Keren
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 121
- Place of publication:
- London
This annual report provides information about the government funded projects supporting the development, introduction and evaluation of assistive technology that might increase the range of activities and independence or wellbeing of disabled and older people. Section 22 of the Chronically Sick and Disabled Persons Act 1970 requires a report to be laid before Parliament each year describing the research activity the government has funded in order to improve equipment for disabled and older people. The report aims to reflect research and development activity in relation to a wide range of impairments and health conditions and also to reflect the range of government funding programmes across health, social care, education, housing and employment. The report covers any aspect of research and development work in assistive technology, including service provision, research on motivation, cost or patterns of use, as well as technological development. (Edited publisher abstract)
“Do I need it? Do I really need it?” Elderly peoples experiences of unmet assistive technology device needs
- Authors:
- GRAMSTAD Astrid, STORLI Sissel Lisa, HAMRAN Torunn
- Journal article citation:
- Disability and Rehabilitation: Assistive Technology, 8(4), 2013, pp.287-293.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
An unmet need for assistive technology devices (ATD) occurs when a person would benefit from ATD, as assessed by health-care professionals or by the person In question. Unmet ATD needs In the elderly population have been documented, but little is known about the experience of living with such unmet needs. Purpose: To investigate the unmet need experiences of home-dwelling elderly people In Norway who have applied for ATD. Method: Nine elderly people who lived at home and had applied for ATD were interviewed. The interview transcripts were analysed withIn a hermeneutical phenomenological perspective. Results: The unmet ATD need experiences involved enduring a difficult situation by adjusting their expectations and activities, being introduced to ATD as a possible solution to the difficulties and negotiating this potential solution In light of the perceived situation. Conclusion: Observers assessments of unmet ATD needs are not readily experienced as such by the elderly. Adjusting expectations and activities enabled the participants to maintaIn meaningful activities but also made the difficulties less likely to be articulated as unmet needs. When encountering elderly people, health-care professionals must be sensitive to the unarticulated needs and potential difficulties of the elderly In performing everyday activities. (Publisher abstract)
Impact and economic assessment of assistive technology in care homes in Norfolk, UK
- Authors:
- AL-ORAIBI Saleh, FORDHAM Ric, LAMBERT Rod
- Journal article citation:
- Journal of Assistive Technologies, 6(3), 2012, pp.192-201.
- Publisher:
- Emerald
This study looked at whether new assistive technology (AT) systems in care homes for elderly residents, reduced the number of falls and demands for formal health services. The project collected retrospective data about the incidence of falls before and after AT systems were installed in two care homes in Norfolk, UK. These homes were selected purposefully because a recent assessment identified the need for upgrading their call system. They had different resident profiles regarding the prevalence of dementia. Standard incident report forms were examined for a period starting ten months before the upgrades to ten months after in Care Home 1 and from six months before to six months afterwards in Care Home 2. Overall there were 314 falls reported during the course of the study; the number reduced from 202 to 112 after the introduction of AT. The mean health care costs associated with falls in Care Home 1 were significantly reduced (more than 50%). In Care Home 2 there was no significant difference in the mean cost. The results suggest that installing an AT system in residential care homes can reduce the number of falls and health care cost in homes with a lower proportion of residents with advanced dementia compared to those with more residents with advanced dementia.
Using technology to enhance the ageing experience: a market of analysis of existing technologies
- Authors:
- GOLDWATER Jason, HARRIS Yael
- Journal article citation:
- Ageing International, 36(1), March 2011, pp.5-28.
- Publisher:
- Springer
- Place of publication:
- New York
Drawing on experience in the United States, this article discusses health technologies, their benefits, and how these tools will transform the way people age during the next decade. The article looks at how electronic health records can be used to increase efficiency, support care coordination, and provide caregivers timely access to information at any time or location. It also describes how telehealth can increase quality and access to care in an inpatient setting and can also support individuals wishing to age in place.
Telecare/telehealth
- Authors:
- CRAIG David, MISKELLY Frank
- Publisher:
- British Geriatrics Society
- Publication year:
- 2010
- Pagination:
- 5p.
- Place of publication:
- London
Technical advances in information exchange coupled with societal demographic pressures exist to stimulate interest and deployment of a wide range of telecare and telehealth solutions. Common chronic disease states such as diabetes, stroke, and pulmonary disease are typical areas of relevance within the sphere of home monitoring. The terms reference specific activities. Telecare is “the remote or enhanced delivery of health and social services to people in their own home by means of telecommunications and computerised systems. Telehealth is “the use of telecommunication technologies to provide health care services and access to medical and surgical information for training and educating health care professionals and consumers, to increase awareness and educate the public about health-related issues, and to facilitate medical research across distances. This British Geriatrics Society best practice guide acknowledges the growing role of electronic health support in the prevention and management of chronic illnesses relevant to older people. It presents four sections: introduction and terminology; health policy and models of service provision; responsibilities / role of the geriatrician; and recommendations.